need help new to ASV therapy

ahi from lab study was 28/central apneas/hr and 5.3 obsrtuctive/hr apneas. 19.4 hypops and 4.6 central hypops/hr. 53.9 total ahi. i asked dr to lower pressure friday after work because i was suffocating after 1 hour of falling asleep the 2nd and third night. first night was 45 minutes of laying there and just said hell with it until next night. please someone help. i switched to a large mask last night rather than a medium the other nights. dr started pressures 4-15 but after 2 days of trying i would wake up in sheer terror after an hour or so with a chest full of air that i couldnt push out because the machine was set so high pressure. friday the pressure was lowered. i bought an oxygen monitor to track my peaks and troughs as well. nothing is making my apneas stop. not sure if the.

i hope these are detailed enough to see for the experts analysis on here.resmed airsense 11 asv

Wow! Not 1 single bit of help but 500+ views....

Actually I did edit your subject line to include ASV to hopefully get the attention of the few members here who are familiar with ASV therapy.....it's a very special therapy and not everyone who may have seen your post has anything constructive to say so they don't say anything.

How many nights have you tried the machine?

5 nights Monday Tuesday Wed Friday some Saturday. I wasn't able to post 5 pictures of the data, only 3.

Reducing pressure was probably the wrong thing to do. Resmed recommend that the max pressure support should be not less than 15 to guarantee full treatment of central apneas. If that is achieved then all residual events will be obstructive - which require a higher EPAP.

You're having problems with the higher pressure, which is not uncommon for new starters, but you do need that higher pressure to treat your apnea properly.

Resmed didn't recommend anything. My Dr prescribed those numbers from using incomplete asv titration data from a study I cut off 2 hours early because the idiot nurses at the sleep lab could not get any of their masks to seal on me and they were trying to force me to wear a nasal mask when I'm not able to breathe through my nose when I lay down. I suspect the nurse Jack the pressure up like that in order to compensate for the mask leak and the Dr just went with it. Regardless of how they got those numbers, after an hour I wake up suffocating and in terror and not able to empty my lungs because the machine is still blowing real high when I can't fit anymore air in my lungs.

If I somehow do require a pressure that high, I would much rather work my way up to it little by little. You know, turning the pressure up a tiny bit every couple days or something. rather than just diving head first and getting used to suffocating and waking up more. I bought an oxygen monitor that records My level so I can know when my machine is working for me and when it is not.