Would BiPAP be right for me

[turbosnore]

I've benn on CPAP (12cm) for about 3 weeks now, and all the time I've been a lot more tired than
before the sleeping turbo. They (sleep study) told me that they were worried of my hypoventilation.
Does that mean that besides my Apnea (AI 20) my hypopnea is bad (HI 16)?

Could APAP be better, or maybe BiPAP, My wife says I snore inside the mask.

I'm asking this for my next control visit. I'd like to know if I should beg for APAP or BiPAP.

[edit]
Oh, yes. My sleep study report can be seen here.
(Any suggestions for more easily accessible free file server?)

[turbosnore]

Please?

[papdad]

Don't know how it works there but unless we are going to buy a machine outright, the first machine we will normally be tried on is a CPAP machine and it will be a cheaper one. This is because of the insurance companies and the DME's - machine suppliers. The setting for the CPAP machines a lot of times will not be what works best for the patient. For those that are meek and/or ill informed, this is where it will remain.
It takes a little time to adjust to any xPAP therapy and some time needs to be allowed.
An APAP machine is capable of adjusting to meet a persons requirements. I think than anyone on xPAP therapy should at the very least have a good fully data capable APAP.
If you do not need extra relief on exhale then it might not be necessary for you to have a BiPAP machine. I have to have a BiPAP machine because of my COPD.
An automatic BiPAP is the best of the machine categories. I have just started using an automatic BiPAP and I really like it.
It is really hard for anyone here to tell you exactly which machine will work for you. If you are in a position to try different machines on a loaner basis, then you might consider doing so.
And then there is the doctor and what they think and what they prescribe.
You do not ask a question that is easily answered.
Unless you have problems breathing out against the CPAP then go for the data capable APAP.
Hope that this might help a little.
Luck, Norm

[turbosnore]

What is COPD?

My desat is
Desatu ration Apnea Obstructive Central Mixed Hypopnea Total
>90% 83 78 2 3 90 173
81-90% 63 61 0 2 7 70

Does this say anything?

[papdad]

COPD is Chronic Obstructive Pulmonary Disease -- trust me, you don't want it.

A person stops breathing during apnea events and your oxygen level will naturally drop because no air is coming in. With control of the apnea events thru xPAP therapy, the O2 levels should improve.

[rested gal]

What is COPD?

If you go to http://www.google.com and type the letters COPD into the search box, you find a lot of websites explaining what "COPD" stands for ( Chronic Obstructive Pulmonary Disease ) and what it does. I'm not saying you have that. I'm just mentioning how to find information for an abbreviation or term that you're not familiar with.

For example, among the many links a google search turned up for COPD....

http://www.nhlbi.nih.gov/health/public/lung/copd/

[Snoredog]

Bipap could make your condition worse.
Sometimes you cannot eliminate all the snore,
Report indicates some Central, some Mixed but not that bad,
Report indicates a lot of Limb Movement (LM/PLMD) but not that many associated with arousals.
Report posted is only the diagnostic PSG, have the titration PSG?

Would have to look at that before saying another machine type would be better, it all depends
on how you are doing with current machine.

[turbosnore]

Thanks for explaining me the COPD.

Soredog: I don't have the titration report.
I've been on CPAP for about 4 weeks of which on the current constant pressure of 12 cm
for 3 weeks. Now I seep 1 to 3 hours more than I used to and I'm a lot more tired - like sleeping
only about half of the time I used to before the sleeping turbo.
I think the leaks are negligible.

[turbosnore]

What is COPD?

If you go to http://www.google.com and type the letters COPD into the search box, you find a lot of websites explaining what "COPD" stands for ( Chronic Obstructive Pulmonary Disease ) and what it does. I'm not saying you have that. I'm just mentioning how to find information for an abbreviation or term that you're not familiar with.

For example, among the many links a google search turned up for COPD....

http://www.nhlbi.nih.gov/health/public/lung/copd/

Thanks, I checked google and for my great surprise there were lots of links that WEREN'T COMMERCIALS!
Strange!
Anyway, from the first link I figured out what it is (I'm a Finn).

I asked, because I guessed that papdad wouldn't mind answering and I was expecting that, as usual, couple of hundred first links were commercials.

Well, it's never too late to learn.