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Thanks George, I appreciate it. I check usually this forum several days/week and try to contribute where I feel than I have something of value to add. After so long working in the field, it seems like a shame for all the knowledge to stay inside my head.
What you describe are classic signs of sleep apnoea. A sleep study is harmless (although can be expensive in the US I hear) and it will give you some reliable answers.
Nah. They're all bad.
Have you considered a full face mask?
Central events can do that sometimes. A couple of weeks ago I had 2 patients who only get central events while they were on their back. However, the treatment (Bi-level of some sort) should work for them just the same.
No that is not normal. Your treatment is not working at its current settings. Find a doctor who knows what they are doing.
I believe those specialty CPAP mask wipes are a con. Your mask doesn't need to be sterile, just clean. Your face is not sterile, the air is not sterile, your pillow is not sterile. Plain ordinary baby wipes (they should be alcohol free but almost all are) will do just as good a job at a fraction of the price. Also, any antibacterial agent in wipes will usually damage the rubber of the mask cushion.
Kudos to you for getting this sorted. Sleep apnoea in children interferes with both physical and mental development and the results would have stayed with him for the rest of his life. You have just made your son's whole lie a lot rosier with your diligent parenting. Go you.
The only way to know if you have OSA is with a sleep study. There's really no short cut.
The Quattro FX is quite different from the Quattro. Just FYI.