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22 Centrals AHI on BiPaP
#1
22 Centrals AHI on BiPaP
Hello, I am currently on a Resmed BiPap Vauto. I had surgery 2 weeks ago and was advised to lower both IPap and Epap as the surgery affected my stomach and diaphragm they didn't want me swallowing too much air to expand it / not being able to expand as hard due to trauma of the diaphragm.

Is there anything I can do to address this with a BiPaP? I have tried "Trigger Very High" in the past but have seen mixed things. Does it just trick the data without treating the actual cause being addressed?

Thanks for any help:

I Had a sleep study done last night they're saying it can be about 2 weeks for results. Was trying to make some adjustments now in the meantime.


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#2
RE: 22 Centrals AHI on BiPaP
We have found that the trigger setting will help with centrals.  Try setting the trigger to high and if you still have a lot of centrals move the trigger setting to very high.
Apnea (80-100%) 10 seconds, Hypopnea (50-80%) 10 seconds, Flow Limits (0-50%) not timed  Cervical Collar - Dealing w DME - Chart Organizing
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#3
RE: 22 Centrals AHI on BiPaP
Thanks for the reply. I will try “High”. All other settings would be ok to keep the same? Assuming higher IPAP or higher EPAP would not fix central’s
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#4
RE: 22 Centrals AHI on BiPaP
As your recovery from surgery is a temporary thing. And a lower pressure is mandated for that recovery. Shouldn’t one just accept that their AHI numbers are going to be higher temporarily.

Just a thought.
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#5
RE: 22 Centrals AHI on BiPaP
The surgery has actually be shown to potentially help sleep apnea. Between my stomach being up in my chest cavity and chronic GERD. Both those have been fixed. I also have never had a proper in lab sleep study done before so Mainely went for that reason
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#6
RE: 22 Centrals AHI on BiPaP
(12-04-2024, 12:48 PM)Zzera Wrote: The surgery has actually be shown to potentially help sleep apnea. Between my stomach being up in my chest cavity and chronic GERD. Both those have been fixed. I also have never had a proper in lab sleep study done before so Mainely went for that reason

Again. My point is that the doctors have said that because of the surgery and your diaphragm needs to recover. They said to lower your pressure. Which of course will have your ahi going higher. 

If my doc did surgery on me and said stop using your cpap until i recovered from said surgery. I would stop using it. I lived for many years with apnea. Going off of it for a bit isn’t the end of the world.  
But ruining the work done by a surgical procedure means that it might have to be redone.
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#7
RE: 22 Centrals AHI on BiPaP
They specifically advised me to not stop using and that it would be more than likely fine. I physically cannot fall asleep without it so that really isn’t an option for me
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#8
RE: 22 Centrals AHI on BiPaP
That is right, only the trigger setting will help not a change in pressure.
Apnea (80-100%) 10 seconds, Hypopnea (50-80%) 10 seconds, Flow Limits (0-50%) not timed  Cervical Collar - Dealing w DME - Chart Organizing
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#9
RE: 22 Centrals AHI on BiPaP
Thank you very much for your help today!

I’m assuming , just trying to learn, the cycle setter will do the opposite (with inhalation)
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#10
RE: 22 Centrals AHI on BiPaP
(12-04-2024, 01:19 PM)Zzera Wrote: They specifically advised me to not stop using and that it would be more than likely fine. I physically cannot fall asleep without it so that really isn’t an option for me

Oh boy! internet communication at it's worst.

I did not tell you to stop using it. Just that you should obey your Dr's and not mess with the setting beyond what they have recommended for your recovery from surgery. 

I was simply relating that if MY dr's told ME to stop using it. Then I would stop using it.
If MY dr's told ME to lower the pressure to effect a good recovery from the surgery they just preformed. Then I would do it even if it meant my AHI's went up during said recovery period.

I would rather be more sleepy for a short time than risk having to go under the knife AGAIN.
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