[Treatment] Newly diagnosed.

[prettybadapnea]

Hi all.

I did a home sleep study from a sleep center. I'm tired during the day, brain fog, snoring, etc.

My results came back, they said they will now do a titration at their lab.

I was wondering if there is anything I should know/do at this point. Ask for a specific device? Anything else?

Here are my results:

Sleep Study Summary

Method: The study was administered with the Alice NightOne polygraph system, using several measurements and sensors for accurate data.

NIGHT 1:

Start Time: 11:42:39 PM
End Time: 6:41:39 AM
Total Monitoring Duration: 419.0 minutes
Total Sleep Time: 395.5 minutes
Respiratory Data:

Total Apneas: 160 (Apnea Index: 24.3/hour)
Total Hypopneas: 59 (Hypopnea Index: 9.0/hour)
Total Respiratory Events: 219 (Apnea/Hypopnea Index: 33.2/hour)
Oxygen Desaturations: 182
Lowest SpO2: 46% (Avg: 94%, min associated with respiratory event: 43%)
Average Heart Rate: 66.6 bpm (Max: 255 bpm)
Respiratory Event Index (REI): 33.2, Obstructive Apnea Index (OAI): 20.9, Central Apnea Index (CAI): 2.9, Lowest Desaturation Level: 46
Snoring:

Total Episodes: 267
Total Snoring Duration: 328.3 minutes (Avg episode: 73.8 seconds, snoring % of sleep time: 83.0%)
Desaturations:

Total: 182
Index/hour: 34.1
Max %: 19
Max Duration (sec): 113.0
Total Time with Sp02 <89%: 10.3 minutes
Diagnosis: Severe obstructive sleep apnea (AHI: 33.2)

NIGHT 2:

Start Time: 12:22:14 AM
End Time: 6:27:50 AM
Total Monitoring Duration: 365.6 minutes
Total Sleep Time: 342.1 minutes
Respiratory Data:

Total Apneas: 97 (Apnea Index: 17 .0/hour)
Total Hypopneas: 87 (Hypopnea Index: 15.3/hour)
Total Respiratory Events: 184 (Apnea/Hypopnea Index: 32.3/hour)
Oxygen Desaturations: 161
Lowest SpO2: 87% (Avg: 94%)
Average Heart Rate: 60.4 bpm (Max: 105 bpm)
Snoring:

Total Episodes: 72
Total Snoring Duration: 301.3 minutes (Avg episode: 251.1 seconds, snoring % of sleep time: 88.1%)
Desaturations:

Total: 161
Index/hour: 28.2
Max %: 10
Max Duration (sec): 118.0
Time with Sp02 <89%: 0.6 minutes
Lowest Sp02 % during sleep: 87
Duration of Min Sp02 (sec): 5
Highest Sp02 % during sleep: 98
Duration of Max Sp02(sec): 322
Diagnosis: Severe obstructive sleep apnea (AHI: 32.3)

[PeaceLoveAndPizza]

Welcome to AB! Random thoughts below…

Read the wiki, lots of very useful information there.

If you have a choice go with a ResMed Airsense 10 or 11. If you are mouth breather start with a full-face mask like ResMed F20 or F&P Evora. If a nose breather go with the ResMed P10 to start. You can try other masks later.

Start with pressure settings of min 7, max 15, EPR 3 full-time. That’s a good enough place to start. Folks can help adjust things once you start posting OSCAR charts.

Read the wiki’s. Get the clinician manual for your machine. 

Read this board often. Search for answers before posting questions as you will likely find what you need.

[Jay51]

Great points there by PeaceLoveandPizza.  2 stats from your sleep study seem a bit concerning IMO.  It said you low SPO2 got down to 43% and 46%.  Hopefully it was an error (artifact), but it likely could be true.  That is concerning.  That is about the lowest I have seen.  Make sure your Dr. or Sleep Dr. sees that particular statistic.  

Also, your max heart rate skyrockets up to 255.  Assuming this is correct again, that is major tachycardia.  Letting either your Dr. or Sleep Dr. see that statistic seems essential.  If you are not already seeing a Cardiologist, they may refer you to one to get this checked out.  

A real head start may even be getting a soft cervical collar to help combat all of your events.  It wouldn't hurt, and most likely if you desaturate down to 46 spo2, a soft cervical collar could help provide some immediate relief.  Just measure from your chin to your chest in inches or fractions of inches.  Lowering your pillow height may help (from a tall pillow to a shorter one).