Considering trying VPAP ASV

[gary1001]

Hi all,

This is my first post and just wanted to say thanks for running this board - theres lots of good information!

I have a fairly straight forward question, after several months of using CPAP has anyone just experimented with a VPAP ASV machine if their having a hard time getting use to CPAP? I feel I may be reacting to breathing out against the pressure which is causing me to wake with an uncomfortable feeling. I have a ResMed S9 Auto and have tried the EPR setting without success. I would just go back to the sleep specialist however given the 1000s of dollars out of pocket last time, I've started to wonder if just renting a machine and "giving it a go" may provide me with a better idea.

All thoughts welcome.

[stage0]

Our cpap machines here at the center will use many modes of delivering pressure. cpap, bi-pap, ASV and timed. We only use the ASV and timed if the patient has a neurological condition that cause central apnea's; and then only with our director's input and consent. The ASV mode essentially is breathing for you and can cause dependance. Some pts that are not compliant with straight cpap can become more so under the bi-pap mode.

[ozze_dollar]

Our cpap machines here at the center will use many modes of delivering pressure. cpap, bi-pap, ASV and timed. We only use the ASV and timed if the patient has a neurological condition that cause central apnea's; and then only with our director's input and consent. The ASV mode essentially is breathing for you and can cause dependance. Some pts that are not compliant with straight cpap can become more so under the bi-pap mode.

That is why I was advised to buy the VPAP. I am very happy with it.It is expensive though,especially in Australia.We get ripped off here.

[johnthomasmacdonald]

I was prescribed a respironics apap system 1 and hated it. It was incredibly uncomfortable as i always felt like I couldn't exhale against the pressure and was being smothered to death. I'd wake up after an hour or two of sleep and have to pull the mask off. My ahi numbers were all over the place. I bought a vpap S on craigslist and LOVE it. I find in the morning when i wake I prefer the pressurized air to room air. Ahi is always 1-3 for over two weeks now

[Xney]

VPAP and ASV are two different things - just to be clear. (though some models are called VPAP adapt SV - that's an asv)

a plain VPAP is the one where you can have a bigger pressure differential than 3 (via EPR). If you have a lot of trouble breathing out against the pressure, even after some time, i'd definitely consider it. You could even get a prescription for it.