Too many Apneas, please help interpret chart

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
CEH877

Re: Too many Apneas, please help interpret chart

Post by CEH877 » Sun Mar 22, 2009 6:45 am

If you weren't on auto, at 16cm of water, I would definitely think you had been over titrated and promoting central events.
Since you are in auto mode, their are two other considerations. One is that the auto parameters should be increased from 16.5 to 20. Understand, the pressure will not exceed that which is needed to keep the airway open. The other thought is that the high pressures may be causing central apnea events. These are different from obstructive events. It's like a vacuum cleaner. It picks up a sock and get clogged up. You remove the sock and things work until the next sock gets in the way. This is an obstructive apnea. When someone unplugs the vacuum cleaner and not signal is getting to the thing (form brain to body for real people) your are not being motivated by the brain to breathe. This is a central and is treated with a different type of machine.

Because of your obviously high pressures, you might benefit from a BiPAP machine. There are times that a BiPAP might even treat central events if they are caused by the obstructive event.

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Re: Too many Apneas, please help interpret chart

Post by ozij » Sun Mar 22, 2009 7:20 am

CEH877 wrote:If you weren't on auto, at 16cm of water, I would definitely think you had been over titrated and promoting central events.
Since you are in auto mode, their are two other considerations. One is that the auto parameters should be increased from 16.5 to 20. Understand, the pressure will not exceed that which is needed to keep the airway open.
Because of the machine's inability to distinguish central from obstructive apneas, it may drive the pressure too high.
The other thought is that the high pressures may be causing central apnea events. These are different from obstructive events. It's like a vacuum cleaner. It picks up a sock and get clogged up. You remove the sock and things work until the next sock gets in the way. This is an obstructive apnea. When someone unplugs the vacuum cleaner and not signal is getting to the thing (form brain to body for real people) your are not being motivated by the brain to breathe. This is a central and is treated with a different type of machine.
Central apneas may be caused by excessive pressure. If those apneas don't fit exactly into Respironics' way of identifying a non-responsive apnea, pressure may start rising in a vicious cycle, until there are just too many cetnral apneas, and even the Respironics will back down - too late, and only to repeat the cycle when another central apnea appears and is mis-identified as obstructive

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Re: Too many Apneas, please help interpret chart

Post by DoriC » Sun Mar 22, 2009 12:10 pm

RestedGal, is that your general recommendation for everyone is to adjust the mask lying down rather than sitting up and with mouth open? I ask because I fit my husband's mask sitting on the edge of the bed and then when he lies down I have to adjust it all over again to stop the music and leaks. I never thought of just starting from a lying down position in the first place! DUH!! Dori

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Re: Too many Apneas, please help interpret chart

Post by nobody » Sun Mar 22, 2009 3:24 pm

It's probably that you and PolyMar are using the same internet provider and PolyMar has got an IP address that you had for a time.
Bluebonnet_Gal wrote:The post above mine shows

PolyMar
Also Posted As:
(Bluebonnet_Gal)

Very strange. That's not my post. Could it be a glitch since we posted very close to the same time?

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Re: Too many Apneas, please help interpret chart

Post by rested gal » Sun Mar 22, 2009 9:46 pm

DoriC wrote:RestedGal, is that your general recommendation for everyone is to adjust the mask lying down rather than sitting up and with mouth open?
Yep.
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