Golden Tips for titration study:

offlineon · Post by **offlineon** » Tue May 22, 2007 6:21 am

- I'm getting a titration study (yeah!!)

- Oh.. no, I'm getting a titration study (Arghhhhhh!!)

As you can see I'm in two minds. My 1st PSG was a washout. I did not sleep a wink. Now I need to learn about how to sleep while wired up like a lab rat. I know it is not that bad, but I need to relax more. I also need some tips from those of you that have managed to pass the test.

I'm bringing my own pillow. I learnt that lesson the hard way. I'm not driving myself to the lab. Any golden tips ?

DreamStalker · Post by **DreamStalker** » Tue May 22, 2007 6:28 am

Cut back on the amount of sleep for a couple of days prior to the lab study so that you will be tired and ready for sleep at the lab ... no naps either!

roster · Post by **roster** » Tue May 22, 2007 7:19 am

My doc gave me 2 Ambien to use if I could not get to sleep. I was so zonked from going so many years undiagnosed/untreated that I did not need the Ambien.

Catnapper · Post by **Catnapper** » Tue May 22, 2007 8:33 am

I used the Ambien. I was surprised that I slept reasonably well, and managed to complete a split study. Next time (when and if) I will do without the Ambien because I believe it gave odd results. Once diagnosed and accustomed to the therapy, I would have better luck with the lab rat routine. To have all the wires AND the first time with CPAP is a lot for a light sleeper to overcome.
Mostly I have used auto machines and check the software results daily. My results at home indicate a lower pressure than the study suggested. I have to say I like the auto bi-pap the best of the 4 machines I have used. I had at least 6 weeks on each, so I had a thorough trial.
I guess I digressed from your question there at the end. Sorry. I just wanted to justify using and then not using the Ambien.
Catnapper -Joanie

Guest · Post by **Guest** » Tue May 22, 2007 8:36 am

bring your own mask.

TM

tomjax · Post by **tomjax** » Tue May 22, 2007 9:11 am

Just curious,
If you have an APAP, why do you need a retitration study when you get one free every night?

Will someone help me understand what additional info or data is available from the sleep lab in a titration that is more accurate than the data from the apap, tomjax

JimInAL · Post by **JimInAL** » Tue May 22, 2007 9:19 am

tomjax wrote:Will someone help me understand what additional info or data is available from the sleep lab in a titration that is more accurate than the data from the apap, tomjax

A sleep lab will be able to get specific information on stages of sleep and the affect that your sleep position has on your apneas. They will also detect restless legs, etc.

DreamStalker · Post by **DreamStalker** » Tue May 22, 2007 9:25 am

JimInAL wrote:
tomjax wrote:Will someone help me understand what additional info or data is available from the sleep lab in a titration that is more accurate than the data from the apap, tomjax
A sleep lab will be able to get specific information on stages of sleep and the affect that your sleep position has on your apneas. They will also detect restless legs, etc.

... and also your O2 saturation.

Snoredog · Post by **Snoredog** » Tue May 22, 2007 10:44 am

take any sleeping pills in the parking lot before you enter the lab, it will take them about an hour to get you wired up.

RichCMH · Post by **RichCMH** » Tue May 22, 2007 11:22 am

Just get up 1-2 hrs early in the AM, avoid caffeine all day and eat a big turkey sandwich before you go to the lab with your own pillow!

Also, make sure your room is nice and cool, you will fall asleep faster if the AC is on rather than toss and turn because you are too warm.

tillymarigold · Post by **tillymarigold** » Tue May 22, 2007 3:49 pm

tomjax wrote:Just curious,
If you have an APAP, why do you need a retitration study when you get one free every night?

Also because APAPs have a range, it's not a good idea to just use one without programming it. So you need a sleep study to determine the range.

(says the person whose doctor wasn't able to convince her insurance to pay for a titration study so he just guessed at her range)

tomjax · Post by **tomjax** » Wed May 23, 2007 12:10 pm

Most replies to my post listed the additional findings of a SLEEP STUDY including 02 sats and other things.

My specific reply was to the TITRATION study. I assumed the other things were covered in the initial study, which prompts my followup.

Is it standard in a titration study to do all the things of the initial study iIN ADDITION to determining pressure or just concerned with pressure determination?
This is why I think an apap over several nights would provide a more accurate pressure determination and a single night in strange surroundings would not be as accurate as APAP data.
BTW, apap data helps determine the RANGE referred to above. Many set this range to 3 above and 3 below the 90 pce pressure.

Help moi in my ignorance here.
tom

Guest · Post by **Guest** » Fri May 25, 2007 6:55 pm

Thanks guys, as always this has been a great help. I really want this to be as close to a "normal" nights sleep as possible, as I'm feeling a little worse these days. I can't take sleeping pills.

tillymarigold wrote:(says the person whose doctor wasn't able to convince her insurance to pay for a titration study so he just guessed at her range)

Sorry to hear this tillymarigold. My first PSG was in 2001 and now I'm getting a titration followup. I was 100% out of pocket for my BIPAP but there are many that cannot even afford this essential medical device. I also "guessed" my own settings last year because I just could not wait the "months" that were required to see the right specialist.

Slinky · Post by **Slinky** » Fri May 25, 2007 7:54 pm

Well, as one who had to endure TWO titration studies (only slept 42 minutes the first and 98 minutes the second) PLUS a two week loaner of an AutoPAP PLUS an overnight oximetry whilst on CPAP after the loaner auto .... take an Ambien or Tylenol PM or 3 mg of melatonin or whatever to help you SLEEP during your titration study!!! If I had it to do all over again I'd GLADLY pop an Ambien or whatever for the titration study.

Joethespy · Post by **Joethespy** » Fri May 25, 2007 7:54 pm

Please understand that Auto CPAP is a fantastic device and many of the people on this board use it for lots of good purposes but is does not replace a titration study done in a quality sleep lab.

Good Luck...Joe

Golden Tips for titration study:

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