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+--- Thread: Aircurve 10 ASV Auto not sleeping very tired (/Thread-Aircurve-10-ASV-Auto-not-sleeping-very-tired)
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Aircurve 10 ASV Auto not sleeping very tired - RonApneaBoard - 12-31-2024
In 2019 I had a sleep study and found out I had Central Apneas and Hypopneas. I was given the original settings of IPAP 8/35, EPAP 5/15 and PS 3/20. in the following 6 years I increased the EPAP min by 1 cm and as of 12-29 the settings are IPAP 14/30, EPAP 10/15 and PS 4/15. I have had excellent results for 6 years (less than 1 AHI). When I saw the AHI exceed 1 over a period of time, I would increase the EPAP min and that would resolve the problem. As of a week ago I have not been able to sleep much at night and this has caused me to be in a very foggy state and very tired. I am going to attach Oscar results for the evening of 12-29 which will show me frequently getting up not being able to sleep. Last night in the middle of the night I decided to increase the PS min from 4 cm to 6 cm and that seemed to help me a lot. I do not have that data I may have had the card in the no-write position. Would you agree that this change is the way to go. I wanted to increase the PS to 7 cm but the machine will not let me make the change. I did decrease the EPAP min from 10 cm to 9 cm but did not like the feeling so I returned it to 10 cm.
RE: Aircurve 10 ASV Auto not sleeping very tired - SarcasticDave94 - 12-31-2024
We'll need the OSCAR chart with the left panel included. OSCAR should be an F12 screenshot capture if your computer does it.
As a former ASV user myself, it sounds like your EPAP and PS Min might be too high. My own settings for the 2 years I had a ResMed AirCurve 10 ASV were:
ASV Auto mode
EPAP 7-13
PS 3-15 default
IPAP 10-28
Your ResMed ASV PS range needs minimum 5 between Min and Max. Example lowest PS is 0-5.
Aircurve 10 ASV Auto not sleeping very tired - RonApneaBoard - 12-31-2024
In 2019 I had a sleep study and found out I had Central Apneas and Hypopneas. I was given the original settings of IPAP 8/35, EPAP 5/15 and PS 3/20. in the following 6 years I increased the EPAP min by 1 cm and as of 12-29 the settings are IPAP 14/30, EPAP 10/15 and PS 4/15. I have had excellent results for 6 years (less than 1 AHI). When I saw the AHI exceed 1 over a period of time, I would increase the EPAP min and that would resolve the problem. As of a week ago I have not been able to sleep much at night and this has caused me to be in a very foggy state and very tired. I am going to attach Oscar results for the evening of 12-29 which will show me frequently getting up not being able to sleep. Last night in the middle of the night I decided to increase the PS min from 4 cm to 6 cm and that seemed to help me a lot. I do not have that data I may have had the card in the no-write position. Would you agree that this change is the way to go. I wanted to increase the PS to 7 cm but the machine will not let me make the change. I did decrease the EPAP min from 10 cm to 9 cm but did not like the feeling so I returned it to 10 cm
RE: Aircurve 10 ASV Auto not sleeping very tired - OpalRose - 12-31-2024
I merged your threads, so the new attachments show in your latest post.
RE: Aircurve 10 ASV Auto not sleeping very tired - RonApneaBoard - 12-31-2024
Thanks so much. I got it figured out now.
RE: Aircurve 10 ASV Auto not sleeping very tired - SarcasticDave94 - 12-31-2024
What settings have you tried, for how long, and the results? Thumbnail sketch is fine for now.
It appears you had edited EPAP min up if you had 1 AHI, sound correct? Under 5 AHI is treated, yet we can do better. However you don't need zero AHI. The goal in my opinionis lower than 5 AHI and well rested and comfortable.
I'll suggest editing EPAP Min to 7 or so for a night. Keep PS as is for now. I'm thinking your overall minimum EPAP is a bit high.
Including image of the ResMed ASV Titration guide.
[attachment=73600]
RE: Aircurve 10 ASV Auto not sleeping very tired - RonApneaBoard - 12-31-2024
2019 8/35 5/15 3/20 2 years 1 ahi or less
2021 10/34 6/15 4/19 4 mons 1 ahi or less
2021 12/32 8/15 4/17 14 mons 1 ahi or less
2022 13/31 9/15 4/16 4 mons 1 ahi or less
2023 14/30 10/15 4/15 20 mons 1 ahi or less
***last night about 3:30 am I got up and changed to 16/30 10/15 6/15 and I thought a felt a lot better????
RE: Aircurve 10 ASV Auto not sleeping very tired - RonApneaBoard - 12-31-2024
Dave -
I did send new attachments with sidebars as you requested.
I have to leave for 3 - 4 hours soon.
When things settle I will send in a donation.
So just to make sure. You would like me to try EPAP min at 7 and leave PS at 4.
IPAP 11/30
EPAP 7/15
PS 4/15
Thanks for all the good info.
RE: Aircurve 10 ASV Auto not sleeping very tired - SarcasticDave94 - 12-31-2024
Yes that's right. Do take note your Max IPAP might mathematically go above 25, but the ASV physically caps Max IPAP to 25.
RE: Aircurve 10 ASV Auto not sleeping very tired - RonApneaBoard - 01-01-2025
Dave it worked. Best sleep I have had in a long time. I slept 8 1/2 hours last night without waking up or getting up even once and the AHI was 0.0. You solved my problem many thanks. If there is anything else I should do like remove attachments or delete the thread let me know and explain how to do it.