Hospital visits and CPAP

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
Valkyria
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Hospital visits and CPAP

Post by Valkyria » Wed Oct 22, 2014 2:17 pm

Do you bring your CPAP macine to hospital and has your sleep apnea been effected by General anesthetic?

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Krelvin
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Re: Hospital visits and CPAP

Post by Krelvin » Wed Oct 22, 2014 2:21 pm

ASK...

Each time I've been in the hospital, I have either brought my own BiLevel or the past several visits, they provided one. I'm not really in a position to lie down without one, so it is a requirement.

Each time before I was admitted, I asked. My machine was ready to be brought into the room if needed by my wife, but like I said the past several visits, they had a bilevel (large machine) available and a good fitting mask.
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Julie
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Re: Hospital visits and CPAP

Post by Julie » Wed Oct 22, 2014 2:21 pm

Every hospital is different and you need to check with them about bringing machines. Do you have a specific procedure in mind? Day surgery vs being admitted?

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Sheriff Buford
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Re: Hospital visits and CPAP

Post by Sheriff Buford » Wed Oct 22, 2014 2:24 pm

If you can, bring your own gear. You'll be more comfortable. But you do need to ask. No telling what kind of equipment they will provide to you OR how clean the equipment may be.

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Valkyria
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Re: Hospital visits and CPAP

Post by Valkyria » Wed Oct 22, 2014 2:55 pm

I'm having all the hardware removed from my ankle had a BAD tib/fib fracture last year, had nothing but problems with ankle/foot since I'm unsure if they will do it during under day surgery or if it will involve over night stay. Also wondering over different pain medications impact on sleep apnea.

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BlackSpinner
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Re: Hospital visits and CPAP

Post by BlackSpinner » Wed Oct 22, 2014 4:08 pm

Valkyria wrote:I'm having all the hardware removed from my ankle had a BAD tib/fib fracture last year, had nothing but problems with ankle/foot since I'm unsure if they will do it during under day surgery or if it will involve over night stay. Also wondering over different pain medications impact on sleep apnea.
Many people prefer to have their machine in the recovery room. Many hospitals prefer that too, some don't and many don't have a clue how to put it on you.

You MUST discuss your OSA with the anaesthesiologist - they need to know because intubation may be more difficult.

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PST
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Re: Hospital visits and CPAP

Post by PST » Wed Oct 22, 2014 4:11 pm

Valkyria wrote:I'm having all the hardware removed from my ankle had a BAD tib/fib fracture last year, had nothing but problems with ankle/foot since I'm unsure if they will do it during under day surgery or if it will involve over night stay. Also wondering over different pain medications impact on sleep apnea.
Narcotic pain medication can be a big deal for people with sleep apnea. Anything that suppresses respiration compromises the patient's ability to arouse himself or herself and actively breathe when the throat has closed up. I have begun in the last few years to see medical malpractice lawsuits based on failure to properly monitor patients with sleep apnea while on opiates following surgery. Almost all of these are cases of undiagnosed sleep apnea, and the claim asserted is that the surgeon should have taken a more careful medical history to determine whether the patient was at risk for sleep apnea (often in combination with the stereotype that old+fat+male=apnea). I don't see cases with actual apnea patients who were receiving CPAP treatment before surgery, because hospitals are getting consistently good at identifying them and making sure that they have access to their treatment or are at least monitored rigorously. You can't go wrong telling everyone in sight that you have sleep apnea and use CPAP.

Valkyria
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Re: Hospital visits and CPAP

Post by Valkyria » Wed Oct 22, 2014 4:52 pm

PTS what you said is so interesting, specially since dr's always complain that i am so hard to wake up after surgery. I will ensure to tell them about the sleep apnea! My last operation i actually opted for having a screw removed under local anaesthesia, surgeons didn't like it, as they usually put people under for this procedure. I felt lots safer though not having to be asleep, and i had commentary during the whole thing

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LSAT
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Re: Hospital visits and CPAP

Post by LSAT » Wed Oct 22, 2014 5:11 pm

Bring your CPAP for recovery and hospital overnights. During surgery as long as the anesthesiologist is aware of your OSA, they can monitor you closely.

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Muse-Inc
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Re: Hospital visits and CPAP

Post by Muse-Inc » Wed Oct 22, 2014 8:12 pm

Take your own equipment! In 2009, ER wouldn't let me leave to get my own stuff; was admitted for IV antibiotics and used their machine...huge, scary thing on a roll-around cart...and their mask...hideous thing that wouldn't seal and hissed the entire night -- horrible sleep that night Next day got my stuff (including eye mask) and finally got some restful sleep.

You might need an advocate to insist you be put on your equipment in recovery, to demand that your O2 sats be monitored, and to actually put on your mask and start the machine while you are out of it -- they might need to be aggressive with the staff but its your life and health at risk while under sedatives.

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cathyf
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Re: Hospital visits and CPAP

Post by cathyf » Wed Oct 22, 2014 9:03 pm

You might want to seriously consider the local anesthesia, too. My mom is a nurse, and says that over 60 years she's seen lots of doctors make mistakes, but the only time she's seen a mistake kill someone, it was an anesthesia mistake. She would have dental work done without any, and surgery done under local. When she had her hysterectomy the gyne was pretty reluctant, but she pinky swore that she wouldn't talk during the surgery unless he asked her a direct question. He agreed, mostly because he'd seen anesthesiologists kill people, too.