[Diagnosis] S. Manz - Therapy Thread

[staceyburke]

During ramp you really are not getting any therapy. It is only used to let a person not use to therapy go to sleep. I would try turning it off.

[S. Manz]

That's absolutely true. The graph proves that fact.

[Shadowpup]

I agree with StacyB.  Consider turning ramp off.  My ASV hits 25 cmH2O as soon as I go to sleep and repeatedly as it fights my periodic breathing.  Generally it has things under control within 15 minutes.  Whatever discomfort that produces is worth it to keep me from having apneas.  Best wishes.

[stanleydean]

I agree, try without the ramp. Also, your pressure of 4/9 seems low, hopefully one of the more knowledgeable members will address that for you. You can change those settings.
Stan

[SarcasticDave94]

I myself tried a ramp on the ASV the first night I had mine. It wasn't a good result. I had to just get rid of the ramp and jump right into therapy.

I think we attempted addressing therapy pressures in another therapy thread. For some reason or other, you don't tolerate a normal ASV therapy pressure setup, so I'll leave it at the Ramp issue.

[S. Manz]

No, I don't.
Anything over 12 CMH2O is like sticking my head out the window of a speeding car, trying to get a shuteye on the highway, but I know some people LOVE the high pressures for some reason.
My Airdale terrier, Jake can do it. Dude loves hanging his head out the window. I think it sends him into a trans or something:-)

[SarcasticDave94]

Yep I copy. That's what makes every PAP user unique. Cookie cutter pressure sets are doomed to fail.

[S. Manz]

So I was diagnosed with CSA and a AHI of almost 60 (actual studies averaged an AHI of 58).
I was on a Dreamstation ASV for a while and then switched about 3 months ago to a Resmed ASV and my entire sleep characteristics have changed since the switch.
Originally my doctor wanted me to go on an Auto pap but I refused and went outside the insurance coverage and got myself a ASV machine and titrated pressures down from prescription values which kept me up all night feeling like I was sticking my head out the window of a speeding car on the highway, trying to sleep at the same time.
In the last 3 months since I switched to Resmed, my AHI has been reduced to well under 5 which normal people without apnea score.
However these "Hypopnea" events that my machine registers are still intriguing.
The graph looks like each event starts when I take a deep inhale followed by a deep exhale and then stop berathing for about 4 seconds, when the machine kicks in with 1, 2 , 3 breaths and I am back to normal.
Any ideas how "Hypopnea" events are registered by ASV algorithm?
Please only respond if you are a ASV user and know how ASV machines work.
Thanks
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[SarcasticDave94]

I have used the same model ASV with ASV Auto settings. Sorry but I can't tell you how the ASV scored Hypopnea. I could tell you how I'd lower them, but you're not going to like the answer. Either use ASV Auto mode with EPAP range or increase your current EPAP would be my answer to address them.

[sheepless]

I've used asv for years but cant answer your question either. unfortunately you've dismissed the few members that might on the basis they dont use asv. everyone that's replied to your last couple threads knows more about pap in general & asv in particular, than you & me put together.

I'd say the troll here is the one that starts 20 therapy threads, then criticizes & argues with well-meaning respondents. in any thread, not all suggestions are correct, but they often help reach an effective solution.

why ask if you're not willing to listen?