What, if anything, is different when you go for a full CPAP titration study?  My doctor's office just called and is setting me up for one.  I had a split study May 12 with a diagnosis of severe OSA.  My AHI was 80.5 before the CPAP portion and 20 after CPAP was started.  My CPAP is set at 5-10 cm.  I had a second nocturnal oximetry test last week and the nurse who called said the results were abnormal, thus a full titration.  Will it be like the split study?  

Thanks for any information.  I had a feeling that I would have to go back for another study because I am still not sleeping well.

It will be like the second part of your split study. You will be using the CPAP the entire night.

A full titration is the same thing as a regular sleep study...with the mask on all night.  They need to hone in on the specific pressure for you..and if your O2 is down, then they may see how you do with added O2 and maybe a BiLevel.   They need to get your AHI below 5.  You are lucky in a sense...many Dr's are not as *concerned* about things and just stick you on an APAP and send you on your way until another 6 months.

Best of luck


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BiPAP Auto M 13/8 Mirage Nasal Swift. 20 years+ undx'd. RLS/PLMD, Hypersomnia & more.

Thanks for the info.  I will let you know how it goes.  I am ready for a good night's sleep.

Good luck, Huckster!!!


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Some people are like Slinkies... Not really good for anything, but they still bring a smile to your face when you push them down a flight of stairs.
Resmed VPAP Auto. Humidaire 3i, Simplicity & Micro masks, ResScan 3.4, S8 ResLink, Embla oximeter.

Is there an alternative to the mask all night?

The way I understand it, the CPAP titration is to find the optimal pressure to reduce your AHI into the acceptable range.  That is why you have to wear the mask all night.  My titration is July 1.  I can't wait.  I am so-o-o-o tired and I have been very compliant with my CPAP.

Well, I had my titration last night and boy did they change things up on me as a result.  I did not do well sleeping.  As they increased my pressure, I started having a lot of leak issues so we played "musical masks" in the middle of the night and when it was all said and done, I finished the night with the one I started it with, my Fisher Paykel 431.  I will be switching to a Bi-level set at 17/12.  I had a hard time adjusting to it last night, but I know it will get better.  The tech said I actually had deep sleep!!  I haven't done that in a very long time.  My question for those who are in-the-know about such things is this:  What machine would you recommend.  I want to go to my DME a little better informed this time.  My CPAP was pretty basic and I would like something that will tell me more than how many hours it has been on and how many days of compliance I had.  Thanks.

Husker, there are bi-levels and then there are ..... even fancier bi-levles. I'm still not clear on the differences or which is which.

I was just switched to a bi-level myself. Just a bi-level, not one w/timed breathing and all that. I opted for the new Resmed VPAP Auto due to the ease of access to nightly data via the LCD screen. The Resmed VPAP Adapt SV is an older model but isn't fully data capable like the VPAP Auto. On the other hand, I understand that there is a newer Resmed VPAP Adapt SV ENHANCED that is fully data capable.

My other choice had been the Respironics pre-M Series Bi-PAP Auto w/Bi-Flex had I not been able to get the new Resmed VPAP Auto. The reason the Respironics pre-M Series Bi-PAP Auto w/Bi-Flex was my second choice was because the pre-M Series Auto (CPAP not Bi-PAP) I had had didn't provide as much data via the LCD screen and the LCD screen was not as easy to read as my Resmed.

I have personal dislikes for the Respironics M Series that have NOTHING to do w/the excellent therapy they are capable of providing so a Respironics M Series Bi-PAP w/Bi-Flex would be a good choice for most people needing a bi-level as well and it is the newer model over the one pre-M Series I prefer.

These are the only two brands I am aware of that allow for patient access to their nightly data via the LCD screen. In time I also purchased the software and cable reader because there is even more info provided w/the software. Respironics has come out w/a Patient version of their professional software called EncoreViewer. Resmed hasn't produced a Patient version of their professional software. But, hey, the professional versions of both are available to patients who want it.


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Some people are like Slinkies... Not really good for anything, but they still bring a smile to your face when you push them down a flight of stairs.
Resmed VPAP Auto. Humidaire 3i, Simplicity & Micro masks, ResScan 3.4, S8 ResLink, Embla oximeter.