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[CPAP] Air Curve ASV - Newbie
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JVinNE Offline

Advisory Members

Posts: 262
Joined: Jan 2015

Machine: ResMed Aircurve 10 ASV Bilevel
Mask Type: Full face mask
Mask Make & Model: F&P Simplus aka Facedigger
Humidifier: HumidAirâ„¢ with climate line
CPAP Pressure: Min EPAP 5 Max IPAP 13 PS 1-2
CPAP Software: SleepyHead

Other Comments: New, ASV Barbie, now with morning fart action.

Sex: Female
Location: New England

Post: #31
RE: Air Curve ASV - Newbie
ASV relief won't kick in when you're in ramp?
04-17-2015 05:46 PM
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randeh Offline

Members

Posts: 19
Joined: Apr 2015

Machine: resmed aircurve 10 asv
Mask Type: Full face mask
Mask Make & Model: F&P Eson Nasal SL Med
Humidifier: resmed aircurve
CPAP Pressure: ipap 25, epap 10-15
CPAP Software: SleepyHead Other Software

Other Comments:

Sex: Male
Location: Sarasota, Florida

Post: #32
RE: Air Curve ASV - Newbie
(04-17-2015 05:46 PM)JVinNE Wrote:  ASV relief won't kick in when you're in ramp?

Yes, I decided to go to 5 minutes just to start off at an easier pressure. When they gave me the machine they had it set at 20 minutes and I normally fall asleep within 5 to 10 minutes so that was to long. I experience CA's when I am following asleep so 5 minutes is a good start.

Thank you,

Randy
04-17-2015 06:31 PM
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JVinNE Offline

Advisory Members

Posts: 262
Joined: Jan 2015

Machine: ResMed Aircurve 10 ASV Bilevel
Mask Type: Full face mask
Mask Make & Model: F&P Simplus aka Facedigger
Humidifier: HumidAirâ„¢ with climate line
CPAP Pressure: Min EPAP 5 Max IPAP 13 PS 1-2
CPAP Software: SleepyHead

Other Comments: New, ASV Barbie, now with morning fart action.

Sex: Female
Location: New England

Post: #33
RE: Air Curve ASV - Newbie
I have sleep-onset central hypopnea. That is why
I am on the same machine that you use.
04-17-2015 07:17 PM
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retired_guy Offline

Preferred Members-2

Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #34
RE: Air Curve ASV - Newbie
Those results look great Randy, good job!

If your nose continues to give you crap go to your friendly drug store and purchase a tube of HPA Lanolin. You get it from the baby supply department. One caution: Do not use it as per the directions on the tube. It will not work. But what will work is to apply just a little bit to the tips of your nostrils.

JV? I confess I'm not sure about whether or not the ASV machines will respond to a CA while in ramp. The rule I have always understood was that while in ramp, the machines do not respond to apneas. But maybe one of our more ASV enlightened will come along to clear this up for us.
04-17-2015 09:58 PM
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vsheline Offline

Advisory Members

Posts: 1,907
Joined: Jul 2012

Machine: S9 VPAP Adapt (USA Model# 36007, not better 36037 or 36067)
Mask Type: Full face mask
Mask Make & Model: F10 or SimPlus w/ 2Liners. MirageQuatro & Gecko gel pad
Humidifier: H5i
CPAP Pressure: 15 EPAP, PS 5-10
CPAP Software: ResScan

Other Comments: Marfan Syndrome, chronic bradycardia, occasional Cheyne-Stokes Respiration

Sex: Male
Location: California, USA

Post: #35
RE: Air Curve ASV - Newbie
(04-15-2015 12:00 PM)retired_guy Wrote:  3. Your "max" is really high. I think I'd rather have a little lower max as long as the CA's don't spike a lot. You're currently at zero, so that shouldn't be an issue.

Hi retired_guy,

Actually, in ASV or ASVauto modes the ResMed machines never attempt to classify apneas as central versus obstructive. This is because the ResMed method of determining whether an apnea is central versus obstructive would take up to 10 seconds, and ASV needs to jump in and start treating apneas much sooner than that.

So the numbers reported for central apneas and obstructive apneas in ResMed ASV modes will always be zero, and the breakdown between central versus obstructive will always be unknown.

Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment. The Advisory Member group provides advice and suggestions to Apnea Board administrators and staff on matters concerning Apnea Board operation and administrative policies - not on matters concerning treatment for Sleep Apnea. I think it is now too late to change the name of the group but I think Voting Member group would perhaps have been a more descriptive name for the group.
(This post was last modified: 04-18-2015 11:15 AM by vsheline.)
04-18-2015 10:28 AM
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vsheline Offline

Advisory Members

Posts: 1,907
Joined: Jul 2012

Machine: S9 VPAP Adapt (USA Model# 36007, not better 36037 or 36067)
Mask Type: Full face mask
Mask Make & Model: F10 or SimPlus w/ 2Liners. MirageQuatro & Gecko gel pad
Humidifier: H5i
CPAP Pressure: 15 EPAP, PS 5-10
CPAP Software: ResScan

Other Comments: Marfan Syndrome, chronic bradycardia, occasional Cheyne-Stokes Respiration

Sex: Male
Location: California, USA

Post: #36
RE: Air Curve ASV - Newbie
(04-17-2015 02:31 PM)randeh Wrote:  Well I had a great night sleep and I felt good when I got up. The larger nasal pillow and lower settings sure helped. The report shows a large leak but I do not remember anything about that. Bed

1. I am still getting some air swallowing so maybe a lower EPAP max would help but I will wait a few nights.

A moderate amount of air swallowing is normal with ASV therapy.

I suggest taking daily or twice daily a "probiotic" such as Garden of Life brand "Primal Defense Ultra" so that the air which is swallowed and passes through the system will not get smelly. Also, probiotics are a great boost to our immune system and general good health.

With the probiotic, I also take a time release Magnesium pill (Jig Saw brand sustained release Magnesium) to avoid constipation which sometimes happens when we take probiotics. A moderate amount of Magnesium is also very good in general for our health.

Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment. The Advisory Member group provides advice and suggestions to Apnea Board administrators and staff on matters concerning Apnea Board operation and administrative policies - not on matters concerning treatment for Sleep Apnea. I think it is now too late to change the name of the group but I think Voting Member group would perhaps have been a more descriptive name for the group.
(This post was last modified: 04-18-2015 11:22 AM by vsheline.)
04-18-2015 11:03 AM
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vsheline Offline

Advisory Members

Posts: 1,907
Joined: Jul 2012

Machine: S9 VPAP Adapt (USA Model# 36007, not better 36037 or 36067)
Mask Type: Full face mask
Mask Make & Model: F10 or SimPlus w/ 2Liners. MirageQuatro & Gecko gel pad
Humidifier: H5i
CPAP Pressure: 15 EPAP, PS 5-10
CPAP Software: ResScan

Other Comments: Marfan Syndrome, chronic bradycardia, occasional Cheyne-Stokes Respiration

Sex: Male
Location: California, USA

Post: #37
RE: Air Curve ASV - Newbie
(04-17-2015 09:58 PM)retired_guy Wrote:  The rule I have always understood was that while in ramp, the machines do not respond to apneas.

This is my understanding also.

Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment. The Advisory Member group provides advice and suggestions to Apnea Board administrators and staff on matters concerning Apnea Board operation and administrative policies - not on matters concerning treatment for Sleep Apnea. I think it is now too late to change the name of the group but I think Voting Member group would perhaps have been a more descriptive name for the group.
04-18-2015 11:13 AM
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retired_guy Offline

Preferred Members-2

Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #38
RE: Air Curve ASV - Newbie
(04-18-2015 10:28 AM)vsheline Wrote:  Hi retired_guy,

Actually, in ASV or ASVauto modes the ResMed machines never attempt to classify apneas as central versus obstructive. This is because the ResMed method of determining whether an apnea is central versus obstructive would take up to 10 seconds, and ASV needs to jump in and start treating apneas much sooner than that.

So the numbers reported for central apneas and obstructive apneas in ResMed ASV modes will always be zero, and the breakdown between central versus obstructive will always be unknown.

Thanks Vaughn. Good info to know. Are they likewise not classified in Respironics machines?
04-18-2015 11:34 AM
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vsheline Offline

Advisory Members

Posts: 1,907
Joined: Jul 2012

Machine: S9 VPAP Adapt (USA Model# 36007, not better 36037 or 36067)
Mask Type: Full face mask
Mask Make & Model: F10 or SimPlus w/ 2Liners. MirageQuatro & Gecko gel pad
Humidifier: H5i
CPAP Pressure: 15 EPAP, PS 5-10
CPAP Software: ResScan

Other Comments: Marfan Syndrome, chronic bradycardia, occasional Cheyne-Stokes Respiration

Sex: Male
Location: California, USA

Post: #39
RE: Air Curve ASV - Newbie
Quote:So the numbers reported for central apneas and obstructive apneas in ResMed ASV modes will always be zero, and the breakdown between central versus obstructive will always be unknown.

Thanks Vaughn. Good info to know. Are they likewise not classified in Respironics machines?
[/quote]

The PRS1 ASV machine uses a fast "Pressure Pulse" method which does not interfere with ASV therapy.

So I think the PRS1 ASV machine reports Clear-airway Apnea versus Obstructive Apnea.

Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment. The Advisory Member group provides advice and suggestions to Apnea Board administrators and staff on matters concerning Apnea Board operation and administrative policies - not on matters concerning treatment for Sleep Apnea. I think it is now too late to change the name of the group but I think Voting Member group would perhaps have been a more descriptive name for the group.
(This post was last modified: 04-18-2015 02:39 PM by vsheline.)
04-18-2015 02:37 PM
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randeh Offline

Members

Posts: 19
Joined: Apr 2015

Machine: resmed aircurve 10 asv
Mask Type: Full face mask
Mask Make & Model: F&P Eson Nasal SL Med
Humidifier: resmed aircurve
CPAP Pressure: ipap 25, epap 10-15
CPAP Software: SleepyHead Other Software

Other Comments:

Sex: Male
Location: Sarasota, Florida

Post: #40
RE: Air Curve ASV - Newbie
(04-17-2015 09:58 PM)retired_guy Wrote:  Those results look great Randy, good job!

If your nose continues to give you crap go to your friendly drug store and purchase a tube of HPA Lanolin. You get it from the baby supply department. One caution: Do not use it as per the directions on the tube. It will not work. But what will work is to apply just a little bit to the tips of your nostrils.

JV? I confess I'm not sure about whether or not the ASV machines will respond to a CA while in ramp. The rule I have always understood was that while in ramp, the machines do not respond to apneas. But maybe one of our more ASV enlightened will come along to clear this up for us.

Hi Retired Guy,

I will give the HPA Lanolin a try.

Correct the ASV does not kick in during ramp up and in normal mode it seems to kick in within 2 seconds or so.

For Friday night I did not have any recorded events although I felt like crap all day with only 4 1/2 hours of sleep.

Last night I woke at around 2:30 and was able to get back to sleep although from that time on it was very interrupted. During that time my AHI went up to 5.0 but my average for the night was 1.32.

I believe I can attribute my higher AHI to not getting enough pressure due to sinus congestion in the AM. I love the P10 Air Pillow mask but I think I will need to try a hybrid or perhaps my full face mask will work at these lower pressures.

Well here is a screen shot of my latest and greatest. As always any suggestions are welcomed and very much appreciated.

Kind Regards,

Randy

[Image: screenshot-20150419-075937.png]
04-19-2015 07:25 AM
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