CPAPtalk.com

wakeasisleep wrote:You don't think these sleep onset centrals can be fixed?

Not with this current machine

But fairly easy to fix with ASV....I don't know about the regular bipap because regular bilevel is really nothing more than what you are using now but with the availability of settings with a higher difference between inhale and exhale ....but regular bilevel won't be able to do that higher IPAP fast enough to deal with the centrals...I foresee a bilevel ASV in your future and with it the centrals will go away.
I don't know if one of the lessor bilevel ASV machines will be able to do both the obstructive stuff and the centrals. Probably you will need a machine like I currently use...the S9 Adapt or the Respironics equivalent the 960 model. Some ASV models just treat centrals only...some like what I use will treat both obstructive and central.

You just have some hoops to jump through first and that's not uncommon depending on the doctor and/or what your insurance may require before they fork out the big bucks for ASV.

This may be more advanced than you can get a grasp on but maybe something will stick. It wasn't something that I absorbed quickly or easily either.
I seem to have lost the ResMed equivalent but the basics they address are the same no matter which brand is used.

http://www.isetonline.org/yahoo_site_ad ... 190318.pdf

What altitude?

Ahh, as long as you say its an easy fix with ASV...

Atleast I have something to look forward to, eventually.

Thanks for everything guys!

Pugsy is giving you some great guidance on the proper machine and settings.

This quote of yours reminds that you also have to think of things outside the realm of CPAP:

wakeasisleep wrote: I still had the choking adrenaline heart rushing events. Must be because I ate a little extra food that day and it wouldn't settle.

Could you possibly have GERD (google it)? GERD can irritate the airway tissues causing them to swell and making airway collapse more likely. Find a good source describing symptoms and home remedies. One point is to not eat anything within three (four if you can manage) hours of bedtime and between that meal and bedtime do not lie down.

Your sleep fragmentation brings to mind sleep hygiene and specifically caffeine. Caffeine can stay in the body much longer than most people realize. Even one cup of coffee first thing in the morning, can still affect sleep at night. Chocolate is another source of caffeine. If I eat chocolate after 2:00 p.m., my sleep is negatively affected.

Here is a list of sleep hygiene items to think about.

- Practice good sleep hygiene (Google it and read several sources)
- Eat a good diet
- Have a regular, moderate exercise program
- Try to avoid daytime naps.
- Practice total abstinence of caffeine including sources like chocolate (sigh)
- Review all medicines, vitamins and supplements you are taking to make sure none are interfering with sleep
- Optimize emotional stress in your life
- Use CPAP software to make sure your therapy is optimized
- If you still don't feel or sleep well, make sure you have regular medical checkups to confirm there are no other medical problems.