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Re: UARS -- easily detected / treated?

Posted by Kevin (in Walla Walla) on June 04, 2004 at 15:13:16:

In Reply to: Re: UARS -- easily detected / treated? posted by Sleepy Time Time on June 04, 2004 at 12:03:22:

Here's a simplistic view I use a lot when teaching. If you're having a full blown obstructive apnea and I give you a some CPAP pressure, but not enough, it may partially open your airway. This would look like a hypopnea. If I take that hypopnea and give a little more CPAP pressure, but not enough, it may make the hypopnea look normal, but the upper airway would still be unstable and cause an arousal. This would be UARS. In this case we normally titrate CPAP to not only stop the apneas and hypopneas, but also the arousals.

The machine you're thinking of is a Mallinkcrodt (?) Goodnight auto titrator. For some people it works perfect, for others, it won't. Again, its because it reacts to breathing that matches its internal profile of normal and abnormal. If your breathing falls outside its range, it may not react properly.

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