[Treatment] Persistent Central Apnea

[davepap]

Over the past year, it always seems to be a battle between pressure comfort and apnea control.  Higher pressures lead to mask leaks and sometimes stomach discomfort.  Although I'd probably be better with a full face mask, I've gone for a more comfortable nasal mask.  Again, trying to balance comfort and effectiveness.

PAP is a blessing for getting through the next day, with the help of more than a little caffeine of course.

I know I'd probably be better off with tighter ranges, but that might be at a cost of "getting to sleep" and "staying asleep".  I was just wondering if someone had some advice on a new direction to take.

[Sleeprider]

Not a new direction, just a refinement of what you have already accomplished.
Min EPAP 5.5
PS min 3.0
PS max 3.0
Max IPAP 9.5

This is mainly just managing PS to avoid CA, treat H and keep EPAP high enough to avoid OA. You were on the right track, and pretty much know a tighter group of settings is what you need.

[Chequebook]

A full face mask may not work for you.  I have central sleep apnoea and tried using a full-face mask as opposed to the Airfit nasal that I use.  I found I just could not get a reliable seal with the full face mask, the larger surface area giving a greater force pushing the mask away, the noise of leaks woke me up repeatedly and my sleep was far more disturbed.