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Re-titration protocol

A while back we had a discussion about patients getting re-titrated. I am looking for data or studies behind the need to take a break from therapy before the study. if anyone hass anything I would appreciate it.

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Permalink Reply by Mack D Jones, MD, SAAN on November 1, 2009 at 9:46pm

The didgeridoo report was interesting and should be explored further. Reducing the AHI by a few numbers changes nothing. You've got stick with your PAP machine regardless.
By the way, our classmates were recently entertained by guy who knew how to play one of those instruments. Even though he plays several wind instruments, he said it took him four months to learn how to blow a continuous flow of air without stopping through this thing. It's a real workout.

mollete said:

mollete said:
Mack said:
We could teach our muscles to stay open and eventually we wouldn't need out PAP machines at all.

Now you're being ridiculous.

Although on second thought, there was that didgeridoo thing that anectotally showed some promise.

mollete

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Permalink Reply by RockRpsgt on November 2, 2009 at 2:38am

Mollette I am a little confused as to where you stand on this discussion. I do appreciate the link.

mollete said:

http://www.ncbi.nlm.nih.gov/pubmed/8484626?dopt=Abstract

http://www.erj.ersjournals.com/cgi/reprint/10/5/973

http://www3.interscience.wiley.com/cgi-bin/fulltext/118497366/PDFSTART

http://www.journalsleep.org/ViewAbstract.aspx?pid=24359

mollete

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Permalink Reply by RockRpsgt on November 2, 2009 at 6:13am

Sorry I meant to retract my statement earlier, but I got caught up with a patient. I read all of the studies. Great stuff! I really appreciate it as this was exactly what I was looking for.

"pg 975 By contrast, some data exist suggesting that there is a residual effect of nCPAP, so that after nCPAP, OSAS returns to it's pretreatment severity only after several days."

Collard P, Cornette P, Aubert G, Rodenstein DO 1992

What I got was that the severity of the OSAS should be a concern for the referring/sleep doc going into a re-qualification study. Now in your experience have you ever had someone not get qualified for this reason?