Re: Complex, Mixed, Central???
Posted: Fri Jan 21, 2011 9:28 am
Yep, I'm there already! Two weeks on BiPAP with very little change.Big Daddy RRT,RPSGT wrote:Yes basically, however if the lower AHI is still unacceptable and includes a lot of new central apneas then it might still be considered complex but BiPAP would probably be the next step.
Guess it's a good thing I'm stubborn. I've been at this for nearly 5 months, with no improvement. Sigh. Took 4+ months to get in to see a "real" sleep doctor, so now I'm "hopeful"? Maybe?Big Daddy RRT,RPSGT wrote:JNK is right that the additional central apneas of some patients with complex OSA may resolve on their own. So a trial of CPAP might be ok if the AHI is not too high. The CPAP data is essential if your gonna try this because patients give up quickly if they feel little or no relief for all their trouble with CPAP. If fact one of the biggest problems with compliance is that patient see trying CPAP at home as the final step (I tried CPAP for a couple of weeks and it doesn't work for me) rather than the first step in treatment so getting at least a little improvement right away is very important.