Posted by Mareee on April 28, 2003 at 19:25:48:

In Reply to: No REM period (???) posted by Hugo Angers on April 25, 2003 at 10:32:34:

I've had a sleep test with no REM sleep either.

Any one have a sleep study report that is similar to mine below?

I always thought mild sleep apnea is treated without cpap (by losing weight, etc.).

Have any of you got mild obstructive sleep apnea and use a cpap machine?

My primary care physician told me that a cpap is just a machine that blows air through your nose all night and seemed to think that mild osa in the sleep study report was nothing to worry about.

She was surprised when I asked for the referral for the followup cpap titration that was recommended by the sleep center.

My main concern is that I am sleepy all the time, catch myself asleep at my desk and feel subhuman all the time.

I'm just confused about all of this -- I feel like I'm getting conflicting recommendations from my primary care physician versus the sleep center.

I've always slept lousy since a teenager (even at a normal weight) and have tossed and turned as far back as I can remember -- normal for me I thought.

Have a brother (moderate osa) and a sister (severe osa) who both use cpap; and a mother (now deceased) who used the bipap.

Here is the Report:

The patient had a sleep period time of 184 minutes total sleep time was 109 minutes with a sleep latency of 171 minutes which is markedly elevated and a very poor sleep efficiency of 31%. She had stage 1 sleep at 4.3% of the night, stage 2 21%, delta sleep interestingly was 33.6% and no REM sleep was noted. She had 1 obstructive apnea, 1 mixed, 11 obstructive hypopneas, 2 mixed and 1 central. Her apnea hypopnea index therefore was elevated at 8.8 bearing in mind that she did not have any REM sleep. It was not position dependent. She did have some desaturations with the minimum saturation of 86% and about 2.6% of the night with saturations below 90%.

This is a patient with an elevated body mass index and at least mild obstructive sleep apnea. She also had evidence for mild snoring. She had evidence for large rebound in delta sleep suggesting possible prior sleep restriction. The patient had very poor sleep efficiency during the study, which may suggest a first night effect.

Recommendations: She should avoid opiates, alcohol, and benzodiazepines, which may worsen her sleep apnea. She should return for CPAP titration prior to her gastric bypass surgery. She should avoid driving or operating machinery while sleepy.

What does it all mean ?

Follow Ups:

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