Only problem I have had with vista is you have to go through hell and back to install mods if the game is installed to C:\program files go ahead and reinstall somewhere else if you have not already to save you problems down the road.
Now about the problems you are having now. What do you mean sound card drivers are tricky with Vista? Does the automatic updater on creatives site not work? Worked for me. Or is the Soundblaster Live no longer supported?
I am also assuming you have installed all the updates from windows update? Vista was crap six months ago but it's come a looooong way.
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