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cpap pressure setting for UARS???????
curious as to what pressures, typically, UARS patients experience relief......a pressure of 7cm works for me in SWS sleep (deep) but not so much in REM.....ready to start cranking it up.
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Replies to This Discussion
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Permalink Reply by Saz RPSGT on
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j n k is right. There isn't a typical pressure for anything. It so this would be much easier. :^)
Often Sleep Disordered Breathing isn't seen in Stage 3 sleep. Many adults above 40-50 have a huge drop in the amount of SWS that they have. REM sleep shows a dramatic increase in SDB. Clinicians refer to this as "REM Specific".
See if you can get an AutoTitrating CPAP. That way you only get increased pressures when you need it. A range of 7cmH20 to ????
I'd hold off on the cranking for now though.
Jason
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Permalink Reply by RockRpsgt on
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I am not a big fan of auto-machines to say the least. I do however see a need for them. This is not one of them. like jnk said I do not think that a RERA would trigger the machines algorithm.
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From what I've seen, Auto's (at least the RemStar Auto M series) absolutely work with UARS.
One of our sleep specialists hated and greatly resisted using them because he wants to know that they're actually asleep and doesn't trust the efficacy. So he ran a small number of patients in lab that he had diagnosed with UARS for "re-titration" and then had them use an AutoCpap for 2 weeks with a range of 4-20cmH20.
Results were very clear that the Autos were catching UARS. I'm not a fan of them just because you don't know if the patient is actually asleep. I also don't think that they are proactive enough to catch sleep onset events.
For sleepsurfer I think it's ideal though. 7cmH20 when needed but then REM requires more pressure and the Auto adjusts...late, but sleepsurfer isn't stuck on a pressure of 14cmH20 all night for REM specific events.
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Permalink Reply by sleepsurfer on
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wow, thanks for the info.....i think i am actually starting out with a lease on my cpap, so hopefully i will get to upgrade soon to an auto or bilevel. i have also read a bit on dr. krakow's work....interesting.....thanks again for taking the time to reply.....all info is greatly appreciated! sleepsurfer.
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Permalink Reply by Duane McDade on
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The Machine does not know the difference between Apneas , UARs, Hypopneas or farts. Don't adjust your machine! You breathe much harder in SWS than REM , because of the Paralysis. This is Why you guys should not adjust your own pressures! What I'm saying is That's normal SleepSufer. What the machine is telling you is that you are breathing as it appears to the computer as if you might be snoring, that is as the machine sences snoring through the small tube it computes through, when it gets confused it calls it UARS. Because it can't hear.
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"or farts" LMAO
Duane McDade said:The Machine does not know the difference between Apneas , UARs, Hypopneas or farts. Don't adjust your machine! You breathe much harder in SWS than REM , because of the Paralysis. This is Why you guys should not adjust your own pressures! What I'm saying is That's normal SleepSufer. What the machine is telling you is that you are breathing as it appears to the computer as if you might be snoring, that is as the machine sences snoring through the small tube it computes through, when it gets confused it calls it UARS. Because it can't hear.
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ok so....i have a basic cpap.....my zeo shows that i do well with deep sleep (as did my sleep study with cpap) but i literally cannot even get into REM.....i wake up when i start going into REM.....when i sleep without my cpap, i get alot of REM, but it is very fragmented(hence UARS)......but why do i sleep arrousal free in deep and have so much trouble with REM??????? what should i do about it. thanks sleepsurfer
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How do you know you are not sleeping in REM? Is it the fact that you are very sleepy all the time or not dreaming? Are you Sleeping with an EEG going? I need more information.How do you know?
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i have a zeo home sleep monitor.....its new....it monitors your sleep stages.....light, deep, rem, and wake.....the cpap seems to increase my time in deep, however, it limits my time in REM.....i think i wake up when i start going into rem while on cpap......when i take off the cpap, i go directly into REM, (a very fragmented stage of REM)....i can see the fragmentation on the monitor.....
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That doe not make any sense. The CPAP should help you go into REM. What medications are you on?
http://www.myzeo.com/
sleepsurfer said:i have a zeo home sleep monitor.....its new....it monitors your sleep stages.....light, deep, rem, and wake.....the cpap seems to increase my time in deep, however, it limits my time in REM.....i think i wake up when i start going into rem while on cpap......when i take off the cpap, i go directly into REM, (a very fragmented stage of REM)....i can see the fragmentation on the monitor.....
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What is a zero home sleep monitor??
sleepsurfer said:i have a zeo home sleep monitor.....its new....it monitors your sleep stages.....light, deep, rem, and wake.....the cpap seems to increase my time in deep, however, it limits my time in REM.....i think i wake up when i start going into rem while on cpap......when i take off the cpap, i go directly into REM, (a very fragmented stage of REM)....i can see the fragmentation on the monitor.....
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i only take aciphex for acid reflux......do a search for my zeo.......
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