So, why haven't you pursued CO2 re-breathing?

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Somnolence
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So, why haven't you pursued CO2 re-breathing?

Post by Somnolence » Sat Jun 22, 2013 11:11 am

I'm considering making an FAQ of sorts now that I am using this treatment, and I hope to become more familiar with the community's concerns. I have learned quite a bit about the research and feel it would be helpful to share.

The CO2 re-breathing research citations have made the rounds on this board, which begs the question of why more of you haven't considered it further... I'd like to know those reasons.

Here is a link to one such study:
http://www.sleepmedicineusa.com/UserFil ... (EERS).pdf
Last edited by Somnolence on Sat Jun 22, 2013 12:54 pm, edited 1 time in total.

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Re: So, why haven't you pursued CO2 re-breathing?

Post by Stormynights » Sat Jun 22, 2013 11:19 am

That link didn't work for me.

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Re: So, why haven't you pursued CO2 re-breathing?

Post by squid13 » Sat Jun 22, 2013 11:29 am

Link didn't work for me either.

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Re: So, why haven't you pursued CO2 re-breathing?

Post by Wulfman... » Sat Jun 22, 2013 11:34 am

Somnolence wrote:I'm considering making an FAQ of sorts now that I am using this treatment, and I hope to become more familiar with the community's concerns. I have learned quite a bit about the research and feel it would be helpful to share.

The CO2 re-breathing research citations have made the rounds on this board, which begs the question of why more of you haven't considered it further... I'd like to know those reasons.
Most of us need more O2 (oxygen) and not CO2 (carbon dioxide). Only (some) people who have Central Apneas and Cheyne-Stokes breathing (as noted in the article in the link) could see any benefit from rebreathing CO2 as that is what drives breathing/respiratory efforts.......and, then, it would have to be done under strict supervision by doctors......otherwise, you could kill yourself (or at least many, many brain cells).

PS. I got the link to work for me, but I had to copy and fix it in my browser.

Den

.

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Re: So, why haven't you pursued CO2 re-breathing?

Post by Goofproof » Sat Jun 22, 2013 12:14 pm

Most of us here, use the Gold Standard of treatment XPAP? it works, so worrying about other problems unnecessarily just wastes our time. Jim

For most of us willing to make xpap treatment work, treatment becomes simple, but first you need to get your mind to accept change. "Can't has never done anything", never will!
Use data to optimize your xPAP treatment!

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Re: So, why haven't you pursued CO2 re-breathing?

Post by chunkyfrog » Sat Jun 22, 2013 1:02 pm

Cpap works fine for me; no reason to try anything else.
I leave that up to the experts. (do not try this at home)

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Re: So, why haven't you pursued CO2 re-breathing?

Post by Somnolence » Sat Jun 22, 2013 1:10 pm

I fixed the link, folks. Sometimes, forum software disagrees with link formatting.
Most of us need more O2 (oxygen) and not CO2 (carbon dioxide). Only (some) people who have Central Apneas and Cheyne-Stokes breathing (as noted in the article in the link) could see any benefit from rebreathing CO2 as that is what drives breathing/respiratory efforts.......
The article is, like most medical pursuits, conservative in its scope. Declaring that X may be beneficial for Y condition does not exclude its benefit from Z condition. I'm confident that some form of CO2 maintenance in the breathing circuit will become the mainstream treatment modality for all XPAP therapy.
Most of us here, use the Gold Standard of treatment XPAP? it works, so worrying about other problems unnecessarily just wastes our time.
A significant number of this forum's users arrive with some difficulty associated with XPAP therapy. Of those users, there's also a large percentage who still have persisting sleep issues despite perfect compliance. While it may be a waste of time for those treating their apnea successfully with standard XPAP, it is worthwhile to consider for those who have been unsuccessful.
For most of us willing to make xpap treatment work, treatment becomes simple, but first you need to get your mind to accept change.
I'm not sure if this was intentional, but this is fairly insulting. You can't train an unconscious mind to maintain its respiratory drive.

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Re: So, why haven't you pursued CO2 re-breathing?

Post by Goofproof » Sat Jun 22, 2013 4:01 pm

My mind doesn't need training to control my breathing ot heart rate, it's part of my automatic nervious system, all I need is something to keep my airway open so I can breath at nite, xpap does this! Jim
Use data to optimize your xPAP treatment!

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Somnolence
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Re: So, why haven't you pursued CO2 re-breathing?

Post by Somnolence » Sat Jun 22, 2013 4:51 pm

Goofproof wrote:My mind doesn't need training to control my breathing ot heart rate, it's part of my automatic nervious system, all I need is something to keep my airway open so I can breath at nite, xpap does this! Jim
I'm glad for you.

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Re: So, why haven't you pursued CO2 re-breathing?

Post by mollete » Sun Jun 23, 2013 3:05 am

Somnolence wrote:I'm confident that some form of CO2 maintenance in the breathing circuit will become the mainstream treatment modality for all XPAP therapy.
Image

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Re: So, why haven't you pursued CO2 re-breathing?

Post by DreamStalker » Sun Jun 23, 2013 7:03 am

Somnolence wrote:I'm considering making an FAQ of sorts now that I am using this treatment, and I hope to become more familiar with the community's concerns. I have learned quite a bit about the research and feel it would be helpful to share.

The CO2 re-breathing research citations have made the rounds on this board, which begs the question of why more of you haven't considered it further... I'd like to know those reasons.
The main and only real reason is that most people on this forum don't have issues hyperventilating ... most of us need more O2 ... NOT CO2.

Try the CO2 breathers in the Amazon or the hypervetilation forums and I think you may find someone to chat with.
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Re: So, why haven't you pursued CO2 re-breathing?

Post by Drowsy Dancer » Sun Jun 23, 2013 8:45 am

Somnolence wrote:The CO2 re-breathing research citations have made the rounds on this board, which begs the question of why more of you haven't considered it further... I'd like to know those reasons.
It targets a problem I do not have.

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Somnolence
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Re: So, why haven't you pursued CO2 re-breathing?

Post by Somnolence » Sun Jun 23, 2013 9:10 am

We can do without the condescending responses, folks. I understand new research can take some time to catch on, especially when the method of action for treatment is indirect, but that's no reason to dismiss it.

I thought this should be more intuitive. The body's respiratory drive is far more responsive to CO2 levels than O2 levels. This is why an incredibly minor uptick in CO2 intake can result in a much larger (proportionally) increase in O2 intake. In practice, increasing the respiration rate in this fashion can increase O2 saturation.

So, let's look another look at your criticism. You want more O2. However, we know your body is not very sensitive to fluctuations in O2 levels. We also know that your increasing your respiratory drive can increase your O2 levels. Why not consider stimulating that respiratory drive indirectly?

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Re: So, why haven't you pursued CO2 re-breathing?

Post by LSAT » Sun Jun 23, 2013 9:23 am

I think it's ok to describe your personal experience with a procedure, but not ok to encourage others to try something that may harm them. Other than that...I agree with mollete.

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Re: So, why haven't you pursued CO2 re-breathing?

Post by BlackSpinner » Sun Jun 23, 2013 9:25 am

Somnolence wrote:We can do without the condescending responses, folks. I understand new research can take some time to catch on, especially when the method of action for treatment is indirect, but that's no reason to dismiss it.

I thought this should be more intuitive. The body's respiratory drive is far more responsive to CO2 levels than O2 levels. This is why an incredibly minor uptick in CO2 intake can result in a much larger (proportionally) increase in O2 intake. In practice, increasing the respiration rate in this fashion can increase O2 saturation.

So, let's look another look at your criticism. You want more O2. However, we know your body is not very sensitive to fluctuations in O2 levels. We also know that your increasing your respiratory drive can increase your O2 levels. Why not consider stimulating that respiratory drive indirectly?
None of that helps if your airway is collapsed. I stop breathing ONLY because the muscles have let go.
I used to do massage. I had a couple of clients who had OSA. You could see their diaphragm working to try to get air in. Their brain was telling them to breathe - no problem there. The problem was the collapsed air way and the only way to get air in was to wake them up.

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