Apnaes: difference between Central / Obstructive ?

[Camera Obscura]

Neither dO I Dave, but doing the reading sleep rider advised I more or less made that conclusion by myself. What do you think of my chose values stated above?
I am going to sleep very soon.
Take care

[Sleeprider]

Thank you , I will start reading now.
Is it possible to for you to contact  other Loewenstein users to see if there is a need/whish to study the possibility of submitting data to OSCAR?

We had a working version for the Loewenstein Prisma machines a couple years ago when the project was Sleepyhead. The version was written by a German member that understood programming and developed a loader for the data. Unfortunately he left the project, and we need to find someone that can program the loader so Oscar can read the data from your machine, and others that use it.  I know some of the code exists, but it needs to be finished and verified.

[Camera Obscura]

I am a network engineer but not a real coder.
I can take a look at the sources, maybe it does not take that much to change.

[Sleeprider]

I will send a PM to "bonjour' who is PM on the Oscar project. There is a forum here where you can discuss the particulars, and get access to the project. It is a very supportive group and I'm sure they will appreciate any help.

[Camera Obscura]

Ok, go ahead.
My obstructive apnea’s went down to ZÉRO centrale apnée  remain at 16/hour.

[Sleeprider]

Well it is excellent to have accomplished a complete control of the obstructive apnea. The remaining central and hypopnea events cannot be addressed with CPAP. I think it's time to start doing some research on adaptive servo ventilation and how that is made available in France. I presume that will include a conversation with your doctor at some point. We have members from all over the world, and a significant number are on ASV. I just don't recall specifics from a member in France.

[Camera Obscura]

Yes, I am relatively happy with this fast and very positive result.
The central ones keep me from being satisfied. I must say that I suffered from what the call in French "attaque vagal"
The explanation is that the parasympathetic nervous system has a temporary breakdown. I ended in the hospital for a few days and have minor resulting problems (15 years) like dizziness etc.
IMHO this may be one of the hidden results from that period.
Anyway, I will have to find a solution and I suppose your experience is showing me the way. Tomorrow the sleep technician(machine salesman and installer) is helping me fit a F20 mask, so I will start with him. The sleep doctor is supposed to control in a month or so. Do you think I should see him before? I can still fiddle a bit with my pressure (lowering under pressure a bit).
Included my last two days on attachments.

[Camera Obscura]

attachments:

[Sleeprider]

This is remarkably improved! I think just keep these more comfortable and effective settings for now, rather than move things around. That will establish a better baseline for any changes you try in the future. It's possible the centrals will diminish as you adapt to the new therapy, and in fact, that is a common outcome. It will be interesting to hear what the equipment supplier has to say. We have a saying on the forum "central apnea is consistently inconsistent", and as you can see, you have more events on 05/01 than 04/01. I would expect this to fluctuate. The centrals are disruptive to your sleep and result in many arousals and RERA.

These can be addressed with ASV, but you won't tolerate any pressure support (difference between inhale/exhale) without the backup rate. Let me warn you that many doctors think the bilevel ST machine is a solution...it's not. ST (spontaneous/timed) bilevel uses fixed pressures with a backup rate. It makes central apnea worse, and you become 100% reliant on the timed backup rate to trigger inspiration. The ASV allows for spontaneous respiration by providing low pressure support to make breathing easier, but provides as much pressure support as needed to maintain your natural respiration rate and volume. You need to understand the difference between ST and ASV to avoid a mistake that will provide substandard therapy and a lot of discomfort. It has happened to many members.

[SarcasticDave94]

I can only add ditto to this. ASV if issued will smash all your Apnea events into submission very handily. I'm meaning specifically the ResMed AirCurve 10 ASV. It will tackle Central, Obstructive, Hypopneas, even most cases of flow limits, at least in my use of it.