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Latest Activity

Ginny Edmundson replied to Ginny Edmundson's discussion Scheduled for evaluation and possible procedure next day
"As of now I no longer have to use a chin strap.  I am anxious about the sleep study.  Wondering if I will be able to sleep WITHOUT the CPAP….even thought I hate it it is a part of every night now and is what I am used to.  "
Sunday
Clueless in Redwood Shores replied to Ginny Edmundson's discussion Scheduled for evaluation and possible procedure next day
"I had it on the same outpatient basis.  Much pain, no long term gain.  I did not have the annual repetition - that might or might not have made the difference. "
Sunday
Mary Z replied to richard graham's discussion mouth breathing
"glad to hear it, Richard.  Keep us posted."
Apr 13
Mary Z left a comment for richard graham
"Glad to hear it's working, Richard."
Apr 11
richard graham replied to richard graham's discussion mouth breathing
"The chin strap is helping. Been having better sleep. Thanks Ginny and Mary for your help"
Apr 11
Ginny Edmundson replied to Ginny Edmundson's discussion Scheduled for evaluation and possible procedure next day
"Thanks, Mary~  Fingers are crossed.  My pressure is one point lower than when I began (7) and AHI is some lower (7 day average).  I am anxious about sleep study as I have not slept without CPAP in 2.5 years!   "
Apr 6
Mary Z replied to Ginny Edmundson's discussion Scheduled for evaluation and possible procedure next day
"Good job, Ginny Hope the sleep study shows some good results."
Apr 6
Ginny Edmundson replied to Ginny Edmundson's discussion Scheduled for evaluation and possible procedure next day
"Last procedure done!  This time he gave me meds to take before so less anxiety while waiting!  For the first time I was able to eat normal food on the way home after the procedure.  No pain after 12 hours.  If it only works.…"
Apr 5
Mary Z replied to richard graham's discussion mouth breathing
"Some folks run their humidifiers in passover mode- not turning on the heat just letting the air blow over the water.  That would not give any heat though. "
Apr 5
richard graham replied to richard graham's discussion mouth breathing
"Interesting, I actually feel a little better when I don't use the humidifier, but the humidifier helps with sinuses. The cold air stuff's me up. Gonna try running heat and a nasal spray"
Apr 4
Mary Z replied to richard graham's discussion mouth breathing
"Good luck with it- let us know how you do, Richard."
Apr 4
richard graham replied to richard graham's discussion mouth breathing
"I just picked up a new chin strap and will use it with my ultra mirage."
Apr 4
richard graham posted a discussion

nasal sprays

Just wanting some suggestions for some good nasal sprays to dry up sinusus. Thank you
Apr 3
richard graham replied to richard graham's discussion mouth breathing
"Thanks Mary"
Apr 3
Mary Z replied to richard graham's discussion mouth breathing
"I have both.  I use the chin strap with my Wisp and I also have a FFM if I choose to use that one. I'm a mouth breather.  I find nasal masks are easier to fit without leaks"
Apr 3
Mary Z replied to Mary Z's discussion Using comfort features
"Nasacort is now available without a prescription.  I personally use Afrin on the rare nights I need it for being stuffed up."
Apr 3
richard graham replied to Mary Z's discussion Using comfort features
"Mary, do you recommend a good nasal spray?"
Apr 2
richard graham replied to richard graham's discussion mouth breathing
"Wondering if mouth breathers do better with FFM"
Apr 2
richard graham posted a discussion

mouth breathing

I'm a mouth breather, and am wondering weather to get a chin strap or affm
Apr 2
richard graham replied to Mary Z's discussion Using comfort features
"I've been thinking about trying a nasal spray. Thanks that's useful info."
Apr 2

CPAP Compliance Better When Titrations Include Sedatives

If you are administered sedatives during your titration sleep study, you have a better shot at long-term compliance after the study, a new study shows... thought this was of interest:

by David Douglas

Last Updated: 2009-11-16 16:34:05 -0400 (Reuters Health)

NEW YORK (Reuters Health) - Giving sedatives during continuous positive airway pressure (CPAP) titration will improve patients' subsequent compliance, researchers report in the November issue of Chest.

"Obstructive sleep apnea is becoming increasingly prevalent," lead investigator Dr. Christopher J. Lettieri told Reuters Health. "CPAP remains the treatment of choice for most patients. Unfortunately many people are intolerant of CPAP initially because they find it uncomfortable or because they have a difficult time falling asleep with it on."

"Once they become accustomed to CPAP," he added, "their adherence is typically very good. However, many people discontinue the use of CPAP early on and never get to this point."

Dr. Lettieri and his colleagues at Walter Reed Army Medical Center, Washington DC randomized 117 patients to receive a 2-week course of 3 mg of eszopiclone or placebo during CPAP titration. Ninety-eight patients completed the study.

Eszopiclone produced significant improvements in mean sleep efficiency, total sleep time and the number of residual obstructive events seen at the final CPAP titration, compared to placebo.

Over the first 4 to 6 weeks, the active-treatment group showed significantly better compliance. They used CPAP on a higher percentage of nights (75.9% versus 60.1%) and for more hours per night (4.8 versus 3.9 hours).

Intent-to-treat analysis, which assumed that subjects who did not return for follow-up did not use CPAP at all, still showed a tendency toward greater compliance in the premedication group.

"Not only did they use it more, but less of them discontinued CPAP," Dr. Lettieri said.

"Given the prevalence of sleep apnea and the common difficulties patients have with CPAP, this and other interventions aimed at improving the initial experience with CPAP may help improve adherence," he concluded.

Chest 2009;136:1263-1268.
http://www.rtmagazine.com/reuters_article.asp?id=20091116clin014.html
Copyright Reuters 2009.

Tags: compliance, sedatives, subsequent, titration

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What I have trouble understanding is why in this day and age w/computers in so many homes and computer use required on so many jobs and therefore so many computer literate people in this country rather than getting anxious and in a twit when a sleep study is suggested or they have completed their sleep evaluation PSG and are awaiting their titration PSG WHY they don't get on the computer and look up OSA and polysomnography and end up in these forums and relieve so much of their anxiety.

My husband is one of "those" people who just does what the doctor says and doesn't question anything and drives me up a wall!!! I do NOT understand people so willnig and content to be so darn IGNORANT of their health condtions and treatment!!!!! My husband has a saying about some people: "He may not be dumb, but he sure is STUIPD!" meaning the person is educated, normal intelligence, etc., etc. but doesn't use his smarts and makes absolutely asinine decisions and mistakes. My husband is NOT dumb - but - when it comes to his medical care he is absolutely STUPID!!!!
This point may be supported
by research demonstrating that an increase in sleep efficiency
(SE) during CPAP titration compared to the diagnostic night
was found to be the only significant predictor of objectively
measured CPAP adherence after controlling for indices of OSA
severity and sleep quality during the diagnostic night. Specifically,
patients who had their SE increase used their machines an
average of 2 hours more per night than those who did not have
their SE increase.
I totally agree Judy.

I know there are several others that have sleep apnea where I teach. I have learned not to discuss it with them cause NOT one can tell you which machine they use, what their pressure is, etc. let alone monitor their therapy. It drives me nuts. How can they not care?
Ahh, SleepyCarol. Our local support group meetings ..... I honestly do NOT know WHY a good number of the members come to the meetings!!! Talk about not knowin' nuttin'!!!

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