RVSleeper
Machine: Aircurve 10 ASV Other Comments: Sex: Male
Posts: 12
Threads: 1
Joined: Nov 2023
Mask Type: Full face mask
Mask Make & Model: AirFit F30
Humidifier: HumidAir S
CPAP Pressure: unsure
CPAP Software: OSCARmyAir
Location: Concord, CA USA
#11
08-07-2024, 02:21 PM
RE: Resmed Aircurve 10 ASV: Central Apnea Not Relieved
Here is my OSCAR report on last night's sleep . I used the neck collar, and some of the worst problems seem to have been cured by that, but flow is still pretty ragged, the AHI is high, and leaks are still a problem, especially for the first part of the night before I got up for a few minutes.
I used PS 3 to 15. and EPAP 6 to 12 as settings.
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SarcasticDave94
Machine: Pending VAuto order to try VPAP and S modes Other Comments: SCS PVC K9D** Untreated CA Asthma Dr. Donothings Sex: Male
Posts: 13,539
Threads: 21
Joined: Mar 2017
Mask Type: Not using mask
Mask Make & Model: F&P Vitera on shelf
Humidifier: Integrated
CPAP Pressure: Not set yet
CPAP Software: Not using software
Location: Nowhere near Normal IL, US, probably in PA drinking coffee
#12
08-07-2024, 03:22 PM (This post was last modified: 08-07-2024, 03:23 PM by SarcasticDave94. Edit Reason: Typo)
RE: Resmed Aircurve 10 ASV: Central Apnea Not Relieved
I don't think the collar helped a much as it could. Those Hypopnea were clustered from the Positional Apnea issue still. Then there's the leaking issue in the first segment.
For info, the flow limits can be ignored when on ASV. The FL can't be addressed here, and are likely a byproduct of the ASV Central Apnea treatment.
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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RVSleeper
Machine: Aircurve 10 ASV Other Comments: Sex: MalePosts: 12
Threads: 1
Joined: Nov 2023
Mask Type: Full face mask
Mask Make & Model: AirFit F30
Humidifier: HumidAir S
CPAP Pressure: unsure
CPAP Software: OSCARmyAir
Location: Concord, CA USA
#13
08-07-2024, 04:26 PM
RE: Resmed Aircurve 10 ASV: Central Apnea Not Relieved
They are clustered, yes. Neck collar is staying on all night, no hint of failure. I hesitate to flatten the head pillows completely, because I'll start to get reflux in my throat if the head is too low. The leak for the first half of the night is a mask fitting problem which I can improve.
I intend to try a nap shortly, with some head support removed. We'll see if that helps. Nothing else to say until I get that data.
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Phaleronic
Machine: Remediated Dreamstation APAP-CPAP Mode Other Comments: Sex: MalePosts: 552
Threads: 24
Joined: Jun 2019
Mask Type: Full face mask
Mask Make & Model: Airfit F20
Humidifier: Built In
CPAP Pressure: CPAP 15cmH2O
CPAP Software: OSCAR
Location: United States
#14
08-07-2024, 04:58 PM
RE: Resmed Aircurve 10 ASV: Central Apnea Not Relieved
Hi RVSleeper,
Looking at the pressure graph and seeing what your med EPAP pressure is as average I think you should raise min EPAP to 10cm, but it may make the leak rate worse.
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RVSleeper
Machine: Aircurve 10 ASV Other Comments: Sex: MalePosts: 12
Threads: 1
Joined: Nov 2023
Mask Type: Full face mask
Mask Make & Model: AirFit F30
Humidifier: HumidAir S
CPAP Pressure: unsure
CPAP Software: OSCARmyAir
Location: Concord, CA USA
#15
08-07-2024, 07:26 PM (This post was last modified: 08-07-2024, 07:26 PM by RVSleeper. Edit Reason: misspelling)
RE: Resmed Aircurve 10 ASV: Central Apnea Not Relieved
OK, just had a nap, and here's the OSCAR output. I removed a pillow that had been under my head, already up a bed wedge, so my head is lower. Still wearing neck collar. Changed EPAP to 10 to 14, instead of 6 to 12. Nap may be too short for many conclusions.
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SarcasticDave94
Machine: Pending VAuto order to try VPAP and S modes Other Comments: SCS PVC K9D** Untreated CA Asthma Dr. Donothings Sex: MalePosts: 13,539
Threads: 21
Joined: Mar 2017
Mask Type: Not using mask
Mask Make & Model: F&P Vitera on shelf
Humidifier: Integrated
CPAP Pressure: Not set yet
CPAP Software: Not using software
Location: Nowhere near Normal IL, US, probably in PA drinking coffee
#16
08-07-2024, 08:48 PM (This post was last modified: 08-07-2024, 09:41 PM by SarcasticDave94. Edited 1 time in total. Edit Reason: Typo edit)
RE: Resmed Aircurve 10 ASV: Central Apnea Not Relieved
That's an improvement. I think it was a too thick pillow situation more than pressure edits.
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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RVSleeper
Machine: Aircurve 10 ASV Other Comments: Sex: MalePosts: 12
Threads: 1
Joined: Nov 2023
Mask Type: Full face mask
Mask Make & Model: AirFit F30
Humidifier: HumidAir S
CPAP Pressure: unsure
CPAP Software: OSCARmyAir
Location: Concord, CA USA
#17
08-07-2024, 09:36 PM
RE: Resmed Aircurve 10 ASV: Central Apnea Not Relieved
Still a lot of waxing and waning in the flow, Cheyne-Stokes trying to come through, I think. I should be able to get a uniform flow if this is adjusted correctly, so pressures aren't correct yet. I'll see what I get overnight.
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SarcasticDave94
Machine: Pending VAuto order to try VPAP and S modes Other Comments: SCS PVC K9D** Untreated CA Asthma Dr. Donothings Sex: MalePosts: 13,539
Threads: 21
Joined: Mar 2017
Mask Type: Not using mask
Mask Make & Model: F&P Vitera on shelf
Humidifier: Integrated
CPAP Pressure: Not set yet
CPAP Software: Not using software
Location: Nowhere near Normal IL, US, probably in PA drinking coffee
#18
08-07-2024, 09:43 PM (This post was last modified: 08-07-2024, 09:43 PM by SarcasticDave94.)
RE: Resmed Aircurve 10 ASV: Central Apnea Not Relieved
The flow rate may move about some, I don't think it'll be flat. I'd consider focus on "does the therapy help you feel more rested or not?".
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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RVSleeper
Machine: Aircurve 10 ASV Other Comments: Sex: MalePosts: 12
Threads: 1
Joined: Nov 2023
Mask Type: Full face mask
Mask Make & Model: AirFit F30
Humidifier: HumidAir S
CPAP Pressure: unsure
CPAP Software: OSCARmyAir
Location: Concord, CA USA
#19
08-07-2024, 09:50 PM
RE: Resmed Aircurve 10 ASV: Central Apnea Not Relieved
OK, thanks. Last night did not make me feel that rested. I'll see what tonight does.
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RVSleeper
Machine: Aircurve 10 ASV Other Comments: Sex: MalePosts: 12
Threads: 1
Joined: Nov 2023
Mask Type: Full face mask
Mask Make & Model: AirFit F30
Humidifier: HumidAir S
CPAP Pressure: unsure
CPAP Software: OSCARmyAir
Location: Concord, CA USA
#20
08-08-2024, 02:14 PM
RE: Resmed Aircurve 10 ASV: Central Apnea Not Relieved
Last night was an improvement, but the leaks and the AHI both climbed to unacceptable levels during the last part of the night. I feel better, but still not rested this morning.
Still using PS 3 to 15, and EPAP 10 to 14. I think the positional apnea problem is resolved by using less pillow, plus wearing the neck collar.
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