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Resmed Trigger settings ASV
#1
Resmed Trigger settings ASV
Hey all,

I’ve been using the Resmed Aircurve 10 / auto asv for about a year. It’s for sure made a difference. But I do have one issue with it, and that’s the trigger setting. When I was on the Bipap I could change the sensitivity so it kicked in immediately. It’s was great; speedy and responsive... like a sports car or German handling.  Obviously the Bipap didn’t work, and I switched to the ASV. The ASV does wonders, however it’s less like a  sports car and more like an 18 wheeler in the responsiveness. I really have to pull to get it to breathe. It works, and it works well, but I was wondering if anyone had A/B’d the philips whatever version and the Resmed aircurve 10, and if there was a trigger setting on the Phillips, and how that stacked up to the Resmed. I love the Resmed, it’s solid, turns on after power failure, idiot proof, night ambience features are fantastic. But that slow responsiveness is just a bit...idk, different. I’m sure it takes time to analyze the breathing and whatnot, but just wondering if this is something I could look into. 

Thanks!
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#2
RE: Resmed Trigger settings ASV
I know you want answers from people familiar with the Respironics ASV. I'm sorry to say that first off I am not familiar with the Respironics ASV, but I do know my ResMed AirCurve 10 ASV. And to me it is not slow to respond to my needs, it did not take lots of time to make an accurate analysis of my breathing pattern, etc. I can only speak to my own experiences, and I can positively state without any reservations, this is a wonderful machine that helps me far greater than I expected.

I have only exclusively to date used a full face mask, but I'm about to get a nasal ResMed mask kit, possibly the N30i in about 4 months.

As I do not know your setup, etc. how do you have the ResMed settings currently? Are you running in ASV or ASV Auto MODE? It makes a big difference BTW. Which mask model and type? And is it set in the ASV correctly under mask type.

Maybe we can get some charts of some typical nights via SleepyHead to view what's going on. I'll reiterate my experience is that the ResMed is not slow to respond to me. Maybe it's a personal preference thing. Refresh the old memory please. Are you dealing with any other medical issues besides apnea that could affect apnea therapy?

No matter what we're dealing with, I'm willing to assist any way I can. I'm sure others feel the same way. So let's see what we can do.

Coffee
Mask Primer

Positional Apnea

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#3
RE: Resmed Trigger settings ASV
My experience is similar to Dave's above.

Only ResMed ASV, but not for a moment have I ever considered its response "slow."

In fact, my only "niggle" with the ResMed ASV was that it was too aggressive at times when I hit sleep transitions during the initial use. That settled out pretty quickly and since my impression is the ResMed algorithm is very quick and able to get in and out on a breath-by-breath basis that feels transparent to this user.

Wish I had more to offer.

Bill
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#4
RE: Resmed Trigger settings ASV
I use a Resmed asv as well and it does not have a trigger setting. If your having issues sucking air the only suggestion I have is to raise the minimum ps a bit you can’t change the timing etc.
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#5
RE: Resmed Trigger settings ASV
Hey guys, thanks for the responses so quickly. As far as medical, it seems to be primary central, no major causes or anything. All transitioning into sleep. I use the airfit f20 and bounce between that and the dreamwear. The Resmed Bipap has the trigger sensitivity setting and the aircurve does not. While it itself isn’t necessarily slow, it *is* slower than the Bipap for sure, I was on that for a few months. I’m on ASV AUTO. It’s not my pressure settings, it’s the amount of time it takes to get that breath. We’re talking 200 milliseconds vs 50 milliseconds with the Bipap. It seems absolutely minor, but it made a huge difference at the time while waiting for the ASV. The asv just responds clunkier, especially after being used to the Bipap. Again, the asv is amazing and I praise its glorious name, it’s not a motor issue or anything like that, and it’s not even that bad, just different.
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#6
RE: Resmed Trigger settings ASV
What you're describing is Rise Time, not trigger sensitivity (which is available in the Aircurve S and Vauto, but not ASV). I think the lag you perceive is mostly attributable to the EasyBreathe™ pressure smoothing. I don't think that can be disabled on the ASV, but someone with the machine will have to verify.
Sleeprider
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INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#7
RE: Resmed Trigger settings ASV
(11-26-2018, 06:50 AM)Sleeprider Wrote: What you're describing is Rise Time, not trigger sensitivity (which is available in the Aircurve S and Vauto, but not ASV).  I think the lag you perceive is mostly attributable to the EasyBreathe™ pressure smoothing.  I don't think that can be disabled on the ASV, but someone with the machine will have to verify.

Correct Sleeprider, EasyBreathe and/or Rise Time are not settings one controls/disables on the AirCurve 10 ASV, at least not on mine. The only settings are those 4 parts of pressure settings found in Auto Mode. Otherwise, it's comfort settings with humidifier, heated hose, and ramp, then warm up. That's all that is available that I know of.
Mask Primer

Positional Apnea

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#8
RE: Resmed Trigger settings ASV
maybe your a candidate for EERS http://www.apneaboard.com/forums/Thread-...a-attached . You could go back to vauto if that were the case.
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#9
RE: Resmed Trigger settings ASV
(11-26-2018, 02:35 AM)Boodmaster Wrote: Hey guys, thanks for the responses so quickly. As far as medical, it seems to be primary central, no major causes or anything. All transitioning into sleep. I use the airfit f20 and bounce between that and the dreamwear. The Resmed Bipap has the trigger sensitivity setting and the aircurve does not. While it itself isn’t necessarily slow, it *is* slower than the Bipap for sure, I was on that for a few months. I’m on ASV AUTO. It’s not my pressure settings, it’s the amount of time it takes to get that breath. We’re talking 200 milliseconds vs 50 milliseconds with the Bipap. It seems absolutely minor, but it made a huge difference at the time while waiting for the ASV. The asv just responds clunkier, especially after being used to the Bipap. Again, the asv is amazing and I praise its glorious name, it’s not a motor issue or anything like that, and it’s not even that bad, just different.

If I understand you correctly, we have differing likes. I want a machine that is following behind my natural breath not right on top of it (or in advance).

Bill
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#10
RE: Resmed Trigger settings ASV
I started in February this year on a Dreamstation autoSV. Stayed on it for six months with AHI average of 8 or so. I never felt good morning after morning regardless of the AHI the night before. Some nights better, some worse. Breathing to me is much more labored than the Aircurve ASV. 
After studying the responses on this foram I decided to purchase an Aircurve 10 ASV. The ease of breathing was evident right away. My AHI numbers were cut more than half with the Resperonics. I’m running around 2.5 to 3.5 average.  It doesn’t really matter what my AHI is (2-5)I still wake up with clear lungs feeling good more or less. 
I tried the Dreamstation after a month on the Aircurve, and woke up feeling pretty bad and haven’t tried it sense. 
Just my experience.
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