[Equipment] Resmed Aircurve 11 VAuto ASV new user

[jamcoop1]

    [attachment=74262][attachment=74262]Hi,
My husband has been using this ASV device for 2 weeks and would truly appreciate an evaluation if things are progressing normally or if adjustments need to be made. He has been diagnosed with Central Sleep Apnea/Mixed Sleep Apnea (due to Parkinson’s Disease) with a 22 AHI during my PSG in-lab study. During deep sleep, the pressure numbers go up into the low 20’s with a loud noise coming from the device. At times, He is still snoring and making some loud breathing difficulty noises and I am concerned that his AHI numbers are not really improving. I understand that there is a long learning curve to get maximum benefits and hehas been improving on keeping the mask on without obvious air leaks, less discomfort, etc. His DME company will only get insurance to pay for supplies if he sees the doctor for a follow-up between days 61-90 from start of ASV use. On his doctor’s RX the ranges are: Maximum Pressure Support = 15 cm/H20 and minimum set to 3cm/H20
EPAP of 5cmH2O, minimum pressure support 3cmH20. EPAP should be set to 9cm/H20.
Both rates set to AUTO
On the device it reads:
MODE - ASVAUTO
PS - 3.0-15.0
EPAP - 5.0-9.0

[Deborah K.]

You would probably get some responses soon if you downloaded and used Oscar, our free apnea reporting system. Oscar prepares great nightly charts that enable us to provide lots of advice. You can download and learn about Oscar at the top of every page in the black ribbon.

Again, welcome, and I hope you will receive the help your husband needs very soon.  

[jamcoop1]

Hi,
Unfortunately my Macbook Pro does not support OSCAR, so I am using Sleep HQ.  I have a link to share from my 2 weeks with SleepHQ but this forum will not let me share the link.  Any Suggestions?

[SarcasticDave94]

With I was on a ResMed AirCurve 10 ASV, it only increased pressures because it was needed.

My settings were somewhat similar at:

ASV Auto mode
EPAP 7-12
PS 3-15 (default)

Snoring likely indicates the EPAP isn't high enough, and you'll probably want to push both EPAP Min and Max up by 1 to a range of 6-10 to see if it helps.

Regardless of mask, the ASV needs about 10 L/Min or less on the leaks. The therapy here will fall apart quickly over this in my own experience.

Not mentioned, stay away from the Ramp as it will likely cause havoc.

That's the best I can do with suggestions. I'm not all that good with the charts presented, there's several details I feel are missing.