Snoring and OSA

[klhanway]

Abby failed her sleep study in November due to severe OSA. The bronch in December showed that her muscle flap was too large, so it was debulked in January. Since then, her speech has been much clearer and she seems to have an easier time when capped. Her repeat sleep study is in three weeks and we have been letting her fall asleep with her cap on in preparation for the sleep study. She isn't restless at all (she was when she slept capped prior to surgery), but she snores some and her O2 sats drop 2-3% compared to when she isn't capped. Is snoring always a sign of OSA and why is her O2 dropping slightly? She's three and a half and uses a 4.0 Tracoe. I've asked the ENT about downsizing, but he doesn't want to. Is there any chance that the trach could be causing her snoring?

[Christamae]

Snoring is a classic sign of OSA. The throat is partially blocked & the rubbing causes the snoring. You might see if she can tolerate a nasal cpap while capped. that's the standard treatment for OSA (my dad has it)

[SammyJo]

We are capping and going for decann in May. I also had Sam fall asleep with her cap on and she dropped her sats to the 92-93 range, but she did work to breath. Only put it on for a minute, it was to uncomfortable to watch. She is capping most of the time she is awake, so I know she can breath without the trach, but I don't know about how she will do when she isn't consciously breathing. I am hoping it is the trach and maybe a little bit of granulation tissue causing the struggle during sleep. From what I read about sleeping capped is that is more difficult and not uncommon to be noising, I am not certain whether the trach's obstruction can cause snoring or if the OSA is culprit. Sam will most likely have some OSA when decanned, but not severe enough to remain trached. I know I was no help, but good luck with the study. I hope everything goes really well!