Pushing for better therapy
NJ
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can't post chart, but no pressure spike during CA events.
Update...... I watched a vid on an actual Polysomnograph chart..... and I can see the similarities. So yes it is an accurate interpretation.
I'm not interestred in buying anything. A second sleep study will determine the next step.
I have to have a second study done with one..... and it may not help. I don't know if it would but who knows. I'm not the kind of person who would just go out and buy one to see if it would work.
If you look at the minute ventilation you can see that the flow was cycling prior to these events, and really started about 2:33.45....................
I'll meet you have way, on this. Three forums later you are the only one that cam this close to explaining the events flagging within Minute vent. Would you care to go further?
Convince me that the CA's in my chart are legit and why?
Is this potential minor inaccuracy a reason not to use OSCAR? I would think absolutely not. The alternative is to fly absolutely blind.???? Dr's office monitors it.... and just like any other lab result anyone can gain access to.
One does have to look at the results with some thought and purpose though. If it's not accurate then what good is it?
All a CAPA APAP does is provide air....... bilevel senses pressure differential and adjusts accordingly. APAP/CPAP does not. CPAP/APAP senses restriction and ramps up and down depending on restriction sensed.
Thinner air requires more pressure up there. Higher pressures drive up CA's correct, however that doesn't address nor manage failure and inefficient Ex hale and the need of EPAP. Once the excess CO2 is ventilated and IPAP initiates the next breath.... Hypoxemia is present form the lack of exaltation assistance and Inhalation assisatnce. Chemo receptors wake one up to breathe.
You are not addressing the management of CA's in you post about Titration hypoxemic Bilevel testing.
BPAP manages IPAP and EPAP.
"I think a BiPAP is more for someone that has air flow issues (smoking, COPD, asthma, lung issues) than it is for treating airway collapse and CA."???
If you really knew what you are saying, you wouldn't say "I think".......... BiPAP IS ventialtion for treating CA'S
ASV therapy is Bilevel therapy....same thing. Adaptive Servo Ventilation.... is working both IPAP and EPAP.
Bi meaning two..... two what.. two functions. IPAP and EPAP........ real easy. RES MED lists their ASV machines and describes essentially what it does. IPAP EPAP
They don't ask for mine.... but only one time. Bottom line? it's how I feel....... regardless what's seen by OSCAR or their charts on thier software. The first Polysomnograph showed severe OA although I had 10 CA's on my study printout. My Polumary Dr requested a titration study and the Ins. Co. refused and only allowed a APAP for therapy. Why? Because it manages OA's yes... And teh interpreting Dr wrote it up as severe OA and technically OA"s can trigger CA's. The SA02 scale was below boderline, at times, saturation which showed CA's did exist in my first study. But experincec Dr's experience with Ins. Co.'s show that they have to abide by Ins.Co's wishes to use CPAP first to clear OA"s first and quite possibly clear CA's. The second sleep split study titration CPAP/Bilevel I have to get will determine If I am Hypoxemic, or not. As of right now my Dr see that SAo2 is below normal which justifies Titration bi Level study.
If you are new to the CPAP, then you will find a way to get used to sleeping with it. I can tell you some tips....
comfort comfort comfort...bedding, temp, sleep on your side will keep AHI down, small dog toy tennis ball in t-shirt pocket on back routine routine routine...same time to bed and rise as much as you can diet diet diet.. eat light snack before bed sleep aid, yes melatonin congestion? Sudafed, at least 4 to 5 hours before bed. darken room flex setting on low pressure setting for minimum what ever you can stand but be comfortable, and .5 cm H20 every three or four days. Gradually ramp up. It took me 3 months form 4 to 8.5. My AHI is below 5 for 4 days in a row. Have to get second sleep study..... I have CA issues. This study coming up is a split titration CPAP/bilevel possible Hypoxima.
CA's , in my apneas ,need a Polymonographic readout to show positive legit CA's and to determine a titration Bilevel study to provide proper ventilatory assistance..hence (BiPAP...... Inahalation PAP Exahaltion PAP.)
Thus, whereas CPAP only opens the upper airway, BiPAP can supply actual ventilatory assistance. In all these modes of pressure application, the continuously positive airway pressure can act as a pneumatic splint against upper airway collapse, can reduce the work of breathing, and can thereby improve oxygenation.