Hello Guest, Welcome to Apnea Board !
As a guest, you are limited to certain areas of the board and there are some features you can't use.
To post a message, you must create a free account using a valid email address.

or Create an Account


New Posts   Today's Posts

Dr says I have to have new sleep study to change titration
#1
This is horse pucky. I had an overnight pulse ox with my cpap and I had 10 events where my oxygen dropped 3% or more. and I was dropping to 79%. Spent 33% of the night below 90% oxygen.

The doctors office says in order to change the pressures I have to have another titration study done in the lab. I know I can change the pressures myself and in fact had jumped it one prior to the overnight pulse ox.

Oh-jeez

I am not sure how to proceed.
Cindy lots-o-coffee
Post Reply Post Reply
#2
(03-09-2015, 01:14 PM)clrapstad Wrote: This is horse pucky. I had an overnight pulse ox with my cpap and I had 10 events where my oxygen dropped 3% or more. and I was dropping to 79%. Spent 33% of the night below 90% oxygen.

The doctors office says in order to change the pressures I have to have another titration study done in the lab. I know I can change the pressures myself and in fact had jumped it one prior to the overnight pulse ox.

Oh-jeez

I am not sure how to proceed.









According to your profile you are running a auto machine, why not set the max pressure up and let it find you. Your setting is 6 - 8 cm why not set it at 6 - 10 and check your numbers with sleepy head in a week and go from there.

Post Reply Post Reply
#3
Sort of defeats the purpose of having an Auto machine to need a sleep study to change pressure range.
My opinion is that some docs are just doing CYA when they say that.
OTOH -- the doc may be considering adding supplemental O2 tot he CPAP flow.
When was you last study? recent?

6-8 is not a wide range, nor very high pressure.

For me -- I would find another, more enlightened, doctor.
You have to make a decision you are comfortable with.
You are your best advocate for your healthcare.

Admin Note:
JustMongo passed away in August 2017
Click HERE to read his Memorial Thread

~ Rest in Peace ~
Post Reply Post Reply


#4
(03-09-2015, 01:14 PM)clrapstad Wrote: This is horse pucky. I had an overnight pulse ox with my cpap and I had 10 events where my oxygen dropped 3% or more. and I was dropping to 79%. Spent 33% of the night below 90% oxygen.

The doctors office says in order to change the pressures I have to have another titration study done in the lab. I know I can change the pressures myself and in fact had jumped it one prior to the overnight pulse ox.

Oh-jeez

I am not sure how to proceed.

Why don't you post your sleepyhead chart from this night. This may provide some clues on what should be the next step. Since you have a pulse ox, you can titrate your pressure at home and evaluate the result on pulse ox. You can also integrate the pulse ox reading in your sleepyhead charts and watch both cpap and pulse ox data concurrently.

This will also help to answer if you do need an in-lab titrations (to evaluate if you need supplemental o2 or BiPap).


Started APAP 4-20, Closed range to 7.5-14, then straight 8.0 w/ Aflex 3
RDI always below 1. But sleep much much better at straight pressure.
Started on F10, Tried Quattro Air successfully. Finally settled on P10.
Post Reply Post Reply
#5
If you can present some Sleepyhead graphs to your doctor showing how a new pressure level improves things he might be more supportive. Perhaps the principal to apply here is that it is easier to get forgiveness than permission.
Ed Seedhouse
VA7SDH

Your brain is not the boss.

Post Reply Post Reply
#6
It would be nice to see your actual results. But with such a tight range I'm not sure they would be all that meaningful. If it was my cute little body I would set the range to 6 min, 12 max and see what happens. Download/install the Sleepyhead software so you can check the results after you make the changes. It does sound like your doc is one click above the docs that prescribe an Auto machine, then insist on dummy'ing it down to a regular cpap without any particular consideration as to how well that might work for the patient.

Post Reply Post Reply


#7
(03-09-2015, 01:42 PM)AshSF Wrote:
(03-09-2015, 01:14 PM)clrapstad Wrote: This is horse pucky. I had an overnight pulse ox with my cpap and I had 10 events where my oxygen dropped 3% or more. and I was dropping to 79%. Spent 33% of the night below 90% oxygen.

The doctors office says in order to change the pressures I have to have another titration study done in the lab. I know I can change the pressures myself and in fact had jumped it one prior to the overnight pulse ox.

Oh-jeez

I am not sure how to proceed.

Why don't you post your sleepyhead chart from this night. This may provide some clues on what should be the next step. Since you have a pulse ox, you can titrate your pressure at home and evaluate the result on pulse ox. You can also integrate the pulse ox reading in your sleepyhead charts and watch both cpap and pulse ox data concurrently.

This will also help to answer if you do need an in-lab titrations (to evaluate if you need supplemental o2 or BiPap).


The pulse ox meter was the clinics. I think I am going to purchase one. Anyone have one that works with their Resmed Air Sense 10 for her machine to sync results?
Cindy lots-o-coffee
Post Reply Post Reply
#8
(03-09-2015, 01:27 PM)JWR Wrote: According to your profile you are running a auto machine, why not set the max pressure up and let it find you. Your setting is 6 - 8 cm why not set it at 6 - 10 and check your numbers with sleepy head in a week and go from there.

Heck, set it at 6-20 and let it do its thang!

OMM
Post Reply Post Reply
#9
Wasn't brave enough to open is all the way up but I bumped it to 6-12 and found it was wanting to run at 12. My AHI were higher than the night before but I tend to ping all over the place anyway.
Didn't have time to look at the data in sleepyhead and am still figuring that all out.
I am really thinking with my funky asthma issues I should have it opened up more so it can respond if it needs to.
I wonder if it is picking up my asthma breaths as snores as my husband says he doesn't hear me snoring and the machine is picking up I am.

My lung function while awake is not the best so laying down is making it worse.

Cindy lots-o-coffee
Post Reply Post Reply


#10
What you did sounds good. It may even be wanting to run higher than 12! Leave it alone for a week and see if you can spot a trend developing. That is to say, see if it points you to a higher pressure or lower one. If no trend, give it another week. Eventually you will clearly see what the pressure needs to be by how the machine is responding to breathing limitations. Then you can accurately adjust for effect. Any sudden increase in pressure can take time to be tolerated. This process may take you several weeks. Jumping from a max of 8 cm to 12 cm in itself can cause temporary sleep disturbance so you may need to back off and come up more gradually.

FYI, I have the Contec pulse oximeter model CMS 50D+ and it works well with the Sleepyhead software.

After doing all that, if you still have issues, then it's time to go back to the doctor armed with the data you have accumulated by your efforts and let him prescribe a course of action.

Best regards, Dude
Post Reply Post Reply


Possibly Related Threads...
Thread Author Replies Views Last Post
  BPAP Titration Sleep Study HalfAsleep 18 345 12-11-2017, 07:06 PM
Last Post: HalfAsleep
  Constant Air the same even when i change settings blackhawk2737303 6 215 12-11-2017, 04:16 PM
Last Post: Sleeprider
  Just diagnosed but headed back for 2nd study. Advice? Piggles 67 3,762 12-01-2017, 02:53 PM
Last Post: Solar Rays
  Change Therapist? DBTaylor 7 306 11-11-2017, 02:02 PM
Last Post: WakingDead
  Second Sleep Study - Questions to ask Doctor Zandor435 10 894 10-26-2017, 12:07 PM
Last Post: David Govan
  I am new and would like to purchase my own Cpap machine. I have had sleep study done. Ericivey1 6 449 10-24-2017, 11:11 PM
Last Post: trish6hundred
  [Equipment] Z1 auto travel cpap mode change Aschaefer5 4 404 10-22-2017, 02:12 PM
Last Post: jedwin

Forum Jump:

New Posts   Today's Posts




About Apnea Board

Apnea Board is an educational web site designed to empower Sleep Apnea patients.

For any more information, please use our contact form.