BIPAP ASV (end of the line?)

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
AfibApnea
Posts: 181
Joined: Wed Jan 22, 2014 8:50 pm

BIPAP ASV (end of the line?)

Post by AfibApnea » Wed Oct 01, 2014 11:04 am

(Based on a horrendous SleepLab titration—lots of mask changes/mask leaks…) I have been prescribed a BIPAP ASV machine.

When I asked my physician where this machine ranked in the cavalcade of possible machines (Was it possible I would need another machine in the future?) his reply was:
This is the most advanced machine for the problem you have. However, I could not guarantee that it will be efficacious for you indefinitely, as people's circumstances can change with time.
What (do you think) is my physician trying to say?
  • - This is the most advanced type of machine available, and the final way my sleep apnea can be treated? (This is the way I read it.)
    - My problem may change and require another type of machine?
    - Other explanation...
PR S1 REMstar 60 Series BiPAP ASV Advanced & PR S1 with humidifier
Various Nasal masks or Nasal pillows
Software:

User avatar
Pugsy
Posts: 63942
Joined: Thu May 14, 2009 9:31 am
Location: Missouri, USA

Re: BIPAP ASV (end of the line?)

Post by Pugsy » Wed Oct 01, 2014 11:14 am

Sounds like your sleep apnea has a lot of centrals...if that is true then the ASV machine is the go to machine for it.
It will take care of both the obstructive apnea stuff and any centrals that are happening.
And yes...pretty much the last line of models of machines for treating centrals.
Should do the trick though...most people end up doing well with them after an adjustment period...and some people do very well right off the bat.

_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier
Additional Comments: Mask Bleep Eclipse https://bleepsleep.com/the-eclipse/
I may have to RISE but I refuse to SHINE.

If you want to try the Eclipse mask and want a special promo code to get a little off the price...send me a private message.

User avatar
palerider
Posts: 32300
Joined: Wed Dec 16, 2009 5:43 pm
Location: Dallas(ish).

Re: BIPAP ASV (end of the line?)

Post by palerider » Wed Oct 01, 2014 1:36 pm

AfibApnea wrote:
This is the most advanced machine for the problem you have. However, I could not guarantee that it will be efficacious for you indefinitely, as people's circumstances can change with time.
What (do you think) is my physician trying to say?
seems pretty straightforward to me. you didn't always need an asv, now you do. you changed, you may change more.

_________________
Mask: Bleep DreamPort CPAP Mask Solution
Additional Comments: S9 VPAP Auto
Get OSCAR

Accounts to put on the foe list: dataq1, clownbell, gearchange, lynninnj, mper!?, DreamDiver, Geer1, almostadoctor, sleepgeek, ajack, stom, mogy, D.H., They often post misleading, timewasting stuff.

User avatar
Ogeo
Posts: 186
Joined: Tue Aug 05, 2014 5:12 pm
Location: Idaho

Re: BIPAP ASV (end of the line?)

Post by Ogeo » Wed Oct 01, 2014 9:44 pm

palerider wrote:seems pretty straightforward to me. you didn't always need an asv, now you do. you changed, you may change more.
Wow. I started off with the ASV. Does anyone ever go backwards with their need of machines? I had allergy testing at the same time as starting on the ASV. I found out several food allergies that I didn't know about and have eliminated them from my diet (chicken, baker's yeast, polysorbate 80, blue #2, & cockroaches) which all affect my breathing problems. I started allergy shots just last week and will give myself shots for the next 2 years. In the back of my mind, I wonder if maybe, somehow, I can at least lower the high pressure I use way down the road. I imagine it is just hopeful thinking though. A person can dream.

_________________
Mask: AirFit™ P10 For Her Nasal Pillow CPAP Mask with Headgear
Additional Comments:  Max PS - 11; Max EPAP - 18; min PS - 7; Min EPAP - 14; rate auto; rise x2; pressure averages between 21 and 24.9
Hubby's equipment: PR System One REMstar Auto A-Flex model 560P. Doctor's orders left it open 5-20. We changed it to 8-20 after a couple nights. Start Date was 1/30/15. Oh, mask is the new nasal pico.

Discovering the world one geocache at a time!

User avatar
palerider
Posts: 32300
Joined: Wed Dec 16, 2009 5:43 pm
Location: Dallas(ish).

Re: BIPAP ASV (end of the line?)

Post by palerider » Wed Oct 01, 2014 10:04 pm

it all depends on what your needs are... anything's possible, as they say.

if your allergies are causing inflamation, that might lead to narrowing of airways, and reducing the inflamation could result in lower pressures needed... who knows?

_________________
Mask: Bleep DreamPort CPAP Mask Solution
Additional Comments: S9 VPAP Auto
Get OSCAR

Accounts to put on the foe list: dataq1, clownbell, gearchange, lynninnj, mper!?, DreamDiver, Geer1, almostadoctor, sleepgeek, ajack, stom, mogy, D.H., They often post misleading, timewasting stuff.

Paralel
Posts: 216
Joined: Thu Aug 14, 2014 7:49 pm

Re: BIPAP ASV (end of the line?)

Post by Paralel » Mon Oct 06, 2014 12:47 am

#1 rule of machines, get the one with the most features that you can reasonably afford since you can always turn any off you aren't using, but you can never add essential features to a machine that lacks them.

ASV is top of the line. If you end up not using all the features, you can just turn them off. It's a good machine to have.

User avatar
archangle
Posts: 9294
Joined: Sun Mar 27, 2011 11:55 am

Re: BIPAP ASV (end of the line?)

Post by archangle » Mon Oct 06, 2014 2:00 am

AfibApnea wrote:(Based on a horrendous SleepLab titration—lots of mask changes/mask leaks…) I have been prescribed a BIPAP ASV machine.

When I asked my physician where this machine ranked in the cavalcade of possible machines (Was it possible I would need another machine in the future?) his reply was:
This is the most advanced machine for the problem you have. However, I could not guarantee that it will be efficacious for you indefinitely, as people's circumstances can change with time.
What (do you think) is my physician trying to say?
  • - This is the most advanced type of machine available, and the final way my sleep apnea can be treated? (This is the way I read it.)
    - My problem may change and require another type of machine?
    - Other explanation...
If the ASV doesn't work, there's no "higher level" machine to treat you.

That's not strictly true, in my opinion. I think a true ventilator that actually breathes for you might be needed for some people.

However, treating apnea isn't just about using a progressively "higher" class of machines. Sometimes what it takes is for someone to monitor your results, and tinker with the settings until they find something that works. Sometimes, finesse is needed, not a bigger hammer.

He might also just be tired of dealing with a patient for who the assembly line medicine isn't working and is heading down the path of blaming the problems on you being uncooperative or crazy and preparing to give up on you. Unfortunately, that does happen a lot.

Learn to read your own data and adjust your machine yourself before you completely give up. There are a lot of settings to be tinkered with. Don't start tinkering on your own yet, though. Give the doctor a chance to find the right settings without you fiddling and messing things up.

_________________
Mask: Swift™ FX Nasal Pillow CPAP Mask with Headgear
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control
Additional Comments: Also SleepyHead, PRS1 Auto, Respironics Auto M series, Legacy Auto, and Legacy Plus
Please enter your equipment in your profile so we can help you.
Click here for information on the most common alternative to CPAP.
If it's midnight and a DME tells you it's dark outside, go and check for yourself.

Useful Links.