CPAP non-compliant, AHI improved 50% but still high

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This topic contains 1 reply, has 2 voices, and was last updated by  Suzanne 3 months ago.

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  • #246

    aafesleep
    Keymaster

    I have a 53 yr old male, 220 lbs, 70″ tall, BMI 31.6.
    Hx of physician diagnosed OSA prior to seeing us. Was prescribed a CPAP.
    CPAP non-compliant and refuses to wear.
    Pt has been in a Narval since 8/13/15.
    Max protrusion 12mm.
    Pt started at 30 connectors, bilateral.
    Pt now at 23 connectors, bilateral.
    Results below are from first StatDDS (prior to Narval) to now (with 23 connectors)
    AHI: 46.3—-> 21.7
    ODI: 50.2—–>28.7
    Snore Index: 45.5%—–>21.6%
    BEI: 36/h——>1.0/h

    Pt reports feeling more rested now and partner reports less snoring. No jaw pain/issues.

    My question is should I keep advancing his connectors until we get his AHI under 5? The Narval rep said that we would normally never have to advance someone more than 2 connectors after their 50% protrusive position.

    thank you for your time. jodi

    #432

    Suzanne
    Moderator

    He is still very high- looking at both his AHI and Oxygen levels. I usually start the patient at 60% protrusive and even sometimes edge to edge. At this point since he is at 50% you may want to increase his VDO. Let me know this goes.

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