07-02-2025, 10:28 PM
(This post was last modified: 07-05-2025, 12:12 PM by SarcasticDave94. Edited 3 times in total.
Edit Reason: Typo edit
)
RE: New Resmed Autoset user - high central / no-low obstructive?
Yep, high altitude is a factor that may be adding to your CA. Your general practice doctor is fine, a specialist isn't required.
I've had to fight a few windmills to get Central Apnea treatment. I feel CA are more difficult to pin down, as in getting them documented, than the more common Obstructive Apnea.
Call up your doctor's office. Request a lab sleep study. Once you take it, request the detailed report. You'll want to post at least the table of events count and type. The doctor recommendations can also be useful.
I would explain to your doctor as to the reason you want the lab test, as the CPAP seems not to be helping as you'd hoped. Optional, you can say there's showing lots of CA and you're concerned.
Meantime, you may want to consider straight CPAP about 8-9 area of pressure, no Ramp, no EPR. This eliminates most to all pressure variables, which tend to make CA worse.
Don't worry much about doing edits yourself. You have a "why" reason. You're attempting to make therapy better for yourself. Most edit their own CPAP here anyway, so it's in no way a new thing for us.
Assuming the Central Apnea show predominant in the lab test, the ResMed AirCurve 10 or 11 ASV is your new friend. Mr. ASV has one purpose, eliminate CA. Along the way, it also treats the others fine.
PS, the CSR flags are sounding more like false flags of variable breathing as I mentioned. We're also not concerned with what causes or the type of CA, just getting them to show on the test, and then for the doc to script ASV. You don't need Titration, most insurance companies do not require it.
Mask Primer
Positional Apnea
Attach OSCAR, etc.
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
RE: New Resmed Autoset user - high central / no-low obstructive?
all makes sense.
will try the 8.5 constant pressure. for a few nights and report back.
-Mike
RE: New Resmed Autoset user - high central / no-low obstructive?
I did 3 nights of constant pressure (instead of the auto set) at 8.4 and 9.0, with no EPR while sleeping.
It seems like the centrals dropped some (from 20-40 AHI to 8 to 14)

I
RE: New Resmed Autoset user - high central / no-low obstructive?
It's an improvement, but certainly not good enough. You have to decide this, but if choosing to continue or not, which feels better to you? Sometimes the fix is worse than the illness.
Regardless you still must get onto the path to get ASV.
Mask Primer
Positional Apnea
Attach OSCAR, etc.
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
RE: New Resmed Autoset user - high central / no-low obstructive?
Where are you in CO? I have some thoughts on front range sleep centers. But your best bet, I think, may be National Jewish Hospital in Denver. I’m going to see pulmonology there soon, and if that doctor is not a sleep specialist, I’m going to ask to see one.
In my experience, being a retired primary care provider (NP), sleep and pap machines are poorly managed or understood by generalists, unless they have a personal interest. Yours may be awesome, and I hope so, but do consider a specialist.
I am becoming aware that altitude is NOT my friend.
RE: New Resmed Autoset user - high central / no-low obstructive?
I am in south suburbs. So National Jewish could work.