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I.D. this Apnea type?
#1
I.D. this Apnea type?
Some years ago I had a consultation with a Sleep Specialist who told me I have a rare form of Apnea because my breathing halts ONLY upon exhale while sleeping on my back. No Sleep Study was done. I have happily and healthfully been sleeping  on my sides for years, and never gave it another thought. 

I am now facing shoulder surgery, and wondering what will happen when I go under general anesthesia, on my back, and,  and will not be able to sleep on 1 side during several weeks of recovery, leaving me to sleep in 1 only position - rough!

Does anyone else have this condition, and if so, can you identify it's name or type, and what type of CPAP machine you use (if any)?
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#2
RE: I.D. this Apnea type?
There is no way to provide definitive or even helpful information based on the amount of information you have provided.

Now is the time to ask your surgeon, anesthesiologist, and respiratory therapist essential questions to address your specific concerns. Consider it part of your pre-surgical workup and your rights under "informed consent" when they must explain risks and follow-on care before rendering services. Memorialized by the forms you must sign indicating you understand and accept the risks of treatment.

Forum members do not know your condition and can provide anecdotal commentary and suggestions, but nothing beats discussing the issue with people legally responsible for your care.
"The object in life is not to be on the side of the majority, but to escape finding oneself in the ranks of the insane." -- Marcus Aurelius
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#3
RE: I.D. this Apnea type?
Ask your ENT about palatal prolapse. See if you can get a same day appt and possibly get this resolved prior to your surgery. Not saying you have it but inability to exhale is a symptom. We have a user here that has it and his fix was a (Alexo) stent he puts in his nose every night and using his PAP machine.

On surgery, inform both your surgeon and anesthesiologist of this. I'm sure they have ways to help.
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#4
RE: I.D. this Apnea type?
Very helpful- thanks!

I disagree. And, I didn't asl for surgical advice. 

I cannot be the only person in the world with this condition. There are others who do.
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#5
RE: I.D. this Apnea type?
First no one here suggested a surgical solution. You mentioned an upcoming shoulder surgery wondering how this exhale condition will impact this surgery and it was recommended that you be sure to advise this to those who would perform this surgery, no more.

The stent I mentioned is a non-surgocal though prescription to an unusual condition that I suggested you see a specialist about. Palatal prolapse has a unique shape to the breathing that shows in the flow rate chart produced from data from your CPAP which you didn't imply having and your profile didn't mention. I would have requested several 2-3 minute views in addition to the standard daily charts we like to see prior to providing advice.
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#6
RE: I.D. this Apnea type?
Expiratory obstruction is not terribly uncommon and most often is caused by the supraglottic/retroglossal area of the throat, or the retropalatal area.
CPAP treatment would help but I think a full sleep study is important in order to fully understand your specific issue.

Definitely make sure your surgical team is aware.
During surgery you will be intubated so throat obstruction is a non-issue. Immediate post-surgery/recovery may require extra observation and interventions. 

You are likely having physical therapy post-surgery, correct?
Ask the physical therapists for suggestions for sleep - they might have tips to make you more comfortable and manage your airway.
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#7
RE: I.D. this Apnea type?
Thank you!
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