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[Diagnosis] Central Sleep Apnea newbie
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Buckeyedog Offline

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Posts: 74
Joined: Jun 2014

Machine: Resmed S9 VPAP Adapt
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed H5i
CPAP Pressure: 7-17
CPAP Software: SleepyHead

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Sex: Male
Location: Beavercreek, OH

Post: #11
RE: Central Sleep Apnea newbie
I have central and the ASV machine works for me!! hang in there.
12-11-2014 04:18 PM
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amnesiachick Offline

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Posts: 16
Joined: Dec 2014

Machine: unsure
Mask Type: Nasal pillows
Mask Make & Model: unsure
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CPAP Pressure: unsure
CPAP Software: Not using software

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Sex: Female
Location:

Post: #12
RE: Central Sleep Apnea newbie
That's encouraging! I was so concerned when the doctor said the other 2 machines made him worse. I'm glad there is hope with the other machines!

(12-11-2014 04:18 PM)Buckeyedog Wrote:  I have central and the ASV machine works for me!! hang in there.
12-11-2014 04:23 PM
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Peter_C Offline

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Posts: 1,308
Joined: Sep 2013

Machine: System One DS960HS
Mask Type: Full face mask
Mask Make & Model: Mirage Quattro "MED"
Humidifier: Attached
CPAP Pressure: Auto mode-script is:15/3/3
CPAP Software: EncoreBasic Other Software

Other Comments: Severe obstructive sleep apnea 1999/Just got an ASV machine

Sex: Male
Location: Akron, Ohio USA

Post: #13
RE: Central Sleep Apnea newbie
I am a long-time user of CPAP, then a bi-level, and just recently switched over to an ASV machine. Because of all my years on my 'dream machine' I had no issue changing over to the ASV, and, it solved all my CAs as well. My AHI is now a very well controlled 2-3, with zero OAs and zero CAs on most nights.

FYI - if by chance your husband needs and takes opiate-type pain meds, those can and will increase the amount of CAs he must deal with. I've been in pain MGNT for multiple years now, and my pain meds is the primary cause (everyone thinks) for my CAs, as in earlier years my primary issues were OAs. Something to think about...

*I* am not a DOCTOR or any type of Health Care Professional. My thoughts/suggestions/ideas are strictly only my opinions.

"Only two defining forces have ever offered to die for you. Jesus Christ and the American Soldier. One died for your Soul, the other for your Freedom."
12-11-2014 08:31 PM
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amnesiachick Offline

Members

Posts: 16
Joined: Dec 2014

Machine: unsure
Mask Type: Nasal pillows
Mask Make & Model: unsure
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CPAP Pressure: unsure
CPAP Software: Not using software

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Sex: Female
Location:

Post: #14
RE: Central Sleep Apnea newbie
Thanks! It's encouraging to hear that your AHI is under control. I can't wait to see how my husband feels after his are under control, too. Did you feel a lot better after treatment started?

My husband does have to take morphine for the pain. The doctor said that's likely the cause, too.
Thanks!
12-11-2014 09:26 PM
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Peter_C Offline

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Posts: 1,308
Joined: Sep 2013

Machine: System One DS960HS
Mask Type: Full face mask
Mask Make & Model: Mirage Quattro "MED"
Humidifier: Attached
CPAP Pressure: Auto mode-script is:15/3/3
CPAP Software: EncoreBasic Other Software

Other Comments: Severe obstructive sleep apnea 1999/Just got an ASV machine

Sex: Male
Location: Akron, Ohio USA

Post: #15
RE: Central Sleep Apnea newbie
Well, please remember My OSA was found some 12+ years ago, I've had both nose and throat surgery. When I first went on CPAP I had both right away improvements, and improvements over time. My apnea was so bad pre-CPAP, that I could not eat the first 3-4hrs after waking, never remembered ever dreaming, could go to sleep anywhere at any time, etc

Last year things started going a bit wonky and I started having way more CAs than OAs - waited for Medicare to kick in (July) and went through all the hoops (new study, new titration, etc to finally get my ASV machine.

One reason why the ASV machine is a good idea for an opiate dependant patient is the machine will make sure he continues to breathe even if his brain forgets to tell him to do so. According to my stats, I 'time out' some 17% of the time over the course of a night. Am very pleased now, and so is my lovely wife.

*I* am not a DOCTOR or any type of Health Care Professional. My thoughts/suggestions/ideas are strictly only my opinions.

"Only two defining forces have ever offered to die for you. Jesus Christ and the American Soldier. One died for your Soul, the other for your Freedom."
12-12-2014 12:36 AM
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DeepBreathing Offline
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Posts: 2,295
Joined: Sep 2013

Machine: Resmed S9 VPAP Adapt
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Resmed H5i
CPAP Pressure: EPAP: 9 - 15 PS: 3 - 10
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Perth, Western Australia

Post: #16
RE: Central Sleep Apnea newbie
G'day amnesiachick, welcome to the forum.

An AHI of 117 is very severe so it's important to get the treatment under way and as painlessly as possible. I have an untreated AHI of 62, with about 50% centrals. It needed an ASV machine to treat my apnea, which it does very successfully. I seldom have more than one or two apneas all night.

The two main manufacturers Resmed and Philips Respironics take a very different approach to their ASV machines and many people like one and can't tolerate the other. I think it's important that your husband has the opportunity to switch machines if the first one doesn't suit him. I found the PR machine to be a lot more aggressive in the way it maintains breathing rate, but it has a wide range of adjustments. The Resmed is far more gentle, but has virtually no adjustment - the software does it all for you.

There's a lot to be said for both approaches - personally I found the PR very hard to live with (and it never really got my apnea under control) but I love the Resmed. Other people have had the opposite experience.

Good luck, and best wishes to your husband.

DeepBreathing
Apnea Board Moderator
www.ApneaBoard.com


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INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
12-12-2014 07:53 AM
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amnesiachick Offline

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Posts: 16
Joined: Dec 2014

Machine: unsure
Mask Type: Nasal pillows
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CPAP Pressure: unsure
CPAP Software: Not using software

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Sex: Female
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Post: #17
RE: Central Sleep Apnea newbie
Thank you all so much for your responses. I have learned so much! They moved my husband's sleep study up to last Friday night. The machine they used was actually the S9 VPAP S Machine with H5i Heated Humidifier. The sleep study tech said it is kind of all the machines in one. Husband said it went alright, but there was some awkwardness breathing with it before he fell asleep.
12-15-2014 09:56 AM
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amnesiachick Offline

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Posts: 16
Joined: Dec 2014

Machine: unsure
Mask Type: Nasal pillows
Mask Make & Model: unsure
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CPAP Pressure: unsure
CPAP Software: Not using software

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Sex: Female
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Post: #18
RE: Central Sleep Apnea newbie
Does anyone know anything about this machine: S9 VPAP S Machine with H5i Heated Humidifier? It is likely the machine my husband is getting. The tech said it has all the functions in this machine. Is that right?

Thanks in advance for any comments. Smile
12-16-2014 12:56 AM
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PaulaO2 Offline
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Posts: 8,065
Joined: Feb 2012

Machine: S9 Autoset
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: H5i
CPAP Pressure: 14-20
CPAP Software: SleepyHead

Other Comments: Ehlers-Danlos Syndrome, Hypermobility Type; chronic sarcasm

Sex: Undisclosed
Location: western NC, USA

Post: #19
RE: Central Sleep Apnea newbie
VPAP-S

http://www.resmed.com/us/en/consumer/products/devices/s9-vpap-s.html

It is not for treating central apnea though. It is one of their bilevel PAPs. I don't think it is even an auto.

Quote:S9 VPAP S indications for use
The S9 VPAP S is indicated for the treatment of obstructive sleep apnea (OSA) in patients weighing more than 66 lb (30 kg). The S9 VPAP S is intended for home and hospital use

PaulaO2
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INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
12-16-2014 02:48 AM
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Peter_C Offline

Advisory Members

Posts: 1,308
Joined: Sep 2013

Machine: System One DS960HS
Mask Type: Full face mask
Mask Make & Model: Mirage Quattro "MED"
Humidifier: Attached
CPAP Pressure: Auto mode-script is:15/3/3
CPAP Software: EncoreBasic Other Software

Other Comments: Severe obstructive sleep apnea 1999/Just got an ASV machine

Sex: Male
Location: Akron, Ohio USA

Post: #20
RE: Central Sleep Apnea newbie
(12-12-2014 07:53 AM)DeepBreathing Wrote:  G'day amnesiachick, welcome to the forum.

...

There's a lot to be said for both approaches - personally I found the PR very hard to live with (and it never really got my apnea under control) but I love the Resmed. Other people have had the opposite experience.

Good luck, and best wishes to your husband.

And, here I am on the other side, and this is my first non-Resmed machine too. I've not used both, and suspect I'd be happy with either (after all these years, I sleep through anything) - but I'm digging the PR myself.

I can't stress enough though, getting to 100% compliance as quickly as possible, and, watching for and dealing with any large leaks is important to his overall therapy.

*I* am not a DOCTOR or any type of Health Care Professional. My thoughts/suggestions/ideas are strictly only my opinions.

"Only two defining forces have ever offered to die for you. Jesus Christ and the American Soldier. One died for your Soul, the other for your Freedom."
12-16-2014 03:21 AM
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