23 cm titration - question???

SnoreDawg · Post by **SnoreDawg** » Wed Feb 28, 2007 1:05 pm

Hello Friends,

I have been recently diagnosed with severe OSA. My sleep study suggests a BIPAP machine with titration at 23.0 cm.

Having this high of a pressure will an AUTO BIPAP be a must?

Trying to decide on the Respironics M Series BIPAP Auto or BIPAP Auto. Any other recommendations?

Both have ramping up to 45 minutes but it usually takes an hour or two for me to fall asleep. Will AUTO BIPAP make my situation easier?

My personal stats are:

Male
47 years of age
Weight 295
Height: 5' 5"
Neck: 19"
AHI Index: 126 hour

Also, I sleep on my stomach so from what I have gathered from this forum an Invacare Twilight NP Aura may be a good choice for me. Any other mask suggestions for a wild sleeper who sleeps on his stomach?

This is THE Best Sleep Apnea forum on the NET and respect all the knowledgeable members of this forum.

Thank you in advance for any advice.

-SnoreDawg-

pedroski · Post by **pedroski** » Wed Feb 28, 2007 3:59 pm

I'll leave the advice to the more experienced members, I just wanted to welcome you to the forum, you're right it is a great resource.

With 23cms you might consider changing your name to Typhoon or something, crikey!!

Good luck

Peter

neversleeps · Post by **neversleeps** » Wed Feb 28, 2007 4:07 pm

SnoreDawg wrote:Also, I sleep on my stomach so from what I have gathered from this forum an Invacare Twilight NP Aura may be a good choice for me. Any other mask suggestions for a wild sleeper who sleeps on his stomach?

Yes! I like the Puritan Bennett Breeze. However, I have no idea if a nasal pillows mask like the Twilight NP or the Breeze would be a good choice at a pressure of 23cms. Do you know what mask was used in your titration? Was it a full face mask or a nasal mask?

rested gal · Post by **rested gal** » Wed Feb 28, 2007 4:23 pm

If I were prescribed 23 cm H20 as a pressure (or as either the EPAP/IPAP pressure on a bi-level titration) I'd sure want to give the BiPAP Auto with Bi-flex a try. Might be that you don't need 23 blowing at you all night.

For sleeping in any position, including on stomach, yeah, the Twilight NP (formerly called the "Aura") would be the first mask I'd want to try.

Look at ways to tweak that mask if you have any difficulty with keeping a leakproof seal. For example, jcarn's "rubberband" trick, or by placing an extra homemade strap (any soft, stretchy material) over the nasal pillows part and around your head:
LINKS to Invacare Twilight NP (Aeiomed Headrest- Aura) nasal pillows mask topics
viewtopic.php?t=3098

Also, be sure to look at ways to rig the main air hose overhead so that you can toss'n'turn without having the hose get in your way or tug on a mask.
LINKS to Hose hangers and methods of managing the air hose
viewtopic.php?t=10640

Good luck, SnoreDawg. You'll do fine. You've been doing your research well!

SnoreDawg · Post by **SnoreDawg** » Wed Feb 28, 2007 5:06 pm

First off, Thank You kindly for all of the replys...

I had to have (2) sleep studies because I was unable to sleep very well both times.

The first night I was tested with a size small Comfort Gel nasal mask.
(This was the most comfortable of the two)

The second night I was tested with a size small R M Ultra full face mask.
(I wanted to try a full face because I have tendency to sleep with my mouth open.)

Isn't 23 cm rather high? I can't believe this would be correct.

So thanks for the advice. An auto Bipap is the sure way to go.

Still up in the air on what mask as neversleeps mentions that 23cm may be too high for nasal pillows. I will wait to see what other responses I get.

Does anyone in this forum have a titration level as high as 23cm?

-SnoreDawg-

Snoredog · Post by **Snoredog** » Wed Feb 28, 2007 5:39 pm

yep, your 23cm is very high, probably due to 19" neck diameter and weight.

I would not accept ANY machine unless it is has "Auto" Bi-Pap silkscreened on the top, don't care how smart your doctor thinks he is, he is not the one that will have to use it and tolerate that pressure.

1. The Auto Bi-pap should always find the correct pressure needed resulting in an overall lower pressure.

2. The Bi-pap function will offer you some exhale relief.

Be careful, if the doctor doesn't try to slip it in, the DME will certinly try and give you a "straight" Bi-pap vs. the Auto Bi-pap because it is cheaper and the DME will make more money.

23 cm titration - question???

23 cm titration - question???

Re: 23 cm titration - question???