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Setting up Craigslist ASV?
#1
Setting up Craigslist ASV?
I came across a super cheap Resmed Aircurve 10 ASV machine with about 8500 hours on it. It was under $200, so I figured I'd just buy it and if I can use it in a beneficial way, great. If not, I'll just give it away or resell it. I don't really know much about how to set it up properly for use (I mean beyond getting into the clinical settings menu).

I'm currently using a Resmed Airsense 10 Autoset For Her with a pressure setting of 6-15 and a very low AHI (under 2) nightly, but am still struggling with middle of the night insomnia and feeling fatigued throughout the day. I've got some higher flow limits at times which respond to switching my EPR up, but then my centrals go up as well. I currently have my Autoset for her set with an EPR of 2. (My original sleep study was all centrals and hypopneas, hence why I was considering an ASV. Perhaps BPAP would be better, but when I saw this for such a bargain, I figured I'd give it a shot.)

Is this a dumb thing to do? Am I going to cause more problems for myself? I'm assuming not, but I know you all will tell me exactly what to expect.

How should I set it up to try it out my first night? Also, do I need to do any sort of special cleaning? I figure I can just use my own heated hose and my own water tank.

Let me know if you all want to see any specific Oscar data or my original sleep study.

Thanks!
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#2
RE: Setting up Craigslist ASV?
Assuming you don't need the control of central apnea, you seem to do fine with an EPAP min of 4.0 based on a minimum Autoset pressure of 6 and EPR 2. So here you go, but I think you will feel disrupted...
Mode ASVauto, EPAP min 4.0, EPAP max 12.0, PS min 2.0, PS max 7.0.

Those are minimal pressures based on your current settings and will not resolve CA, but should avoid hypopnea and flow limitations at least as good as what you have now. Good luck, and look forward to hearing about your experience and seeing data. Be sure to purge all existing user data (machine reset) and format or delete the SD card before use.
Sleeprider
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#3
RE: Setting up Craigslist ASV?
If the ASV is needed, it's not too hard to set-up. I have the same machine for now. And yes it would be good to refresh us on history. The sleep study and an OSCAR should be posted. Or if you've posted prior in a different thread let us know. What info is needed is about CA. The data needs to answer would be if CA were predominant in the study, or is it treatment emergent, or is it idiopathic.
Dave

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INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#4
RE: Setting up Craigslist ASV?
Okay - here's the sleep study as a start. I can post some current Oscar data as well when I get home to my SD card. BTW - if you all take a look at my sleep study and thing the ASV is overkill, just let me know. It won't hurt my feelings and I'll peek around for a cheap BPAP.


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#5
RE: Setting up Craigslist ASV?
Sorry but I'd forgotten what we were working on in the past and ASV was determined to be the goal. Congrats on the find BTW.

I'm editing my first response after seeing other posts from the OP. The ASV should do well as we've established it's the right machine for your CA. See what results Sleeprider's settings give and we'll go from there to optimize it.

OK yes ASV will be a keeper IMO.

27 CA 0 OA and 109 Hypopnea...
Dave

OSCAR
Standard OSCAR Chart Order
Mask Primer
Dealing With A DME
Soft Cervical Collar Wiki
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#6
RE: Setting up Craigslist ASV?
(08-20-2020, 04:39 PM)IUsedToSnore Wrote: Okay - here's the sleep study as a start. I can post some current Oscar data as well when I get home to my SD card. BTW - if you all take a look at my sleep study and thing the ASV is overkill, just let me know. It won't hurt my feelings and I'll peek around for a cheap BPAP.

Just try it with sleeprider's suggested settings and see what you think.

In the end, all that matters is how well you sleep.

The ASV feels different than the VAuto standard bilevel, but which you prefer is individual preference, etc.
Caveats: I'm just a patient, with no medical training. And my first experience with xPAP was fairly recent. So I'm somewhere along the path of a steep learning curve.
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#7
RE: Setting up Craigslist ASV?
Well hell, your sleep test shows all central apnea and hypopnea, and that changes things.  Instead of working from your autoset settings, let's follow the Titration Guide for AutoASV:
Mode ASVauto
EPAP min 5.0
EPAP max 15.0
PS min 3.0
PS max 15.0

Here you go:

[Image: attachment.php?aid=4210]
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

____________________________________________
Download OSCAR Software
Soft Cervical Collar
Optimizing Therapy
Organize your OSCAR Charts
Attaching Files
Mask Primer
How To Deal With Equipment Supplier


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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#8
RE: Setting up Craigslist ASV?
This is awesome! I'm so excited to try it out tonight!!!
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#9
RE: Setting up Craigslist ASV?
Is there anything I should expect by the "different feel" of the ASV machine? Chest weirdness or anything?
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#10
RE: Setting up Craigslist ASV?
Occasionally this ASV may blow hard and sudden when you're transitioning to sleep, within the SWJ or sleep/wake junk area right near the beginning of drifting off. It may startle so be aware, but it's not a big issue. Another AB member termed a phrase called BlowBack. Take what I say complete and literally, when the ASV acts as described, I want you to blow moderately yet forcefully back into the mask. This somehow signals to the ASV to back off, and you'll not be bothered from this for a space of days or longer. If it does this again, your reaction is again to blow back.

Otherwise I don't think it feels too much different. It will cycle with your breathing very closely.

Note down how you feel when you post with an OSCAR next. We can help adjust/titrate this pretty quick if there's no issues. Let's get you past night 1 and go from there otherwise. Best to ya on this.
Dave

OSCAR
Standard OSCAR Chart Order
Mask Primer
Dealing With A DME
Soft Cervical Collar Wiki
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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