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What would be the best machine to purchase
(03-30-2017, 04:37 PM)SarcasticDave94 Wrote: Nice info and thanks. I think I have enough enemies that I don't want to add more to it. I'll work with the DreamStation that was issued unless it's discovered that it's not what will help my specific needs. Then I'll deal with it if that is what it becomes.

You will need to have your current data looked at to see if your still having Centrals.
Cpap/Apap can't really treat Centrals.
Centrals tend to increase at higher pressures so exhale relief and Bi-pap can help minimize them.
Again you need your current data looked at to see where your treatment is current at.
If your suffering from centrals you will likely be moved to the much more expensive Adaptive servo-ventilation (ASV)
Machine. ASV can help breath for you when your brain does not trigger you to breath on your own.
Supplemental oxygen may also be added depending on how bad your condition is.
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CPAP and bilevel alone are not treatment devices for CA. All they can do is provide pressure to support the airway, and increase ventilation (pressure support). If you have clinical central apnea, you need a device with breath by breath pressure support (ASV), or old-school timed backup breaths (ST). If you have a minor occurrence of CA, then CPAP at lower pressures with no pressure support is actually better.
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Responding to Sleepy 1235's original post with an emphasis to his the money is no object, I might say get yourself an ASV machine, for the following reason: It can be set to act in the same way as any of the lesser or dumber machines (i.e. CPAP, BiPap, fixed, autos), BUT can provide therapy that, while you may not need it now, you may in the future - and you will not have to upgrade the machine - just change the settings. Especially valuable if there are Centrals occurring, which can be treated using an ASV.
NOW the discussion will become which ASV. Both the PR and Resmed machines are excellent and have their proponents.
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Thanks all. And from my end I understand the info you're sending me. I'm getting a full report copy this coming week if this goes as I'm planning. Regardless, I'll post the info when it does become available to me. Gotta pulmonary doc that may not want me to have my info, but that's OK. My primary care is supposed to have full report they will copy to me.
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