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Need help Aircurve 10 AutoASV Settings/Insights - Printable Version

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Need help Aircurve 10 AutoASV Settings/Insights - Jarlo - 11-23-2022

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Hi

Almost a year ago i posted here first time regarding having issues with my CPAP. I had some Home tests afterwards with the hospital where they noticed a lot of Central Apneas, and then supplied me with a Resmed Aircurve 10.

Since i've got the Aircurve my sleep and energy levels have increased, my focus etc. 

But lately i felt like my sleeping nights are not as consistent as before, and i dont know why.

I'm fighting a bit against my airfit 20 mask since it vibrates sometimes at night, and i assume its leaks, but it holds better to me than my older dreamwear full face.

I have some Oscar charts attached from 2 different nights. Sometimes i hit below 1 in AHI and sometimes i can go all the way to 4, and i would like to try consistently to get below 1 or around.

I can still wake up feeling tired and exhausted. I'm fairly active workout 5-6 times week and maintain healthy sleeping habits with dark room and good temperature.


RE: Need help Aircurve 10 AutoASV Settings/Insights - Sleeprider - 11-23-2022

Clusters of UA appear to be positional. I'm not in a position to judge your minimum PS setting, but would like to know how you arrived at that as an optimum minimum. It seems to work, but may increase the number of central events that the ASV has to use more pressure support to address. I really think the most important reason your results are not as consistent is because of something that has changed your tendency for chin-tucking or similar airway restriction. Changed pillows?


RE: Need help Aircurve 10 AutoASV Settings/Insights - Jarlo - 11-23-2022

Hi sleeprider

Thanks for replying, ive seen some of your advice to other People using asvauto etc with great succes.

I made a old post regarding if I had positional apneas, where i tried 4 different collars, 6 different pillows and heights, thickness etc.

Right know im not quite sure about my settings since theyre set from the sleep clinic at my hospital, and its been really hard for Them to understand that im tired since my ahi was 22 before the aircurve.

I dont know if these UAs are from me unintentionally holding my breath. My gf have recordings of me making almost like squeeking sounds while sleeping.

Let me know what info you would need to try help me further, as im really desperate.


RE: Need help Aircurve 10 AutoASV Settings/Insights - Sleeprider - 11-23-2022

Jarlo, back-off the PS min to 3.0 and give it a try. I have no problems trying higher PS, but I'd like to see you progress and compare.


RE: Need help Aircurve 10 AutoASV Settings/Insights - Jarlo - 11-24-2022

HI Again

I have now collected data with a PS min on 3 from last night. My AHI seems a bit higher with this setting, but i feel that same either way.

IS there anything else can we try to do after seeing this?


RE: Need help Aircurve 10 AutoASV Settings/Insights - Sleeprider - 11-24-2022

In addition to changing your PS min, your EPAP min was reduced from 7.0 to 4.0. Lets try with a high minimum EPAP.
EPAP min 7.0
EPAP max 12.0
PS min 3.0
PS max 12.0

I think these settings will be more comfortable as you really don't need more PS, and all the unresolved events are obstructive. I'm pretty sure there is a positional component at work here. You do apparently need the higher EPAP. I think we should look at another night of data before moving PS min up to 4.0.