Hi Sleeprider. Here is a brief history of my prescription history. Had a UPPP in 2007. After years of neglect and lots of prompting from my wife, decided to seek treatment:Sleeprider wrote:Flappy, I don't think we can dismiss this as SWJ, and I apologize for raising that earlier. Could you review your history of therapy treatment and prescriptions? Have you ever tried prescriptions with less pressure support (less fluctuation between IPAP/EPAP? Do I recall correctly you experience some problems with higher EPAP?
- First sleep study (this go-round) on 10/2013. Untreated AHI of 84: HYP 47; OA 17; CA 13; Mixed 7. Was prescribed APAP 6-16cm but had issues falling and staying asleep. Second study scheduled
- Second sleep study on 12/2013 started CPAP at 4cm and when increasing to 6cm, CAs became longer and more frequent. BiPAP initiated at 9/5 and CSA reached 70 seconds. Backup rate of 10 was applied but I did not tolerate very well and the sleep study ended. Rx for BPAP 11/6. Still did not resolve frequent awakenings and machine showed high CSAs so I initiated a third sleep study
- Third sleep study/ASV titration 2/2014. Prescribed ASV. EPAP 6-15; PS 6-15; Max pressure 25; BPM auto.
FWIW, I went back over the last several weeks and noticed the same pattern at least once every night even when total AHI was low. Even my best night to date, Jan 06 this year, has an episode:
If you zoom in on the HYP clusters, you see this:
Very well could be REM since it appears nightly but is the abnormal breathing interfering and can anything be done about it?
- Flappy