+- Apnea Board Forum - CPAP | Sleep Apnea (https://www.apneaboard.com/forums)
+-- Forum: Public Area (https://www.apneaboard.com/forums/Forum-Public-Area)
+--- Forum: Main Apnea Board Forum (https://www.apneaboard.com/forums/Forum-Main-Apnea-Board-Forum)
+--- Thread: Best Machine for UARS - VAuto or ASV? (/Thread-Best-Machine-for-UARS-VAuto-or-ASV)
Best Machine for UARS - VAuto or ASV? - TinyRussia - 08-26-2021
Hello, I am wondering if someone can help me understand the difference between the Resmed Aircurve V10Auto and the ASV machine. I have UARS and the ASV is twice the cost of the V10Auto. I don't want to waste money buying the V10 and later finding it doesn't help and then buying the ASV. So my question is, should I just go for the ASV? Is it basically the V10 but with more settings? Do I risk anything by choosing it over the V10? Is there a chance that the VAuto would help but the ASV would NOT? I don't want to buy the VAuto just to end up buying the ASV later.
RE: Best Machine for UARS - VAuto or ASV? - Sleeprider - 08-26-2021
The Aircurve 10 Vauto is normally the best solution to provide consistent pressure support to improve flow through a restricted airway. The Vauto allows for a constant pressure support on every breath and variable pressure that responds to obstructive events and flow limitation. By providing higher inspiratory pressure the Vauto improves the flow rate and allows for easy expiration. The Vauto follows the user's spontaneous respiration rate and does not provide a backup to spontaneous effort. The Aircurve 10 ASV is normally prescribed for individuals with moderate to severe central apnea or therapy onset central apnea. It provides breath by breath pressure support to maintain a constant minute vent and will cause a breath to occur in the absence of spontaneous effort. The ASV requires setting a range for EPAP pressure, a maximum pressure and pressure support minimum and maximum which must be at least 5-cm difference. ASV has been used for UARS where pressure support needed to improve inspiratory flow rate results in central apnea events.
RE: Best Machine for UARS - VAuto or ASV? - TinyRussia - 08-26-2021
I'm adding photos of my sleep study. Not sure if that can help, but I don't have a good understanding of it.
RE: Best Machine for UARS - VAuto or ASV? - Sleeprider - 08-26-2021
You do not have what would be considered clinical sleep disordered breathing. If you are seeking to use bilevel PAP therapy to make it easier to breathe, then the Vauto is an excellent tool. I see nothing here that would suggest a need for ASV.
RE: Best Machine for UARS - VAuto or ASV? - TinyRussia - 08-26-2021
My doctor suggested that I have UARS, and with my sleep efficiency of 23%, and the frequent arousals at night, I'm basically looking to fix that, because I suffer from extreme fatigue, lack of concentration, and my memory is worsening all the time although I'm only 23 years old. The sleep study was done 3 years ago but I basically have the same symptoms just a lot worse. My quality of life is complete garbage.
One thing that did concern me about the VAuto was that I've been reading it can cause CSA - do you think this would be a risk for me? How can it be prevented?
Another question, would you have any recommendations as to what mask would be ideal?
From what I'm reading, it looks like CSA can be an issue with BiPAP if you have a high pressure support...but I don't really know if I do or how I'd figure that out. I'm really new to all this.
RE: Best Machine for UARS - VAuto or ASV? - SarcasticDave94 - 08-26-2021
If there's any CA that you get, it'll be treatment emergent CA. This can be minimized by settings, and will diminish the more you use the VAuto.