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RE: CSA Help - UnicornRider - 11-30-2023
Before you get too excited about Cheyne-Stokes breathing, give the Soft Cervical Collar(SSC) a try.
You do have an interesting pattern that closely resembles C-S, minor differences.
After the SCC, we may see a change in the Flow Rate pattern.
RE: CSA Help - Sustained - 11-30-2023
Thanks for the reassurance. Can the machine misclassify C-S breathing? Read a bit about now and it seems that it is related to strokes and heart failure which would be pretty surprising to me. As I lead a healthy lifestyle.
RE: CSA Help - Sustained - 11-30-2023
Made the mistake of googling Cheyene-Stokes... Interestingly enough I did have serious muscle twitches post surgery as I was falling asleep. Called in to the surgeons office to ask about it because they would jolt me out of sleep and when the quad jerked on the surgical knee it hurt so bad. I had never noticed anything like that pre-surgery. It was not just limited to my lower body though my shoulders would also twitch. The surgeons office said it was normal post surgery as the nervous system is recovering.
Yesterday I have developed a random cough. Figured it was just sickness but I don't have any other symptoms. Now it has me paranoid lol. Cough and limb jerks are symptoms.
Cervical collar not in yet but I am just going to grab one from a drug store today to see if that changes things.
Adding a zoom imaged of the time the AirSense registered the pattern.
RE: CSA Help - Gideon - 11-30-2023
ResMed calls ALL periodic breathing CSR, Cheyne-Stokes-Respiration. What you have there is not CSR. It is periodic breathing.
RE: CSA Help - Deborah K. - 11-30-2023
If you would post pictures of your redacted sleep study, then we would be able to see what was going on with Central Apnea at that time. That would help us help you better.
RE: CSA Help - Sustained - 11-30-2023
Trying to track down my original study. I do have a little blurb that was used by my physician referencing the original sleep study:
moderate AHI 25.7 with severe supine index of 89.0 and severe REM index of 39.3 with min oxygen saturation 82%. CPAP at 10 cm was considered optimal after first download dropping AHI to 4.1
RE: CSA Help - UnicornRider - 12-01-2023
Cheyne-Stokes is very specific pattern a waxing then waning, almost football shape breathing pattern. There are also some timing and repetition issues that don't quite match up.
I have noted that it can take a long time after a respiratory illness or chemotherapy for breathing issues to settle down. I can imagine you may have some time before you have totally recovered.
Sleep well post back.
RE: CSA Help - Sustained - 12-01-2023
Thanks everyone for sharing your thoughts.
Got a drug store cervical collar last night and tried it out. I have the 3M one on its way as well. It wasn't super comfy or anything but I did use it all night.
Also to note I start the night on my side but that hip gets sore and so I need to reposition. Given the clustering of the apneas would a good working theory be that during those times I am on my back? Also the cluster around 600 am i do remember being awake. Is it possible to have an apnea registered on the machine while being awake?
Going to keep using the collar for a while and see if it helps.
Any thoughts are welcomed.
RE: CSA Help - Deborah K. - 12-01-2023
Maybe you could call your doctor's office and ask if they can email you a copy of your sleep study. With that, we could see if you had a lot of central apneas during your study. That would help everyone help you.
RE: CSA Help - SarcasticDave94 - 12-01-2023
If there's areas on the sleep session you know you were awake but had events flagged, I wouldn't put much stock in those. Awake breathing is very different that sleep breathing patterns, typically more erratic while awake.