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There is a sleep clinic in a nearby city which is prescribing supplemental oxygen (no CPAP) for UARS treatment. I know of three female patients, in their fifties with no complicating health issues, who are reporting better sleep and much more energy.
Is supplemental oxygen an accepted therapy for UARS?
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I think that TNI may be a fabulous alternative for UARS patients with inability to tolerate CPAP. Dr. Rapaport notes that TNI probably works in the same way as CPAP, but while one may automatically assume that it inflates the area of obstruction, I believe the real benefit could be realized by the pressure gradient that is created-- the area above the obstruction has positive pressure relative to the airways. Consequently, a "pressure support" phenomenon may occur that will prevent the increased negative inspiratory pressure that goes to create RERAs. If this is truly what is being looked at in the study, then one would want to watch for the activity in RIP belts and Pes catheters, and if there is reduction in the arousals of RERA.Dr. Rapaport discussed it a little in the Manhattan A.W.A.K.E. meeting a few months back...
My 02 concentrator (5L) is an Invacare Platinum XL and it is NOT a constant, steady noise. It huffs and puffs like an iron lung. Prior to the Invacre I had a DeVilbiss and it also huffed and puffed like an iron lung. DEFIINITELY NOT a white noise type of steady noise!!!! Probably like some of those real old CPAPs from the early days that huffed and puffed w/inhalation/exhalation.
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