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Painkillers Cause Of 36 AHI?
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player Offline

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Post: #1
Painkillers Cause Of 36 AHI?
I had a small surgery unrelated to breathing, cpap etc. They gave me a regime of painkillers and anti inflammatory meds to take and my numbers have gone from 1-3 per hour to up to 36!

Today I stopped the pain killers, and I am hoping for better stats.

Anyone else experience this spike?
07-13-2015 10:34 PM
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justMongo Offline

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Post: #2
RE: Painkillers Cause Of 36 AHI?
It's rather common. Most pain killers suppress the central respiratory drive.
Likely SleepyHead is showing your increase in AHI as Central Apnea.

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.
07-13-2015 11:38 PM
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zonk Offline

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Post: #3
RE: Painkillers Cause Of 36 AHI?
There is association between opioids pain relief medication and central apnea

Probably AHI will subside as the body get rid of the medications
07-13-2015 11:42 PM
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quiescence at last Offline

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Post: #4
RE: Painkillers Cause Of 36 AHI?
sometimes full central apneas do not occur (they have to last at least 10 seconds). hypopneas may also occur related to the opioids, and those are counted as well. your sleepyhead report would then show extra H as well as CA.

So what are the makeup of your results on those nights?

QAL

Dedicated to QALity sleep.
You'll note I am listed as an Advisory Member. I am honored to be listed as such. See the fine print - Advisory Members as a group provide advice and suggestions to Apnea Board administrators and staff concerning Apnea Board operation and administrative policies. Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment.
07-13-2015 11:56 PM
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player Offline

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Post: #5
RE: Painkillers Cause Of 36 AHI?
It is breaking down to about 75% obstructive, 25% CA.
07-14-2015 12:05 AM
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quiescence at last Offline

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Post: #6
RE: Painkillers Cause Of 36 AHI?
given the 3 to one ratio towards obstructive - one possibility is your pain meds are enough to let you get more sleep, so there is more chance of apnea. since you are on a straight pressure it may just not be enough on these nights.

QAL

Dedicated to QALity sleep.
You'll note I am listed as an Advisory Member. I am honored to be listed as such. See the fine print - Advisory Members as a group provide advice and suggestions to Apnea Board administrators and staff concerning Apnea Board operation and administrative policies. Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment.
(This post was last modified: 07-14-2015 06:56 AM by quiescence at last.)
07-14-2015 06:55 AM
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mollete Offline

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Post: #7
RE: Painkillers Cause Of 36 AHI?
(07-13-2015 10:34 PM)player Wrote:  They gave me a regime of painkillers and anti inflammatory meds to take and my numbers have gone from 1-3 per hour to up to 36!

You have a lady up there in Canada by the name of Frances Chung. For at least 5 years she has been championing the dangers of sleep apnea in the perioperative period. The numbers you describe are criminal. IIWY I would take the following summary:

http://www.patientsafetysolutions.com/do..._Apnea.htm

and go back there and staple it to the forehead of every member of your surgical team.

I mean, what would have happened if your mask fell off during the night?

And if you did have opiods:

http://www.jointcommission.org/assets/1/..._final.pdf
07-14-2015 07:44 AM
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justMongo Offline

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Post: #8
RE: Painkillers Cause Of 36 AHI?
On a positive note: More surgeons are insisting that patients be screened for sleep apnea before surgery.

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.
07-14-2015 08:28 AM
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TyroneShoes Offline

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Post: #9
RE: Painkillers Cause Of 36 AHI?
(07-14-2015 07:44 AM)mollete Wrote:  
(07-13-2015 10:34 PM)player Wrote:  They gave me a regime of painkillers and anti inflammatory meds to take and my numbers have gone from 1-3 per hour to up to 36!

You have a lady up there in Canada by the name of Frances Chung. For at least 5 years she has been championing the dangers of sleep apnea in the perioperative period. The numbers you describe are criminal. IIWY I would take the following summary:

http://www.patientsafetysolutions.com/do..._Apnea.htm

and go back there and staple it to the forehead of every member of your surgical team.

I mean, what would have happened if your mask fell off during the night?

And if you did have opiods:

http://www.jointcommission.org/assets/1/..._final.pdf
Best post this week.
07-14-2015 02:16 PM
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DocWils Offline

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Post: #10
RE: Painkillers Cause Of 36 AHI?
It all depends on the pain killers and moreover, it depends on the anaesthesia. It takes a good week or more for the anaesthesia to get out of your system, and when combined with certain pain killers will certainly depress the breathing reflex. This is rarely dangerous, since these are short term problems that disappear once the the various stuffs are out of one's system, but during that time, a person who is already respiratorlly compromised can experience a marked increase in apnoea events, which is a problem only if one is not already under the care of a physician and on a CPAP regime. As I said, the effects are temporary. Where this becomes a real problem is if someone is suffering from COPD or other deep respiratory or cardiological problems. Sleep Apnoea is generally not considered a greater problem in this regard.

It is now standard procedure during the pre-surgical work-up with the anaesthesiologist to ask about respiratory and circulatory problems and adjust surgical and post surgical procedure accordingly.
07-14-2015 05:12 PM
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