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

Modifying the titration procedure
Modifying the titration procedure
After being diagnosed with mild sleep apnea and because there were some heart issues I've been on an APAP for the last 3 months. The APAP was chosen because the titration test was unsatisfactory. They manipulated the APAP settings but I'm still running an average AHI of 6 with some good nights around 3-5 and some not so good in the 6-10 range. The sleep specialist thought I should have another titration thinking I might need a BiPAP. I assumed that the guidelines for this titration would designed around the 3 months of data and the possible objective of switching to a BiPAP. All the providers involved are part of the same large health clinic so I was surprised to find when I got to the sleep study that all they had was the report of the failed titration test and were simply going to try it again. The day after the test my sleep specialist seemed a little annoyed when I asked him if the titration should have been designed around my particular situation. Was I wrong to believe they might have modified the standard titration procedure?
Post Reply Post Reply

Donate to Apnea Board  
RE: Modifying the titration procedure
Ideally, one would think the procedure would be tailored to the person.
It just doesn't work that way. Generally a PSG technician conducts the test according to standard protocols. There is no doctor present to make decisions to vary the protocol in real-time.

The protocols have branch points the PSG tech will take -- example:
If Oxygen saturation falls below a certain number, they are to administer Oxygen.

Bilevel is often used when a person requires higher pressures. The greater expiratory relief makes it easier.

They, the medicos, usually want a PSG titration on a bilevel machine to prove effectiveness and find optimum settings. It can be a maddening merry-go-round.

Some doctors just see questions as an offense to their ego.
I try to avoid such doctors. A good doctor can take questions, even criticism, and keep their cool. Healthcare is a two-way street; and a "my way or the highway" doctor will get little feedback from those he's charged with caring for.
Admin Note:
JustMongo passed away in August 2017
Click HERE to read his Memorial Thread

~ Rest in Peace ~
Post Reply Post Reply

Possibly Related Threads...
Thread Author Replies Views Last Post
  Looking to get a biPAP. Is titration necessary? AlgebraicMisery 13 211 10-09-2020, 08:21 AM
Last Post: Johnnyde94
  FOUND ASV titration instructions, deep readings with the real testing gear... racprops 0 74 09-30-2020, 08:38 AM
Last Post: racprops
  Titration Issues hart1026 17 373 09-04-2020, 02:40 PM
Last Post: Sleeprider
  How can I perform a sleep titration study, on myself? NoddingHacker 7 207 08-24-2020, 08:40 AM
Last Post: bonjour
  Titration study revisited tmoody 8 490 11-14-2019, 10:28 PM
Last Post: 70sSanO
  My Titration study did not go well. 17WRX 8 681 10-20-2019, 04:04 PM
Last Post: Dormeo
  [Diagnosis] Experimenting with CPAP titration for my wife walkingdead 22 920 10-18-2019, 06:55 PM
Last Post: walkingdead

New Posts   Today's Posts

About Apnea Board

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