Meanwhile, can you specifically explain what you mean here?49er wrote:And once again, they are feeding the myth that oxygen is the answer when if the patient can't breath, it is useless.
Thanks.
Meanwhile, can you specifically explain what you mean here?49er wrote:And once again, they are feeding the myth that oxygen is the answer when if the patient can't breath, it is useless.
Were the other half scored on the basis of desaturations or arousals?49er wrote:I had a 33 AHI although I think half were false centrals. Maybe the key is I need to be upright more?
Sorry I wasn't clear. This happened when I was taking a nap at home. The reason I believe the centrals were false is I noticed when I am trying to fit the Full Face Fit Life mask so it doesn't leak that there are occasional breathing pauses. Similar to what happens when I have used a nasal pillow mask in the past. Of course, I could be totally off base.Morbius wrote:Were the other half scored on the basis of desaturations or arousals?49er wrote:I had a 33 AHI although I think half were false centrals. Maybe the key is I need to be upright more?
Mask: SleepWeaver Elan™ Soft Cloth Nasal CPAP Mask - Starter Kit |
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control |
Additional Comments: Use SleepyHead |
Ha, the one time I ended up in ER and was dozing off sitting up my SPO dropped to mid 70's.Morbius wrote:
Further, OSA is frequently positional, and the one position nobody talks about around here is upright (for obvious reasons)(or maybe not). Consequently, the recommendation is to place patient in a semi-upright position (because they are, in fact, not there to sleep, they are there to wake up):
http://www.aaahc.org/Documents/Institut ... %20pdf.pdf
Machine: PR System One REMStar 60 Series Auto CPAP Machine |
Mask: Hybrid Full Face CPAP Mask with Nasal Pillows and Headgear |
Additional Comments: Quatro mask for colds & flus S8 elite for back up |
If you are not breathing in then all the O2 in the world won't reach the lungs, it will just feed the room.Morbius wrote:Meanwhile, can you specifically explain what you mean here?49er wrote:And once again, they are feeding the myth that oxygen is the answer when if the patient can't breath, it is useless.
Thanks.
Machine: PR System One REMStar 60 Series Auto CPAP Machine |
Mask: Hybrid Full Face CPAP Mask with Nasal Pillows and Headgear |
Additional Comments: Quatro mask for colds & flus S8 elite for back up |
Nor will a CPAP help that.BlackSpinner wrote:If you are not breathing in then all the O2 in the world won't reach the lungs, it will just feed the room.Morbius wrote:Meanwhile, can you specifically explain what you mean here?49er wrote:And once again, they are feeding the myth that oxygen is the answer when if the patient can't breath, it is useless.
Thanks.
Probably artifact. Only a skilled HCP would be able to discern that.BlackSpinner wrote:Ha, the one time I ended up in ER and was dozing off sitting up my SPO dropped to mid 70's.Morbius wrote:
Further, OSA is frequently positional, and the one position nobody talks about around here is upright (for obvious reasons)(or maybe not). Consequently, the recommendation is to place patient in a semi-upright position (because they are, in fact, not there to sleep, they are there to wake up):
http://www.aaahc.org/Documents/Institut ... %20pdf.pdf
That is exactly what a cpap machine does - keep your airways open so you can breathe. Have you ever seen a person having an apnea? They are trying to breathe but can't because their airway is collapsed, their hole abdomen is straining to attempt to breathe in.Morbius wrote:Nor will a CPAP help that.BlackSpinner wrote:If you are not breathing in then all the O2 in the world won't reach the lungs, it will just feed the room.Morbius wrote:Meanwhile, can you specifically explain what you mean here?49er wrote:And once again, they are feeding the myth that oxygen is the answer when if the patient can't breath, it is useless.
Thanks.
Machine: PR System One REMStar 60 Series Auto CPAP Machine |
Mask: Hybrid Full Face CPAP Mask with Nasal Pillows and Headgear |
Additional Comments: Quatro mask for colds & flus S8 elite for back up |
Every time I dozed off? Really? Oh and I would wake up choking and gasping for breath.Morbius wrote:Probably artifact. Only a skilled HCP would be able to discern that.BlackSpinner wrote:Ha, the one time I ended up in ER and was dozing off sitting up my SPO dropped to mid 70's.Morbius wrote:
Further, OSA is frequently positional, and the one position nobody talks about around here is upright (for obvious reasons)(or maybe not). Consequently, the recommendation is to place patient in a semi-upright position (because they are, in fact, not there to sleep, they are there to wake up):
http://www.aaahc.org/Documents/Institut ... %20pdf.pdf
Machine: PR System One REMStar 60 Series Auto CPAP Machine |
Mask: Hybrid Full Face CPAP Mask with Nasal Pillows and Headgear |
Additional Comments: Quatro mask for colds & flus S8 elite for back up |
Sorry sweetie. The (a) risk in the PACU is respiratory depression/arrest, and all the CPAP in the world won't help that.BlackSpinner wrote:That is exactly what a cpap machine does - keep your airways open so you can breathe. Have you ever seen a person having an apnea? They are trying to breathe but can't because their airway is collapsed, their hole abdomen is straining to attempt to breathe in.Morbius wrote:Nor will a CPAP help that.BlackSpinner wrote:If you are not breathing in then all the O2 in the world won't reach the lungs, it will just feed the room.Morbius wrote:Meanwhile, can you specifically explain what you mean here?49er wrote:And once again, they are feeding the myth that oxygen is the answer when if the patient can't breath, it is useless.
Thanks.
Have you ever see a patient having an apnea? They do notBlackSpinner wrote:Every time I dozed off? Really? Oh and I would wake up choking and gasping for breath.Morbius wrote:Probably artifact. Only a skilled HCP would be able to discern that.BlackSpinner wrote:Ha, the one time I ended up in ER and was dozing off sitting up my SPO dropped to mid 70's.Morbius wrote:
Further, OSA is frequently positional, and the one position nobody talks about around here is upright (for obvious reasons)(or maybe not). Consequently, the recommendation is to place patient in a semi-upright position (because they are, in fact, not there to sleep, they are there to wake up):
http://www.aaahc.org/Documents/Institut ... %20pdf.pdf
It was probably one of those diseases you people get.wake up choking and gasping for breath.
Yes actually they do. I have done massage on people that have diagnosed OSA and they fell asleep under my hands and that is exactly how they behaved when woken up.Morbius wrote: Have you ever see a patient having an apnea? They do not
It was probably one of those diseases you people get.wake up choking and gasping for breath.
Machine: PR System One REMStar 60 Series Auto CPAP Machine |
Mask: Hybrid Full Face CPAP Mask with Nasal Pillows and Headgear |
Additional Comments: Quatro mask for colds & flus S8 elite for back up |
Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear |
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control |
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier |
Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear |
Additional Comments: Sleepyhead Software |
I understand the purpose of the PACU is to wake patients up but to achieve that takes time. Even after you have opened your eyes you can drift off to sleep again. I can tell you that as soon as my eyes closed I stopped breathing. Having a nurse right there shaking me awake will not diminish the horrible feeling of suffocation.OkyDoky wrote:In a PACU and there are many activities going on in the short amount of time a patient is there. The reason for a PACU is to monitor a patient until they are recovered from anesthesia (this means frequent awakings) and to be able to maintain their airway on their own. Unless it is contraindicated, the head of the bed will be elevated so you don't have to worry about a wedge pillow in an adjustable bed. I was always within a few feet from my patient's (no more than 2 at a time) where I could see and hear everything going on. Usually you are in the PACU from less than an hour to one and a half hours unless they are having a bed shortage but that's a different discussion. http://www.ncbi.nlm.nih.gov/pubmed/9728843
As far as the training of staff on machines, you have to take into consideration the number of different brands and types of machines if every patient brought their own. The hospitals would probably pick one machine to train staff on and let the patient bring their mask.
From my perspective, and I've been a patient also, I don't see the benefit of CPAP in PACU,for most patients, since we don't want you to sleep for long periods in the limited amount of time you are in the PACU.
Now when you are in a room, ICU or regular floor, where you are going to be sleeping for longer periods, by all means your CPAP machine is appropiate.
Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear |
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control |