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Tonsillectomy failure
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brianwood619 Offline

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Posts: 171
Joined: Jan 2014

Machine: ResMed S9 VPAP Auto
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: H5i Heated Humidifier
CPAP Pressure: 16-22cm/h2o
CPAP Software: ResScan SleepyHead

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Sex: Male
Location: Peaceful Acres

Post: #1
Tonsillectomy failure
My son went in for a tonsillectomy and adenoidectomy a little over two weeks ago. He needed them out anyway for recurring throat infections and ear problems, doctor told us he could possibly come off BiPap as a result of the surgery. Well he's recovered from surgery and last night had to go back on BiPap as he was having fatigue and tiredness and we could still hear him snoring and gasping. He was really wanting to get off pap therapy but after I did some digging on all this leading up to surgery day I told him don't be disappointed if it doesnt work based off what I had read. So we called the doctor and told him what was going on and he said to resume pap therapy. Carter was disappointed but took it in stride. I'm thinking he may need to go back in for another titration study because with the mask on I can still hear him snore a little wheras before we heard nothing but peaceful breathing. I'm wondering if this surgery has altered his pressure needs.
12-30-2014 03:22 PM
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Paralel Offline

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Posts: 68
Joined: Aug 2014

Machine: Respironics PR System One 60 Series REMstar Auto with A-flex
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quattro
Humidifier: Respironics PR System One 60 Series Humidifier with Heated Tube
CPAP Pressure: 10-13
CPAP Software: SleepyHead EncoreBasic

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Sex: Male
Location: Mitten State, USA

Post: #2
RE: Tonsillectomy failure
Its highly likely that his pressures might have changed, but I would suggest waiting longer to re-titrate. Most likely not all of the swelling is gone from the surgery, so if you re-titrate now, in another 4-6 weeks, when all swelling is gone and everything has settled down completely, those settings may not be any good, and then you have to re-titrate all over again.
12-30-2014 05:02 PM
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Sleeprider Online
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Posts: 3,312
Joined: Dec 2014

Machine: Resmed Aircurve 10 Vauto
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed Climateline
CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

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Sex: Male
Location: Where they make Respironics

Post: #3
RE: Tonsillectomy failure
Brian, do you use Sleepyhead to check his progress and monitor for higher apnea events? I would think if you have a look at the data you can very easily see whether there are events occurring, and at what pressures they happen.

I doubt the swelling has fully stabilized for Carter, and I would think the warm humid air would be helpful during healing. There may be further improvement, but as you know, surgery does not have a high success rate in replacing CPAP. Hopefully (and likely) this will resolve the ear infections and other problems.

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12-30-2014 06:02 PM
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brianwood619 Offline

Advisory Members

Posts: 171
Joined: Jan 2014

Machine: ResMed S9 VPAP Auto
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: H5i Heated Humidifier
CPAP Pressure: 16-22cm/h2o
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Peaceful Acres

Post: #4
RE: Tonsillectomy failure
Yes, I use sleepyhead for him and me, and yes he has went from two to three events a night to eighteen to twenty spread throughout the nigh, but I didnt think anything about it as he has been off of it for two weeks, so I was thinking he was getting used to it again, gonna watch it more closely over the next week, i'm hoping to get him back to 100% on sleep before christmas break ends this week
12-30-2014 06:17 PM
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Sleeprider Online
Wiki Editor
Advisory Members

Posts: 3,312
Joined: Dec 2014

Machine: Resmed Aircurve 10 Vauto
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed Climateline
CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: Where they make Respironics

Post: #5
RE: Tonsillectomy failure
I think you're wise to monitor this for the time being. He is still at an AHI less than 3, so not alarming considering the circumstances, but definitely worth watching. What type of events are being flagged? Are they a different type than what he recorded before surgery? If you're seeing OA or CA events, note the duration. They get flagged at 10 seconds, but longer events are a bigger concern.

______________________________________________
Organize your SleepyHead Data
Post your SleepyHead Data from Imgur
Robysue's Beginner's Guide to Sleepyhead
(This post was last modified: 12-30-2014 06:37 PM by Sleeprider.)
12-30-2014 06:35 PM
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