Cheyne Stokes Respiration The Basics and Treatment Overview of the Central Apneas Simplified
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- Опубликовано: 12 сен 2024
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Overview of Cheyne-Stokes Respiration. Hopefully this answers how it effects your sleep, and the mechanisms involved in Cheyne Stokes Respiration. These are chains of central apneas with a waxing and waning quality.
Love this video and explanation. Thanks for being real, relatable, funny and knowledgeable!
Very understandable simplification and explanation of Cheyne Stokes Respiration! Thanks so much for producing this video!
So, I was diagnosed with OSA I think as a initial blanket diagnosis. I never fell asleep during my at home study, and I told them that, but they diagnosed me anyway. I don't think I have obstruction. I've thought I had CSA for 10 years when i first started experiencing it. I've been on CPAP for a month and Sleepyhead shows about 90% CA's. Everynight I have clusters of CA's, one after another 5 - 30 times in a short period of time, then I'll have a period of normal breathing, and then I'll have a few more CA's or I'll have another cluster. The cycle continues. They look similar to Biots or Cheyne Stokes, but Sleepyhead hasn't flagged either of those, probably more like Biots. When I went to my first followup appointment the Dr didn't look at my scores until I was in the room, but didn't look at any wave lengths. I asked if my ratio of CA's looked normal, and he said no, but to give it two more months and come back and if I'm not better when can talk about a Bipap. I want to know what is happening in my brain... and I want to get better so I can accomplish my goals. What should I do next? Should I really wait 2 months? CPAP feels pointless. Also, I have a lot of issues with my neck and migraines, I have a long standing bad habit of popping my neck too much, could this be related?
I often tell the doctors the back of the neck that connects to my brain feels swollen, but they ignored it when they felt around with their hand. I've done sleep study and I got lots of Central Apnea incidents, more so than OSA
Oops sorry. I did not wait further into the video to see that YOU ACTUALLY DID USE ACTUAL PSG. THANK YOU SOOOOO MUCH. WHEN YOU USE PSG IT IS ALWAYS AWWWWWWWWESOME!
This also will occur in Obesity hypoventilation. I think you should show us on an actual PSG. Like you did on the videos on interpreting PSG Reports. I look forward to seeing the controls at the PSG Station for the OmniLab advanced. I know that video will be wonderful.
A little bit more comical than I was expecting regarding a breathing pattern often associated with end of life complications, but you covered all the relevant points and kept my attention (I've got a pretty dark sense of humor), so thanks for the video.
Wow that was really good video! I have a resident who has this, and I wouldnt have known unless the family mentioned it that it's common in their family. So when I saw her breathing like this even after I gave her a breathing treatment, she looked more calm but she was breathing like this afterwards. And when you mentioned it occurs during no- REM sleep, maybe that was why she was doing it at the time. After her treatment she looked more calm and peaceful, but the cheyne-stokes breathing started. So would it be good to order her a bipap or Cpap device for her at night?
Wow, I think you just described what I have! It's not uncommon for me to wake up with quite an agitated breathing pattern, like my body thinks I'm running or something...
Thanks again. Another educational video.
Thanks fletcher!
I have CSA with Cheyne-Stokes and the ASV is really helping.
What is ASV? Thanks
I have a different explanation for the delay RE oxygen levels vs breathing. Isn't ot due to the Bore effect? The patient doesn't absorb oxygen because CO2 levels are driven down due to the breathing. Then when the CO2 goes back up, so does the Oxygen. No?
so is this central apnea curable? i have been diagnosed with it since 2 months back and my life turned miserable.. starts to feel pain in my upper left chest (heart area i believe).. pls if any advise would be highly appreciated!
I Don't know what is the cure, but I'm trying to reverse what I think i've done wrong in my life. I don't know if this will help me, but I think I lack sunlight, lack intensive exercise and overweight, which contributed to it
This is very interesting! What does the "Sp" in SpO2 stand for? Is it special?
MrHirenP peripheral capillary oxygen saturation
Really helpful!!!
What long-term outcomes are expected with ASV treatment ? Can normal breathing pattern be established with ASV ?
My cpap registered a cheyne stokes respiration and lots of clear airway. I was diagnosed with mild obstructive apnea or UARS. I brought this up to my therapist and my doctor. Though my doctor is not the type to further any tests on me. Is this a concern? Or can cheyne stokes happen in patients with OSA?
+Linder Lam (kitana89) It is a concern if it is occurring every night. If it is a one night event, then it's not of concern. CSR needs to persist for a majority of the night for a diagnosis.
Thanks for your response. My doctor says the cpap is not sensitive enough to pick up cheyne stokes. I was also told sleep head picks up periodic breathing into cheyne stokes respiration. Does that sound about right? My machine recorded two events.
Two events is pretty much nothing to worry about. There is a pattern after awakening that is like a resettling period. The machines mark CheyneStokes too often. I think the trigger that flags them is too sensitive.
My periodic breathing was at 4% last night normally its at 0% on dream station is that normal
My 02 lowest level was 90.0% and highest 95.1%
Do you have any idea if this can be brought on by Lyme disease?
Carrie Thorne I want to say that it can be, but you may want to do some further research on it. I think that I heard that it does at a conference. Don't remember the source though.
I got a sleep test done and I have mild osa 13.9/hr I mainly got hypopneas. 9 counts of obstructive and 1 central. And it said cheyne-stokes- 12.5 mins. Now I'm worried
Cheyne-Stokes is usually scored as central apneas, so that's pretty odd. Any more details about it?
@@Freecpapadvice I did get quite a few hyopopneas. 19.9/hr in supine. 10.8/hr non supine, 12.8/hr REM, 12.9/hr nrem, 12.9/hr total. .... during the 1 week of cpap no cheyne stokes was recorded
Also the cpap was on minimal 4 pressure. So i got a machine with fixed pressure. 8.5 being the max.
which cpap machine could pick up cheyne stokes? I've got resmed
Which ResMed?
@@Freecpapadvice autosense 10
My AirSense pics up CSR (Cheyne-Stokes Respiration) every couple nights with ResScan showing I'm "non compliant" when it comes to CSR. Is this something to worry about?
Can chiari malformation cause cheyne stokes?
I don't know. I've had several patients with this and none of them have had cheyne stokes. Don't know if there is a higher likelihood though. Sorry, I just don't know.....but I REALLY want to make something up because....internet.
So what doctor do i see for this?
Neurology Sleep Specialist.
It shouldn't be that difficult. Its easy. Theres a huge lag.
I wonder why the DOCTOR tells the patient almost NOTHING and you have to get all this information online. All HE told me was I could die if I don't use the machine & I thought he was telling me it to scare me into using it when it's never been anything less than uncomfortable even 4 yrs after having severe sleep apnea (O2 drops to 89% when I sleep & they think the lack of O2 is what caused my inexplicable dreams.) So did I until recently.
I HAD the machine in 2014 and had been sleeping with it ON my face for a year and a half & the next inexplicable dream that came was the worst I ever had.
What I wonder is why can't know-it-all scientists ever admit they DON'T know everything. I was w/ a Nuclear Physicist & even he said they don't know everything & don't have machines that can test everything to quantify it. He also thought scientists needed to be "careful what they do. Just bc someone could find a way to split the atom and make an atomic bomb doesn't meant it should have been done.(but that's along the order a mini rant.) The point is I have the machine and use it almost all the time, although I still don't use it 100% of the time; mainly I'm worried about getting infections even though I clean it regularly.
It's too bad the doctor doesn't explain it.
I'm sort of glad that they don't tell the patient everything. If they did I wouldn't get the chance to make these videos!!! ;^)