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[Pressure] ASV optimal settings
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Jimmy D Offline

Members

Posts: 9
Joined: Jun 2016

Machine: Respironics BiPAP auto sv
Mask Type: Nasal mask
Mask Make & Model: Resmed P10 nasel
Humidifier: Respironics
CPAP Pressure: unsure
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: San Diego CA USA

Post: #1
ASV optimal settings
My Doctor switched me from Cpap Auto to BiPAP sv. I lowered the prescribed pressure and feel better now. The first image is of my first night with my Doctor's settings and the second is my own settings. My settings are lower than than the Doc's settings and I was wondering why I feel so much better. Thanks for your help!
(This post was last modified: 06-15-2016 06:44 PM by Jimmy D.)
06-15-2016 06:38 PM
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richb Online

Advisory Members

Posts: 522
Joined: Jun 2015

Machine: Resmed AirCurve 10 ASV
Mask Type: Nasal mask
Mask Make & Model: ResMed Mirage FX
Humidifier: Built in
CPAP Pressure: Epap 6 Ipap 8 Auto ASV
CPAP Software: ResScan SleepyHead

Other Comments: Idiopathic Central Apnea

Sex: Male
Location: Vermont

Post: #2
RE: ASV optimal settings
(06-15-2016 06:38 PM)Jimmy D Wrote:  My Doctor switched me from Cpap Auto to BiPAP sv. I lowered the prescribed pressure and feel better now. The first image is of my first night with my Doctor's settings and the second is my own settings. My settings are lower than than the Doc's settings and I was wondering why I feel so much better. Thanks for your help!

Hi Jimmy D,

Welcome to the Apnea Board. I only see one of your screen shots (probably the first one). I would like to see the results of your lowered pressure settings. I do think that lower settings will trigger fewer Central Hypopneas due to the effect of the machine itself. My initial settings are EPAP 6 and IPAP 8. The real problem that I have is that I need the machines intervention to stop my Central Apnea problems. In your case it would be helpful if you could eventually post some screen shots of about 5 minutes in length. We could try to see what type of Hypopneas you are having and maybe make some suggestions based on our own experience. Your machine is quite sophisticated and should eventually be able to treat your situation.

Rich

Apnea Board Member RobySue has posted a Beginners Guide to Sleepyhead Software here: http://www.apneaboard.com/wiki/index.php...SleepyHead
06-15-2016 06:55 PM
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Jimmy D Offline

Members

Posts: 9
Joined: Jun 2016

Machine: Respironics BiPAP auto sv
Mask Type: Nasal mask
Mask Make & Model: Resmed P10 nasel
Humidifier: Respironics
CPAP Pressure: unsure
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: San Diego CA USA

Post: #3
RE: ASV optimal settings
Hi Rich, thanks for your input. For some reason I'm seeing both of my attachments from my end. I'm not sure why you can't view them.
06-15-2016 07:03 PM
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richb Online

Advisory Members

Posts: 522
Joined: Jun 2015

Machine: Resmed AirCurve 10 ASV
Mask Type: Nasal mask
Mask Make & Model: ResMed Mirage FX
Humidifier: Built in
CPAP Pressure: Epap 6 Ipap 8 Auto ASV
CPAP Software: ResScan SleepyHead

Other Comments: Idiopathic Central Apnea

Sex: Male
Location: Vermont

Post: #4
RE: ASV optimal settings
I see both now. What big improvement. I think your machine now has more headroom to do its work. Still, post a screenshot of a group of Hypopneas (5 to 8 minutes) to get more feedback.

Rich

Apnea Board Member RobySue has posted a Beginners Guide to Sleepyhead Software here: http://www.apneaboard.com/wiki/index.php...SleepyHead
06-15-2016 07:34 PM
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trish6hundred Offline

Advisory Members

Posts: 6,424
Joined: May 2012

Machine: Resmed S9 AutoSet for Her
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: H5i Heated Humidifier
CPAP Pressure: 10 - 7-20 Cm H2O
CPAP Software: Not using software

Other Comments: I started CPAP in 2008. Totally blind since birth.

Sex: Female
Location: Missouri, USA

Post: #5
RE: ASV optimal settings
Hi Jimmy D,
WELCOME! to the forum.!
Hang in there for more responses to your post, much success to you with your CPAP therapy.

trish6hundred
06-15-2016 07:59 PM
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Jimmy D Offline

Members

Posts: 9
Joined: Jun 2016

Machine: Respironics BiPAP auto sv
Mask Type: Nasal mask
Mask Make & Model: Resmed P10 nasel
Humidifier: Respironics
CPAP Pressure: unsure
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: San Diego CA USA

Post: #6
RE: ASV optimal settings
Hope this helps. The first graph is my first night of SV with my Doctor's settings. The second graph is my last night's settings.[attachment=2559][attachment=2559]


Attached File(s) Thumbnail(s)
   
(This post was last modified: 06-16-2016 05:49 PM by Jimmy D.)
06-16-2016 05:40 PM
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richb Online

Advisory Members

Posts: 522
Joined: Jun 2015

Machine: Resmed AirCurve 10 ASV
Mask Type: Nasal mask
Mask Make & Model: ResMed Mirage FX
Humidifier: Built in
CPAP Pressure: Epap 6 Ipap 8 Auto ASV
CPAP Software: ResScan SleepyHead

Other Comments: Idiopathic Central Apnea

Sex: Male
Location: Vermont

Post: #7
RE: ASV optimal settings
That short duration screen shot is of classic periodic breathing. Your machine is not treating this at all. In some cases higher pressures cause this kind of breathing. Some members suggest reducing the amount of exhale pressure support to reduce the amount of CO2 being washed out of your system. Your current PS is a variable 3 cm to 10 cm H2O. That is quite a range. You might try reducing the range down from 10cm by 1 cm at a time and see if that reduces the Periodic Breathing. Other members may also provide suggestions as well. Whatever you do, do it slowly.

Rich

Apnea Board Member RobySue has posted a Beginners Guide to Sleepyhead Software here: http://www.apneaboard.com/wiki/index.php...SleepyHead
06-16-2016 05:57 PM
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Jimmy D Offline

Members

Posts: 9
Joined: Jun 2016

Machine: Respironics BiPAP auto sv
Mask Type: Nasal mask
Mask Make & Model: Resmed P10 nasel
Humidifier: Respironics
CPAP Pressure: unsure
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: San Diego CA USA

Post: #8
RE: ASV optimal settings
Can't download anymore files 200kb limit its reached.. oh well
06-16-2016 05:59 PM
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Jimmy D Offline

Members

Posts: 9
Joined: Jun 2016

Machine: Respironics BiPAP auto sv
Mask Type: Nasal mask
Mask Make & Model: Resmed P10 nasel
Humidifier: Respironics
CPAP Pressure: unsure
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: San Diego CA USA

Post: #9
RE: ASV optimal settings
Here is last night's settings(my settings)


Attached File(s) Thumbnail(s)
   
06-16-2016 06:06 PM
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richb Online

Advisory Members

Posts: 522
Joined: Jun 2015

Machine: Resmed AirCurve 10 ASV
Mask Type: Nasal mask
Mask Make & Model: ResMed Mirage FX
Humidifier: Built in
CPAP Pressure: Epap 6 Ipap 8 Auto ASV
CPAP Software: ResScan SleepyHead

Other Comments: Idiopathic Central Apnea

Sex: Male
Location: Vermont

Post: #10
RE: ASV optimal settings
(06-16-2016 06:06 PM)Jimmy D Wrote:  Here is last night's settings(my settings)

Again look at your PS (pressure support). Too much can cause CO2 washout and periodic breathing.

Rich

Apnea Board Member RobySue has posted a Beginners Guide to Sleepyhead Software here: http://www.apneaboard.com/wiki/index.php...SleepyHead
06-16-2016 06:15 PM
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