Post Reply 
Supplemental Oxygen
Author Message
Terry Offline

Advisory Members

Posts: 553
Joined: May 2014

Machine: Philips Respironics RemStar Auto with A-Flex (560P)
Mask Type: Nasal pillows
Mask Make & Model: P/R Nuance & Pap Cap
Humidifier: Integrated
CPAP Pressure: Auto
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location:

Post: #11
RE: Supplemental Oxygen
(02-12-2013 11:22 AM)rickm Wrote:  Supplemental oxygen appears to be uniformly dismissed as a remedy for sleep apnea, yet I find but two minor studies of this possibility on Pubmed. Is there any clinical support for the application of supplemental oxygen to sleep apnea? I would appreciate responses from those who: (a) Have tried it, and (b) Who know more than I do.

This is an old thread and you've received excellent answers, but if you're still considering this, I did want to mention that long term use of high percentages of O2 can actually be harmful:

http://www.medscape.com/viewarticle/778505_3

Terry
05-30-2014 08:09 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
justMongo Offline

Monitors

Posts: 3,847
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: #12
RE: Supplemental Oxygen
Yes, it's a necro thread. That said, My Rx calls for 2 LPM O2 injected into the xPAP flow. My baseline O2 was low during my study.
If your baseline is 90; you will desat deeper during an apnea event. I suspect I could d/c the O2 at this time.

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.
05-30-2014 08:32 AM
Find all posts by this user Post Reply Quote this message in a reply
Terry Offline

Advisory Members

Posts: 553
Joined: May 2014

Machine: Philips Respironics RemStar Auto with A-Flex (560P)
Mask Type: Nasal pillows
Mask Make & Model: P/R Nuance & Pap Cap
Humidifier: Integrated
CPAP Pressure: Auto
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location:

Post: #13
RE: Supplemental Oxygen
(05-30-2014 08:32 AM)justMongo Wrote:  Yes, it's a necro thread. That said, My Rx calls for 2 LPM O2 injected into the xPAP flow. My baseline O2 was low during my study.
If your baseline is 90; you will desat deeper during an apnea event. I suspect I could d/c the O2 at this time.

I'm not saying that nobody should use O2, just that the high percentages and long term use could be a problem.
05-30-2014 08:41 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
jaycee Offline

Preferred Members-2

Posts: 115
Joined: May 2014

Machine: S-9 Autoset
Mask Type: Full face mask
Mask Make & Model: Quattro Air Large
Humidifier: 5i
CPAP Pressure: 9-13
CPAP Software: ResScan

Other Comments: RT at a DME

Sex: Male
Location:

Post: #14
RE: Supplemental Oxygen
As stated above, O2 does nothing to actually "treat" the sleep apnea (but that is not to say that it can't be of some benefit to a patient that can't get used to wearing CPAP).

If you have hypoventilation, O2 can keep your oxygen level from dropping as low as it would without the O2. With apneas, the first breath you take upon breathing again will be mostly O2 to help your oxygen level recover much faster than it would without the O2.

So, IMO, PAP is better than O2 alone is better than nothing.

When it comes to ordering PAP + O2, I usually see that ordered with patients with underlying lung/heart condition in addition to the sleep apnea. Very large patients (hypoventilation issues) may also benefit from O2 in conjunction with PAP.
05-30-2014 10:53 AM
Find all posts by this user Post Reply Quote this message in a reply
Richard-KW Offline

Members

Posts: 10
Joined: Feb 2014

Machine: ResMed S9 AutoSet
Mask Type: Full face mask
Mask Make & Model: ResMed Quatro FX
Humidifier: ResMed H5i
CPAP Pressure: 8-11
CPAP Software: ResScan SleepyHead

Other Comments: Plus O2 concentrator-FX mask Lg, Med Headgear

Sex: Male
Location: Midwest

Post: #15
RE: Supplemental Oxygen
(02-12-2013 11:22 AM)rickm Wrote:  Supplemental oxygen appears to be uniformly dismissed as a remedy for sleep apnea, yet I find but two minor studies of this possibility on Pubmed. Is there any clinical support for the application of supplemental oxygen to sleep apnea? I would appreciate responses from those who: (a) Have tried it, and (b) Who know more than I do.

This is not a specific answer to your question, but I would like to share some things with you that may help.
I use the Contec CMS60C pulse/oximeter and before I had the APAP machine, my doctor put me on 2Lm Oxygen concentrator with a cannula after I showed him I was going into the low 70s during sleep (probably REM sleep). I showed him the printouts and he immediately ordered an O2 concentrator/cannula for me during sleep. The supplemental O2 raised the SpO2 ten points from the low 70s to the 80s and many, many times, nomal readings (mid to upper 90s). However, low 80s is not acceptable either, therefore a sleep test was ordered and I showed an AHI of 38 and of course, an APAP was ordered.
Those same SpO2 numbers occurred after I got my APAP machine and I have dozens and dozens of recordings to back up both of these findings (AHI dropped to low teens though). Also, I have severe peripheral neuropathy and used to wake up with black toes and dead hands and feet and other parts and I really don't care what the studies show or even if there are any. I believe in patient empowerment and so does my doctor and I believe in common sense and educating myself. You can't argue with success.
My suggestion, if you don't have an oximeter, get one. They aren't that expensive and test yourself all night to see where you are. Those low numbers that I was experiencing are not acceptable. Oh, in case it's not obvious, I'm using APAP and supplemental O2 injected during sleep. Either way you look at it, AHI 38 and SpO2 in 70s and 80s is... well, neither is acceptable... you're dying - my opinion. It's just a no-brainer to me.
05-30-2014 02:42 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
bwexler Offline

Advisory Members

Posts: 563
Joined: Mar 2012

Machine: PRS 1 BiPAP autoSV Advanced, with Heated Tube humidifier
Mask Type: Nasal mask
Mask Make & Model: Sleepweaver Élan
Humidifier: Resperonics Heated Tube humidifier
CPAP Pressure: Max pressure 25.0 cm H20, Max
CPAP Software: SleepyHead EncorePro

Other Comments: CMS 50i with Software for SpO2

Sex: Male
Location: San Marcos, CA, USA

Post: #16
RE: Supplemental Oxygen
Richard I gree with you totally.
My sleep study AHI was 84 now with my ASV I stay bellow 2, but I still have desat events according to my CMS 50i. I have been using 2.5 LPM O2 with about 92% SPO2. I just bumped up my O2 to 3.0 LPM and my SPO2 is 94. I still have a few spikes but I am happy now with my results.
05-30-2014 08:54 PM
Find all posts by this user Post Reply Quote this message in a reply
woozie38 Offline

Advisory Members

Posts: 248
Joined: Jan 2013

Machine: Fisher & Paykel Icon + Auto
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Integral
CPAP Pressure: 8 to 14
CPAP Software: SleepyHead Other Software

Other Comments: 17 years of CPAP + supp. oxygen @ 3 L/min

Sex: Male
Location: Toowoomba, Queensland Australia

Post: #17
RE: Supplemental Oxygen
Quote: rickm wrote:
My question has been answered and more. You have devoted a great deal of time to your reply and it is much appreciated.
Although I have been on supplemental O2 for 14 odd years, there's little I can add to the excellent replies already posted. My feeling however, O2 has been & is my saviour.Rolleyes O2 helps me to recover more quickly from an apnoea event by causing my SPO2 to rise back to normal levels more quickly. Thus limiting the amount of damage low levels cause, as well as providing a better day than otherwise would be the case.

[Image: signature.png]Keep on breathin'
08-14-2014 01:08 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Post Reply 


Possibly Related Threads...
Thread: Author Replies: Views: Last Post
  new to cpap and oxygen worried 8 223 12-02-2016 05:53 PM
Last Post: kwhenrykerr
  Pulse Oxygen Sensor muddywaters 6 317 11-27-2016 07:23 PM
Last Post: kwhenrykerr
Rainbow [Diagnosis] They want me to use a CPAP with oxygen concentrator Apneaprincess 47 7,651 11-11-2016 05:18 PM
Last Post: David44142
  Oxygen adapter on CPAP hose PaulaO2 6 501 08-29-2016 12:00 AM
Last Post: PaulaO2
  CPAP with oxygen Concentrator tanwt 23 2,213 07-21-2016 04:31 AM
Last Post: kwhenrykerr
Question Low Oxygen, Low Red Blood cell count and Low T kwhenrykerr 0 279 07-21-2016 04:11 AM
Last Post: kwhenrykerr
  [CPAP] Oxygen sensing and recording shnorrer 21 5,610 04-23-2016 09:59 AM
Last Post: Sn00zeAlarm

Forum Jump:

Who's Online (Complete List)