01-21-2020, 11:34 AM
(This post was last modified: 01-21-2020, 11:35 AM by JoeyWallaby.)
RE: ASV settings for treatment of complex sleep apnea
My recent nights
ASV
![[Image: bVTvOlz.png]](https://i.imgur.com/bVTvOlz.png)
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![[Image: aach0Td.png]](https://i.imgur.com/aach0Td.png)
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![[Image: xcK4nN5.png]](https://i.imgur.com/xcK4nN5.png)
![[Image: op8clT1.png]](https://i.imgur.com/op8clT1.png)
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![[Image: VbW7Fkx.png]](https://i.imgur.com/VbW7Fkx.png)
Bilevel
![[Image: akHdKna.png]](https://i.imgur.com/akHdKna.png)
ASV
Bilevel
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[Treatment] ASV settings for treatment of complex sleep apnea
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[Treatment] ASV settings for treatment of complex sleep apnea
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[Treatment] ASV settings for treatment of complex sleep apnea
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JoeyWallaby
Posts: 474 Threads: 19 Joined: Oct 2019
Machine: ResMed S9 VPAP Adapt 36037 
SarcasticDave94
Posts: 14,280 Threads: 21 Joined: Mar 2017
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01-21-2020, 11:43 AM
RE: ASV settings for treatment of complex sleep apnea
It looks pretty good to me. How do you feel for the therapy? And does running EPAP Min give you enough air (as seen on your ASV charts)? I'd probably bump that to 6 if it were me just to have air. Hope success continues.
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.
Gideon
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01-21-2020, 02:59 PM
RE: ASV settings for treatment of complex sleep apnea
Dang, I gotta get me one of them. I've NEVER seen a string of zeros like that on mine.
Gideon - Project Manager Emeritus for OSCAR - Open Source CPAP Analysis Reporter
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JoeyWallaby
Posts: 474 Threads: 19 Joined: Oct 2019
Machine: ResMed S9 VPAP Adapt 36037
01-21-2020, 10:23 PM
RE: ASV settings for treatment of complex sleep apnea
(01-21-2020, 11:43 AM)SarcasticDave94 Wrote: It looks pretty good to me. How do you feel for the therapy? And does running EPAP Min give you enough air (as seen on your ASV charts)? I'd probably bump that to 6 if it were me just to have air. Hope success continues.Feel good  Thank you, EPAP Min 3 does seem to be okay but I'm going to increase it back to 5 now. (01-21-2020, 02:59 PM)bonjour Wrote: Dang, I gotta get me one of them. I've NEVER seen a string of zeros like that on mine.  I did have pretty damn bad aerophagia before but it's mostly gone now. I think my body just couldn't handle the rapid pressure changes initially.
Nothing I post is medical advice and should not be taken as such, always consult a medical professional for guidance.
SarcasticDave94
Posts: 14,280 Threads: 21 Joined: Mar 2017
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01-22-2020, 12:34 AM
RE: ASV settings for treatment of complex sleep apnea
Congrats and hope your success continues.
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.
JoeyWallaby
Posts: 474 Threads: 19 Joined: Oct 2019
Machine: ResMed S9 VPAP Adapt 36037
02-01-2020, 05:58 AM
RE: ASV settings for treatment of complex sleep apnea
Thank you Dave. I haven't been sleeping good the last few nights. Last night I woke up feeling weird during the night, took off the mask, turned off the machine and slept for about four more hours.
These are my charts for the last five nights, anything interesting? Should I try dropping the Min EPAP again or maybe increase Min PS? ![[Image: 37kHXSW.png]](https://i.imgur.com/37kHXSW.png) ![[Image: tdfilsT.png]](https://i.imgur.com/tdfilsT.png) ![[Image: G8VHoWz.png]](https://i.imgur.com/G8VHoWz.png) ![[Image: ehLfez6.png]](https://i.imgur.com/ehLfez6.png) ![[Image: CNCAJ3H.png]](https://i.imgur.com/CNCAJ3H.png)
Sleeprider
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Posts: 28,476 Threads: 88 Joined: Dec 2014
Machine: Resmed Aircurve 10 VAuto
02-01-2020, 09:53 AM
RE: ASV settings for treatment of complex sleep apnea
Joey, there appears to be some correlation to pressure support and expiratory time, and an inverse relationship to respiration rate. Perhaps some other things. I have not seen a fluctuation in expiration time like this and was curious if you have observed anything. I have not seen charts of others using ASV to know if there is anything like this going on, so I can't say if this is normal or not.
Sleeprider
Apnea Board Moderator www.ApneaBoard.com ____________________________________________ Download OSCAR Software Soft Cervical Collar Optimizing Therapy Organize your OSCAR Charts Attaching Files Mask Primer How To Deal With Equipment Supplier 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.
SarcasticDave94
Posts: 14,280 Threads: 21 Joined: Mar 2017
Machine: None again
02-01-2020, 10:11 AM
RE: ASV settings for treatment of complex sleep apnea
If the only change before this was that EPAP Min bump, I'd change it back and review results.
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.
JoeyWallaby
Posts: 474 Threads: 19 Joined: Oct 2019
Machine: ResMed S9 VPAP Adapt 36037
02-01-2020, 10:17 AM
RE: ASV settings for treatment of complex sleep apnea
(02-01-2020, 09:53 AM)Sleeprider Wrote: Joey, there appears to be some correlation to pressure support and expiratory time, and an inverse relationship to respiration rate. Perhaps some other things. I have not seen a fluctuation in expiration time like this and was curious if you have observed anything. I have not seen charts of others using ASV to know if there is anything like this going on, so I can't say if this is normal or not. Thanks sleeprider, that is a good point, here are some charts with tidal volume included and some close-ups with low PS and higher PS on Jan 31. I'm going to bed now. (02-01-2020, 10:11 AM)SarcasticDave94 Wrote: If the only change before this was that EPAP Min bump, I'd change it back and review results. Yea, it is. ![[Image: tdKiYGH.png]](https://i.imgur.com/tdKiYGH.png) ![[Image: 10Y8vyA.png]](https://i.imgur.com/10Y8vyA.png) ![[Image: Ey7Qvxa.png]](https://i.imgur.com/Ey7Qvxa.png) ![[Image: 49YoeHG.png]](https://i.imgur.com/49YoeHG.png) ![[Image: nJaeL6t.png]](https://i.imgur.com/nJaeL6t.png) Jan 31 ![[Image: 18w6PTY.png]](https://i.imgur.com/18w6PTY.png) ![[Image: QuYKGCt.png]](https://i.imgur.com/QuYKGCt.png) ![[Image: QD5hnuG.png]](https://i.imgur.com/QD5hnuG.png) ![[Image: gIae8Rq.png]](https://i.imgur.com/gIae8Rq.png) ![[Image: 01x9ubj.png]](https://i.imgur.com/01x9ubj.png)
Nothing I post is medical advice and should not be taken as such, always consult a medical professional for guidance.
SarcasticDave94
Posts: 14,280 Threads: 21 Joined: Mar 2017
Machine: None again
02-01-2020, 10:29 AM
RE: ASV settings for treatment of complex sleep apnea
My sage advice for the day: set this by feel and not so much by the numbers. I myself don't see a number on these charts that demands adjustment. Feel for various aspects should be your guide to hone in after those initial dial-in adjustments. If possible, change 1 setting and review if better or worse. A better means keep and worse means revert to what was previous.
I'm not suggesting not checking OSCAR charts. I went by feel only and when it felt off I looked at charts to see why.
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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[Treatment] ASV settings for treatment of complex sleep apnea
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