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Random nights of CSA
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PastorMeador Offline

Members

Posts: 16
Joined: Nov 2015

Machine: RemStar AirSense10
Mask Type: Nasal mask
Mask Make & Model: Respironics ComfortGel Blue small
Humidifier: None
CPAP Pressure: 13
CPAP Software: ResScan

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Sex: Male
Location: Plymouth, WI

Post: #1
Random nights of CSA
I have finally started using ResScan to track my data. I am finding that while I have very few events, most of them are central rather than obstructive. But I can go days without any events and then have a night with a hour that had four centrals. Then they disappear again for a few days. I know very little about central apnea. When does it become a serious matter even when on cpap?
01-28-2016 05:47 PM
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justMongo Offline

Monitors

Posts: 3,853
Joined: Sep 2013

Machine: ResMed VPAP Auto (S9)
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quattro
Humidifier: ResMed H5i
CPAP Pressure: 18 IPAPmax - 11 EPAPmin, PS=5
CPAP Software: Other Software

Other Comments: μολὼν λαβέ

Sex: Male
Location: Калифорния

Post: #2
RE: Random nights of CSA
Since CA is included in the AHI tally, technically it is an issue when it brings the AHI to greater than 5.
Look at the duration flags. You may have some pressure induced CA. If the flags are 10, 11, 12 seconds, then perhaps not a big deal.
I flag a 10 second CA once in a blue moon.

BTW -- Your profile says RemStar Airsense 10 -- that's not right. I believe you mean ResMed Airsense 10.

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.
01-28-2016 05:56 PM
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PaulaO2 Offline
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Posts: 8,067
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: #3
RE: Random nights of CSA
I think it is perfectly natural to have some central events during the night. Central events are the cessation of breathing without an obstruction. A vivid dream, talking in your sleep, and other factors can cause one. For many people, just the sensation of the pressure alone can cause them. If you are having that few, don't worry about them. As long as the AHI stays below 5 and you are feeling rested, all is well.

PaulaO2
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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.
01-28-2016 07:42 PM
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vsheline Offline

Advisory Members

Posts: 1,908
Joined: Jul 2012

Machine: S9 VPAP Adapt (USA Model# 36007, not better 36037 or 36067)
Mask Type: Full face mask
Mask Make & Model: F10 or SimPlus w/ 2Liners. MirageQuatro & Gecko gel pad
Humidifier: H5i
CPAP Pressure: 15 EPAP, PS 5-10
CPAP Software: ResScan

Other Comments: Marfan Syndrome, chronic bradycardia, occasional Cheyne-Stokes Respiration

Sex: Male
Location: California, USA

Post: #4
RE: Random nights of CSA
(01-28-2016 05:47 PM)PastorMeador Wrote:  I am finding that while I have very few events, most of them are central rather than obstructive. But I can go days without any events and then have a night with a hour that had four centrals. Then they disappear again for a few days. I know very little about central apnea. When does it become a serious matter even when on cpap?

Centrals can be influenced by medications or diet.

I think a random hour now and then with 5 centrals is nothing to be concerned about, especially if the centrals are short, like 20 seconds or less.

I think insurance companies never approve coverage for upgrading a standard CPAP/APAP/BiPAP machine to one capable of a backup respiration rate unless the average number of centrals per hour of sleep is 5 or higher, counting every hour of sleep.

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. The Advisory Member group provides advice and suggestions to Apnea Board administrators and staff on matters concerning Apnea Board operation and administrative policies - not on matters concerning treatment for Sleep Apnea. I think it is now too late to change the name of the group but I think Voting Member group would perhaps have been a more descriptive name for the group.
(This post was last modified: 01-30-2016 03:01 AM by vsheline.)
01-30-2016 02:54 AM
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