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(deactivated member)
on 3/7/15 7:33 am
Topic: Did anyone have difficulty with this during or after surgery?

I have sleep apnea and I use the CPAC.  I'm worried about the impact of anesthesia and narcotics during and after surgery. I am going to discuss this concern with my surgeon and anesthesiologist before surgery although, I'm sure they have extensive experience in weight loss surgery and that they will take appropriate measures to maintain the airway for a safe surgery. Did you have any experiences during surgery with oxygen levels because of sleep apnea? Did anyone have difficulty with this during or after surgery? If so, what were they and how

(deactivated member)
on 3/4/15 11:49 pm
RNY on 05/04/15
Topic: RE: newly diagnosed with OSA- Hope to be on the road to WLS!

You're very welcome! Let me know how your CPAP study goes!

msecanales
on 3/4/15 12:06 pm
Topic: RE: newly diagnosed with OSA- Hope to be on the road to WLS!

THANK YOU!!!! All of this helped me so much. This is so new to me! I scheduled for my 2nd sleep study with CPAP... No wonder I always feel so darn tired! Instead of being bummed about it (because I feel like this is several steps back) I will try to be positive about it all. Again, thank you!

(deactivated member)
on 3/4/15 1:35 am
RNY on 05/04/15
Topic: RE: newly diagnosed with OSA- Hope to be on the road to WLS!

Wow, that's scary! Fortunately CPAP is usually incredibly effective at treating OSA as long as you wear it every night. For most people, it completely eliminates apnea and keeps oxygen sats where they need to be (the mid-high 90s for most people).

My husband and I both wear CPAP, and he just had an EGD yesterday. They just wanted him to bring his CPAP with him in case he was still drowsy after the procedure. I'm sure it will be especially important for you with how severe your apnea is. They'll ask you to bring your CPAP in for your surgery, too. I don't know if insurance companies have a set amount of time they require you to use CPAP before surgery (it might vary by company), but they will definitely want to make sure it's well-treated beforehand. It will be very important to use it consistently after surgery too, especially when you're on heavy-duty painkillers. A lot of people are able to get off CPAP after they lose a really significant amount of weight, but that's not a guarantee -- lots of skinny people have sleep apnea too. Another test a few years down the line is the only way to tell. Even if your OSA doesn't resolve, your settings are likely to change. When I was 60 lbs heavier, I stopped breathing 21 times an hour. I had another test recently that showed me stopping only 7.3 times an hour -- under 5 is considered normal, so I'm still wearing my CPAP, but the pressure is a lot lower than it used to be (I use an auto-adjusting machine).

Good luck! My husband and I are both in the camp of "I didn't realize how bad I felt until I learned how much better CPAP could make me feel." It's certainly a lifesaver, and better sleep = more energy, which helps with weight loss too. I'm sure you'll do great, and congratulations on being well on your way to a healthier you!  

msecanales
on 3/3/15 3:37 am
Topic: newly diagnosed with OSA- Hope to be on the road to WLS!

I had my initial consult with surgeon regarding vertical sleeve about 3 weeks ago. He sent me to have a sleep study and low and behold, I have OSA. I had 238 interruptions and my oxygen sats dropped as low as 62% I will be scheduled to go back and have another sleep study with CPAP :/

 

Im guessing I need to be on CPAP for a certain amount of time before surgery.. This all makes me anxious. I haven't scheduled my EGD yet. Wonder if this will affect that in any way? 

charminglearner
on 3/2/15 1:21 pm
RNY on 10/27/14
Topic: RE: Hi!

When I was still in the hospital after my surgery my CPAP machine alone could not keep my blood oxygen level up in the 90% + range.  They upped the oxygen being pumped in through a nifty little add on to my tube.  By the morning I had ditched the CPAP machine and was just using the oxygen tube with the attachment that goes under the nose.  That worked really well.  

About a year or two before the surgery I woke up to a bloated stomach, once, so the pressure was turned down.  It was never an issue again.

        
(deactivated member)
on 2/17/15 1:23 am - Portland, OR
RNY on 05/04/15
Topic: RE: Pierced nostril + CPAP mask = ?

I've put CPAP on plenty of patients with nostril piercings and had no issues. If you use a regular nasal mask or a full-face mask, there shouldn't be any issues at all. If you use nasal pillows, you might need to switch to a nasal mas****il the piercing heals, but I've had plenty of patients with nostril piercings who use nasal pillows without any issues. Just be careful not to snag the stud on your bedsheets!  

(deactivated member)
on 2/17/15 1:20 am - Portland, OR
RNY on 05/04/15
Topic: RE: Hi!

If you aren't waking up bloated from air swallowing now, it's unlikely you will after surgery either. But if you are, talk to the doc who ordered your CPAP about seeing if the pressure can be decreased (or the max pressure if you're on an autoset machine). There might be a lower pressure that can still fairly adequately control your apnea without risking bloating and putting pressure on a fresh staple line. It is definitely essential to use your CPAP after surgery though -- you will be on sedating painkillers, which limit your body's ability to wake up and take "recovery breaths" when you stop breathing at night, meaning your oxygen levels can go lower before you wake up to start breathing again if you're not using your CPAP to keep your airway open. Good luck with your surgery! Depending on how severe your OSA is, there's a good chance you might eventually not need your CPAP anymore after significant weight loss.

(deactivated member)
on 2/7/15 1:50 pm
Topic: RE: CPAP after VSG?

What is automated pressure....the preassure you need? I ddint know they could set the machines for this lol. 

(deactivated member)
on 2/7/15 1:11 pm, edited 2/7/15 1:16 pm
Topic: Hi!

I am having the sleeve on April 1, I went to the appointment with the pulmonologist yesterday and I asked him if I was supposed to keep using the CPAP for my sleep apnea after surgery and he said yesss. But im concerned because im reading some posts of people who had surgery recently and they wrote that the gas is killing them. I will insist and ask my surgeun about it though.

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