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

Titration Issues
#11
RE: Titration Issues
    So, called the Sleep Center and they stated that the summary is all they can provide. I had for all the graphics and readings, but to no avail.  I have attached the 2-3 minute screen shots around some of the hypoapneas as requested. Please let me know what else I can do. Thanks.


Attached Files Thumbnail(s)
       
Post Reply Post Reply






Donate to Apnea Board  
#12
RE: Titration Issues
Play hippa on them. You have a right to your medical records
Fred Bonjour - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter 
OSCAR

Download OSCAR
New to Apnea? Helpful tips to ensure success
Soft Cervical Collar
Mask Primer
Dealing with a DME
Organize Charts
Attaching Charts

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.
Post Reply Post Reply
#13
RE: Titration Issues
Well I can check on that. Hopefully everything I provided can give some insight while I wait for that. Any thoughts on the graphs and prior reports? Thanks.
Post Reply Post Reply
#14
RE: Titration Issues
Fred, the first 3 pages of 8-pages of attachments are a titration study and do not include the detailed event-at-pressure charts we prefer, but the 5 pages of diagnostic study shows obstructive sleep apnea. The titration study narrative indicates that at the titrated pressure of 7.0 there was 1-central and 2-"partial apnea" and they concluded 1.0 AHI. At 8-cm there were two centrals and 2 partial apnea for an AHI of 5. The diagonstic study shows OA events mainly in REM and clusters of hypopnea in all sleep stages, and abundant snoring. The CAI is very low. While the titration study was poorly presented, and the conclusion was that a good titration on CPAP happened.

We are not going to bleed anything more useful out of this poor titration study. This is therapy onset centrals and they missed it. I have to run (41st anniversary dinner), but let's carry on with what we have.
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

____________________________________________
Download OSCAR Software
Soft Cervical Collar
Optimizing Therapy
Organize your OSCAR Charts
Attaching Files
Mask Primer
How To Deal With Equipment Supplier


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.
Post Reply Post Reply






Donate to Apnea Board  
#15
RE: Titration Issues
I must have jumped too early, there were only 3 pages.
Fred Bonjour - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter 
OSCAR

Download OSCAR
New to Apnea? Helpful tips to ensure success
Soft Cervical Collar
Mask Primer
Dealing with a DME
Organize Charts
Attaching Charts

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.
Post Reply Post Reply
#16
RE: Titration Issues
Thanks Sleeprider and Bonjour! I hope both y'all can figure out how to help. It seems like I'm damned if I do (up in pressure) and damned if I don't (decrease in pressure). When I look at my daily readings from the ScanDisk, I'm high in CA or HypoApneas. The actual Obstructive events are always none or 1-2...lol.  Im not sure whether to use Flex, no flex....well you know.  Any and all suggestions are so welcome.

Happy Anniversary Sleeprider.

Thanks Dont-know Thanks
Post Reply Post Reply
#17
RE: Titration Issues
        Hi Guys...Just checking to see if we have any more thoughts on my issues.  I have attached two more readings from this week. I went ahead and upped the pressure to  9.0 Flex 2 and got these results. Looks like central and hypo's now lower, but whether that is by design or what, I don't know.  Better AHI though. Hope you can helpSmile
Post Reply Post Reply






Donate to Apnea Board  
#18
RE: Titration Issues
These are pretty good results considering what your titration left you with. The obstructive components are the flow limitations, RERA and maybe the hypopnea. You almost have to look closely at the individual events to assess whether it is obstructive or central. Your higher pressure seems to have been beneficial, but keep in mind central apnea can be consistently inconsistent, so what works one night, may not be repeatable. if it is, this is pretty good. Something that can reduce centrals and is considerably less expensive than ASV therapy is Enhanced Expiratory Rebreathing Space (EERS). http://www.apneaboard.com/wiki/index.php...ace_(EERS) In your pre-CPAP days, you might have covered your nose or mouth with a pillow or breathed into your blanket. This is the same idea as EERS. You rebreathe a small volume of expired air, and the increased CO2 stimulates respiration. Read the wiki, and if you're interested we can pursue that further.
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

____________________________________________
Download OSCAR Software
Soft Cervical Collar
Optimizing Therapy
Organize your OSCAR Charts
Attaching Files
Mask Primer
How To Deal With Equipment Supplier


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.
Post Reply Post Reply


Possibly Related Threads...
Thread Author Replies Views Last Post
  New user, snoring and other issues totalnomad 2 131 10-20-2020, 04:04 PM
Last Post: totalnomad
  Issues with shipping CPAP machines to Taiwan - Any advice? WWu777 41 4,161 10-18-2020, 09:42 AM
Last Post: WWu777
  CPAP VS BIPAP ISSUES Politronics 1 117 10-13-2020, 05:24 PM
Last Post: SarcasticDave94
  Looking to get a biPAP. Is titration necessary? AlgebraicMisery 13 225 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
Angry [Health] LINK BETWEEN ITCHING AND SLEEP ISSUES? srlevine1 1 97 09-23-2020, 05:34 PM
Last Post: Cpapian
  DME issues Billygoat 4 180 08-29-2020, 05:15 AM
Last Post: Billygoat


New Posts   Today's Posts






About Apnea Board

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