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Difficulty adjusting to ASV machine
I was diagnosed with complex sleep apnea about 2 months ago. The vast majority of the apneic episodes in the sleep study were central apneas, with a much smaller number being obstructive apneas. My oxygen levels were dipping into the mid-60's. I was prescribed a bibpap machine with auto servo venilation (ASV). I am having great difficulty adjusting to this machine. My initial high pressure was set at 25, which explains the initial difficulty. The machine has been adjusted down twice and my max pressure is now set at 12. I can now go to sleep with the mask on, but am waking up with the mask off and not realizing I took it off. If I try to put it back on I am unable to fall back to sleep b/c I assume I'm at a different stage in the sleep cycle, falling into a deeper sleep sooner, stopping breathing and the machine kicks in with the high pressure immediately and I am constantly being woke up. I get so frustrated that I can't get back to sleep, when all I want to do is sleep, that I take it off and finish the night in a recliner. I am at my wits end and don't know what to do. I understand the seriousness of sleep apnea, particularly central apnea, but I don't know how to make this work. I've had the machine for 6+ weeks. Any helpful suggestions would be greatly appreciated?
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Replies to This Discussion
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Permalink Reply by Mary Z on
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The clinical manual should be available from www.apneaboard.com. I would read it carefully- hopefully it will show you how to enable the ramp feature.
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Permalink Reply by Kristi Halsey on
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Thanks, Mary. I'll check it out.
Mary Z said:The clinical manual should be available from www.apneaboard.com. I would read it carefully- hopefully it will show you how to enable the ramp feature.
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Incredibly thankful to be able to report that after 4-1/2 months of ridiculously difficult adjustment to my Bipap with ASV I am now sleeping through the night (6-7hrs.). I am still occasionally taking the mask off in my sleep, but am now able to put it back on and go right back to sleep. I've had about two weeks of solid sleeping and am starting to feel the difference in my energy level. It's been so long since I felt rested that I am practically giddy over the fact that for two days in a row I haven't even wanted to take an afternoon nap. Such small things to those who have never struggled with sleep issues, but an enormous victory for me.
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Permalink Reply by Terry Vella on
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Well Done Kristi, keep at it.
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