Overtitration!!! Now I know why you guys like AutoPAP!

momexp5 · Post by **momexp5** » Fri Sep 23, 2005 5:37 pm

there's going to be an auto-BiPAP coming out?? When?

I just got BiPAP prescribed.

momexp5 · Post by **momexp5** » Fri Sep 23, 2005 5:44 pm

Never mind -

viewtopic.php?t=4674&highlight=auto+bipap

ProfessorSleep · Post by **ProfessorSleep** » Fri Sep 23, 2005 6:52 pm

dsm, the studies on cpap treatment are indeed quite interesting, and increasing in number as we get closer to the present. After reviewing a number of them, all of which have flaws (as does all research) there are some reasons why too high a cpap pressure might not be so good. Comfort, aerophagia, and other concerns notwithstanding, forcing air into someone's throat is not an innocuous or totally harmless process. It is lifesaving, obviously, when used correctly. But the short answer to the question is too high a pressure a problem is "possibly." Based on my literature review, I wouldn't want to up my pressure "just to be sure."

Regarding difficulties with sleep centers, it would be interesting to know how many of the centers where people had problems or concerns about their treatment were certified and whether the physicians were Board Certified in at least something. There is, indeed, so much money to be made in the short term with sleep clinics I wonder if they are going to be cropping up on street corners like whole body scans and walk in various other screenings that are available. Can't you just hear it: "Oh, and by the way, honey, on my way home from work I think I'll stop over on 27th street for a colonoscopy" .... NOT!

wading thru the muck! · Post by **wading thru the muck!** » Fri Sep 23, 2005 8:31 pm

ProfessorSleep wrote:Regarding difficulties with sleep centers, it would be interesting to know how many of the centers where people had problems or concerns about their treatment were certified and whether the physicians were Board Certified in at least something. There is, indeed, so much money to be made in the short term with sleep clinics I wonder if they are going to be cropping up on street corners like whole body scans and walk in various other screenings that are available.

One sleep lab I know of in Milwaukee is HEAVILY marketing their services on the big radio stations... hundreds of adds each week. My experience with them was less than desireable.

ProfessorSleep · Post by **ProfessorSleep** » Sat Sep 24, 2005 12:05 pm

There does seem to be a direct INVERSE correlation between amount of advertising and quality of services, dontcha think? There's another system in MKE that advertises ad nauseum on TV. I avoid them too!

wading thru the muck! · Post by **wading thru the muck!** » Sat Sep 24, 2005 1:15 pm

ProfessorSleep wrote: There's another system in MKE that advertises ad nauseum on TV. I avoid them too!

My guess is that we're talking about the same place. They just opened a fancy new lab in West Allis.

ProfessorSleep · Post by **ProfessorSleep** » Sat Sep 24, 2005 1:33 pm

Hmmm. You read my mind.

Guest · Post by **Guest** » Mon Sep 26, 2005 7:40 am

dsm wrote:Re the over pressure issue. I am intrigued at this line of thinking.

The bottom line here in this theme is

Is too much pressure as bad as too little ?
If so why ? (what is it that is happening that makes it so)

Cheers

DSM

From what the RT's told me...too much pressures can lead to arousals so that that you still awaken several times per hour and you never get into the deeper stages of sleep. High pressure ,above what is needed to splint the airway can also induce Central Apneas which cause Oxygen Desaturation.

From what I expeienced...they are right! I had an experience where the overtration caused all of the symptoms of sleep Apnea...poor memory and mental focus, fatigue, moodiness ect. I had LESS Severe Symptoms if i slept without the machine at all. In Desperation I tried bumping the pressure up 1 CM on each side and it got worse!

Sleep like a mummy on CPAP at 12 cm with a Full Face Mask and Heated humidifier. Wake up exactly 6 hrs after falling asleep and can not sleep in...If I wanted too!!

I am going to see my pulmonologist at 11:45 today...will ask him the same questions an see if there are any other mechanisms of Ho Excessive pressure affects sleep quality. Will report back.