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+--- Thread: UARS-- Best Machine? Help a newbie! (/Thread-UARS-Best-Machine-Help-a-newbie)
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RE: UARS-- Best Machine? Help a newbie! - ajack - 07-29-2019
I know this is different to what you are being told. I don't know where this belief is coming from. I know of no reason to say that standard cpap isn't just as effective for Upper airway resistance syndrome as bilevel is. In most cases CPAP is the prefered treatment, unless there are other issues suited to bilevel treatment.
This is just one study
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4608900/
RE: UARS-- Best Machine? Help a newbie! - alshayed - 07-29-2019
I don't see any references in that about bilevel, was there a different study/review that you meant to link instead?
RE: UARS-- Best Machine? Help a newbie! - ajack - 07-30-2019
That is the point, unless there are other indicators, cpap is the treatment of choice. If I didn't have large AHI, I would try positional treatments, about chin tucking and foam collars first. URAS is normally called a flow limitation and includes snoring. This video explains it well.
If anything, resmed is saying the for her model algorithm is better tuned for for flow limitation.
https://www.resmed.com/us/dam/documents/products/titration/s9-vpap-tx/user-guide/1013904_Sleep_Lab_Titration_Guide_amer_eng.pdf
CPAP (continuous positive airway pressure) Fixed pressure delivered with optional expiratory pressure relief (EPR)
OSA
AutoSet for Her/APAP Automatically adjusts pressure in response to flow limitation, snore and obstructive apneas along with an increased sensitivity to each flow-limited breath, providing a more comfortable therapy for women. Increases sensitivity to each flow-limited breath, providing a more comfortable therapy for women
OSA
AutoSet/APAP (automatic positive airway pressure) Automatically adjusts pressure in response to flow limitation, snore and
obstructive apneas
OSA
VAuto Automatically adjusts pressure in response to flow limitation, snore and obstructive apneas; Pressure Support
(PS) is fixed throughout the night and can be set by the clinician
OSA, non-compliant OSA
RE: UARS-- Best Machine? Help a newbie! - jacksonm6 - 07-30-2019
Thanks ajack for your suggestions. I am wary of using a cervical collar given that over time this can cause arthritis. It's holding your neck in a rigid position and I can't imagine this is a long-term or healthy solution. When you say chin tucking, what do you mean? I am thinking of the PT exercise... is that what you're referring to?
RE: UARS-- Best Machine? Help a newbie! - ajack - 07-30-2019
There is limited info about your sleep study and the throat examination. Other than "Sleep study was just below AHI threshold but clinical presentation and exam of throat revealed I have very little space to breathe."
You need to make sure your sleeping position opens your throat. If there is a positional reason, examples on the forum show that even cpap at full pressure, can be ineffective. If the airway is bent and restrictive. Think chin up head back, like CPR to open the airway. You may not need a foam cervical collar, a change of pillow may do it. Put your chin to your chest and feel how that constricts the airway.
There is a lot on the forum about positional apnea, if needed, start your own thread on it.
http://www.apneaboard.com/forums/search.php?action=results&sid=d64c8bbab2ce9b17ab6b8b0b70faf78e&sortby=lastpost&order=desc
Then decide if you need CPAP. I would get a cheap s9 autoset off of craigs to try. That will provide the data for the oscar charts you will see posted on the forum. To see how you are and if you will use a machine. If you are more committed, Secondwind are good with a 12mth warranty at $375