Cpap doesn't work. Maybe bipap? EDIT: I posted my studies

[Guso]

After a very cursory review, the respiratory events in the diagnostic epochs presented (Epochs 17-20), although scored as obstructive hypopneas, have a very strong central flavor to them; there are no REM events in titration; and the CPAP DL shows SBD that is totally out of control. It may be that you are a CompSAS and ASV could provide benefit.

Why all the EEG snapshots in the titration report?

Muffy

Thanks for the review!. I don't understand your question, I just uploaded the entire studies. Your review somehow confirms the title of my thread, isn't it?

[Muffy]

After a very cursory review, the respiratory events in the diagnostic epochs presented (Epochs 17-20), although scored as obstructive hypopneas, have a very strong central flavor to them; there are no REM events in titration; and the CPAP DL shows SBD that is totally out of control. It may be that you are a CompSAS and ASV could provide benefit.

Why all the EEG snapshots in the titration report?

Muffy

Thanks for the review!. I don't understand your question, I just uploaded the entire studies. Your review somehow confirms the title of my thread, isn't it?

Often, CompSAS will correct itself on low-level CPAP relatively quickly (~a month). How long you been on CPAP (the ResScan DL is horrid, but it's from February)? Got anything more recent?

ASV is great when it's necessary, but dropping 4000 dollars/rupees/piasters/whatever is a lot of coin if you're not sure that's what you really need.

In re: the EEG (these guys):






There doesn't seem to be anything extraordinary there-- yet, why go through the trouble of singling those out and printing them up? Must be some reason.

Muffy

[Guso]

Often, CompSAS will correct itself on low-level CPAP relatively quickly (~a month). How long you been on CPAP (the ResScan DL is horrid, but it's from February)? Got anything more recent?
Muffy

I have been on cpap over 4 months. I remove my mask early. What do you mean the ResScan DL is horrid? How do you know it is from Febraury?
I don't have anything more recent, sorry. This papers are from my two studies, I can't generate new data myself.
Which are those epochs 17-20? How do you see them as being "central"? What do you mean with SBD is totally out of control?
Please explain things easier as I'm not familiar with polysomnography interpretation.

[Guso]

Come on, nobody else wants to comment?

[cflame1]

Muffy's one of our experts

[elena88]

Im just going to throw this out there...

During a titration, you have someone at the controls trying to find your sweet spot on pressure and trying to
make you as absolutely comfortable as possible breath by breath..

Many people find that even if they go home with the same machine (cpap) they dont experience the comfort
during the titration study, and they are surprised..

So, it may not be JUST that machine that you think is the answer to everything..

Your case sounds very complicated, I would spend as much time as it took to find out EXACTLY what machine would work and why
you need it.. its a big investment as you say, and you dont want to move too fast and find out you bought the wrong one..

fyi, Im on my fourth machine in six months, so it can take time to figure it out..
I rented the first two, bought the third, am renting the fourth which is a bipap.

[Muffy]

Muffy's one of our experts

Sorry, Muffy needs to go on break for a while.