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Resmed Curve 10 ASV
#1
Resmed Curve 10 ASV
I have just started using a ASV machine it is set to auto , after about 3hr of use each night it starts blowing very strong
I have tried blowing back in the mask but doesn't help much , is there any setting that may help.
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#2
RE: Resmed Curve 10 ASV
jethroc,  Welcome

It would help other users if you posted a screenshot of your "Daily" graphs.  For Windows use the F12 key, for Mac use fn+f12.  You can also use the menu bar and select View > Take Screenshot.  The Daily page has important info that can help others give you advice on your settings.
There is a link in my signature to a wiki page that helps explain how to post a screenshot.
Jeff8356
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#3
RE: Resmed Curve 10 ASV
Sorry I'm new at this


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#4
RE: Resmed Curve 10 ASV
Your ASV is not increasing EPAP pressure and is also set to a very long ramp of about 30 minutes. In this chart at 22:50 you have large leaks that continue over an hour. The Pressure support is variable following those leaks and your respiratory flow is also irregular. I have some ideas that might work to calm your therapy, but understand that like any titration process it is basically a trial and error process, so while I hope it improves your experience, it may not. With EPAP min 5.0 and unknown maximum (bottom of chart is cut-off), your EPAP ranges from 5.0 to 7.0. We can limit your EPAP to that range without affecting therapy in any way. Your PS ranges from 3.0 to 17.0 and I think we can significantly limit the maximum PS and prevent some of the hard blowing. For most of our members, PS min 3.0 and PS max 12.0 is generally sufficient to manage CA and hypopnea and can be more comfortable than a higher PS range. Finally, Resmed does not recommend the use of Ramp with this machine. There is no ASV therapy during ramp and events are not recorded. By turning it off, you have a better opportunity to establish a good mask fit while you're still awake. If you must use ramp, change it to the Auto setting which will turn off ramp when it detects sleep breathing.

Try these lower ranges for EPAP and PS and see if that improves your comfort and therapy experience. We can review the results tomorrow and see if we should restore some PS, or perhaps even reduce PS max further.
Sleeprider
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INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#5
RE: Resmed Curve 10 ASV
Welcome to AB.

There is a lot of tweaking of the settings necessary to figure out what is optimum with ASV. I got pretty close within several months and then just needed a few refinements along the way. I would make an adjustment and test it for about a week to make a final determination if there was improvement. Improvement in either efficacy of treatment or improvement in comfort. I like using the ramp for 5 minutes because it takes me 5 to 8 minutes to fall asleep. The 5 minutes of lost therapy is actually helpful for me. If my centrals are kicking in early during those 5 minutes, I may still actually fall asleep, but the machine doesn't "blast" me and keep me awake. After I'm asleep, I won't wake if it needs to increase pressure.

Like I always say, if the pressure is high enough to keep waking you, then what's the point?

You can see my settings in the sidebar. Whenever IPAP gets over 17, aerophagia becomes a big problem for me. If IPAP is below 8 or so, I can feel starved for air. So, as long as I keep within those parameters, life is good. My AHI averages about 1.0 now. And I am very comfortable.

I settled on the F30 mask which seems to work great as a side-sleeper. Not much leakage, good fit, no sore spots, love the quick disconnect elbow. Don't hesitate to make adjustments, but at least give them a chance of 2 to 3 nights to evaluate the change, unless you determine that the change is completely unacceptable.

Keep us updated.  Eat-popcorn
RayBee

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#6
RE: Resmed Curve 10 ASV
Thanks for that
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