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SHOULD CPAP BE USED FOR DAYTIME NAPS?
This is a question I'm asked a lot, and I did lots of digging in the past and came to the conclusion that the answer is "Yes, Yes, Yes!!" Our apnoeas can happen anytime we sleep, not just at night and, therefore, the same strain on our heart and other organs is going to happen anytime we sleep without treatment. Play safe and put on the CPAP everytime you sleep!
Views: 721
Replies to This Discussion
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Permalink Reply by Joe barnes on
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Hi Peter,My average a.h i is 6 which is low isn't it?
So I think it is good but of course could always be improved.
Since I have been using the a/pap (2 years) every night regular I have had noises in my ear and a loss in hearing.
I was think of not using the a/pap for a while and see if the noises stop and my hearing improves.
If I did this it could be a good idea to use an oximeter with and without the a/pap to see how bad I really need the a/pap
What do you think about this idea?
Joe
Joe - you may well be right about the accuracy of these cheap meters (CMS50F) but on May 5th I attended the sleep clinic for my regular (every 2 years whether I need it or not) appointment and took my meter with me - the clinician couldn't resist a challenge and we compared the readings between my meter and her posh NHS approved one - and they were the same.
Having said all that, all I really want from my meter is to see the difference between a near-flat SpO2 line with CPAP and the cross-section of the alps that I get without it - so accuracy is just not an issue, the difference is huge and obvious.
I don't know your circumstances but mine aren't good - made redundant, scraping cash together so even £65 was a big outlay - but I can definitely say it has taught me much about my apnoea 'habits', has enabled me to reduce pressure from 14 to 10 which is much more comfortable, and convinced me to persist with CPAP even if it's waking me up with discomfort during the night - so it was money well spent!
Apologies for drifting a little off topic but I hope it's relevant.
Peter
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Hi Peter,
My average a.h i is 6 which is low isn't it?
So I think it is good but of course could always be improved.
Since I have been using the a/pap (2 years) every night regular I have had noises in my ear and a loss in hearing.
I was think of not using the a/pap for a while and see if the noises stop and my hearing improves.
If I did this it could be a good idea to use an oximeter with and without the a/pap to see how bad I really need the a/pap
What do you think about this idea?
Joe
p.s i have just ordered the oximeter you said about from ebay
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Permalink Reply by Caveman on
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Wow, action speaks louder than words ! - I hope you are happy with it, if you have trouble making the software work I can help with that.
AHI's - the best average I can get on a 10 setting is 7, this goes up to 11 on a setting of 8. Without CPAP - 54!!!
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Permalink Reply by Tigers Fan on
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Your AHI should be < 5, guys - above 5 and you are still in the realms of untreated OSA, with all the consequential problems.
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How do you know your averages etc, have you software that shows you?
Joe
Caveman said:Wow, action speaks louder than words ! - I hope you are happy with it, if you have trouble making the software work I can help with that.
AHI's - the best average I can get on a 10 setting is 7, this goes up to 11 on a setting of 8. Without CPAP - 54!!!
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Well Papworth say it is under control and I thought 6 was very low as some of the figures I see are well above this.
What is your figure and any suggestions on improving mine?Joe
Tigers Fan said:
Your AHI should be < 5, guys - above 5 and you are still in the realms of untreated OSA, with all the consequential problems.
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I get a tad either side of 1 fairly consistently and get severely upset if I wander as far as 2 for more than a night.
As for improving yours, give me a lot more information. Are you a DIYer or do you rely on Papworth to make your adjustments? APAP or CPAP? Pressures? Do you work on min four night averages? Mask leak rate? Mouth or nose?
If you rely on Papworth, either nag them more or go DIY. I'm a convinced DIYer so I can fine tune as often as I wish.
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Thanks for nice quick helpful reply.
remstar m Auto with A/flex a/pap
have it set at 8 to 15 range and as far as I can see that seems to be dealing with most of the ap's
Mostly use full face mask but sometimes use the nose pillow.
I use the Respronics encore viewer software.
Problem is I don't understand what and how important each fugure is.
I know the a.h.i important and I try to adjust to that but a bit hit and miss.
I had Respronics read it at a cost of £40.. and they said i was doing o.k. with it.
Papworth are nice people but just say you are now controlling it and kind of now get on with it.
I have ordered the oximeter and intend adjusting up or down till that improves unless you can give me any other advice.
Thanks Joe
Tigers Fan said:I get a tad either side of 1 fairly consistently and get severely upset if I wander as far as 2 for more than a night.
As for improving yours, give me a lot more information. Are you a DIYer or do you rely on Papworth to make your adjustments? APAP or CPAP? Pressures? Do you work on min four night averages? Mask leak rate? Mouth or nose?
If you rely on Papworth, either nag them more or go DIY. I'm a convinced DIYer so I can fine tune as often as I wish.
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First thing is to stick to one mask to get at least four night averages (don't count a restless night).
The Encore software gives a summary for each night - we want Pmin, Pmax and P90% along with AHI averaged for four good nights.
Then do the same for the other mask.
I'm away for a week so if you post your results Saturday morning 28th, I can get back to you. Don't make any adjustments to the machine, we're looking to control out the variables so we know what is happening is you and the mask.
My guess at he moment is that you'll need to narrow the operating band of the machine, either by increasing Pmin and/or decreasing Pmax - but we can't know till you post the results of the two tests.
The oximeter comes in when you have your AHI at a consistent mimimum - we can tune more finely than by AHI alone.
REM: I am not a medic.
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I know you are not a medic but you obviously know what you are doing.
I look forward to taking your advise and i know that is all it is.JoeTigers Fan said:
First thing is to stick to one mask to get at least four night averages (don't count a restless night).
The Encore software gives a summary for each night - we want Pmin, Pmax and P90% along with AHI averaged for four good nights.
Then do the same for the other mask.
I'm away for a week so if you post your results Saturday morning 28th, I can get back to you. Don't make any adjustments to the machine, we're looking to control out the variables so we know what is happening is you and the mask.
My guess at he moment is that you'll need to narrow the operating band of the machine, either by increasing Pmin and/or decreasing Pmax - but we can't know till you post the results of the two tests.
The oximeter comes in when you have your AHI at a consistent mimimum - we can tune more finely than by AHI alone.
REM: I am not a medic.
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Hi,
I have the cms50f and have it recording and load it to the computer, but I do not know what the other part is used for or how to get it to load to it.
So I can load it to the review part but not to the sp0 manager.
can any body please help.
Joe
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The software comes in two parts, a 'real-time' monitor that allows you to see the output from four units at once and the 'download recordings' section that it seems you have been using - I wouldn't worry too much about the real-time bit since while of momentary interest it's not really useful to non-clinician types like thee and me!
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