I finally received my cpap setting and titration results. WOW!!! A nasty 13 for my setting. AHI of 43.8. After reading some of the information on this site, I am really wondering which way to go. Seems 63% of my apneas were centrals. With a high setting like 13 I am wondering if I need to look into an apap to help me out. One night of study can not truly be accurate, that's just common sense. I will be defiantly pushing for CFLEX. I would like to get to sleep sometime during the night. Any advice or fellow pappers that have had some experiences in this range would be appreciated.
Titration results..now what..
3 posts
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sleeplessinidaho
- Posts: 4
- Joined: Mon Apr 04, 2005 9:13 am
- Location: Boise, ID
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rested gal
- Posts: 12881
- Joined: Thu Sep 09, 2004 10:14 pm
- Location: Tennessee
Hi Idaho,
I'm not a doctor nor anything in the health care profession. This is just my opinion.
If I were you, I'd ask for at least a one week trial at home on this specific autopap: Respironics REMstar Auto with C-Flex and heated humidifier. I'd ask that the pressure range be set at 7 - 14, C-Flex set at "3". Humidifier set at "2".
After downloading a week of data from the machine, if centrals are appearing a lot (noted as "NR" - "non-responsive apneas" on the data) I'd then ask for a week's trial on Puritan Bennett's 420E autopap and heated humidifier. Again, checking that data after one week.
The reason I'd choose the trial on the REMstar auto first, is only because of the nice exhalation relief C-Flex can give. Trialing that autoap first could make it easier for you to do the 420E trial next, if need be. By then you'd have had enough experience breathing with a machine blowing air at you, to not be as likely to be bothered breathing out against pressure.
With either autopap, the pressures the machines will be using could very well be considerably lower throughout most of the night than the single titrated pressure from your night in the sleep study -- as you pointed out.
A bi-level (bipap) or even a bi-level ST might end up being the machine you might need, but in my opinion it won't hurt to at least try a couple of autopaps -- just in case pressures lower than 13 might actually treat you well and comfortably most of the time.
I think your idea of trying an autopap - especially an Auto with C-Flex - is a sensible first step approach to finding out what machine will suit you and give effective treatment.
I'm not a doctor nor anything in the health care profession. This is just my opinion.
If I were you, I'd ask for at least a one week trial at home on this specific autopap: Respironics REMstar Auto with C-Flex and heated humidifier. I'd ask that the pressure range be set at 7 - 14, C-Flex set at "3". Humidifier set at "2".
After downloading a week of data from the machine, if centrals are appearing a lot (noted as "NR" - "non-responsive apneas" on the data) I'd then ask for a week's trial on Puritan Bennett's 420E autopap and heated humidifier. Again, checking that data after one week.
The reason I'd choose the trial on the REMstar auto first, is only because of the nice exhalation relief C-Flex can give. Trialing that autoap first could make it easier for you to do the 420E trial next, if need be. By then you'd have had enough experience breathing with a machine blowing air at you, to not be as likely to be bothered breathing out against pressure.
With either autopap, the pressures the machines will be using could very well be considerably lower throughout most of the night than the single titrated pressure from your night in the sleep study -- as you pointed out.
A bi-level (bipap) or even a bi-level ST might end up being the machine you might need, but in my opinion it won't hurt to at least try a couple of autopaps -- just in case pressures lower than 13 might actually treat you well and comfortably most of the time.
I think your idea of trying an autopap - especially an Auto with C-Flex - is a sensible first step approach to finding out what machine will suit you and give effective treatment.
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littlebaddow
- Posts: 416
- Joined: Wed Dec 08, 2004 12:21 pm
- Location: Essex, England
3 posts
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