Help with ASV Device, CSA

tfletch159 wrote: ...
I do see from some of the graphs that the pressures definitely spike up quick when I have an apnea, so maybe that is causing an issue.
...

ASV do this by design when they detect a central apnea. If you really think that those spikes in pressure can cause some of your awakening you can try to lower your "PS max" setting to 10, BUT not lower. In most cases a PS of 10 is sufficent to "fight" those centrals. If you don't feel comfortable doing it yourself (yes, it's possible to change it yourself), I would strongly suggest waiting for your Doc or DME appointement. Either way, you should meet we your sleep doc.

I would feel comfortable with changing the pressure myself to see if it helps. Will make appointment with sleep doc also, but that is usually a month out. Can I get some instruction on it, or link to a resource? Thanks! I woke up again with it last night after about 2 1/2 hours of it on. Then was wide awake for 2 more hours, and then fell asleep with it on again for the last 3 hours. Had a very poor night of sleep. I do have occasional insomnia and am a very light sleeper so I am sure that doesn't help either (have to wear earplugs when I sleep to block out noise). Was almost thinking of asking with doc (and on here) about pacemaker options if any of those devices have gone through approval yet with the FDA. Will keep trying with the ASV device.

Putting aside other issues, it's no wonder with an average night's sleep over the past 30 days of only 2.5 hours that you don't feel well at all. I'd bet that if
you could get your usage to 4+ hours a night you'd feel considerably better, even more so at 6-8 hours/night.

Hi tfletch159,

Any luck finding how to change your pressure yet? If not, just do a google search with your machine name and "clinical manual" and you should find it pretty easy. There an other apnea forum where they should have the one for your machine. I also have insomnia problem but after a month or 2 on ASV with good setting it pretty much disappear. And yes, your compliance number are really bad... Once you fix your "pressure" problem you should focus on keeping your mask on ALL night to get some real therapy.