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# Anything that decreases the efficiency of your breathing
# EERS ([[Enhanced Expiratory Rebreathing Space (EERS)|Enhanced Expiratory Rebreathing Space]]) The theory is that the use of positive air pressure, especially with pressure support (PS) or exhale pressure relief (EPR) can result in a drop in carbon dioxide in the blood, which through various respiratory feedback mechanisms can result in the emergence of central apnea (CA). By adding dead-spece or a larger volume EERS does the via a mask modification which slightly increases the amount of CO2 that is rebreathed. This effectively eliminated the central apnea. Note that this is a process that your medical team has not likely heard of and because it requires a mask modification is frowned on by many in the medical profession. I'll add that this process is used extensively by a few doctors in cooperation with a few DMEs and Sleep Centers.
== references ==
[https://www.ncbi.nlm.nih.gov/pubmed/21206741 Treatment of positive airway pressure treatment-associated respiratory instability with enhanced expiratory rebreathing space (EERS).]
[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3998090/ Alternative approaches to treatment of Central Sleep Apnea]
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