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Re: Optimum pressure caveats, indeed!!


Posted by - Sleepy Coote on February 12, 2003 at 16:47:46:

In Reply to: Re: Optimum pressure caveats, indeed!! posted by SGS on February 12, 2003 at 14:09:08:

Thanks for your thoughts! I concur with your assessment of Auto-Paps since I understand the underlying design challenges. Thus my initial bias in favor of fixed pressure CPAP. My guess is that each generation of Auto-Paps brings increased accuracy. I must say I think I lucked out with the one I bought because I sure do feel better on it.

My sleep events are almost exclusively hypopneas, by the way---and not necessarily frequent. Yet I significantly desaturate with them and suffer significantly from the (if untreated) during the days. Because they are less frequent partial obstructions, I kind of go along with Rebecca's guess about the hering-breur effect. SGS, do you think this sounds plausible or are we off-base in our guess?

Interestingly I bought the auto-Pap because I felt so rotten on the CPAP, and I suspected that I suffered from more severe positional obstructions or nasal obstructions than 10 cm could possibly counter. That does not seem to be the case looking at my data, however.

Before I tried auto-Pap I thought I slept exceptionally well with CPAP---and I did compared to pre-CPAP days. However, I sleep so much better with the auto-Pap than the CPAP that I am, to be frank, drop-dead suprised. For me the chsange in flow generators is a breakthrough, and I'm quite excited.


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