Casiesea,
Also, I can't recall if you said you had your husband's psg study (original sleep study). I would very much like to see that report if you have a away of getting it to me.
Tks
DSM
New to this- Husband vpap III 5 days but not taking breaths
Casiesea,
In looking over the progress data & on further reflection of the feedback from you, I am wondering about the HI info as this is always higher than the AI which has come down quite a bit.
HI (Hypopnea Index) are 'flow limitations' - periods when your husbands breathing slows to the extent that an HI event is scored. The high HI numbers from the beginning show continuous slowing of breathing, it is this aspect that is causing me to ask the obvious questions regarding possible central apneas.
The good thing thus far is that upping the pressure has clearly reduced both types of event (AI & HI). If HI went up & AI down, that might indicate that increased pressure was adding its own problem (pressure induced centrals) but that hasn't happened which is good.
The reason I would like to see the PSG data, is that there is an issue in what the clinic (RT?) set the vpap to vs what our adjustments are showing (which is an improvment in hubby's situation) & that is a real concern. But if there were clearly identified Centrals in the original PSG then I can understand there may be a need for some experimenting but the extent of any centrals raises issues about what type of experimenting is best.
Do advise if the data download from the vpap is working.
Tks
DSM
In looking over the progress data & on further reflection of the feedback from you, I am wondering about the HI info as this is always higher than the AI which has come down quite a bit.
HI (Hypopnea Index) are 'flow limitations' - periods when your husbands breathing slows to the extent that an HI event is scored. The high HI numbers from the beginning show continuous slowing of breathing, it is this aspect that is causing me to ask the obvious questions regarding possible central apneas.
The good thing thus far is that upping the pressure has clearly reduced both types of event (AI & HI). If HI went up & AI down, that might indicate that increased pressure was adding its own problem (pressure induced centrals) but that hasn't happened which is good.
The reason I would like to see the PSG data, is that there is an issue in what the clinic (RT?) set the vpap to vs what our adjustments are showing (which is an improvment in hubby's situation) & that is a real concern. But if there were clearly identified Centrals in the original PSG then I can understand there may be a need for some experimenting but the extent of any centrals raises issues about what type of experimenting is best.
Do advise if the data download from the vpap is working.
Tks
DSM
xPAP and Quattro std mask (plus a pad-a-cheek anti-leak strap)
I will be getting a copy of the PSG? tomorrow. I asked the sleep lab for it, they said we need to get it from the doctor. He has an appt with the doctor tomorrow. I will camp out in the office until I have it in my hand.
His breathing slows and stops. He is not trying to breathe durning these episodes. He will be breathing normally (inhale then exhale and doesn't inhale again until he jumps/startles).
I have to run out for 15 min, I will read and answer your other posts when I get back.
His breathing slows and stops. He is not trying to breathe durning these episodes. He will be breathing normally (inhale then exhale and doesn't inhale again until he jumps/startles).
I have to run out for 15 min, I will read and answer your other posts when I get back.
I went to Radio Shack and got the cable this morning. My husband downloaded the software to his computer. His customer is having some kind of "CritSit" today so I haven't really talked to him. When he gets home I will have him plug it in and get the info. I am not very computer savvy or I would have done it without him. I will let you know.
Hi Casiesea,
I'm happy dsm is helping you with the basics of the VPAP machine. Excuse my style, but I will always give you the short version. I'm still back at the mask, if you do not mind. First: You need to get hubby off that Mirage Hybrid FF Nasal Pillow BS. Nostrils are like ears, nothing smaller than an elbow should ever go in them (unless an occasional finger when you are not looking, and certainly not while he is trying to sleep). If you are serious about this guy and would like to prepare him for an ResMed VPAP Adapt SV, you will need to send him back to your DME and don't let him in the house until he has the Quattro FF with him. The Quattro was made for men with full beards, many men with full beards use it because it is the only one that provides an effective seal. Unless his face has been hit by a Mack truck you are going to have to tell him to sleep on his side at the edge of the pillow with the Quattro FF. That's what I meant by 'Stepping-up', and yes the sleeping style may have to change somewhat to accommodate the FF mask. The Resmed Adapt SV will not work effectively on any mask accept the Quattro. Second. When you see the sleep doctor, do describe in detail his breathing stoppages and do not be afraid to exaggerate. Tell him the VPAP is not working! You're a nurse, you know the drill. Ask the doctor if he has ever prescribed, or can he titrate on a ResMed VPAP Adapt SV. Chances are very good that besides the stop-breath episodes your husband experiences, he also has heart disease (A-Fib maybe?), grinds his teeth, and god knows what else. You done well thus far, don't sell yourself short now. I can help you tweak and adjust an Adapt SV, if you get one. And yes you can get him down the road to a good night's sleep with with Resmed VPAP Adapt SV and a CPAP study. No problem. Been there, done that. The ResMed VPAP Adapt SV is a simple, beautiful, lifesaving machine.
Cheers
I'm not a medical professional either. In fact, my sleep-lab doc said he would never prescribe a ResMed Adapt SV for me. Some doctors really suck!
Machine: ResMed Adapt SV
Mask: Quattro FF
Humidifier: ResMed Sullivan HumidAire (Old style stand-alone)
I'm happy dsm is helping you with the basics of the VPAP machine. Excuse my style, but I will always give you the short version. I'm still back at the mask, if you do not mind. First: You need to get hubby off that Mirage Hybrid FF Nasal Pillow BS. Nostrils are like ears, nothing smaller than an elbow should ever go in them (unless an occasional finger when you are not looking, and certainly not while he is trying to sleep). If you are serious about this guy and would like to prepare him for an ResMed VPAP Adapt SV, you will need to send him back to your DME and don't let him in the house until he has the Quattro FF with him. The Quattro was made for men with full beards, many men with full beards use it because it is the only one that provides an effective seal. Unless his face has been hit by a Mack truck you are going to have to tell him to sleep on his side at the edge of the pillow with the Quattro FF. That's what I meant by 'Stepping-up', and yes the sleeping style may have to change somewhat to accommodate the FF mask. The Resmed Adapt SV will not work effectively on any mask accept the Quattro. Second. When you see the sleep doctor, do describe in detail his breathing stoppages and do not be afraid to exaggerate. Tell him the VPAP is not working! You're a nurse, you know the drill. Ask the doctor if he has ever prescribed, or can he titrate on a ResMed VPAP Adapt SV. Chances are very good that besides the stop-breath episodes your husband experiences, he also has heart disease (A-Fib maybe?), grinds his teeth, and god knows what else. You done well thus far, don't sell yourself short now. I can help you tweak and adjust an Adapt SV, if you get one. And yes you can get him down the road to a good night's sleep with with Resmed VPAP Adapt SV and a CPAP study. No problem. Been there, done that. The ResMed VPAP Adapt SV is a simple, beautiful, lifesaving machine.
Cheers
I'm not a medical professional either. In fact, my sleep-lab doc said he would never prescribe a ResMed Adapt SV for me. Some doctors really suck!
Machine: ResMed Adapt SV
Mask: Quattro FF
Humidifier: ResMed Sullivan HumidAire (Old style stand-alone)
He does grind his teeth...all the time. I sure hope he doesn't have heart disease. He is only 39, but I guess it is possible. I am not afraid to take on this doctor. I fully plan on being a witch with a B tomorrow if I am not hearing what I want to hear.
I made him an appointment with the other sleep doc that was recommended to me. He could have gotten in tomorrow morning because of a cancelation but the stupid sleep lab won't give us the results of his study (PSG). The next appt they had was on the 27th. I don't think there would be much of a point in going without his results.
This DMS or whatever the initials are, do I have to deal with them? They keep making him go to the same Resp Therapist and I do not think she knows what she is doing. It took her 2 weeks from his last sleep study to get him his bipap, and that was only after we complained to the sleep doc's nurse. I just do not have a good feeling about this place.
The new doc is with a completely diff hospital system. Hopefully they do things differently over there.
_________________
CPAPopedia Keywords Contained In This Post (Click For Definition): bipap
I made him an appointment with the other sleep doc that was recommended to me. He could have gotten in tomorrow morning because of a cancelation but the stupid sleep lab won't give us the results of his study (PSG). The next appt they had was on the 27th. I don't think there would be much of a point in going without his results.
This DMS or whatever the initials are, do I have to deal with them? They keep making him go to the same Resp Therapist and I do not think she knows what she is doing. It took her 2 weeks from his last sleep study to get him his bipap, and that was only after we complained to the sleep doc's nurse. I just do not have a good feeling about this place.
The new doc is with a completely diff hospital system. Hopefully they do things differently over there.
_________________
CPAPopedia Keywords Contained In This Post (Click For Definition): bipap
Sounds good. Don't forget the Quattro FF. BTW the VPAP Adapt SV is simpler to use than my old ResMed (APAP) S8 Vantage. I'm off for my outdoor swim. Ya gotta love northern California!
Cheers
I'm not a medical professional either. In fact, my sleep-lab doc said he would never prescribe a ResMed Adapt SV for me. Some doctors really suck!
Machine: ResMed Adapt SV
Mask: Quattro FF
Humidifier: ResMed Sullivan HumidAire (Old style stand-alone)
Cheers
I'm not a medical professional either. In fact, my sleep-lab doc said he would never prescribe a ResMed Adapt SV for me. Some doctors really suck!
Machine: ResMed Adapt SV
Mask: Quattro FF
Humidifier: ResMed Sullivan HumidAire (Old style stand-alone)
The initials are DME Distributor of Medical Equipment. You don't have to deal with them. You may decide to deal with the because they are paid by your insurance and are good - but you don't have to deal with them.
cpap.com, hosts of this forum distribute cpaps, masks, and any accessories, and they give excellent service.
If you don't mind, I would appreciate your sharing the data in public, and I'm sure I'm not the only one. We all learn from seeing data and hearing how others analyse it. Its something we miss when that stuff goes by PM.
I agree: if your husband isn't struggling to breathe, then those are central apneas - i.e. apneas caused by the CNS not instructing the system to breathe again. About 15% of the population have those appear on cpap - and they need a different kind of machine - an SV. Both Respironinc and Resmed make those machines, the Resmed is extremely picky about which mask to use.
O.
_________________
CPAPopedia Keywords Contained In This Post (Click For Definition): resmed, cpap.com, CPAP, DME
cpap.com, hosts of this forum distribute cpaps, masks, and any accessories, and they give excellent service.
If you don't mind, I would appreciate your sharing the data in public, and I'm sure I'm not the only one. We all learn from seeing data and hearing how others analyse it. Its something we miss when that stuff goes by PM.
I agree: if your husband isn't struggling to breathe, then those are central apneas - i.e. apneas caused by the CNS not instructing the system to breathe again. About 15% of the population have those appear on cpap - and they need a different kind of machine - an SV. Both Respironinc and Resmed make those machines, the Resmed is extremely picky about which mask to use.
O.
_________________
CPAPopedia Keywords Contained In This Post (Click For Definition): resmed, cpap.com, CPAP, DME
_________________
| Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear |
| Additional Comments: Machine: Resmed AirSense10 for Her with Climateline heated hose ; alternating masks. |
And now here is my secret, a very simple secret; it is only with the heart that one can see rightly, what is essential is invisible to the eye.
Antoine de Saint-Exupery
Good advice is compromised by missing data
Forum member Dog Slobber Nov. 2023
Antoine de Saint-Exupery
Good advice is compromised by missing data
Forum member Dog Slobber Nov. 2023
RE teeth grinding (Bruxism) - same here - I have a teeth guard for that - My uppers are all ceramic crowns & dentist said that with any tendency to grind, the top teeth would destroy the lower softer (natural) ones hence every night in goes the guard.
one ref
http://en.wikipedia.org/wiki/Bruxism
Something that seems common to cpappers also, is GERD or variations of it. Self is on pariet med everyday which seems to work very well.
The side issues from GERD or other forms of stomach acidity are potentially weakened or damaged esophagus
http://en.wikipedia.org/wiki/Gastroesop ... ux_disease
SUMMARY****************************************>>
Patients may have only one of those symptoms. Typical GERD symptoms include cough, hoarseness, voice changes, chronic ear ache, burning chest pains, nausea or sinusitis. GERD complications include stricture formation, Barrett's esophagus, esophageal spasms, esophageal ulcers, and possibly even lead to esophageal cancer, especially in adults over 60 years old.
Occasional heartburn is common but does not necessarily mean one has GERD. Patients with heartburn symptoms more than once a week are at risk of developing GERD. A hiatal hernia is usually asymptomatic, but the presence of a hiatal hernia is a risk factor for developing GERD.
<<***********************************************
Any weakening there can allow air to be ingested easily and that then causes burping and flatulance when the CMS gets high - that then becomes an added frustration & treatment inhibitor. My cut over point for those symptoms is 15 CMS. 14 causes small amounts of air ingestion (Aerophagia) but at 15 it can get uncomfortable in many ways.
As a general observation, if someone is young (lets say under 50) the muscles often seem better able to cope with some of the effects from GERD (such as aerophagia) etc:. But when into our 50s & 60s, muscles aren't as strong & we may be more vulnerable to any side effects from high cpap pressures. By this, I am saying that an older or unfit person is likely to be impacted more at a lower pressure than a younger person in regard to aerophagia and its various outcomes.
Re does your husband have centrals - it is looking like that to me but I am a rank amateur and very hesitant to make any statements without more info (esp the PSG). Even then if I was convinced I would be inclined to refer you back to an RT for further confirmation (professional indemnity ).
As to the suitability of the VPAP III S for your husband if he has noticeable centrals - as you can tell from several replies, most of us would regard a straight Bilevel as not the right machine. A Bilevel ST is better and an SV machine is absolutely better still.
I can offer advice on machines I have tried and use and understand well but it would be folly for me to go beyond that experience - we are lucky to have a few SV users around at the moment as they can provide feedback.
You are doing a great job for your husband - he is a lucky man.
DSM
one ref
http://en.wikipedia.org/wiki/Bruxism
Something that seems common to cpappers also, is GERD or variations of it. Self is on pariet med everyday which seems to work very well.
The side issues from GERD or other forms of stomach acidity are potentially weakened or damaged esophagus
http://en.wikipedia.org/wiki/Gastroesop ... ux_disease
SUMMARY****************************************>>
Patients may have only one of those symptoms. Typical GERD symptoms include cough, hoarseness, voice changes, chronic ear ache, burning chest pains, nausea or sinusitis. GERD complications include stricture formation, Barrett's esophagus, esophageal spasms, esophageal ulcers, and possibly even lead to esophageal cancer, especially in adults over 60 years old.
Occasional heartburn is common but does not necessarily mean one has GERD. Patients with heartburn symptoms more than once a week are at risk of developing GERD. A hiatal hernia is usually asymptomatic, but the presence of a hiatal hernia is a risk factor for developing GERD.
<<***********************************************
Any weakening there can allow air to be ingested easily and that then causes burping and flatulance when the CMS gets high - that then becomes an added frustration & treatment inhibitor. My cut over point for those symptoms is 15 CMS. 14 causes small amounts of air ingestion (Aerophagia) but at 15 it can get uncomfortable in many ways.
As a general observation, if someone is young (lets say under 50) the muscles often seem better able to cope with some of the effects from GERD (such as aerophagia) etc:. But when into our 50s & 60s, muscles aren't as strong & we may be more vulnerable to any side effects from high cpap pressures. By this, I am saying that an older or unfit person is likely to be impacted more at a lower pressure than a younger person in regard to aerophagia and its various outcomes.
Re does your husband have centrals - it is looking like that to me but I am a rank amateur and very hesitant to make any statements without more info (esp the PSG). Even then if I was convinced I would be inclined to refer you back to an RT for further confirmation (professional indemnity ).
As to the suitability of the VPAP III S for your husband if he has noticeable centrals - as you can tell from several replies, most of us would regard a straight Bilevel as not the right machine. A Bilevel ST is better and an SV machine is absolutely better still.
I can offer advice on machines I have tried and use and understand well but it would be folly for me to go beyond that experience - we are lucky to have a few SV users around at the moment as they can provide feedback.
You are doing a great job for your husband - he is a lucky man.
DSM
xPAP and Quattro std mask (plus a pad-a-cheek anti-leak strap)
Some further diagnostic thoughts.
Reason I would want to see SpO2 data plus the machines nightly data is to try to locate the periods when husband slows & stops breathing. Then look at that data for clues that will identify obstruction vs declining tidal flow due to central onset.
The patterns I would be looking for to pinpoint Centrals includes
- clusters of hypopneas (flow limitations)
- does the SpO2 data show the expected matching decline to a noticeably low SpO2 reading
- is the tidal flow in a steady decline or an abrupt decline
- if there are few to no AIs being scored while this is happening
Tentatively, we have shown that any centrals do not yet appear to be pressure induced (caused by just being on a cpap machine).
What I am also looking for is a possible separation between plain dominant Centrals vs Complex sleep disorder (which I think, can include pressure induced Centrals). The problem with assuming dominant Centrals is that the PSG should have shown it & the RT prescribed the right machine in the 1st place (hence my concerns posted earlier & reluctance to leap in too early with a certainty it is dominant Centrals).
DSM
Reason I would want to see SpO2 data plus the machines nightly data is to try to locate the periods when husband slows & stops breathing. Then look at that data for clues that will identify obstruction vs declining tidal flow due to central onset.
The patterns I would be looking for to pinpoint Centrals includes
- clusters of hypopneas (flow limitations)
- does the SpO2 data show the expected matching decline to a noticeably low SpO2 reading
- is the tidal flow in a steady decline or an abrupt decline
- if there are few to no AIs being scored while this is happening
Tentatively, we have shown that any centrals do not yet appear to be pressure induced (caused by just being on a cpap machine).
What I am also looking for is a possible separation between plain dominant Centrals vs Complex sleep disorder (which I think, can include pressure induced Centrals). The problem with assuming dominant Centrals is that the PSG should have shown it & the RT prescribed the right machine in the 1st place (hence my concerns posted earlier & reluctance to leap in too early with a certainty it is dominant Centrals).
DSM
xPAP and Quattro std mask (plus a pad-a-cheek anti-leak strap)
Ok, LOTS of info today.
First, last night I increased pressure by 0.2 to 13.6 (Ipap)
Epap still 10.4.
AHI 13.4
AI 4.4
Leak 19L/M
We went to his doctor today...
We told her he was not doing well, about the leaks and mask changes, about the AHI and AI, and about the periods where he doesn't breathe.
We made it crystal clear that we are upset about how his treatment is going and that WE feel this should be considered an urgent situation.
The doctor seemed extremely concerned. You could see there was a sudden urgency in the office staff, nurses, and with the doctor. She excused herself for a moment, when she returned she brought a copy of the latest sleep study. She said there was evidence of centrals on the report but that she thought the bipap would treat the problem. Now it was obvious to her, that the normal treatments were not going to be sucessful.
The doctor was visually upset the hospitals sleep lab had not followed her instructions...I guess she had specifically requested the "lead sleep tech". Then told us that the sleep lab would not be charging us.
She said my husband would need to come in to the office's private sleep lab (not the hospitals) for titration on a different vpap machine (Adapt-sv). The doctor said she would be there, then got on her cell phone, called ResMed and requested they fly the Adapt-sv instructor here, too. (Do you think that is all BS? Is she just blowing smoke up our butts?) Anyway, the new sleep study on Monday.
Ok, I also have the report from the lab. What info is important? They tried a whole bunch of different pressures. His spo2 never went above 89%, wouldn't that be a bad thing?
First, last night I increased pressure by 0.2 to 13.6 (Ipap)
Epap still 10.4.
AHI 13.4
AI 4.4
Leak 19L/M
We went to his doctor today...
We told her he was not doing well, about the leaks and mask changes, about the AHI and AI, and about the periods where he doesn't breathe.
We made it crystal clear that we are upset about how his treatment is going and that WE feel this should be considered an urgent situation.
The doctor seemed extremely concerned. You could see there was a sudden urgency in the office staff, nurses, and with the doctor. She excused herself for a moment, when she returned she brought a copy of the latest sleep study. She said there was evidence of centrals on the report but that she thought the bipap would treat the problem. Now it was obvious to her, that the normal treatments were not going to be sucessful.
The doctor was visually upset the hospitals sleep lab had not followed her instructions...I guess she had specifically requested the "lead sleep tech". Then told us that the sleep lab would not be charging us.
She said my husband would need to come in to the office's private sleep lab (not the hospitals) for titration on a different vpap machine (Adapt-sv). The doctor said she would be there, then got on her cell phone, called ResMed and requested they fly the Adapt-sv instructor here, too. (Do you think that is all BS? Is she just blowing smoke up our butts?) Anyway, the new sleep study on Monday.
Ok, I also have the report from the lab. What info is important? They tried a whole bunch of different pressures. His spo2 never went above 89%, wouldn't that be a bad thing?
Ohhhhh.. YOUR'E GOOD, Now that is how to get a sleep-doctor to practice medicine! Wish I had that doctor! Don't give your doctor any crap, just suck-up, become the essence of sweetness and light, and go with her program. Tell hubby he's gotta kiss that goofy nasal pillow nonsense goodbye. He will need to get serious with the Quattro FF. He will have 3 positions to sleep in with the Quattro, right side, left side, or on his back. His head will have to be at the edge of the pillow when he is sleeping on his side. To maintain the seal while sleeping on his side, the Quattro FF mask will basically be off the pillow as he sleeps. Yes, he may have to adjust it several times during the night. That's life, no mask is perfect. THE QUATTRO FF IS THE ONLY ACCEPTABLE MASK TO USE WITH THE RESMED VPAP ADAPT SV. Sorry for shouting. The Adapt SV will put an end to his non breathing and startled awakenings. It's a dream machine. It does take some getting used. Basically, let the machine do the work, relax, don't fight it, breath into it, and let it breath you when it needs to. It will save his life. Adjusting the Expiratory and Inspiratory pressure is a simple as 1-2-3. You just have to understand the logic behind changing the parameters. It is super simple. More about all that later.
For FDA (Federal Drug Administration) purposes, you are going to plead total ignorance to adjusting any parameters not previously set by your RT.
The reason that the Quattro FF Mask is the only acceptable mask for the ResMed Adapt SV is because the swivel and vent geometries (which are critical components of proper air delivery) in the mask were specifically engineered for use with the Adapt SV.
Cheers,
I'm not a medical professional either. In fact, my sleep-lab doc said he would never prescribe a ResMed Adapt SV for me. Some doctors really suck!
Machine: ResMed Adapt SV
Mask: Quattro FF
Humidifier: ResMed Sullivan HumidAire (Old style stand-alone)
For FDA (Federal Drug Administration) purposes, you are going to plead total ignorance to adjusting any parameters not previously set by your RT.
The reason that the Quattro FF Mask is the only acceptable mask for the ResMed Adapt SV is because the swivel and vent geometries (which are critical components of proper air delivery) in the mask were specifically engineered for use with the Adapt SV.
Cheers,
I'm not a medical professional either. In fact, my sleep-lab doc said he would never prescribe a ResMed Adapt SV for me. Some doctors really suck!
Machine: ResMed Adapt SV
Mask: Quattro FF
Humidifier: ResMed Sullivan HumidAire (Old style stand-alone)
Casiesea,
You are now in a very good position. The RT is doing what should have been done in the 1st place.
It is great to see the improving AHI & that AI number is pretty close to acceptable (needs fine tuning). I was going to add that it can take several days on a new setting to see the AHI drop and I was expecting you would see improvement today. The HI is of course needing attention & a straight BiLevel isn't always best best choice.
It is really great that we have been able to steer you in the right direction - very rewarding - cpaptalk is a great source of help & expertise.
Also, that SpO2 info you quoted is not good at all or in any way & that alone should be ringing alarm bells (& why I suggested you consider hiring an SpO2 machine just to get a good set of data). Your description of your husband was suggesting poor SpO2 levels & that in turn seems more linked to Centrals than to OSA and that is reinforced from the other info you have provided.
Is hubby feeling any better though ? -- that counts a great deal & I sure hope he is.
DSM
You are now in a very good position. The RT is doing what should have been done in the 1st place.
It is great to see the improving AHI & that AI number is pretty close to acceptable (needs fine tuning). I was going to add that it can take several days on a new setting to see the AHI drop and I was expecting you would see improvement today. The HI is of course needing attention & a straight BiLevel isn't always best best choice.
It is really great that we have been able to steer you in the right direction - very rewarding - cpaptalk is a great source of help & expertise.
Also, that SpO2 info you quoted is not good at all or in any way & that alone should be ringing alarm bells (& why I suggested you consider hiring an SpO2 machine just to get a good set of data). Your description of your husband was suggesting poor SpO2 levels & that in turn seems more linked to Centrals than to OSA and that is reinforced from the other info you have provided.
Is hubby feeling any better though ? -- that counts a great deal & I sure hope he is.
DSM
xPAP and Quattro std mask (plus a pad-a-cheek anti-leak strap)
Casiesea,
Some more questions.
Is your husband an ex smoker ?
Has he had any lung issues from his childhood ?
Has he ever worked in a place that had unusually high levels of chemical fumes (e.g. working in environments where a lot of soldering is done) ?
Hopefully the answers will all be no in which case the issue becomes getting his SpO2 levels above 90%. He should rarely drop below 90% & should at worst average around 95%
DSM
Some more questions.
Is your husband an ex smoker ?
Has he had any lung issues from his childhood ?
Has he ever worked in a place that had unusually high levels of chemical fumes (e.g. working in environments where a lot of soldering is done) ?
Hopefully the answers will all be no in which case the issue becomes getting his SpO2 levels above 90%. He should rarely drop below 90% & should at worst average around 95%
DSM
xPAP and Quattro std mask (plus a pad-a-cheek anti-leak strap)