ResMed AirCurve 10 ASV settings for first night of treatment: Do you agree?

[JCW888]

My ASV/VAuto Settings are

ASVAuto (recent settings)
EPAP Min 4
EPAP Max 8 
PS Min 1.6
PS Max 8 
Climate Auto
Tube 27
Ramp 25min

VAuto (as ref.)
EPAP Min 4
EPAP Max 9
PS 1.8 
Ti Max 3
Ti Min 0.3
Trigger Very High
Cycle High
Ramp 20 min

I tried ASV default setting but can't stand it. Even I changed to above pressure range as best as I can which is similar to my VAuto setting I still can not stand ASV. Usually I can sleep quicker while using VAuto. 

BTW, I know most of the experienced users would recommend turning off the ramp, but I can't sleep with ramp off from the beginning. But I am trying to shorten the ramp time gradually. My friend who also owned an ASV said to me that only if I can fall asleep nor ASV would interfere anyway due to if any abnormal breathing I take. I know my pressure setup is quite low, but I can't stand pressure higher than 10 it often cause arousals. And for ASV I still not set it to low enough since I think too low is wasting the purpose of it. But I want to try at least above settings and adapt it somehow.

I changed from S10 Autoset then VAuto then ASV is trying to resolve my CSA due to I don't have high AHI(below 5) but most of the portions are CA.
And even I can have sleep for 7 hours, I still feel exhausted and tired all day. The only difference from the HW setup is that my friend has AB bacteria filter and I don't, I am not sure if this would make any difference on the pressure resistance or not.

[JCW888]

My ASV/VAuto Settings are

ASVAuto (recent settings)
EPAP Min 4
EPAP Max 8 
PS Min 1.6
PS Max 8 
Climate Auto
Tube 27
Ramp 25min

VAuto (as ref.)
EPAP Min 4
EPAP Max 9
PS 1.8 
Ti Max 3
Ti Min 0.3
Trigger Very High
Cycle High
Ramp 20 min

I tried ASV default setting but can't stand it. Even I changed to above pressure range as best as I can which is similar to my VAuto setting I still can not stand ASV. Usually I can sleep quicker while using VAuto. 

BTW, I know most of the experienced users would recommend turning off the ramp, but I can't sleep with ramp off from the beginning. But I am trying to shorten the ramp time gradually. My friend who also owned an ASV said to me that only if I can fall asleep nor ASV would interfere anyway due to if any abnormal breathing I take. I know my pressure setup is quite low, but I can't stand pressure higher than 10 it often cause arousals. And for ASV I still not set it to low enough since I think too low is wasting the purpose of it. But I want to try at least above settings and adapt it somehow.

I changed from S10 Autoset then VAuto then ASV is trying to resolve my CSA due to I don't have high AHI(below 5) but most of the portions are CA.
And even I can have sleep for 7 hours, I still feel exhausted and tired all day. The only difference from the HW setup is that my friend has AB bacteria filter and I don't, I am not sure if this would make any difference on the pressure resistance or not.

Sorry I quoted it again adding more comments since I could not edited the original.


My ASV/VAuto Settings are (with Resmed P10 mask)

ASVAuto (recent settings)
EPAP Min 4
EPAP Max 8 
PS Min 1.6
PS Max 8 
Climate Auto
Tube 27
Ramp 25min

VAuto (as ref.)
EPAP Min 4
EPAP Max 9
PS 1.8 
Ti Max 3
Ti Min 0.3
Trigger Very High
Cycle High
Ramp 20 min

I tried ASV default setting but can't stand it. Even I changed to above pressure range as best as I can which is similar to my VAuto setting I still can not stand ASV. Usually I can sleep quicker while using VAuto. (I change between the two recently for comparison)

BTW, I know most of the experienced users would recommend turning off the ramp, but I can't sleep with ramp off from the beginning. But I am trying to shorten the ramp time gradually. My friend who also owned an ASV said to me that only if I can fall asleep nor ASV would interfere anyway due to if any abnormal breathing I take. I know my pressure setup is quite low, but I can't stand pressure higher than 10 it often cause arousals. And for ASV I still not set it to low enough since I think too low is wasting the purpose of it. But I want to try at least above settings and adapt it somehow.

I changed from S10 Autoset then VAuto then ASV is trying to resolve my CSA due to I don't have high AHI(below 5) but most of the portions are CA.
And even I can have sleep for 7 hours (VAuto or S10 AutoSet not ASV), I still feel exhausted and tired all day. The only difference from the HW setup is that my friend has AB bacteria filter and I don't, I am not sure if this would make any difference on the pressure resistance or not.

But using ASV, I can only sleep 3-4 hours and not feeling any better than previous VAuto/Autoset due to its pressure blow me awake too often (although ASV resolve CA, but I bumped into numerous Hyponeas). I also have doubts that if ASV just don't have CA category and categorize to UA or others instead.  

I changed 3 kinds of mask on hand but I quite doubt my current masks may not be suitable for ASV (Resmed P10, Dreamwear Under nose nasal mask, Dreamwear Under nose Gel pillow), due to ASV deliver higher pressure and it causes my leak higher than with previous VAuto, and S10 AutoSet.

[DevinJones]

JCW888, yes, it's a real struggle to get used to the ResMed AirCurve 10 ASV.

After reading your latest post, I searched for older threads to find helpful tips and suggestions to help us successfully adapt to our devices.

The bad news is that countless sleep apnea patients have a very difficult time when starting to use the device. The good news, though, is that longtime users of the device say that although it's a major challenge in the beginning, you can eventually adapt to and greatly benefit from ASV therapy as long as you stay positive and persistent.

The users offer tips, suggestions, hope, and encouragement in the following threads:

https://www.apneaboard.com/forums/Thread...ASV-Device

https://www.apneaboard.com/forums/Thread...ing-asleep

https://www.apneaboard.com/forums/Thread...k-to-sleep

https://www.apneaboard.com/forums/Thread...-Need-help

I'm persevering through the challenges and will return here soon to give an update. I hope you find the previous threads helpful and continue to pursue your goal of successful ASV therapy.

[stanleyjack]

Hi Devin,

I don't want to hijack your thread, but thought I should say a quick hi as I am following along. I am also another one trying to adjust to ASV. Sometimes I do OK'ish , but others not so well (last night a good example, I was up a lot and I have that feeling of being not well oxygenized / brain foggy)

Right now I am running with:

EPAP min 4.0
EPAP max 7.0
PS Min 2.0
PS Max 7.0

This to me seems to be closet to natural breathing and has the machine working a bit better with me. I plan on running this for two whole weeks without changing, as I think in the past I have been tweaking things to quickly. 

I just hope I am one of these folks who adjust over time and fall in love with the machine.

[DevinJones]

Hi, stanleyjack, thanks for your post.

I was able to sleep most of the night when I started ASV but later found it challenging to sleep even an hour or two due to the very high pressures while falling asleep. Blowing back into the mask to try to get control of the ASV has not been effective for very long. Although I slept only about an hour with the ASV the night before last, I was able to sleep about five hours last night.

Once asleep, though, the ASV, if set properly, is highly effective, eliminates most events, and significantly improves oxygen saturation levels. Almost all my flagged events happen while I'm still awake and struggling to fall asleep with the ASV.

One goal of mine is to stay asleep longer and not have to get up to go to the bathroom many times and then struggle with the ASV to try to fall asleep again. That's why I'm going to drink more fluids earlier in the day and not so much in the evening.

My ASV settings last night were:

ASVAuto
Min EPAP 6
Max EPAP 9

PS Min 2
PS Max 11

But tonight, I think my settings will be:

ASVAuto
Min EPAP 6
Max EPAP 10

PS Min 2
PS Max 12

Post some OSCAR screenshots for the experts to analyze and keep on working toward your goal of eventually adjusting and enjoying your ASV therapy. That's what I'm going to do.

[DevinJones]

If you wanted it to be easier to exhale against air pressure (like when starting a session), what setting adjustments would you make to the following settings?

ResMed AirCurve 10 ASV

ASVAuto
Min EPAP 6
Max EPAP 10

PS Min 2
PS Max 12

Thanks!

[emmylouwho]

I can attest to this and agree it is a shortcoming. I could blow back with a FFM and it always worked. I’ve been trying to switch to a nasal for two months now and still can’t get a good night’s sleep because of this issue. You just can’t blow back with a nasal pillow.  It’s keeping me stuck in this sleep wake feedback loop that I can’t get out of. Also increasing pressure in my chest and causing headache next day that I didn’t experience with a FFM. You are the first person I’ve found who experiences this and it’s really relieving to know I’m not crazy but I hate it for you too. I’ve resorted to lowering my PS max to see if it helps and so far it has a little but I know that’s not really optimal use of ASV.

[DevinJones]

I'm sorry that you, too, are yet another person suffering with ResMed AirCurve 10 ASV's massive surge in airflow during sleep onset.

No, you're definitely not the only one struggling to fall asleep with the AirCurve 10 ASV. (Once asleep, the device works beautifully!) Look at the following thread to know that you're far from alone:

https://www.apneaboard.com/forums/Thread...te-it-Help

Yet, many users have eventually adapted to the device after weeks or months and after relying on various adjustments, such as pressure setting adjustments or the ramping feature.

I hope to hear from current AirCurve 10 ASV users who eventually and successfully resolved the problem with the massive surge in airflow during sleep onset.

[JCW888]

Hi Devin,

This thread is interesting.

Don't know how Broomstick work his out with ASV or not ? But I am not yet.
Back in the times2017~2019, seemed more people using ASV and been discussed, not now.
I tried below settings which similar to my VAuto and somehow is more bearable, but I think it already lost ASV advantage of providing enough pressure.
Will try to add pressure little by little back trial and error.

EPAP Min 4
EPAP Max 5
PS Min 1.8
PS Max 6.8
ramp off

[Rich66]

Just throwing in my two cents. When I first started with the ASV, I noticed an excess pressure problem. I tried blow back -- but I have lung issues. I can barely blow my nose when I need to (some days I can't). So I just started playing with the pressure adjustments. And now I never have a blow back issue. I tape my mouth because the air getting pushed in will sometimes just come out my mouth, continually. Then I get sore throats, or dry mouth and that wakes me up. And yes, I have had power outages when taped and masked. Mostly I just wake up, but I did have one recently when I slept through the outage, for about 7 minutes. The machine turned back on, I didn't notice until I saw the graph the next morning.