Inadequate titration |
retitrate, adjust CPAP level |
Overtitration |
reduce CPAP level |
Substantial mask leak leaving residual events |
adjust interface |
Treatment-emergent central apnea |
wait until it goes away |
Residual sleepiness on CPAP |
consider modafanil |
Change in CPAP requirements due to body weight |
lose weight, adjust CPAP level |
Sleep transition apneas upon CPAP initiation |
observation, consider hypnotic |
Narcotic induced central apneas |
reduce narcotic dose, alternative analgesic |
Other causes of sleepiness |
increase total sleep time, stimulants etc |