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Max pressure on Aircurve ASV
#11
RE: Max pressure on Aircurve ASV
I was diagnosed with complex sleep apnea. I have A-fib, probably aggravated by SA. I'm on Medicare and my doctors, in my opinion don't put a high priority on Medicare patience.
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#12
RE: Max pressure on Aircurve ASV
Danny, we need to see actual SleepyHead screen shots to understand what exactly is going on. Everybody is trying to guess and make suggestions but without the data it's just a guess. See SleepRider's signature for instructions on taking a screenshot and uploading it.

If you find the machine is raising the pressure while you're still awake, just blow back hard - that will give it a message and it will back off for a while.
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#13
RE: Max pressure on Aircurve ASV
I turned the max to 11 last night, here is the data.
[Image: last%20night%2007-06-2017.png]
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#14
RE: Max pressure on Aircurve ASV
Well that worked fine. Without this chart we were all off in guessing your settings. You have a fixed EPAP at 11.0 and are in a fixed ASV mode. With those settings a maximum PS of 11 should be sufficient to resolve most CA. I think the events you were experiencing previous to this change could have been obstructive due to too much pressure. Your settings are best described has ASV 16/11 PS 5-11. Your basic pressure is fixed at 16 IPAP / 11 EPAP and the IPAP can still go to 22 cm giving a maximum pressure of 22/11.

There is still a LOT of room for you to reduce pressure. You could switch to ASV auto, then use an EPAP range of 8.0-11.0 with a minimum PS of 0 and maximum PS of 11.0. That would give you a pressure as low as 8.0/8.0 which for most people reduces CA. If you need pressure support for comfort, a minimum PS of 3 to 5 (your current setting), would still result in lower pressures. The ASV auto mode would increase EPAP pressure automatically if obstructive events occurred, but only if needed. There is a lot you could do for your comfort, but you need to get a better understanding of this machine and the settings you are using. Please be sure to order the clinical manual and consider reading how a patient would be ideally titrated by reading this focusing on pages 27 and 41 (ASV and VPAP Adapt) https://www.resmed.com/us/dam/documents/...lo_eng.pdf
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#15
RE: Max pressure on Aircurve ASV
Where do I get the clinical manual?
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#16
RE: Max pressure on Aircurve ASV
Danny, here are the directions for your machine: http://www.apneaboard.com/resmed-airsens...setup-info
You can request the clinical manual by following directions here: http://www.apneaboard.com/adjust-cpap-pr...tup-manual
In summary, send an email to: apneaboard and put "Setup Manual" (without the quotes) in the subject line. Then, in the body of your email write: Resmed Aircurve 10 ASV.
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