"please keep me updated about oximeters "
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Cpap pressure and still tired
I had a sleep study done Sun night. I had my first study donne last year and was put on a pressure of 10. Because I was still tired, I had a tiration study and it was raised to 15.
This year I had an in home titration study and they said my pressure was 13.5.
My doctor ordered another sleep study starting over, and the technician said something about my pressure being at 9.
The studies at the sleep clinic before were by non registered techs and I only got 8 min of rem sleep all night.
What I would like to know is if your pressure is too high can it even cause fatigue and sleepiness the next day?
Views: 428
Replies to This Discussion
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Permalink Reply by sleepycarol on
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Which machine do you use? Is it data capable? Have you, the doctor or the DME read your stats to see what is happening when you sleep, and not a sleep study but an overview of your nightly sleeping?
Without data from a data capable machine you have no idea of what is really happening nightly.
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Permalink Reply by D. W. Conn on
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In the beginning use of CPAP we may fight it. Not intentionally but resist it we do. IN may take a few weeks for your body to adjust. It took me three months. During my polysomnogram there was no REM observed. This can be common. The strange new sleeping environment etc. I wouldn’t be too concerned about the short REM observed.
Anytime one has a sleep study there should be at least one registered sleep technologist present. In some cases you may have a very experienced Technologist without his/her registry.
If you continue to be tired please contact your healthcare provider.
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Permalink Reply by RockRpsgt on
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the answer to your question is yes. over titration can cause arousals that will interrupt your sleep.
Conn you sound like yoda, LOL But resist we do. "Strong the force is with this one"
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Permalink Reply by Mark Douglas on
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well let me throw out my pet theory.
If your sleep study and tritration and all that does not help you -- I suggest finding out what your oxygen levels are overnight at home. They are probably FINE -- but why not check? And they are NOT always the same, they can vary ..
Such a simple thing, but such a critical thing. Of all people on EARTH who should know and think of this, sleep doctors should. And maybe some do. But they perfer the much more complete and expensive study. Well, so what?
Its possible you have low over night oxygen, even with CPAP. That would very much explain your fatigue. And if you have that -- you will be getting a lot of horrible things with it -- like heart disease, and many others.
Its easy to find out -- your sleep doctor can give you very simmple device you put on your finger.
Now -- there are probably 1000 things that can cause fatigue anyway. Low overnight O2 is just one. So its probably something else. But it's an easy one to check, probably the cheapest to check, the safest, and the most important if it's the problem. No needles, virtually no cost, and it's important.
Do you have a data recording CPAP at home? That will give the doctor--- and you -- some information too. Like how often you are using 90% of your top limit, if you have an auto adjust machine. It will also show how many AHI's you are having, and various other things.
With the data recording machines they have now, AND an oxyen overnight test, you may learn quite a bit. But Im sure your doctor knows all that. Short answer -- ask for oxygen overnight test.
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No let me throw out your pet theory. They monitor o2 all night during a PSG. If she just had one on Sunday it would be redundant to do another. Not to mention more expensive. I believe the best move would be to ask for a consult with the sleep doc to go over the results. as a tech i know a lot about sleep. unfortunately I am not a doc and do not get to make the final decisions. the tech should have never said anything about the pressures in the first palce. that is not our right.
Mark Douglas said:well let me throw out my pet theory.
If your sleep study and tritration and all that does not help you -- I suggest finding out what your oxygen levels are overnight at home. They are probably FINE -- but why not check? And they are NOT always the same, they can vary ..
Such a simple thing, but such a critical thing. Of all people on EARTH who should know and think of this, sleep doctors should. And maybe some do. But they perfer the much more complete and expensive study. Well, so what?
Its possible you have low over night oxygen, even with CPAP. That would very much explain your fatigue. And if you have that -- you will be getting a lot of horrible things with it -- like heart disease, and many others.
Its easy to find out -- your sleep doctor can give you very simmple device you put on your finger.
Now -- there are probably 1000 things that can cause fatigue anyway. Low overnight O2 is just one. So its probably something else. But it's an easy one to check, probably the cheapest to check, the safest, and the most important if it's the problem. No needles, virtually no cost, and it's important.
Do you have a data recording CPAP at home? That will give the doctor--- and you -- some information too. Like how often you are using 90% of your top limit, if you have an auto adjust machine. It will also show how many AHI's you are having, and various other things.
With the data recording machines they have now, AND an oxyen overnight test, you may learn quite a bit. But Im sure your doctor knows all that. Short answer -- ask for oxygen overnight test.
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Sorry pal, overnight oxygen can vary. Mine sure did.
My point is, knowing your overnight oxygen is as important as knowing your blood pressure or your weight. In fact, for people with sleep issues, it's more important.
True -- she would have an oxygen test during the sleep study. Of course.
Oxygen is the MAIN thing they look at in the sleep study for a REASON. . So important is this overnight oxygen reading that in England, 80% of sleep apnea is diagnosed by a questionaire and a finger pulse ox only. At least according to this web site ---
"The Preferred Sleep Study
Approximately 80% of all the patients diagnosed for sleep apnoea by the NHS have been tested solely by means of a questionnaire and finger pulse oximetry. Despite not even looking directly at airflow, the blood oxygen desaturation events and heart rate fluctuations are clinically widely accepted as being indicative of apnoea events and therefore, finger pulse oximeter tests are a reliable method of investigating symptoms of sleep apnoea*."
http://www.sleep-study.co.uk/finger-pulse-oximetry.html
In fact, it amounts to stupidity and malpractice that doctors don't routinely ask, and find out, what your overnight oxygen is, if you have fatigue, joint pains, headaches, weight gain, memory problems, and I forget the others. And this goes for after you start to use CPAP too.
It should be part of the regular information a doctor looks at. Doctors are about 10 years away from realizing this. Sleep doctors know, but they much prefer 2500 dollars sleep studyt, to handing you a pulsox. You can tell sleep clinics loathe the idea of pulse ox getting in the hands of too many -- probably like many men loathed the idea of women sufferage.
And its more stupid for US not to know.
For 99.99% of recorded history, we have not been able to know what our blood oxygen is. In my lifetime, determining your blood oxygen went from being impossible, then only with needle in your artery, then to something only advanced operating rooms had, then critical care units got them, till now, they are standard equipment in many hospital rooms.
You can be sure that the same migration will continue, because the price has already fallen 98%.
We can order them from walmart for 39 dollars. We can get them that record overnight 02 for a couple hundred. Why NOT know what your overnight oxygen is? Its easy to find out, its cheap, its painless, and it's of monumental importance. Show me any other thing that is so critical to know for sleep issues.
Its the main thing they look at in the sleep study, for a reason. When you have a AHI, it effects what? Your golf game? No, your oxygen. When your AHI teeters, your oxygen totters.
Now -- you can do all the fancy studies you want. And thats fine. You can sleep at their little clinic till the cows come home. But if your oxygen level is low at home, and they don't know it, you are going to pay with heart disease, and probably 50 other diseases. I have no doubt people have oxygen issues at home, yet the sleep doctor is CLUELESS about it. I know, cause I was one of those people.
SLeep apnea is not JUST about overnight oxygen, but it is light years ahead of what ever is in second place
For many of us, if we knew 20 years ago what our overnight oxygen was, we might have avoided a plethoria of health issues, INCLUDING worsening sleep apnea that went undetected. Undeteced even after repeated complaints to our doctor about fatigue. Even AFTER we get CPAP -- doctors may overlook that critical piece of information.
Why make the mistake of not knowing? Knowledge is power.
Power to the Pulsox!
Rock Hinkle said:No let me throw out your pet theory. They monitor o2 all night during a PSG. If she just had one on Sunday it would be redundant to do another. Not to mention more expensive. I believe the best move would be to ask for a consult with the sleep doc to go over the results. as a tech i know a lot about sleep. unfortunately I am not a doc and do not get to make the final decisions. the tech should have never said anything about the pressures in the first palce. that is not our right.
Mark Douglas said:well let me throw out my pet theory.
If your sleep study and tritration and all that does not help you -- I suggest finding out what your oxygen levels are overnight at home. They are probably FINE -- but why not check? And they are NOT always the same, they can vary ..
Such a simple thing, but such a critical thing. Of all people on EARTH who should know and think of this, sleep doctors should. And maybe some do. But they perfer the much more complete and expensive study. Well, so what?
Its possible you have low over night oxygen, even with CPAP. That would very much explain your fatigue. And if you have that -- you will be getting a lot of horrible things with it -- like heart disease, and many others.
Its easy to find out -- your sleep doctor can give you very simmple device you put on your finger.
Now -- there are probably 1000 things that can cause fatigue anyway. Low overnight O2 is just one. So its probably something else. But it's an easy one to check, probably the cheapest to check, the safest, and the most important if it's the problem. No needles, virtually no cost, and it's important.
Do you have a data recording CPAP at home? That will give the doctor--- and you -- some information too. Like how often you are using 90% of your top limit, if you have an auto adjust machine. It will also show how many AHI's you are having, and various other things.
With the data recording machines they have now, AND an oxyen overnight test, you may learn quite a bit. But Im sure your doctor knows all that. Short answer -- ask for oxygen overnight test.
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