Connect
Discussion
Comment receiving replies
Replies to "It sounds like you need the assistance of an adaptive servo-ventilator. The ResMed version is excellent..."
Sleep Health | Last Active: Apr 15, 2023 | Replies (3)
Comment receiving replies
It sounds like you need the assistance of an adaptive servo-ventilator. The ResMed version is excellent (I am just a user, and of their basic Elite model, straight CPAP. No affiliation or other kind of relationship with ResMed.)
I hope I won't run afoul of the culture and rules here, but you will get pointed and experienced help at apneaboard.com, a not-for-profit site that helps people to acquire and to adapt to various kinds of respiratory therapy associated with sleep disorders. If I do, I'll take my lumps.
Replies to "It sounds like you need the assistance of an adaptive servo-ventilator. The ResMed version is excellent..."
Connect
Thanks, that's on my list as a last resort. Given that CPAP, BiPAP and a predecessor to APAP all made it worse the last time I had CSA, and I truly hate using them, chances of success are small.
Given that OSA in REM sleep and in NREM sleep have significant differences, and that there is almost no data on CSA in REM sleep, I'm kind of on new ground here. I was hoping to find a sleep specialist who recognized that.
A little oxygen (2 L/m) completely resolves it. I'm not sure if that's typical; most data seems to be on CSA with heart failure.
I did find an article about a case where nalmefene caused CSA, and I had been taking low dose naltrexone which is very similar to nalmefene. So I've stopped that.
This will likely all go away in a week, but I'd like to be better prepared when the CSF leaks resume and the CSA will probably resume as well. The lead time on CSF leak treatment has averaged a month or two, so I'll likely have CSA for at least a month or two each year on average.