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Re: no rem with cpap

Posted by Sandman on January 21, 2008 at 13:54:26:

In Reply to: no rem with cpap posted by tallguy on January 21, 2008 at 08:30:40:

Doesn't make a lot of sense. Sometimes there is a first night effect where a patient has a lot of difficulty sleeping in a strange place with wires and cpap.

Without CPAP low rem is not abnormal.

So my best guess is you didn't have enough continuous sleep with cpap to know what the long term effect would be. 41% efficiency is really low.

Typically, when you use CPAP for the first time and it is working correctly, you have slow wave sleep rebound followed by REM rebound. If you didn't get the slow wave you needed due to arousal's (internal or external) it may have prevented you from getting into rem.

My "opinion" is work at getting better sleep with cpap before exploring neurological problems since the few results you posted seems typical for someone with a sleep efficiency of 41%.

However, there is a possibility that a neuro problem could be causing the reduced amount of sleep.

I don't know your medical history so you need to talk to your sleep doc to decide what the next step should be.

Sandman

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