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Oscar Data ?/ switch from APAP to Resmed Bipap or ASV?
#21
RE: Oscar Data ?/ switch from APAP to Resmed Bipap or ASV?
On the Philips the EPR is called FLEX and is under comfort settings. It is excellent advice to ensure the DME is strictly following the prescription.
My sister was specifically prescribed a Dreamstation ASV and the DME gave her a Resmed APAP machine which did nothing for her severe centrals. She then got the prescribed Philips ASV machine which had a programmable backup rate which is effective at 11 and brought her AHI from 72 to below 1. Resmed ASV uses some kind of averaging method for their backup rate which is ineffective to average a long run of central events and derive any useful average respiration rate. That is why the doctor prescribed the Dreamstation ASV instead of the Resmed. The person who delivered the wrong machine no longer works for the DME.
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#22
RE: Oscar Data ?/ switch from APAP to Resmed Bipap or ASV?
FWIW I've used the ResMed AirCurve 10 ASV, and it can in fact be very effective despite Auto backup rate and other time controls. Except for a person like me with COPD and Central Apnea, ResMed ASV is very good.
Dave

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#23
RE: Oscar Data ?/ switch from APAP to Resmed Bipap or ASV?
As you indicated, the Resmed ASV can be a solution for many people. For some people with severe central apnea, the lack of a manual backup setting makes it unsuitable for their treatment. Attempted use in my sister’s sleep study ruled it out. The DME person’s incompetence and long delay getting the proper machine was not helpful.
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#24
RE: Oscar Data ?/ switch from APAP to Resmed Bipap or ASV?
I too like my ResMed ASV very much. But if there was one thing on my wish list, it would be a user adjustable backup rate. My normal respiration rate is much slower that their preprogrammed backup rate. But do I think it will matter to me? Not much. Do I wake up because of it? No.

I imagine it might be more important to others so it’s nice to have a choice.
RayBee

~ Self-Treatment - via ApneaBoard experts.
~ Self-Pay - no help from Kaiser other than getting my script, then a pat on the butt and out the door.
~ Self-Educated - via ApneaBoard experts, its many users, and posted reference material.
~ Complex Apnea - All Night AHI=34.2/h, Supine AHI=45.5/h
~ Using a 2021 16" MacBook Pro M1 Max, 32 GB, 1 TB, macOS Monterey V12.6.
~ Pay no attention to the dog behind the cup, he ain't a docta, and does not give medical advise.
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