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Need Titration Study?
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codger Offline

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Posts: 14
Joined: Oct 2012

Machine: Intellipap auto
Mask Type: Full face mask
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Humidifier: Devilbiss
CPAP Pressure: 8-12
CPAP Software: Not using software

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Sex: Male
Location:

Post: #1
Need Titration Study?
My cpap crashed and I went back to my doctor for an Rx for new machine.
I had read about auto Cpaps and Dr wrote RX for APAP with pressure range 8-12. He also scheduled a new sleep titration study.

I have had 3 sleep titration studies in the past. It is my understanding that the new APAPS (I bought a Devilbiss Intellipap Auto) will automatically adjust pressure by raising and lowering pressure as apnea events occur.
I hate sleep studies, and although the study produces lots of scientific data, the only result is that a CPAP is set at a pressure numerical value.

Do I need another titration study? Won't the Intellipap find the pressure ranges that are best for me. Hasn't the Dr done me a disservice by limiting the pressure ranges on an automatic machine?
10-07-2012 09:13 AM
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StuUnderPressure Offline

Members

Posts: 52
Joined: Jun 2012

Machine: ResMed S9 AutoSet
Mask Type: Nasal mask
Mask Make & Model: ResMed Mirage SoftGel with Camo Headgear
Humidifier: ResMed H5i Heated Humidifier
CPAP Pressure: 13 - 19
CPAP Software: ResScan

Other Comments: ResScan Version 4.3.0.7081

Sex: Male
Location: U.S.A.

Post: #2
RE: Need Titration Study?
I got a new ResMed S9 AutoSet in January 2012.
This was my 3rd machine in 13 years.

My one & only Sleep Study & Titration was done 13 years ago.
Neither was repeated as a condition to be able to get another machine.

Stand your ground & tell them you want to postphone another Titration until you see what the Auto CPAP information tells you (for at least 3 months).

Then, once you have the machine you want, just never agree to have the Titration done.
The information you will get from the Auto CPAP will tell you everything you need to know.

Now, if you or your Doctor suspects other problems than just a needed pressure change, you may need the full blown Sleep Study again.
10-07-2012 09:22 AM
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Dawei Offline

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Posts: 342
Joined: Feb 2012

Machine: ResMed S9 AutoSet
Mask Type: Other
Mask Make & Model: Respironics "FitLife"
Humidifier: H5i
CPAP Pressure: 10-20
CPAP Software: ResScan SleepyHead

Other Comments: Began CPAP in 2006; spent the first 6 years with a "brick"

Sex: Male
Location: Western North Carolina

Post: #3
RE: Need Titration Study?
Welcome to the board, Codger! I'd agree with Stu's comments. During my own recent care, I and my sleep doc discovered that the titration pressure called for during a recent sleep study proved to be WRONG. Then, when I convinced my doc to write for an autoset machine on a loaner basis, it found that I actually needed higher pressure to control my apneas. I'm talking significantly higher (5-7 cm) than the study's titration reported. My doc, who is a boarded sleep specialist, couldn't figure out why the sleep study titration was off. He told me that he asked the technician if I was sleeping on my back, which I was and which I do at home too. When I got the Autoset loaner, the doc set its range at 8-19, which is fairly wide open to let the machine find the best pressure range for me. So, this makes me wonder why your doc set your new apap at such a narrow range. For 5 years, I had been on 7 cm pressure, which was from my first sleep study. Over time, my pressure needs had significantly increased, I and my doc discovered. My current pressure is up around 17-19 cm with AHI down below 5.
10-07-2012 09:49 AM
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Sleepster Offline
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Posts: 4,989
Joined: Feb 2012

Machine: ResMed AirCurve10 VAuto
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: HumidAir and SlimLine Hose
CPAP Pressure: MaxI 13.6 | MinE 5.2 | PS 4.4
CPAP Software: ResScan SleepyHead

Other Comments: Diagnosed Nov 2011. Conquered aerophagia.

Sex: Male
Location: Houston, Texas

Post: #4
RE: Need Titration Study?
(10-07-2012 09:13 AM)codger Wrote:  I have had 3 sleep titration studies in the past.

If you were diagnosed with simple OSA, then I would agree with the advice you got from Stu.

Sleepster
Apnea Board Moderator
www.ApneaBoard.com


INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
10-07-2012 10:16 AM
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codger Offline

Members

Posts: 14
Joined: Oct 2012

Machine: Intellipap auto
Mask Type: Full face mask
Mask Make & Model:
Humidifier: Devilbiss
CPAP Pressure: 8-12
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #5
RE: Need Titration Study?
I appreciate the feedback on the need for a new titration study. I thought that a new titration study was unnecessary, but my wife was (is) of different opinion.

The last sleep study called for a setting of 14. I could not sleep at that pressure and I learned how to lower the pressure. After experimenting over time I found a pressure of 12 worked best for me. The sleep study, performed almost entirely on my back, was useless. My throat occlusion increases significantly when sleeping on my back, so I sleep only on my side.

I am awaiting an email from apneaboard.com revealing how to raise the range that the doc prescribed last week. And I am going to cancel the titration my Dr ordered.

I have now logged over 14,000 hours on CPAPS.

Codger
10-07-2012 11:20 AM
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Sleepster Offline
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Moderators

Posts: 4,989
Joined: Feb 2012

Machine: ResMed AirCurve10 VAuto
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: HumidAir and SlimLine Hose
CPAP Pressure: MaxI 13.6 | MinE 5.2 | PS 4.4
CPAP Software: ResScan SleepyHead

Other Comments: Diagnosed Nov 2011. Conquered aerophagia.

Sex: Male
Location: Houston, Texas

Post: #6
RE: Need Titration Study?
If you get the right software you'll be able to determine whether or not your therapy is effective. That'll settle the debate between you and your wife. :-)

Sleepster
Apnea Board Moderator
www.ApneaBoard.com


INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
10-07-2012 11:41 AM
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trish6hundred Offline

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Posts: 6,430
Joined: May 2012

Machine: Resmed S9 AutoSet for Her
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: H5i Heated Humidifier
CPAP Pressure: 10 - 7-20 Cm H2O
CPAP Software: Not using software

Other Comments: I started CPAP in 2008. Totally blind since birth.

Sex: Female
Location: Missouri, USA

Post: #7
RE: Need Titration Study?
Hi codger, First, WELCOME! to the forum.! Sounds like you got some great suggestions, best of luck to you.

trish6hundred
10-07-2012 12:30 PM
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PaulaO2 Offline
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Posts: 8,065
Joined: Feb 2012

Machine: S9 Autoset
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: H5i
CPAP Pressure: 14-20
CPAP Software: SleepyHead

Other Comments: Ehlers-Danlos Syndrome, Hypermobility Type; chronic sarcasm

Sex: Undisclosed
Location: western NC, USA

Post: #8
RE: Need Titration Study?
IF you have just obstructive sleep apnea (OSA), then the autoset would work for you.

IF you have other conditions such as periodic limb movement disorder (PLMD) or low blood oxygen at night, then a sleep study might be a good idea.

The newer machines can report 'clear airway events' which may or may not be central apnea events. They can report if you are snoring.

But they cannot tell if you are struggling when you stop breathing (the difference between OSA and CSA) or if your body is twitching (PLMD) or your heart rate or blood oxygen levels. If none of these are an issue, then forget the sleep study and use the APAP to do it for you.

PaulaO2
Apnea Board Moderator
www.ApneaBoard.com


Breathe deeply and count to zen.

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
10-07-2012 02:02 PM
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zonk Offline

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CPAP Pressure: 9/13
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Other Comments: CPAP since Nov 2010

Sex: Male
Location: Australia

Post: #9
RE: Need Titration Study?
(10-07-2012 11:20 AM)codger Wrote:  And I am going to cancel the titration my Dr ordered.

I have now logged over 14,000 hours on CPAPS.

Codger
if were me I would not cancel the sleep study
the sleep study can tell me for certain if my apnea is obstructive, central or both and other sleep disorder

congrats on the 14000 PAP hours
10-07-2012 02:03 PM
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Suzjohnson Offline

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Posts: 42
Joined: Apr 2012

Machine: Resmed S9 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Fisher Pakel Pilairo
Humidifier: H5i
CPAP Pressure: 7-12
CPAP Software: ResScan SleepyHead Other Software

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Sex: Female
Location: So. Utah

Post: #10
RE: Need Titration Study?
Are you paying for the machine yourself? I was under the impression most insurances required a new sleep study when you got a new machine.

Suz
10-07-2012 03:13 PM
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