"Ginny, I so agree with your DME frustration. I still haven't gotten billing for my original Wisp. I've since gotten one cushion & am calling this next week about another new one & frame. I too don't like not having extra…"
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Lee Dryden posted a discussionSleeping with CPAP blog post
Hi,Here is a new blog post on the debate over veterans receiving sleep apnea coverage.http://sleepingwithcpap.blogspot.com/See More
Ginny Edmundson replied to ZolliStar's discussion Wisp nasal mask part for free: Size petite"I also have the petite and large that someone can have!!!"
ZolliStar posted a discussionWisp nasal mask part for free: Size petite
This isn't the headgear, only the nasal part. I won't be using it and hate to let it go to waste.Anyone want it? If so, contact me privately.See More
Mary Z replied to ZolliStar's discussion What's the Right Machine?"Zollistar, the more I learn about sleep apnea the more I find I do not know. At least research is ongoing- there's a lot of money in the field.
You're right- there are differences in how each machine senses and treats an…"
RockRpsgt replied to ZolliStar's discussion Beating Sleep Maintenance Insomnia"Not a problem, Z. It's important to know and can take a minute to wrap your head around. I know it did for me. Very few sleep disorders fall into a "breathing disorder" catagory.
"
ZolliStar replied to ZolliStar's discussion What's the Right Machine?"Dear Mary,
Thanks for the clarification that good sleep and apnea are probably two different things. I'm still grateful to Terry Vella for pointing out that sleep apnea is a breathing disorder, not a sleep disorder. That opened my eyes and now…"
ZolliStar replied to ZolliStar's discussion Beating Sleep Maintenance Insomnia"Thanks for the clarification, Rock.
"
Mary Z replied to ZolliStar's discussion What's the Right Machine?"Zollistar, if you haven't seem this video by Dr. Krakow take a look. It's about ASV.
http://www.youtube.com/watch?v=7fMki3KFRgg"
Mary Z replied to ZolliStar's discussion What's the Right Machine?"Dx is diagnosis and CSA is central apnea.
As to whether people sleep better with an ASV, well if you slept well before ASV I'd imagine you would continue to sleep well. I slept well on all modes, but found none that worked for me…"
RockRpsgt replied to ZolliStar's discussion Beating Sleep Maintenance Insomnia"Apnea is not a breathing disorder. It actually has very little to do with pulmonary function short of causing O2 desaturations. Sleep apnea is a neuromuscular sleep disorder. Central sleep a[nea is a breathing disorder."
"I've confirmed that our next meeting is Thursday, June 27 at 7 pm."
Lee Dryden posted a discussionSleeping with CPAP blog post
Hi,This post is about sleep apnea and blood sugars. Thanks for reading.http://sleepingwithcpap.blogspot.com/See More
ZolliStar replied to ZolliStar's discussion What's the Right Machine?"Thanks for this, Mary.
Worse comes to worse, I'll buy a used machine from Second Wind. First I'm going to see if I can get my doctor to prescribe one.
Maybe this is the final answer. Meanwhile, I'm surely happy to have…"
Mary Z replied to ZolliStar's discussion What's the Right Machine?"Zollistar, I think the ASV is hands down the best machine. It took me four years to get hooked up. Because of lingering depression and continued day time sleepiness with a high AHI my doctor suggested a night in the lab with an…"
ZolliStar replied to ZolliStar's discussion What's the Right Machine?"May I ask two dumb-dumb questions? What do "Dx" and "CSA" mean?
And here is a not-so-dumb-dumb question (I hope!): From your experience, do people sleep better using an ASV machine?
I look forward to your answer.
"
RockRpsgt replied to ZolliStar's discussion What's the Right Machine?"You will most likely not be able to get insurance approval for an ASV without a Dx of CSA. I think that saying that an ASV breathes with you is false. ASV does however provide a better breath support and algorithm for auto use. The newer ASV units…"
Mary Z replied to ZolliStar's discussion Beating Sleep Maintenance Insomnia"Zollistar, what a good idea! The music is nice and relaxing on some of them."
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.
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
Views: 0
Replies to This Discussion
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Permalink Reply by Judy on -
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!!!!
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Permalink Reply by RockRpsgt on -
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.
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Permalink Reply by sleepycarol on -
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?
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