DavidT12 wrote:... I received a Respironics AutoSV System One last Monday. ...
First of all, welcome to the forum! I *highly* recommend that you register your username and register your equipment. That will tend to make it easier for us to tailor our response to your setup. wiki/index.php/Registering_Equipment_in_User_Profile
DavidT12 wrote:... I'm trying to adjust, but it has been difficult. ...
I'll tackle the rest of your post without quoting all of it.
First, the ASV units are a PAIN IN THE BUTT when it comes to leaks. One trick I have learned that does help a lot is to use a mask liner. This is not just to protect your skin, but it helps reduce both the amount of leaking and the sound of the leaks. Normally the face mask tends to squeak and squawk as it leaks. Don't know about you, but I find it hard to sleep when it sounds as if someone is slowly letting out the air from a balloon. And let's not even mention how frustrating it is to awaken to the sound of "face farts". Ugh!
So, I recommend using mask liners. I know of three providers for them. Though I need to pay for them on my own (since my DME does not carry them), some DMEs do carry them. Ask. Here are the three providers of them, of which I am aware: http://www.remzzzs.com/ http://quietusliners.com/ http://padacheek.com/
I have personally used both the liners form REMzzzs and Pad-A-Cheek.
Also, the Quattro FF mask can be a REAL pain in the forehead and nose. Pad-A-Cheek makes fleece padding to help reduce that pain.
Alternatively, I would recommend you ask your DME about the Quattro FX FF mask. It is a full face mask that does not have that annoying forehead pad. Not everyone can use it. But most of us find it easier on the face than the Quattro FF mask with the forehead pad.
DavidT12 wrote:... My breaths per minute is set to "Auto", but it keeps on blasting me every few minutes, making it difficult to fall asleep. ...
It is quite likely that as you fall asleep you stop breathing. This is actually pretty normal. The transition to and from sleep involves a shift in how the body regulates breathing. When you are asleep it uses a more primitive mechanism that relies on your acid level of your blood. You see, as CO2 builds up in your blood it triggers a breath. Since the transition is a time when this trigger is not fully engaged, it is fairly common for an apnea to occur at sleep onset. And yes, it is VERY frustrating.
Of course, if you had the problem I did - I would stop breathing for a minute or more at a time as I fell asleep - you would quickly learn to rely on that sudden increase in pressure. It means that even if you fail to breathe the machine will help sustain your respiration. It shifts into Ventilator mode and sustains your breathing. I find that increase very reassuring. But I've been using CPAP/BiPAP and now ASV for more than 20 years.
So, don't be discouraged that it is taking some time to adjust to it. You will be surprised how rapidly you will be able to adjust to ASV therapy.
DavidT12 wrote:... Any suggestions on how to adjust or anything I should do differently? ...
One thing that can help is to use it while watching TV or reading a book. It allows you to adjust to wearing the mask and breathing with it. This might make it easier for you when you wear it at night.
Hope those ideas help. Best wishes as you adjust to your new therapy.