Uncle_Bob wrote:... of actually needing CPAP My doctor thinks i should have another study or a split instead of a titration next time.
Any comments/suggestions on the following would be appreciated.
"CPAP was initiated at 5cm of water and titrated as high as 6cm of water. The apnea-hypopnea index at 6cm of water was in the normal range at 0.0"
The doc suggested i set my APAP at 5cm to 8cm with EPR of 1. But i find breathing at 5cm difficult, like its not enough pressure to fill my lungs
Given that the titration study you just had showed that it doesn't take much pressure to keep your airway nicely open, if it were me, and I found it stifling to breathe with CPAP at 5, I'd just set the machine for straight CPAP one of these ways:
6 (with EPR off or EPR during ramp only)
or
7 (with EPR off, or at fulltime EPR "1")
or
8 (with fulltime EPR at "1" or "2")
I wouldn't even bother with auto mode. I'd just go straight CPAP using one of those settings.
I would NOT "get rid of" the CPAP as the other poster suggested. Just because a relatively low pressure can keep the airway open, it doesn't mean that the airway will stay open with
no pressure (no CPAP) at all. I'd want an
all night baseline study before I concluded that no CPAP at all was ok. I wouldn't want a split night study. You've already had this full titration night which turned out very well. There's no reason to cut a baseline study short in order to take up time with more titration data.
5 or 6 cm isn't much, but it definitely IS "some." It's great if "some" is all it takes.
