"please keep me updated about oximeters "
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Supplemental Oxygen for UARS?
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?
Views: 564
Replies to This Discussion
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Permalink Reply by Banyon on
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Not at all. It is being prescribed because the ladies do not want to wear a CPAP mask.
Ink, I am surprised you think it is so strange. To me, intuitively, it sounds like it could keep your sats at a higher level. Remember, with strict UARS, you are breathing all the time, just not taking in enough air. Increase the O2 concentration of the air you are breathing in and your ox stats should increase.
The compliance rate for supplemental oxygen has to be about twice the compliance rate for CPAP.
The prescription is puzzling to me only because I have never seen it in any of the forums.
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I will be visiting this Saturday and try to get some additional information on the patients, their diagnoses and their therapy and which sleep doctor they are using.
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Permalink Reply by RChatty on
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I was diagnosed with UARS and just oxygen would not do anything for me because I have times where it's harder to breathe which is what wakes me up. It's not really the drop in oxygen that makes me tired all day, but the waking up a million times situation. But one thing that IS different is I've got so very many complicating health issues. The test that they did where they just checked the oxygen level in the blood showed significant drops in oxygen and for quite a bit of time. That one was done at home, the one in the lab didn't show it quite as bad. I know I didn't sleep good in the lab and my condition may be worse than the results showed. I'm not sure, but I do know that I have to have that pressure or else I go right back to waking myself up to catch a breathe.
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Permalink Reply by mollete on
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j n k said:
That would be my guess, or some similar miscommunication.Maybe they are just telling them it is supplemental O2 when it is really CPAP?!
Without desats, they would have to pay for the O2 out of pocket. And the device to deliver it (concentrator), if in the same room, would be so noisy that sleep quality would undoubtedly be worse.
mollete
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Permalink Reply by Rooster on
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mollete,
Once having been prescribed oxygen (Which I refused) for sleep apnea via a home oxygen concentrator, I am interested in your comments.
On the forums I do see some people, because of the noise, put their concentrators in an unused room and run the hose to their bedroom.
On the other hand, some others post that they have very quiet concentrators (maybe this is the hard-of-hearing subgroup :)).
Looking at manufacturers specs, I see mostly units that claim 40 dBa and less at 2 or 3 LPM. That amount of noise is not bad for sleeping and could actually be conducive to sleep if it is a continuous "white noise".
So my question to the forum is, do the better current models of home concentrators cause such problems with noise that they need to be placed outside the bedroom? Also, what is the heat output?
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Rooster said:
\mollete,
On the forums I do see some people, because of the noise, put their concentrators in an unused room and run the hose to their bedroom.
On the other hand, some others post that they have very quiet concentrators (maybe this is the hard-of-hearing subgroup :)).
Looking at manufacturers specs, I see mostly units that claim 40 dBa and less at 2 or 3 LPM. That amount of noise is not bad for sleeping and could actually be conducive to sleep if it is a continuous "white noise".
So my question to the forum is, do the better current models of home concentrators cause such problems with noise that they need to be placed outside the bedroom? Also, what is the heat output?
Right, most people have 40 foot extension tubings.
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j n k said:
I was thinking that, it's from the Hopkins study,a plain ol' flow generator.Maybe they are in some kind of TNI 20 study.
http://downloads.german-pavilion.com/downloads/pdf/exhibitor_15943.pdf
mollete said:j n k said:
That would be my guess, or some similar miscommunication.Maybe they are just telling them it is supplemental O2 when it is really CPAP?!
Without desats, they would have to pay for the O2 out of pocket. And the device to deliver it (concentrator), if in the same room, would be so noisy that sleep quality would undoubtedly be worse.
mollete
http://ajrccm.atsjournals.org/cgi/content/short/176/2/194
There is a company in the U.S. pushing that whose name escapes me...
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Permalink Reply by Bill Shoemaker on
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Hi Rooster,
I'm on BiPAP auto servo-ventilator with supplemental oxygen. My concentrator is the size of R2D2 and sounds like a small diesel truck - white noise is not even close! It heats the bathroom to a toasty 70 degrees in the middle of winter. My oxygen hose is 50 feet so it will reach from the bathroom to my BiPAP in the bedroom. Can't imagine having one in the bedroom, but I learned to sleep while the 5 inch guns on the ship were firing, so anything is possible for us adaptable humans.
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Permalink Reply by Mary Z on
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Yes, enquiring minds want to know about the TNI device. For those of you who haven't read their literature, it seems to be a nasal cannula that delivers 20/L/min compressed humidified and heated air into the nasal cavity. Studies at Johns Hopkins in 2007 on 11 subjects showed varying degrees of improvment in AHI and AI. Trans Nasal Insufflation. Do I have that about right?
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There seems to be a pattern to all the alternatives to CPAP: "The product reduced the AHI by around 50% in less than half the patients."
So that might get my AHI down to 28 from untreated of 57.
I am going to stick with CPAP and AHI less than 2.
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Permalink Reply by Judy on
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WB, Molette. 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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