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[Diagnosis] how to tell if my ca apneas are positional
#11
RE: how to tell if my ca apneas are positional
OSCAR can show what you're dealing with while on the CPAP. However, for correct categorizing CA, that's where the sleep study details comes in to help decide what therapy actions make sense.
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#12
RE: how to tell if my ca apneas are positional


STUDY DATA:

Ambulatory Watch pat Sleep Study
Total Study Time:6.4 hours (383.2 minutes)
Start Study Time: 19:40:05 PM
Stop Study Time: 02:03:19 AM
Sleep Time: 306.5 minutes
% REM of Sleep Time: 28.2

OXYGEN SATURATION:
Oxygen Desaturation Events (ODI4%): 10.9
Saturation < 90%: 2.1 minutes
Saturation < 88%: 1.3 minutes
Saturation < 80%: 0 minutes
Saturation < 70%: 0 minutes

Lowest Oxygen Saturation: 84%
Average Desaturation: 91.3%
Average Oxygen Saturation: 94%

PULSE STATISTICS (beats per minute):
Mean: 68; Min: 45; Max: 108

RESPIRATORY EVENT and BODY POSITION SUMMARY:
Supine pAHI: 19 per hour
Supine ODI: 16 per hour
Time Supine: 3 hrs. 25 min.
Percent of slee
p in supine: 66.7 %

Non-Supine pAHI: 0.6 per hour
Non-Supine ODI: 0.6 per hour
Time Non-Supine: 1 hr. 42 min.
Percent of sleep in supine:33.3 %

pRDI4%: 14.7 (REM: 12.8; NREM: 15.4) per hour
pAHI4%: 12.9 (REM: 12.1; NREM: 13.2 ) per hour
Total AHI4%: 12.9 per hour

SUMMARY:
This was a WatchPAT study. pAHI and pRDI events were scored utilizing 4% oxygen desaturations.

Summary of respiratory data:
pAHI4%: 12.9; ODI4%: 10.9; T90%:2.1 minutes ; Min Saturation: 84%
TECH NOTES:

- This degree of mild OSA carries a small risk for cardiovascular disease and is variably associated with excessive daytime somnolence (EDS). CPAP therapy with this degree of OSA
should be considered for patients with daytime symptoms or associated medical sequelae.
- Sleep Technologist Note: SUSAN CIMORELLI was seen in the sleep technologist clinic. The final result of this study was discussed with the patient. We advised the patient to
follow up with her referring physician to discuss resul
ts and symptoms further. Message sent through KP.org with prescription and information on outside vendor for purchase.

INTERPRETATION:

- Mild obstructive sleep apnea. AHI 12.9.
- Nadir oxygenation was 84%. Time spent with an oxygenation less than 90% was 2.1 minutes. Central sleep apnea index is 5.7 per hour. Supine AHI 19.0 per hour. Nonsupine AHI
0.6 per hour. Snoring was detected for 24.4 minutes of
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#13
RE: how to tell if my ca apneas are positional
A measurement for CA was mentioned near the bottom at 5.7/hour.

My suggestion for your consideration would be either do a lab sleep study or a Titration with bilevel and ASV modes tested.

PS have you tried Trigger very high? How did it go if you did?
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#14
RE: how to tell if my ca apneas are positional
Yes, I tried trigger set very high and changed cycle back to medium and it felt great and i got excellent results last night.  Let's see what happens tonight. Thank you for all your help.
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#15
RE: how to tell if my ca apneas are positional
Welcome and congrats
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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