[Treatment] Advice Please - Printable Version +- Apnea Board Forum - CPAP | Sleep Apnea (https://www.apneaboard.com/forums) +-- Forum: Public Area (https://www.apneaboard.com/forums/Forum-Public-Area) +--- Forum: Main Apnea Board Forum (https://www.apneaboard.com/forums/Forum-Main-Apnea-Board-Forum) +--- Thread: [Treatment] Advice Please (/Thread-Treatment-Advice-Please) |
Advice Please - Ryan needs to Sleep - 08-21-2020 Hi Everyone- I'm new to this forum. Most people have no idea what I am talking about in regards to sleep apnea so I am happy to ding "my people"! Backstory- I've always had trouble sleeping. Breathing at night has always been hard. My wife was tired of my leaping for a breath every 20 seconds so she asked me to get a study. I took a home study which in retrospect was a waste of time. Doctor put my on a cpap with little success. I went in for a sleep study and now I am being told I have both obstructive sleep apnea and central apnea. The doctor wanted to try a bipap-dreamstation. I have used it for a week and only slight improvement. I have read that central apnea machines aren't as great as you think which worries me as that is the next step. Please take a look at the study below and let me know your thoughts-I truly value them! (40 years old, 6"1" 230 lbs, workout out daily, eat well) Thank you! RE: Advice Please - staceyburke - 08-21-2020 This will give so some idea of the different pap machines... a lot more than just cpap and bipap... Quote:This info is from the ResMed Sleep Lab Titration GuideST (Spontaneous/Timed) Augments any breaths initiated by the patient, but also supplies additional breaths if the breath rate falls below the clinician’s set “backup” respiratory rate. It Treats COPD, Neuromuscular disease (NMD), Obesity Hypoventilation Syndrome (OHS) and other respiratory conditions [color=#000000][font=verdana, sans-serif, arial]ASVAuto Provides an ASV algorithm plus expiratory positive airway pressure (EPAP) that automatically responds on the patient’s next breath to flow limitation, snore and obstructive sleep apneas. It Treats Central or mixed apneas, complex sleep apnea, Periodic Breathing (PB) RE: Advice Please - staceyburke - 08-21-2020 If you do have serious Centrals they can not be fixed on a cpap or bipap. AsvAuto may be the one but they are much more expensive so the Dr. and Insurance may have to try others before allowing you this type of machine. If you only have a few centrals then you would be fine with a bipap. We all have centrals - you just stop breathing for a little while. like holding your breath when you bind over to tie a shoe or roll over in bed. But in my opinion DON'T take the dreamstation, get a RESMED aircurve VAUTO. By far a better machine and won't cost you more but the supplier will try to give you the dreamstation because it is cheaper and they make more money. They get paid the same from insurance for both machines. RE: Advice Please - Sleeprider - 08-21-2020 The correct machine for complex apnea is the Resmed Aircurve 10 ASV. An adaptive servo ventilator responds with pressure support on a breath by breath basis and eliminates central apnea and hypopnea while the positive exhale pressure keeps the airway patent against obstructive apnea. The Resmed titration guide provides information on all types of positive pressure therapy and how to make pressure adjustments for different kinds of events. You need ASV and the Resmed is just more comfortable and effective than Philips in the ASV category. If your insurance has copay and deductions ask your doctor for a trial on ASV or to just write the script instead of an expensive study. The default settings rarely née much adjustment to be effective. A lightly used ASV from Supplier #2 costs $1350. RE: Advice Please - Ryan needs to Sleep - 08-21-2020 Thank you! Has anyone on here had real success with the ASV? Are my numbers out of this world crazy or pretty typical ? RE: Advice Please - staceyburke - 08-21-2020 I suggest you do a search for avs machine or avs help etc. there are many here that use them. I’m not much help with that I have bipap and would be happy to answer questions on it or Cpap. RE: Advice Please - sheepless - 08-21-2020 "Has anyone on here had real success with the ASV?" almost everyone for whom it's appropriate; i.e., those with central or mixed apnea &/or csr. an optimized resmed asv returned a long term ahi of less than 1.0 for my mixed apnea (nearly equal numbers of ca & oa at the rate of more than 72/hour in my last sleep test). if apnea was my only problem I'd still be using it but I'm sacrificing a low ahi for the more constant / fixed bilevel pressures of the vauto due to the way resmed machines respond to my periodic limb movement induced flow limitations. if you have mixed apnea, to my knowledge there isn't a better machine out there. RE: Advice Please - SarcasticDave94 - 08-21-2020 102 Central Apnea / 3 Obstructive Apnea / 39 Hypopnea You will need the ResMed AirCurve 10 ASV. The ASV is the only CA machine to offer treatment that will successfully and consistently work. And it will give you great therapy once we get you your own. Best to you on self advocacy. RE: Advice Please - Sleeprider - 08-21-2020 Here is a review on our forum http://www.apneaboard.com/forums/Thread-Product-Review-AirCurve-10-ASV more: http://www.apneaboard.com/forums/Thread-Aircurve-10-ASV-vs-Dreamstation-ASV http://www.apneaboard.com/forums/Thread-Equipment-PR-Dreamstation-BIPAP-ASV-vs-ResMed-AirCurve-10-ASV RE: Advice Please - Ryan needs to Sleep - 08-21-2020 Very helpful everyone. Thank you for taking the time. |