Wont Cpap always do better?

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
neillebo
Posts: 46
Joined: Sun Nov 11, 2007 5:53 pm

Post by neillebo » Mon Nov 19, 2007 4:07 pm

so how did the HI give you an idea that they were central apneas? in central you would fully stop breathing. .just not caused by an obstruction. so, wouldnt show up as an hypopnea? that is why i am trying to figure how you know you get centrals at 15?


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Goofproof
Posts: 16087
Joined: Mon Dec 05, 2005 3:16 pm
Location: Central Indiana, USA

Post by Goofproof » Mon Nov 19, 2007 5:26 pm

neillebo wrote:so how did the HI give you an idea that they were central apneas? in central you would fully stop breathing. .just not caused by an obstruction. so, wouldnt show up as an hypopnea? that is why i am trying to figure how you know you get centrals at 15?
True, you caught me, I refurred to it as central, the machines don't measure centrals. I probably should have said, breathing stoppages that exceeded times that weren't necessary. The main thing I keep track of are length of time spent in Apnea, and the avg diration of the apnea events. (Time spent without air.) OHI, I can control with pressure. Hi, I try to control by not getting the pressure too high. I guess for Centrals you need a jumpstarter. The jumpstarter they gave me is to jumpstart other things. Jim

Use data to optimize your xPAP treatment!

"The art of medicine consists in amusing the patient while nature cures the disease." Voltaire

WNJ
Posts: 264
Joined: Fri Jan 06, 2006 9:35 pm
Location: Southeast Ohio

Post by WNJ » Mon Nov 19, 2007 6:48 pm

“Won’t CPAP always do better?”

NO. Not always. Not for me anyway.

I was titrated at 13 cm. I started out with a CPAP at 13cm. With this pressure, my AHI was reduced to 7.5 according to the sleep lab. Also, my sleep was interrupted by the pressure, and by the disgusting noises the mask made on my face when it would leak like crazy from the pressure.

I got an APAP and software. After some experimenting, I’ve settled on a range of 10- to14cm. Much more comfortable. I spend about 70% of my time at 10cm. I almost never hit 13cm. My AHI is typically about 2.5 to 3.0.

If your AHI isn’t at least as good with an APAP, you probably have the lower pressure set too low. Or you are one of the (few?) people for whom CPAP does work better.

I can’t see myself ever going back to constant-pressure CPAP.

I have a program which explains in great detail the Respironics algorithm and how it works. Among other things, it explains how the Respironics APAP anticipates an event and responds to prevent events. Sorry, I don’t have the link where I downloaded it. I think I found the link posted here at cpaptalk.com, and I’m sure it was somewhere on the Respironics web site.

Wayne


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Mask: Ultra Mirage™ Full Face CPAP Mask with Headgear
Additional Comments: APAP w/CFlex @ 10 cm to 14 cm