Tonsilectomy and sleep apnea questions

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
mdpooch
Posts: 30
Joined: Sat Nov 22, 2008 4:14 pm
Location: Casper Wyoming

Tonsilectomy and sleep apnea questions

Post by mdpooch » Mon Jun 15, 2009 10:37 pm

I recently was diagnosid with sleep apnea November 2008 got into the grove of the whole mask thing was doing well-was titrated at a 9. A week ago I had a tonsilectomy at the age of 45 for other reasons than the apnea. Since then of course I have been half off the cpap and half off, when I am on it since the surgery my AHI and HPI have rose from a 3.2 to the 15 range-I have concerns about the difference and figure its because I may need a new titration rate -any ideas?

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ozij
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Joined: Fri Mar 18, 2005 11:52 pm

Re: Tonsilectomy and sleep apnea questions

Post by ozij » Mon Jun 15, 2009 11:49 pm

Wait for the swelling to recede, and for your sleep to go back to normal.
If you tonsils were large and obstructed your airway, it stands to reason that you will need less pressure.

You present results (post-surgery & before full healing) are irrelevant to decision making, for the following reasons:
  • Swelling post surgery (if that happens)
  • Sleep disrupted by pain, which may cause lots of tossing and turning - registered by the machine as apneas and hypopneas
  • Anti pain medication
  • The fact that you're using the cpap off and on - short time periods will blow up an AHI for mathematical reasons -- nothing to do with the therapy itself.

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