Here are the results from my sleep study. I am now using the cpap machine, which I don't really have a problem getting use to it at all. But my question is, will I always still wake up several times a night, or is that just habit and will it go away?


Sleep architecture and staging: The patient was placed in bed at 9:13 pm hours and the recording continued until 5:24 am. The overall total recording time was 8.2 hours. The baseline portion of the study consisted of a total recording time was 4.9 hours with a total sleep time of 2.3 hours, resulting in a markedly reduced sleep efficiency of 46.2 %. The sleep latency was prolonged at 87 minutes and Stage REM sleep was not achieved during the baseline study. A review of the sleep architecture revealed a normal amount of stage 1 sleep (8.8%) and a marked increase in the amount of stage 2 sleep (80.7%). There was a normal slow wave sleep (10.6%) and no stage REM sleep. (0.0%)

Sleep disordered breather: The patient was noted to have moderate to obnoxious snoring during the study and a very sevear sleep related breathing disorder was noted with an overall AHI of 101.2/hour. During NREM sleep the AHI was 101.2 / hour. During supine (on the back) sleep the AHI was 126.3/hour. and during sleep in the lateral decuibitus position the AHI was 69.8/ hour. The patient 1obstrctuive anpeas with a maximum duration of 12.1 seconds, and 230 obstructive hypoapneas with a maximun duration of 20.6 seconds. The baseline SA while awake was 97.6% with desaturations to a nadir of 82%. The patient spent 16.9 minutes with o2 saturations less than 90%. Continuous ECG monitoring revealed no significant cardiac rhythm problems.

Limb movements and arousals: Monitoring the anterior tibialis muscles revealed moderate operiodic luimb movements of sleep with an index of 22/hour resulting in 2.2 arousals per hour. Spontaneous arousals were noted at 4.4 /hour with an overall arousal index of 93.3/hour.

Impression:
1. Obstructive sleep apnea syndrome (327.23 extremely severe, with moderate to sever oxygen desaturations.
2. Reversal of obstructive s;eep anpea syndrome with nasal cpap at 9cm pressure.
3. Insomnia (327.02) mainly sleep initiation insomnia.
4.Peridic limb movement disorder (327.51) severe with very few arousals.

Most likely not. Your sleep should improve w/time once your apneas and hypopneas are stopped or at least reduced. Whilst you had an extreme amount of leg movements they caused very few arousals and the leg movements often reduce in number w/the reduction or cessation of apneas and hypopneas. Given it was necessary to do a split night study due to the severity of the number of apneas and hypopneas, no REM sleep, length of time for you to fall asleep (latency) and that you entered into very little stages 3 & 4 which are the restful stages of sleep they may well NOT have found your true needed pressure. It is much more difficult to determine your true pressure need with a split night study.

Stage 1 sleep is really not true sleep at all but rather the entry stage, its that "dozing" in an out we experience as we settle down, slow down and our body prepares itself for true sleep. Stage 2 is the first stage of real sleep, but it still is not as deep and restful and Stage 2 is where you spent most of your night.

Lets face it, no matter how comfortable the surroundings, its not home. No matter how comfortable they try to make you feel, it just isn't familiar or natural to have all those wires, etc. attached to you and know that there is a camera on you all night whilst you try to sleep. There is also the pressure you put on yourself to GO to sleep. Your sleep in a sleep lab is just NOT the same sleep you get at home.

Give CPAP a chance to do its job. Get comfortable w/your mask or exchange it for a more comfortable one if it gives you problems. You should start to see gradual improvement. Many sleep labs give it 3 months before they suggest making any changes to your therapy. But I'm not a particularly patient patient nor am I particularly bashful if a therapy or medication doesn't seem to be working. If you haven't seen any real improvement w/in 30 days contact your sleep doctor and tell him so. If you've seen some improvement but not enough contact your sleep doctor and tell him so. But always give the therapy or change in therapy at least 30 days if you feel some improvement.

And provide as much information as you can. Discomfort, sore spots or pain from the mask. Excessively dry mouth or sinus and nasal passages. Did it usually take you a long time to get to sleep at home prior to the sleep study and titration? Or was that delayed sleep latency as result of the in-lab study? Is it still taking you as long to get to sleep at home now? I take it the number of times you wake during the night has not changed since before your sleep study & titration? Do you wake up w/air blowing out your mouth? There are adjustments that your local DME supplier's RT can help you with, there are others he/she can contact the doctor and discuss w/him that could initiate some changes in your therapy or equipment.

What CPAP do you have? What make and model? Look on the top of your CPAP, it should be printed there. Or look on the cover of your Users Manual. What mask are you using? If you're not sure it should say on the literature that came with it. Does it have a heated humidifier?


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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.

Thank you for all your help!

"Did it usually take you a long time to get to sleep at home prior to the sleep study and titration?" No I always feel asleep fast.


"Is it still taking you as long to get to sleep at home now?" About the same.

"I take it the number of times you wake during the night has not changed since before your sleep study & titration? Last night I slept so well. I don;t think I moved to much and did not wake up but maybe twice.

"Do you wake up w/air blowing out your mouth?" No..

"What CPAP do you have? What make and model?" I am using RESMED S8 Elite HumidAire 3i. and the mask I think is Respironics comfort gel Nasal mask.

Hey, you are doing good then! And you certainly have a good CPAP. That is the one I had. I've since been switched to a bi-level because of my COPD but that Elite was great and really improved my sleep - just not enough 'cause of the COPD.


_________________
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.

Sorry I am new to this.. What is COPD??

Eh, sometimes we get so used to using the abbreviations we forget that there is no reason for them to be familiar to everyone. COPD = chronic obstructive pulmonary disease. In my case from smoking for 50 years.


_________________
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.