Situation 2 : non osa sleep-breathing issues on cpap or ventilator or bi-level
I have a positive airway device (home ventilator, Bi-level, CPAP, APAP) for sleep-related hypoventilation, sleep-related hypoxemia, central sleep apnea with or without obstructive sleep apnea.
You are symptoms free of symptoms such as new onset of coughing, fever, new shortness of breath, intense fatigue, and are not experiencing a loss of smell suggesting COVID-19.
If you are already treated……Congratulations!
You might have a central neurological condition, a neuromuscular disease, advanced heart failure, deformed ribs (kyphoscoliosis), obesity impairing breathing, narcotics or other substances impairing your breathing while asleep or advanced underlying breathing issues with respiratory failure that lead to a different diagnosis of sleep-related breathing disorder than obstructive sleep apnea.
Your therapy should not be discontinued unless to transit to an ICU ventilator device which has more capabilities to support acutely impaired lungs or to have a device with filters on the exhaust port to protect the personnel
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Katéri Champagne, internal and pneumological medical specialist, epidemiologist, Diplomate of the American Board of Sleep Medicine, Quebec, Canada, september 14 2020, full diffusion allowed.