Looking to buy an AirSense 11 ASV. Here's the best places to shop United States - Coupon Code : LIFETIME - cpap.review/air11-asv-us Canada - Coupon Code : CPAPREVIEWS - cpap.review/asv-cad Australia - Coupon Code : SLEEPHQ10 - cpap.review/asv-au Hey guys, did you know you can now connect with me on SleepHQ? Here's the link sleephq.com/connect/nicko . This link enables you to share your cpap data with me (you can disconnect at any time). I can't promise I will do a case study video on everyone but this is where I get data/info for these vids so feel free to connect RemSleep 02 Ring - Free International DHL Global Express shipping with coupon code RING cpap.review/02-ring Sponsored Links Aussie - cpap.review/asv U.S - cpap.review/asv-us IMPORTANT - Adaptive Servo Ventilation (ASV) can cause problems for people with certain heart conditions. Like every medical decision you make, consult a professional (not a dickhead on youtube). Many people have complex sleep apnea, and standard CPAP / APAP therapy won't work! This is the story of how Fred changed his therapy....and his life Thanks to Susie and Fred for letting me share their data. Congratulations to you both. Join me & over 7000 cpap users on our Facebook group - facebook.com/groups/cpapreviews Shopping for CPAP Gear? My Channel Sponsors will take great care of you! U.S Sleeplay Channel Sponsor - cpap.review/shop Australia Channel Sponsor - cpap.review/cpap-direct If you enjoy my CPAP Reviews and I have helped you with your therapy, please consider supporting the channel by becoming a channel member - cpap.review/membership . It's only $0.99 USD / month I can 100% guarantee your membership will end up paying for itself. Lots of love. Uncle Nicko
Will you be adding information to the site to explain how to read your own data? I've done my upload, and the charts look pretty, but darned if I can figure out what they're telling me? Am I getting good results or not - I'm not sure...
100% Adam and myself are creating a community page on the website with heaps of tutorials and information! Shouldn't be too far away. We're also going to put a little information (i) tab next to each graph / chart that you can click on and it will expand out some basic information. For now though, just follow along with some of the sleephq case study vids i've been doing and you will pick up some helpful tips. Cheers
I have both obstructive and central apnea, AHI at sleep test 7 years ago was 145. Nurse said highest she'd ever seen. I jokingly describe central apnea as "my brain trying to kill me." Is now well treated with AirCurve 10 ASV and 1.5 liters oxygen, only ox now at night. AHI is now 1 to 2. I got off daytime ox when I moved 2 years ago from 5000 feet above sea level to 2500 feet above sea level. 4 years ago I had surgery inside my nose, while they were up there they found and removed a piece of a plastic toy that had been in my Middle Meatus for probably 50 years. I don't recall it going up there but I breathed better once they removed it. I have an endoscopic photo of it up there, that my surgeon gave me, if you'd like to see it.
Hi, I have the same equipment. We live in WY and AZ. My AZ pulmonologist told me my need for nighttime oxygen would come back after maybe 2 years as the body adjusts to the lower elevation. It would be interesting to see if that's the case with you?
You have been MUCH more help to me than the therapist that was assigned to get me set up with my cpap machine. They wanted me to just accept that they know best, and not to know about the machine, how it works and what it does. You've really helped me become educated, adjust settings, and I'm doing much better because of your help. Thank you!
WOW 😀👍 Priceless information. I joined Sleephq's site and analysed my first cpap data. In our country public healthcare is free, and they borrow cpap devices free as handicap aid. Instructions and examine too. But this can take year, because lack of resources. On private healthcare can get quick, but it costs thousands. I found this channel and bought first ResMed 10 personally. Not without reason; my snoring stopped and sleepiness past away. Sorry my english. THANK YOU!
Congrats on helping them that's fabulous!! 👏 I've sent so many people to your channel bx I work for a DME company and they're always looking for help and I've tried very much to help all my patients and you're my best kept secret I share with everyone thank you for all of for knowledge
Thank You. Recently diagnosed with OSA AHI 35. Started with CPAP for 1 week doing fine with AHI in 3.6 and then did an ABG with Pco2 in 54 compensated so switched with Bipap( same device as yours). Used one day AHi at 1.3 and then boom….. AHI 23.4. Looks like treatment emergent CSA….. if I fail in next couple of days I will switch to ASV
This was superb. I have been on ASV for 8 years for complex apnea and never really understood how it works. This description was brilliant with great graphics and slow enough delivery to be grasped. Thanks so much for this great production! Subscribed!
Wow My H is now in need of cpap..Im retired RRT and im now just getting into trying to determine all the information for best machine etc. Found your videos and you are such a huge help! Funny I had the same reaction like holy shit that this discussed mans case got better with another piece of equipment. Really incredible and brings all my knowledge back from my hospital work days. TYSM My main concern is the mixed apnea for my H and the air sense 11 they want to prescribe. We are new to this and thinking to use the 10 with the sd card? Ugh computers are not my thing but I see the value in collecting the data!!
I was put on a bipap about 6 years back and I just never noticed improvement after a couple years. My sleep study showed 58 events per hour that were almost all classified as central events. Now that I’m getting another sleep study I’m going to keep this info in mind because I wonder if I was getting proper treatment with the bipap and that’s why I ended up just not using it anymore. Thanks for the info
Thank you for the great information that is in your video. I have been on CPAP since September, 1998 and tonight is the first time I have seen this information. This is great.
Wow, I'm new here and kinda new to the cpap life, I just started using my dream station 2, I used the dream station 1 for a while before it got recalled. One month in I still feel like crap, not sleeping well and I don't even know what type of apnea I have. I guess as time goes my doctor can look at my dream mapper data. It's overwhelming to say the least, thank you for your videos, I have a lot of research to do
I’m being tested soon because they think I don’t have obstructive apnea but central apnea. I’ve learned so much from this tutorial. I have never seen my readings not have I been given any info about apnea at all. Hopefully your site will help me learn obviously more than from my Dr. Thank you
I was diagnosed with central/complex sleep apnea 15 years ago. I started of with the Resmed VPAP adapt SV. I loved that machine. It was a tank and weighed close to 3 times as much as my ASV. I think I slept better with the older machine although the results on paper on similar. It seemed to react faster to events than my ASV. I attributed it to the separate monitoring tube that went from the just below the mask back to a separate port on the machine.
Wow. This tutorial is very helpful to see someone receive relief with their apnea issues. I've been on an ASV unit for nearly 4 years after cpap and bipap equipment for the previous 15 or so years. My AHI varies from 13 to 23 with an average of 17. I recently had my 7th sleep study and the report is that I do not have sleep apnea. I find this hard to believe after such a long time. I have been sleeping for 6 weeks now with no pap equipment and I find that I am very fatigued and require a nap each day. Also, my smart watch picks up a lot of severe snoring which was not there with the pap equipment. I do not know what to do at this point. I am trying to get an appointment with the Pulmonologist who read my sleep study to see if there may have been an error with the sleep study. I am 76 years old. Crazy huh? Help.
Great job helping out the person. So their doctor prescribed the wrong machine? And why aren't all these features in all devices. It's just software right? These machines need to determine the issue and adjust so patients are not wasting time.
Ihave central sleep apnea I was upgraded to a BIPAP ST about 6 months I still have to take meds for the chronic fatigue.. I need we understood what this condition really is.. I was just told that my brain falls asleep and i stop breathing at times throughout the night.. I just came across your channel.. I've never heard of ASV? THANKS FOR SHARING YOUR KNOWLEDGE!
Amazing video! detailed,no bs, very valuable info. Side q: ASV machines are $3.5k?? why are these things so much $, out of reach forr anyone without good insurance?
Thank you my friend. It's hard to know why they are so expensive considering the actual device is exactly the same as the base model cpap. it's just the firmware that is different. Cheers
Great video, I'm getting an AirCurve, but I don't know which model yet, so I have sent an email to the DME company to find out which. I feel I am armed with more knowledge watching your informative videos.
Great videos Nick and greetings from India Your videos are very helpful I was diagnosed with severe OSAS with untreated AHI of 65.3 and oxygen level dropping to 72%. I have been using resmed airsense 10 since a week and my AHI is below 5. The sleep apnea along with Factor V leiden was causing me to develop clots.1
How does one get a detail report with the graphs/breathing report? I don’t have a doctor (self diagnosed)! All the doctors I went to see for my insomnia just wanted to prescribe Sleeping pills, told me to go for walks, which I do to stay in shape. I did my own research and the reason my brain didn’t want to fall asleep is because it knew it would starve for oxygen! So, I purchased a brand new ResMed 10 (Auto). I have my pressure set at 7.8-8.8. It goes up,to 8.5, avg. AHI are less than 1.
I have been diagnosed with central apnea. CPAP did not work for but after a second sleep lab test I was prescribed ASV. It works great and I can use for several hours. The problem I have is with my partner, she cannot sleep because of the sound of my breathing or sound of machine. She gets up early and wakes me at 4 or 5 AM and says I can put on the nasal pillow mask. I put it on but will get up at 7 or 8 AM so I only get 2-3 hours per night of ASV sleep. My event index in the lab tests were 60-70 per hour. So my worry is I’m getting too many hours per night (5-6 hrs) with deprived O2 due to central apnea and not using ASV. We don’t want to sleep in separate rooms but I don’t know what else to do.
It sounds like these videos are mostly being seen by patients. I’d like to stress to people if you develop new cheyne-stokes respiration (or a lot of central’s are showing up in your compliance data), it’s important to be seen by a cardiologist to find the cause. ASV shouldn’t be used by people who develop a level of heart trouble where the LVEF is less than 40%, so you should get an echocardiogram before using ASV.
We can't get our doctors to listen to us. My AHI is 2 now but my 02 drops to mid 80s with 02 threaded. Hypoxia with long covid but as long as my apnea #s seem controlled, she doesn't seem to care what my O2 level is until I begged for a home overnight pulseox. It dropped to 82. She's kniwn for 4 weeks and has never called to talk about it. My apnea is controlled is all she says. So yeah, we have to do what we can do. Pulmonary can't see me till next year. So what, I increase my oxygen liters myself? As a nurse I appreciate what you are saying but we are on our own out here. 5 months since my sleep study, 4 appts with the sleep doctor. All virtual for less than 10 minutes. I've never even met her yet. She doesn't meet patients in person. Nothing to do with covid for the last 5 months. She just doesnt care. Explains nothing.
Hello, I was diagnosed with sleep apnea mixed severe. I am waiting to get my bipap. What I want to know is what is the difference between a Bipap ST and an ASV machine? TIA!
My 90+ father has Cheyen Stokes (I know it just by watching him breath in his sleep). He has used CPAP for years and apnea is his single health crisis. It is now starting to affect his heart (arrythmia) and cognition. I know he is older but I totally believe his SA is behind a lot of this. They told me he has lots of of central events 65/hour (but didn't specifically state CSR). Watching this video I am sure that is what it is. It has taken forever to get him a sleep study here in Saskatchewan Canada ... but finally he got one a few weeks ago and they swapped out his Resmed CPAP for a Resmed Aircurve 10 (I'm off to his place to make sure it is the ASV). My question is .. how long does it take for the ASV machine to figure out his CSR events and find that nice smooth (flat) minute ventilation setting. He put it on for the first time last night and I noticed the big differences between the air pressures initially (he noticed too). They had set his initial pressures to 19/9 with a 10 minute ramp up, but he only had it on for a couple minutes. If this isn't an ASV machine they will be hearing from me right away. Comments appreciated.
The weird thing is if I can get past the start stop breathing cycle I then sleep normally… the hard part is getting past it. Sleeping pills help or laying on my side.
My airsense 11 says I have CA. Normally under .6 to .1. Should I be concerned. I still never feel rested and I have heart palpitations waking up from it throughout the night. Sleep doctor doesn't believe I have CA. I'm guessing the best thing to do is switch hospitals and get another sleep study. I'd like to try out the ASV. I'd it the same as the curve ASV. Are there others you'd prefer?
Ive been trialling a resmed asv for 2 weeks now after little success with a cpap. It feels like the machine is overbreathing for me. Like i dont want to breathe in any more but it keeps going making me feel like im almost hyperventilating. Will keep playing with the settings. The sleep clinic isnt much help as per others comments.
My sleep clinic told me that my CPAP can be causing CSA is this true!!!And I was told if I used a bipap then I would struggle to use it seeing as I struggle with cpap. I feel no different on cpap no improvement. But I’ve been told to give it another good go so they can collect data
I hear stories about others being helped by CPAP / BiPAP.....Severe Complex Apnea, I was unable to use my machine for therapy. The force of the air needed to inflate my lungs was so great, it caused the feeling of suffocation on my soft palate and throat overall. I have 2 leaking heart valves, which according to nih.gov...can cause CSA. Good for those that can get help. Any thoughts could help. The poor gentleman dealing with cancer and CSA.
Great video! I recently tried a level 1 sleep study, but failed to fall asleep. I've suspected central sleep apnea for several years while struggling with CPAP. I'm now on SleepHQ. Last night I had 8 clear airway events before waking up to 2.5 hours of insomnia. Some pauses in breathing were over 30 seconds in length. When combined, several CA events were back to back and over a minute in length. Should I try the level 1 sleep study again? Looking to upgrade from airsense 10 to a Lowenstein Bipap.
I have Central Sleep Apnea, AF and cardiomyopathy . My doctor has told me ASV is not suitable for this type of patient. ASV also has a black box warning. I have seen plenty of research indicating ASV is associated with mortality in such patients. If most central apnea is due to heart issues, how useful is this machine?
I have an average of maybe 6-10 clear airway events per night, usually 12-15 seconds long. Overall AHI is very low though, about 0.5-1.0. Is this just something within normal limits>
I am really shocked by seeing these breathing patterns CA. Being 5 years on CPAP i always had high periodic breathing on the Philips Respironics. “Nothing to worry about” was being said. I recognize the airflow curves i am having increasing, decreasing then stopping. Not constantly during the night, but in the middle and in particular the last 2 hours of my sleep. I am always having a mix of ca, oa and H and very inconsistent. Ahi average below 5, so nothing to worry about. However, still experiencing being tired 40% of waking up and during the day. Should i ask for a philips Bipap ASV as a trial? I wont expect my practitioner to go with that idea, while i expect better o2/co2 in my body and better control of my ca/pb/hyperventilation during sleep. Tnx, Pierre
Great video! I’m wondering if an ASV is in my future. It was determined that I have central sleep apnea after my sleep study. 31 AHI during that study. My doctor prescribed a BiPAP Vauto machine which I have been using for a little over a week. I see that my AHI’s are still high (22-42). My pressures have been adjusted from 10 to 11 in an attempt to lower the AHI’s. I don’t think my current machine is helping.
Let me know if you’re better. And what was done. I think I’m struggling with CSA but pending a sleep study. I stop breathing at times when sleeping and oxygen levels go in the 80’s and even 70’s sometimes I believe. Body tingling at times after waking.
I have a similar situation. Non-CSR complex, with high central apneas. A new bi-pap has been recommended, but the model has not been determined. How have your numbers evolved? Should I be insisting on an ASV machine? Thanks.
Can being new to CPAP + setting EPR to 3 cause a bunch of CA events to occur? My Lofta sleep study identified OSA, but my CPAP machine seems to be reporting CSA. AHI is 8.65 with 7.16 for the CA events.
Yes very much but it should resolve by itself over time once your lungs acclimatise. EPR helps remove CO2 from the lungs but this can cause CO2 in the blood to drop to far and so your brain pauses breathing to bring the levels of CO2 up and balance out the blood chemistry
I have purchased an ASV for my husband Graham, it is in transit at the moment. his graph looks identical to the video you have posted on clear airways. his AHI's are not as high
Hi Margaret, i'm very familiar with your husbands charts and i anticipate you will see a dramatic improvement once he starts therapy with the ASV. Best wishes to both of you. Nicko
Thank you for this video. My last sleep study in 2018 showed 7 events per hour baseline, all were central. Yet they tried to titrate me with a Cpap and with a pressure of 4, it increased my events per hour to 21. I gave up using the cpap and have left my apnea untreated for the past 6 years, and it has caused additional health issues. I'm scheduled for a new sleep study in 2 months and will definitely ask about treatment for central apneas this time. Quick question - does the periodic breathing occur during day time as well? I often find myself taking shallow breaths and forgetting to breathe when I'm awake as well.
My AHI shows under 5 but most of my events are CA events. I wake up feeling rested but I do have fully conscious “arousals” a few times a night. I don’t know what is going on. I get aerophagia so I know the pressure might be a bit high. Someone help please. Should I get another study done?
Yea my air sense 10 is trying to kill me I had got into a car accident with a parked car after using it one night…. So immediately switched back to my S9 that has over 22,000 hours of use. They have no idea what they are doing. Everyone is too new to help me and they are experimenting with my life and my business going to crap over night if I use this new machine.
Hi Jennifer, sorry it to me so long with this reply but thank you very much for your very generous channel donation. Donations are not expected but very much appreciated so thanks a lot. Cheers
Hi Nick, thanks for this video. I have Central Apnea as well and switch to ASV but I encountered numerous unexpected high pressure flow surge during sleep very often, what would the possible causes. My friends using ASV won’t have such problem.
Where does the "target" Minute Ventilation come from? Is it determined from studies of average normal breathing, is determined by the ASV machine, or is it determined and set by a doctor?
I’ve been diagnosed with with central sleep apnea & it’s destroying me. I’m using a cpap, but I still feel terrible every morning. I’m a 39 year old female, weigh 130 lbs, eat healthy, work out & I just don’t understand. Why would I have this? My sleep report said 40% obstructed & the rest central. I have a deviated septum surgery this January, but what can I do about central? I hate it
I have the same problem. I have complex apnea but I am still waiting for the results of my titration study ( pure torture) to see how bad it is. I am trying to use my replacement Philips Dreamstation but the lowest I can get my ahi is only around 20. I have signed up to SleepHQ but don't know how to transfer the data from my cpap machine. Should I try a Bipap machine or a different brand ( ie Resmed) . Last night I took a sleeping pill and woke up with the mask on the floor . My Ahi was 26 @ 16cm. That is still better than my untreated ahi of 85 but right now I have the worst of both worlds, can't sleep and cpap doesn't work.
Thanks, mate for your fantastic videos about CPAP machines & masks. I have been given my equipment today. It is a Lowenstein prisma SMART max and a ResMed AirFit F10 mask. I am as you say a mouth breather so I hope that the full mask will work for me. Is this machine a good one? What do you think of this equipment that I was given? I live in Dublin, Ireland. Do you have a program for this machine that I could download to my mobile? Thank you. My name is Eric, I am 65 years old and I have had sleep apnea for over 10 years. I also have COPD, circulation probs in my lower limbs plus osteoarthritis.
Ive been on cpap for a month now , used 4 different masks , shaved my beard and no real change , before i started this i felt great at work , very happy in the morning etc . Now i feel like shit , tired , angry and depressed because i cant drive my truck until i pass this crap
Brother, this one video has helped me more than the sleep therapist and doctors I've dealt with in the past 5 years. These so-called professionals just send people out the door with a cpap and don't do shit else.
Most of the sleep doctors are hucksters. They make their money on machines and sleep studies. I've fired three so far. Don't be a sheep. Find a real doctor.
Im a Respiratory Therapist and I agree. There are many things to consider in order for a PAP machine to operate correctly and make it comfortable for the patient because if its not comfortable or set correctly, people will not wear it so they dont take the time to fine tune, look at the data or explain to the patient so they will then know how things work. I always try my best to explain and fix and so do others but many do not. Some are RT's, some are sleep techs and some are someone who only know how to do a sleep study but not know exactly what is going on.
I have Central Apnea. Was diagnosed in November. I was put on a Cpap machine in August (resmed Airsense 11) Immediately my events per hour were between 55 and 70. In December they did a second in hospital test and confirmed the diagnosis of Central apnea. It took almost two months to get the insurance to agree to a ASV machine. (resmed aircurve10 asv) Recieved it 2/1/23. The first readings I got were last night and the events had dropped to 2.4.
Don't you guys mean BiPAP? I just had a titration test this past Monday. I have central apnea and central apnea only. I was told a CPAP isn't the treatment. BiPAP (& the REMedy implant) is.
Thanks mate for the ASV tutorial. I was curious about what the difference was between ASV and BiPap. I am so happy for Fred and commend Susie for all she has done to get Fred on the right path. Heaven knows this poor man has been through so much.
Lovely comment Kath . Susie is angel! God bless her for looking after her husband like that. I still find it a bit funny how there's so many different AirSense / AirCurve models with all these different features / settings yet they're all the exactly the same device, just running different firmware. Crazy stuff! Yeah so basically the difference is that the ASV can automatically adjust the 'pressure support' but with the others you have to bipaps the pressure support will always be one level. I think that's it anyway
WOW! I'm really surprised that a BIPAP machine can control central apnea using pressure changes alone. When you mentioned Adaptive-servo ventilation, I picked up on the word "ventilation" and envisioned something more on par with a hospital ventilator... something that takes over the patient's breathing. An ASV is just a very smart BIPAP machine that can sense that pattern and adjust the IPAP/EPAP differential and actually fix CA! That's amazing!
G'day mate, yeah spot on. All ResMed Air10 devices have exactly the same components. The only difference is the firmware that runs them. IE you could take the base AirSense 10 cpap, flash it with ASV firmware and it will function exactly the same. Cheers
I really need some direction on how to set my dad’s new AirCurve10 up to handle his CSA…Does this unit have ASV capability? I am watching him sleep, and nothing seems to be changing…the machine is on but he still stops breathing for over a minute! He has been wearing the device for 90 minutes. Shouldn’t it be self-adjusting by now? What do I need to do or can I do with this machine?
Awesome story. I was very fortunate having a great sleep doctor. My untreated ahi was 74. For the machine titration, cpap failed to make any difference so I ended up with the Aircurve 10. After a few weeks my ahi remained between 10 and 30 so my sleep doc ordered a second machine titration with bipap with a backup rate and ASV. The ASV option ended up working for me with my AHI consistently being around 1 or less. Dealing with insurance was a bit of a pain though but worth it in the end
Hey @Shawn Vitori, i'm really interested to find out more about the insurance side of things. If you have any emails from your days dealing with insurance or any other info you can provide i'd really appreciated it cpapreviewsaus@gmail.com . Thanks mate. Glad ASV is working well for you. Nicko
I have been using an ASV since 2007. I had the first RESMED ASV which insurance covered the 27K cost!! This was after proving a CPAP did not correct my apnea. Much of my apnea is central. With my current ASV an Resmed ASV air sense 10 (which I had to replace out of pocket- but only because the recently covered Dreamstation ASV was recalled as you know😡-I will never buy a Respironics machine again) my AHI is usually 0.2-0.4😊. By the way unlike many with central apnea I am very fit and do not have heart failure. Who knows why I have central apnea?? The ASV has need a godsend.
@@josephcalifano1058 heard of dysautonomia? CA (central apnea) is often the first sign that a person has dysautonomia. The cardiac symptoms (heart rate and blood pressure irregularities) aren't the only signs. Other signs are gastrointestinal motility issues or just straight up weird, intolerances to being vertical, heat and/or cold, not able to independently regulate body temp, not sweating appropriately, sleep/wake patterns being fricked (circadian rhythm issues), bladder and/or bowel control issues and not able to maintain blood volume aka hypovolimea (symptoms of this is blood pressure and heart rate irregularities and being dehydrated no matter how much water you consume because you also need to consume magnesium, calcium, sodium, potassium and glucose in the correct ratios according to blood test results).
Hey Nicko, I have been using a Res Med ASV for over 5 years. Cheyne-Stokes and Complex Apnea, etc. No one ever explained to me as you just did how this all works. I recall looking at the display for hours and trying to make sense of MV and Tidal Volume and all that. Now I think I can understand what is going on! Now it is time for me to replace the motor in my Air Curve 10 ASV and I understand a whole lot more then when I first got prescribed for ASV. Been a CPAP user for more than 20 years. Thank you so much! Bill in California
Every time I watch one of your incredibly informative and educational videos...I go dig through my SleepHQ data to compare what I’ve learned to my own info. Of course, there are times when I’m left scratching my head, having a wtf moment trying to figure out why they said I have osa but most of what I see is central...considering contacting the doc to see if they can look at this data and explain...and if we need to make any changes. So grateful you are giving us the tools to help take control of our health care.
Same exact concern here for my son.. they say his central apnea is being caused by his osa which makes no sense because there are zero obstructive events since his t&a over a year ago. I feel like I’m spinning in circles trying to get proper treatment for my son and so thankful I found this channel. ❤
I love this explanation, Nicko. _Thank you._ One thing comes up in my mind when I read about ASV,. bipap and other more complex algorithms than straight CPAP. US Patients are essentially penalized by ResMed for having to use ASV or BiPAP. The machines are much more expensive. Ironically, the hardware is identical. It's only the firmware that's different. This was borne out during the pandemic when a firmware was made available to unlock regular AirSense 10's so they could be used by hospitals where there was no access to more complicated breathing assistance machines. It disappoints me that ResMed penalizes people who have more complex XPAP needs by making them pay more for essentially the same hardware with different firmware. This aligns closely with the "right-to-repair" and "right-to-health-care" movements that large corporations don't like. I'm curious where you stand on making people with more complex issues pay more for essentially the same machine.
It takes more work to create the firmware in the machine. You might not be paying for the physical machine as much as the work to create the firmware. Why are digital video games the same price as physical copies for the most part? Its the effort that goes into creating the game; the physical copy price is minimal.
Thanks Nick. Great Vid. If money was no problem and or ASVs were the same price as a CPAP, should every one be on one instead of CPAP or BIpap? Are there any downsides? My doc will write me a scrip and I would buy it my self. I have CA and I see like 5 CAs a night. Good idea?
Since shoulder surgery I have had to sleep on my back. OSA became CSA after 10 years on cpap. So it looks like they never caught it during sleep studies because I always sleep on my side. Now I cant. O2 drops to the 80s. I have to wait for an echo to rule out cardiac but it looks like emergent central sleep apnea with cheyne stokes breathing, So now a fight begins between ins co and sleep doctor. She goes on vacation and my echo is not til september. Is that okay? How long can you live on cheyne stokes breathing without any treatment. She kept upping pressures but it didn't fix it.
I have dysautonomia. My neurologist said that the 1st clue that I had dysautonomia was the diagnosis of Central sleep apnea courtesy of the sleep specialist/pulmonologist. Unfortunately, since that diagnosis I have then received several more diagnoses that should have clued into me getting a diagnosis of dysautonomia. The pure craziness is that the diagnoses/symptoms of dysautonomia all started after having MERS (middle eastern respiratory syndrome- caused by a coronavirus) even though I live in the USA, never traveled outside of the eastern seaboard much less leave the country, I didn't travel in the time before diagnosis of MERS or had known contact with anyone who had the specific virus.
This is scary. I thought BiPAP was designed to treat central apnea. I don't really get why it was failing here. I've just been diagnosed with central apnea and they're saying I need a BiPAP. Now I'm wondering if that's going to be a waste of time.
Thanks for the video Nick! I was diagnosed with CSA with an ahi of 124 about 8 months ago. I still struggle to wear it for even just a few hours each night. I've been trying to learn as much as I can, but this video alone taught me more about asv than my Dr has. Appreciate ya!
Thanks for this video, I have been using a Resmed CPAP and Now APAP for 20 years and NEVER had such a clear explanation of what it is and how the machine interacts with Sleep Apnea. I also learned from watching one of your other videos that I don’t have to be locked in to Resmed price gouging for service and repairs and can purchase an after market turbine for my Resmed Airsense 10 directly from you. Thanks again for your instructional videos, web site and for the after market spares and advice you have. 👍🏼
1. Do you think a standard Auto Cpap can tell the difference between Central and Obstructive Apneas? I have an Airsense 11 Autoset. It is reporting few events, nearly all of which are "Central." But I feel like it is not helping me much at all. I had a sleep study two years ago. The report said I had "moderate to severe" apnea and all my apneas were Central. They prescribed a CPAP. When I found out what "central" apnea was, I questioned whether I needed and ASV. Three doctors (all in the same office) simply said "Ok, then your apneas are obstructive." One told me, "Your insurance company is never going to pay for an ASV."
This is where finances get in the way of proper treatment. If you have severe central apnea then you need an ASV. It's as simple as that. Your Autoset is not going to do the job. Go back and beat their door down and demand they do something for you.
From the States, but love your channel. I'm a ResMed AirCurve BiPAP user. What a difference it has made! My nocturia is completely resolved. Research revealed that sleep apnea (I was diagnosed with an AHI of 45.9) causes nocturia. Wish I had been diagnosed years ago. Thanks so much for your informative videos.
G'day Michael, glad you're enjoying my Aussie channel mate haha. It's a great point you make about nocturia! I don't believe i've done a video on it yet but i will certainly add it to my list. Thank you. Nick
@@CPAPReviews That would be a great service. I was undiagnosed for about ten years, all the while suffering from nocturia. I also suffered from Benign Prostate Hyperplexy (enlarged prostate)-- so that's what my doctors and I chased for ten years to address the frequent nighttime urination. In the meantime, I developed afib (also related to sleep apnea) and other heart issues. So wish I had been tested much earlier.
Ive been on a cpap for a few years and idk what anyone is talking about in this video. Sometimes i sleep 12 hours with my machine and i feel so tired i can barely get out of bed. Idk my sleep doctor said i have severe sleel apnea with over 50 things a night. Idk if ill keep using my machine or not.
I have complex sleep apnea, and my body fights my bipap. I didn't use it for over 2 years because of the recall. I recently corrected the issue by removing the foam. But since nothing negative happened during the 2 years I am questioning my diagnosis! I will continue to use my machine, but wonder if I need to!
@@CPAPReviews I'm super curious Nick. Did you offer the suggestion to switch modes or was it by advice of their Dr? Ps: I'm really loving these walk through a of people's sleep data. Super informative.
I was diagnosed with central sleep apnoea after my first brain surgery for Chiari malformation (ironically). This is what started my career in sleep science. Thankfully neurosurgery has dropped my AHI from over 30 to 0. Now I’m dealing with hypersomnia with sleep instability seen in CAP EEG. I used ASV for awhile but found it really difficult years back so committed to using my experience to help others and gives me great empathy to what emotions some may have starting PAP therapies.
@@Truerealism747 that I do but we didn’t know that and the link wasn’t known way back in 2005 when I had the surgeries. Only just started to link EDS and Chiari complications after my 2nd surgery cause my instability to overdrive
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Hey guys, did you know you can now connect with me on SleepHQ? Here's the link sleephq.com/connect/nicko . This link enables you to share your cpap data with me (you can disconnect at any time). I can't promise I will do a case study video on everyone but this is where I get data/info for these vids so feel free to connect
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IMPORTANT - Adaptive Servo Ventilation (ASV) can cause problems for people with certain heart conditions. Like every medical decision you make, consult a professional (not a dickhead on youtube).
Many people have complex sleep apnea, and standard CPAP / APAP therapy won't work! This is the story of how Fred changed his therapy....and his life
Thanks to Susie and Fred for letting me share their data. Congratulations to you both.
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Will you be adding information to the site to explain how to read your own data? I've done my upload, and the charts look pretty, but darned if I can figure out what they're telling me? Am I getting good results or not - I'm not sure...
100% Adam and myself are creating a community page on the website with heaps of tutorials and information! Shouldn't be too far away. We're also going to put a little information (i) tab next to each graph / chart that you can click on and it will expand out some basic information. For now though, just follow along with some of the sleephq case study vids i've been doing and you will pick up some helpful tips. Cheers
Yes, I connected. Always useful to have access to more data.
I have both obstructive and central apnea, AHI at sleep test 7 years ago was 145. Nurse said highest she'd ever seen. I jokingly describe central apnea as "my brain trying to kill me." Is now well treated with AirCurve 10 ASV and 1.5 liters oxygen, only ox now at night. AHI is now 1 to 2. I got off daytime ox when I moved 2 years ago from 5000 feet above sea level to 2500 feet above sea level.
4 years ago I had surgery inside my nose, while they were up there they found and removed a piece of a plastic toy that had been in my Middle Meatus for probably 50 years. I don't recall it going up there but I breathed better once they removed it. I have an endoscopic photo of it up there, that my surgeon gave me, if you'd like to see it.
Did you forgot to breathe while awake ?
Hi, I have the same equipment. We live in WY and AZ. My AZ pulmonologist told me my need for nighttime oxygen would come back after maybe 2 years as the body adjusts to the lower elevation. It would be interesting to see if that's the case with you?
@@RobdeKlerk-qg6lc I forget to breathe when awake sometimes. Thought it might be stress or some.
You have been MUCH more help to me than the therapist that was assigned to get me set up with my cpap machine. They wanted me to just accept that they know best, and not to know about the machine, how it works and what it does. You've really helped me become educated, adjust settings, and I'm doing much better because of your help. Thank you!
+1
I agree. Some sleep doctors treat you like an idiot.
DITTO! 👍👌
WOW 😀👍 Priceless information. I joined Sleephq's site and analysed my first cpap data. In our country public healthcare is free, and they borrow cpap devices free as handicap aid. Instructions and examine too. But this can take year, because lack of resources. On private healthcare can get quick, but it costs thousands. I found this channel and bought first ResMed 10 personally. Not without reason; my snoring stopped and sleepiness past away. Sorry my english. THANK YOU!
Except for forgetting “for” in the last sentence, your English is 👍!
@@allinaday9882
Perfect with me.
Congrats on helping them that's fabulous!! 👏 I've sent so many people to your channel bx I work for a DME company and they're always looking for help and I've tried very much to help all my patients and you're my best kept secret I share with everyone thank you for all of for knowledge
Hey there! That's very kind of you! Much appreciated
Thank You. Recently diagnosed with OSA AHI 35. Started with CPAP for 1 week doing fine with AHI in 3.6 and then did an ABG with Pco2 in 54 compensated so switched with Bipap( same device as yours). Used one day AHi at 1.3 and then boom….. AHI 23.4. Looks like treatment emergent CSA….. if I fail in next couple of days I will switch to ASV
This was superb. I have been on ASV for 8 years for complex apnea and never really understood how it works. This description was brilliant with great graphics and slow enough delivery to be grasped. Thanks so much for this great production! Subscribed!
Hi Scott, thanks for the great comment & subscription brother. I'm glad you enjoyed the vid
I have watched many of your videos and would like to thank you for giving people the information and education we need! Keep up the great work sir.
Thanks Bruce, appreciate that brother. nicko
Wow My H is now in need of cpap..Im retired RRT and im now just getting into trying to determine all the information for best machine etc. Found your videos and you are such a huge help! Funny I had the same reaction like holy shit that this discussed mans case got better with another piece of equipment. Really incredible and brings all my knowledge back from my hospital work days. TYSM My main concern is the mixed apnea for my H and the air sense 11 they want to prescribe. We are new to this and thinking to use the 10 with the sd card? Ugh computers are not my thing but I see the value in collecting the data!!
I was put on a bipap about 6 years back and I just never noticed improvement after a couple years. My sleep study showed 58 events per hour that were almost all classified as central events. Now that I’m getting another sleep study I’m going to keep this info in mind because I wonder if I was getting proper treatment with the bipap and that’s why I ended up just not using it anymore. Thanks for the info
Hi Josh, good luck with the test mate
Thank you for the great information that is in your video. I have been on CPAP since September, 1998 and tonight is the first time I have seen this information. This is great.
You're welcome mate, glad you enjoyed the vid
Very well explained 😁 ! Since i've been following this channel, I learned a great deal on sleep apneas.
Wow great informative video. These machines when used correctly are life changing. Thank goodness for ASV.
Hi William, great comment. Thanks
Wow, I'm new here and kinda new to the cpap life, I just started using my dream station 2, I used the dream station 1 for a while before it got recalled. One month in I still feel like crap, not sleeping well and I don't even know what type of apnea I have. I guess as time goes my doctor can look at my dream mapper data. It's overwhelming to say the least, thank you for your videos, I have a lot of research to do
Best Sleep Apnea Info out there! Thanks for all your time educating us.
I am on BIPAP ASV...My current 90 say average is .09 Yes that is right. Less than 1 event an hour.
I’m being tested soon because they think I don’t have obstructive apnea but central apnea. I’ve learned so much from this tutorial. I have never seen my readings not have I been given any info about apnea at all. Hopefully your site will help me learn obviously more than from my Dr. Thank you
I was diagnosed with central/complex sleep apnea 15 years ago. I started of with the Resmed VPAP adapt SV. I loved that machine. It was a tank and weighed close to 3 times as much as my ASV. I think I slept better with the older machine although the results on paper on similar. It seemed to react faster to events than my ASV. I attributed it to the separate monitoring tube that went from the just below the mask back to a separate port on the machine.
Wow. This tutorial is very helpful to see someone receive relief with their apnea issues.
I've been on an ASV unit for nearly 4 years after cpap and bipap equipment for the previous 15 or so years. My AHI varies from 13 to 23 with an average of 17. I recently had my 7th sleep study and the report is that I do not have sleep apnea. I find this hard to believe after such a long time. I have been sleeping for 6 weeks now with no pap equipment and I find that I am very fatigued and require a nap each day. Also, my smart watch picks up a lot of severe snoring which was not there with the pap equipment. I do not know what to do at this point. I am trying to get an appointment with the Pulmonologist who read my sleep study to see if there may have been an error with the sleep study. I am 76 years old. Crazy huh? Help.
I'm at the same situation. The only difference is that I've been on cpap before having a bimaxilar surgery for barely 2 years.
Thank you for all this info, sounds like something I might have to look into. Cheers Cobber have a great day
You're doing well brother. No need for ASV
@@CPAPReviews thanks cobber doing me best
Great job helping out the person. So their doctor prescribed the wrong machine? And why aren't all these features in all devices. It's just software right? These machines need to determine the issue and adjust so patients are not wasting time.
Ihave central sleep apnea
I was upgraded to a BIPAP ST about 6 months
I still have to take meds for the chronic fatigue..
I need we understood what this condition really is..
I was just told that my brain falls asleep and i stop breathing at times throughout the night..
I just came across your channel..
I've never heard of ASV?
THANKS FOR SHARING YOUR KNOWLEDGE!
Amazing video! detailed,no bs, very valuable info. Side q: ASV machines are $3.5k?? why are these things so much $, out of reach forr anyone without good insurance?
Thank you my friend. It's hard to know why they are so expensive considering the actual device is exactly the same as the base model cpap. it's just the firmware that is different. Cheers
Because they can.
Great video, I'm getting an AirCurve, but I don't know which model yet, so I have sent an email to the DME company to find out which. I feel I am armed with more knowledge watching your informative videos.
Great videos Nick and greetings from India
Your videos are very helpful
I was diagnosed with severe OSAS with untreated AHI of 65.3 and oxygen level dropping to 72%.
I have been using resmed airsense 10 since a week and my AHI is below 5.
The sleep apnea along with Factor V leiden was causing me to develop clots.1
How does one get a detail report with the graphs/breathing report? I don’t have a doctor (self diagnosed)! All the doctors I went to see for my insomnia just wanted to prescribe Sleeping pills, told me to go for walks, which I do to stay in shape. I did my own research and the reason my brain didn’t want to fall asleep is because it knew it would starve for oxygen! So, I purchased a brand new ResMed 10 (Auto). I have my pressure set at 7.8-8.8. It goes up,to 8.5, avg. AHI are less than 1.
How wonderful that such improvement was achieved!
Well explained & informative as always. Cheers
Hi George, thanks for the great comment brother. Cheers
I have been diagnosed with central apnea. CPAP did not work for but after a second sleep lab test I was prescribed ASV. It works great and I can use for several hours. The problem I have is with my partner, she cannot sleep because of the sound of my breathing or sound of machine. She gets up early and wakes me at 4 or 5 AM and says I can put on the nasal pillow mask. I put it on but will get up at 7 or 8 AM so I only get 2-3 hours per night of ASV sleep. My event index in the lab tests were 60-70 per hour. So my worry is I’m getting too many hours per night (5-6 hrs) with deprived O2 due to central apnea and not using ASV. We don’t want to sleep in separate rooms but I don’t know what else to do.
Did you forget to breathe during daytime as well ?
It sounds like these videos are mostly being seen by patients. I’d like to stress to people if you develop new cheyne-stokes respiration (or a lot of central’s are showing up in your compliance data), it’s important to be seen by a cardiologist to find the cause. ASV shouldn’t be used by people who develop a level of heart trouble where the LVEF is less than 40%, so you should get an echocardiogram before using ASV.
We can't get our doctors to listen to us. My AHI is 2 now but my 02 drops to mid 80s with 02 threaded. Hypoxia with long covid but as long as my apnea #s seem controlled, she doesn't seem to care what my O2 level is until I begged for a home overnight pulseox. It dropped to 82. She's kniwn for 4 weeks and has never called to talk about it. My apnea is controlled is all she says. So yeah, we have to do what we can do. Pulmonary can't see me till next year. So what, I increase my oxygen liters myself? As a nurse I appreciate what you are saying but we are on our own out here. 5 months since my sleep study, 4 appts with the sleep doctor. All virtual for less than 10 minutes. I've never even met her yet. She doesn't meet patients in person. Nothing to do with covid for the last 5 months. She just doesnt care. Explains nothing.
Hello, I was diagnosed with sleep apnea mixed severe. I am waiting to get my bipap. What I want to know is what is the difference between a Bipap ST and an ASV machine? TIA!
My 90+ father has Cheyen Stokes (I know it just by watching him breath in his sleep). He has used CPAP for years and apnea is his single health crisis. It is now starting to affect his heart (arrythmia) and cognition. I know he is older but I totally believe his SA is behind a lot of this. They told me he has lots of of central events 65/hour (but didn't specifically state CSR). Watching this video I am sure
that is what it is. It has taken forever to get him a sleep study here in Saskatchewan Canada ... but finally he got one a few weeks ago and they swapped out his Resmed CPAP for a Resmed Aircurve 10 (I'm off to his place to make sure it is the ASV).
My question is .. how long does it take for the ASV machine to figure out his CSR events and find that nice smooth (flat) minute ventilation setting. He put it on for the first time last night and I noticed
the big differences between the air pressures initially (he noticed too). They had set his initial pressures to 19/9 with a 10 minute ramp up, but he only had it on for a couple minutes. If this isn't
an ASV machine they will be hearing from me right away.
Comments appreciated.
This was excellent, thank you!
so what machine has this asv feature?
The weird thing is if I can get past the start stop breathing cycle I then sleep normally… the hard part is getting past it. Sleeping pills help or laying on my side.
My airsense 11 says I have CA. Normally under .6 to .1. Should I be concerned. I still never feel rested and I have heart palpitations waking up from it throughout the night. Sleep doctor doesn't believe I have CA. I'm guessing the best thing to do is switch hospitals and get another sleep study. I'd like to try out the ASV. I'd it the same as the curve ASV. Are there others you'd prefer?
Ive been trialling a resmed asv for 2 weeks now after little success with a cpap. It feels like the machine is overbreathing for me. Like i dont want to breathe in any more but it keeps going making me feel like im almost hyperventilating. Will keep playing with the settings. The sleep clinic isnt much help as per others comments.
I'm a paramedic and was going to say it looks like Cheyne-Stokes!
Spot on mate! Good call
My sleep clinic told me that my CPAP can be causing CSA is this true!!!And I was told if I used a bipap then I would struggle to use it seeing as I struggle with cpap. I feel no different on cpap no improvement. But I’ve been told to give it another good go so they can collect data
I hear stories about others being helped by CPAP / BiPAP.....Severe Complex Apnea, I was unable to use my machine for therapy. The force of the air needed to inflate my lungs was so great, it caused the feeling of suffocation on my soft palate and throat overall. I have 2 leaking heart valves, which according to nih.gov...can cause CSA. Good for those that can get help. Any thoughts could help. The poor gentleman dealing with cancer and CSA.
Great video! I recently tried a level 1 sleep study, but failed to fall asleep. I've suspected central sleep apnea for several years while struggling with CPAP. I'm now on SleepHQ. Last night I had 8 clear airway events before waking up to 2.5 hours of insomnia. Some pauses in breathing were over 30 seconds in length. When combined, several CA events were back to back and over a minute in length. Should I try the level 1 sleep study again? Looking to upgrade from airsense 10 to a Lowenstein Bipap.
I have Central Sleep Apnea, AF and cardiomyopathy . My doctor has told me ASV is not suitable for this type of patient. ASV also has a black box warning. I have seen plenty of research indicating ASV is associated with mortality in such patients. If most central apnea is due to heart issues, how useful is this machine?
I have an average of maybe 6-10 clear airway events per night, usually 12-15 seconds long. Overall AHI is very low though, about 0.5-1.0. Is this just something within normal limits>
I am really shocked by seeing these breathing patterns CA. Being 5 years on CPAP i always had high periodic breathing on the Philips Respironics. “Nothing to worry about” was being said. I recognize the airflow curves i am having increasing, decreasing then stopping. Not constantly during the night, but in the middle and in particular the last 2 hours of my sleep. I am always having a mix of ca, oa and H and very inconsistent. Ahi average below 5, so nothing to worry about. However, still experiencing being tired 40% of waking up and during the day. Should i ask for a philips Bipap ASV as a trial? I wont expect my practitioner to go with that idea, while i expect better o2/co2 in my body and better control of my ca/pb/hyperventilation during sleep. Tnx, Pierre
Great video! I’m wondering if an ASV is in my future. It was determined that I have central sleep apnea after my sleep study. 31 AHI during that study. My doctor prescribed a BiPAP Vauto machine which I have been using for a little over a week. I see that my AHI’s are still high (22-42). My pressures have been adjusted from 10 to 11 in an attempt to lower the AHI’s. I don’t think my current machine is helping.
Let me know if you’re better. And what was done.
I think I’m struggling with CSA but pending a sleep study.
I stop breathing at times when sleeping and oxygen levels go in the 80’s and even 70’s sometimes I believe. Body tingling at times after waking.
I have a similar situation. Non-CSR complex, with high central apneas. A new bi-pap has been recommended, but the model has not been determined. How have your numbers evolved? Should I be insisting on an ASV machine? Thanks.
Can being new to CPAP + setting EPR to 3 cause a bunch of CA events to occur? My Lofta sleep study identified OSA, but my CPAP machine seems to be reporting CSA. AHI is 8.65 with 7.16 for the CA events.
Yes very much but it should resolve by itself over time once your lungs acclimatise. EPR helps remove CO2 from the lungs but this can cause CO2 in the blood to drop to far and so your brain pauses breathing to bring the levels of CO2 up and balance out the blood chemistry
@@CPAPReviews so what level this should be set in? Like 1? Or turned off?
Very helpful indeed, thanks
I have purchased an ASV for my husband Graham, it is in transit at the moment. his graph looks identical to the video you have posted on clear airways. his AHI's are not as high
Hi Margaret, i'm very familiar with your husbands charts and i anticipate you will see a dramatic improvement once he starts therapy with the ASV. Best wishes to both of you. Nicko
maybe he will stop wakeing during the night and stay awake during the day@@CPAPReviews
How do you distinguish between sleep apnea and chronic fatigue syndrome?
I'll have to learn how to get the data off the airsense10.
Super easy mate! We've got some tutorials in the help centre on the website. Best wishes
i got my oscar data but it looks odd im seeing the pressure rate bing very spikey and a few clear airway events as well as 2 rera events
Thank you for this video. My last sleep study in 2018 showed 7 events per hour baseline, all were central. Yet they tried to titrate me with a Cpap and with a pressure of 4, it increased my events per hour to 21. I gave up using the cpap and have left my apnea untreated for the past 6 years, and it has caused additional health issues. I'm scheduled for a new sleep study in 2 months and will definitely ask about treatment for central apneas this time.
Quick question - does the periodic breathing occur during day time as well? I often find myself taking shallow breaths and forgetting to breathe when I'm awake as well.
My AHI shows under 5 but most of my events are CA events. I wake up feeling rested but I do have fully conscious “arousals” a few times a night. I don’t know what is going on. I get aerophagia so I know the pressure might be a bit high. Someone help please. Should I get another study done?
All well and good for FRED. But ASV is contraindicated for "Heart Patients". What to do then ?
Thanks!
Thank you kindly for the channel donation. It's very much appreciated
Yea my air sense 10 is trying to kill me I had got into a car accident with a parked car after using it one night…. So immediately switched back to my S9 that has over 22,000 hours of use. They have no idea what they are doing. Everyone is too new to help me and they are experimenting with my life and my business going to crap over night if I use this new machine.
I have a Philips Respironics system one IP22 REF 560p
Thanks
Hi Jennifer, sorry it to me so long with this reply but thank you very much for your very generous channel donation. Donations are not expected but very much appreciated so thanks a lot. Cheers
What a great video
Hi Nick, thanks for this video. I have Central Apnea as well and switch to ASV but I encountered numerous unexpected high pressure flow surge during sleep very often, what would the possible causes. My friends using ASV won’t have such problem.
Ok. Subscribe. Thank you!❤
Is there a recommended power supply that one can use to power my ResMed CPAP machine during a power outage?
Hello.
I’m trialling several masks and still bolt up several times whilst asleep.
What do you recommend?
Thanks
Where does the "target" Minute Ventilation come from? Is it determined from studies of average normal breathing, is determined by the ASV machine, or is it determined and set by a doctor?
Can a ResMed AirCurve10 properly treat severe CSA? My dad stops breathing for 55 seconds to 1 min 17 seconds…every breathing cycle!!!
Is*
OCD*
I’ve been diagnosed with with central sleep apnea & it’s destroying me. I’m using a cpap, but I still feel terrible every morning. I’m a 39 year old female, weigh 130 lbs, eat healthy, work out & I just don’t understand. Why would I have this? My sleep report said 40% obstructed & the rest central. I have a deviated septum surgery this January, but what can I do about central? I hate it
You need an asv. The CPAP isn't going to do the job.
Also I'm also in my 30s. I know how you feel.
Wow, y ou shaved...looking good!
haha yeah i do that once or twice a year . Keeps the wife happy
I have the same problem. I have complex apnea but I am still waiting for the results of my titration study ( pure torture) to see how bad it is. I am trying to use my replacement Philips Dreamstation but the lowest I can get my ahi is only around 20. I have signed up to SleepHQ but don't know how to transfer the data from my cpap machine. Should I try a Bipap machine or a different brand ( ie Resmed) . Last night I took a sleeping pill and woke up with the mask on the floor . My Ahi was 26 @ 16cm. That is still better than my untreated ahi of 85 but right now I have the worst of both worlds, can't sleep and cpap doesn't work.
What is ASV?
I mirror Wildepix sentiments.
Thanks, mate for your fantastic videos about CPAP machines & masks. I have been given my equipment today. It is a Lowenstein prisma SMART max and a ResMed AirFit F10 mask. I am as you say a mouth breather so I hope that the full mask will work for me. Is this machine a good one? What do you think of this equipment that I was given? I live in Dublin, Ireland. Do you have a program for this machine that I could download to my mobile? Thank you. My name is Eric, I am 65 years old and I have had sleep apnea for over 10 years. I also have COPD, circulation probs in my lower limbs plus osteoarthritis.
Champion(s).
Ive been on cpap for a month now , used 4 different masks , shaved my beard and no real change , before i started this i felt great at work , very happy in the morning etc . Now i feel like shit , tired , angry and depressed because i cant drive my truck until i pass this crap
Would a jail broken air sense 10 auto machine be able to run asv?
Brother, this one video has helped me more than the sleep therapist and doctors I've dealt with in the past 5 years. These so-called professionals just send people out the door with a cpap and don't do shit else.
Glad to hear it mate. Thanks for watching
Most of the sleep doctors are hucksters. They make their money on machines and sleep studies. I've fired three so far. Don't be a sheep. Find a real doctor.
Im a Respiratory Therapist and I agree. There are many things to consider in order for a PAP machine to operate correctly and make it comfortable for the patient because if its not comfortable or set correctly, people will not wear it so they dont take the time to fine tune, look at the data or explain to the patient so they will then know how things work. I always try my best to explain and fix and so do others but many do not. Some are RT's, some are sleep techs and some are someone who only know how to do a sleep study but not know exactly what is going on.
I have Central Apnea. Was diagnosed in November. I was put on a Cpap machine in August (resmed Airsense 11) Immediately my events per hour were between 55 and 70. In December they did a second in hospital test and confirmed the diagnosis of Central apnea. It took almost two months to get the insurance to agree to a ASV machine. (resmed aircurve10 asv) Recieved it 2/1/23. The first readings I got were last night and the events had dropped to 2.4.
You give me hope! I have central apnea caused by the CPAP. Syndrome name: Treatment emergent central apnea… I am discouraged being always tired! 😢
What's asv
How was the pressure set with your Airsense ? It can change everything
Don't you guys mean BiPAP? I just had a titration test this past Monday. I have central apnea and central apnea only. I was told a CPAP isn't the treatment. BiPAP (& the REMedy implant) is.
@@ginettegagne5918😮 caused by CPAP? That's nuts... If you can afford it, look into the REMedy implant.
Thanks mate for the ASV tutorial. I was curious about what the difference was between ASV and BiPap. I am so happy for Fred and commend Susie for all she has done to get Fred on the right path. Heaven knows this poor man has been through so much.
Lovely comment Kath . Susie is angel! God bless her for looking after her husband like that. I still find it a bit funny how there's so many different AirSense / AirCurve models with all these different features / settings yet they're all the exactly the same device, just running different firmware. Crazy stuff! Yeah so basically the difference is that the ASV can automatically adjust the 'pressure support' but with the others you have to bipaps the pressure support will always be one level. I think that's it anyway
Hey mate when is ResMed going to come out with a Bluetooth oximeter?
WOW! I'm really surprised that a BIPAP machine can control central apnea using pressure changes alone. When you mentioned Adaptive-servo ventilation, I picked up on the word "ventilation" and envisioned something more on par with a hospital ventilator... something that takes over the patient's breathing. An ASV is just a very smart BIPAP machine that can sense that pattern and adjust the IPAP/EPAP differential and actually fix CA! That's amazing!
G'day mate, yeah spot on. All ResMed Air10 devices have exactly the same components. The only difference is the firmware that runs them. IE you could take the base AirSense 10 cpap, flash it with ASV firmware and it will function exactly the same. Cheers
I really need some direction on how to set my dad’s new AirCurve10 up to handle his CSA…Does this unit have ASV capability? I am watching him sleep, and nothing seems to be changing…the machine is on but he still stops breathing for over a minute! He has been wearing the device for 90 minutes. Shouldn’t it be self-adjusting by now? What do I need to do or can I do with this machine?
@@CPAPReviews Do you have a tutorial on flashing the firmware onto Air10 devices? If they're capable of it, I'd love to get my machine running it.
@@TDPEquinox have you figured that out ?
@@KirkJacobsonREJUVN8 have you figured that out yet?
Awesome story. I was very fortunate having a great sleep doctor. My untreated ahi was 74. For the machine titration, cpap failed to make any difference so I ended up with the Aircurve 10. After a few weeks my ahi remained between 10 and 30 so my sleep doc ordered a second machine titration with bipap with a backup rate and ASV. The ASV option ended up working for me with my AHI consistently being around 1 or less. Dealing with insurance was a bit of a pain though but worth it in the end
EXACTLY the same with Fred
Hey @Shawn Vitori, i'm really interested to find out more about the insurance side of things. If you have any emails from your days dealing with insurance or any other info you can provide i'd really appreciated it cpapreviewsaus@gmail.com . Thanks mate. Glad ASV is working well for you. Nicko
I have been using an ASV since 2007. I had the first RESMED ASV which insurance covered the 27K cost!! This was after proving a CPAP did not correct my apnea. Much of my apnea is central. With my current ASV an Resmed ASV air sense 10 (which I had to replace out of pocket- but only because the recently covered Dreamstation ASV was recalled as you know😡-I will never buy a Respironics machine again) my AHI is usually 0.2-0.4😊. By the way unlike many with central apnea I am very fit and do not have heart failure. Who knows why I have central apnea?? The ASV has need a godsend.
@@josephcalifano1058 heard of dysautonomia? CA (central apnea) is often the first sign that a person has dysautonomia. The cardiac symptoms (heart rate and blood pressure irregularities) aren't the only signs. Other signs are gastrointestinal motility issues or just straight up weird, intolerances to being vertical, heat and/or cold, not able to independently regulate body temp, not sweating appropriately, sleep/wake patterns being fricked (circadian rhythm issues), bladder and/or bowel control issues and not able to maintain blood volume aka hypovolimea (symptoms of this is blood pressure and heart rate irregularities and being dehydrated no matter how much water you consume because you also need to consume magnesium, calcium, sodium, potassium and glucose in the correct ratios according to blood test results).
Hey Nicko,
I have been using a Res Med ASV for over 5 years. Cheyne-Stokes and Complex Apnea, etc. No one ever explained to me as you just did how this all works. I recall looking at the display for hours and trying to make sense of MV and Tidal Volume and all that. Now I think I can understand what is going on!
Now it is time for me to replace the motor in my Air Curve 10 ASV and I understand a whole lot more then when I first got prescribed for ASV. Been a CPAP user for more than 20 years. Thank you so much!
Bill in California
Every time I watch one of your incredibly informative and educational videos...I go dig through my SleepHQ data to compare what I’ve learned to my own info. Of course, there are times when I’m left scratching my head, having a wtf moment trying to figure out why they said I have osa but most of what I see is central...considering contacting the doc to see if they can look at this data and explain...and if we need to make any changes. So grateful you are giving us the tools to help take control of our health care.
Same exact concern here for my son.. they say his central apnea is being caused by his osa which makes no sense because there are zero obstructive events since his t&a over a year ago. I feel like I’m spinning in circles trying to get proper treatment for my son and so thankful I found this channel. ❤
I love this explanation, Nicko. _Thank you._ One thing comes up in my mind when I read about ASV,. bipap and other more complex algorithms than straight CPAP. US Patients are essentially penalized by ResMed for having to use ASV or BiPAP. The machines are much more expensive. Ironically, the hardware is identical. It's only the firmware that's different. This was borne out during the pandemic when a firmware was made available to unlock regular AirSense 10's so they could be used by hospitals where there was no access to more complicated breathing assistance machines. It disappoints me that ResMed penalizes people who have more complex XPAP needs by making them pay more for essentially the same hardware with different firmware. This aligns closely with the "right-to-repair" and "right-to-health-care" movements that large corporations don't like. I'm curious where you stand on making people with more complex issues pay more for essentially the same machine.
It takes more work to create the firmware in the machine. You might not be paying for the physical machine as much as the work to create the firmware. Why are digital video games the same price as physical copies for the most part? Its the effort that goes into creating the game; the physical copy price is minimal.
Thanks Nick. Great Vid. If money was no problem and or ASVs were the same price as a CPAP, should every one be on one instead of CPAP or BIpap? Are there any downsides? My doc will write me a scrip and I would buy it my self. I have CA and I see like 5 CAs a night. Good idea?
Thanks for the very clear explanation of Cheyne-Stokes and how the ASV handles it.
Hi Hugh, i'm glad you enjoyed the video. All the best
I have both Obstructive Apnea and Central apnea, I can’t get a straight answer, which machine should I get, I’m getting weaker by the day,
Thank you
Since shoulder surgery I have had to sleep on my back. OSA became CSA after 10 years on cpap. So it looks like they never caught it during sleep studies because I always sleep on my side. Now I cant. O2 drops to the 80s. I have to wait for an echo to rule out cardiac but it looks like emergent central sleep apnea with cheyne stokes breathing, So now a fight begins between ins co and sleep doctor. She goes on vacation and my echo is not til september. Is that okay? How long can you live on cheyne stokes breathing without any treatment. She kept upping pressures but it didn't fix it.
I have dysautonomia. My neurologist said that the 1st clue that I had dysautonomia was the diagnosis of Central sleep apnea courtesy of the sleep specialist/pulmonologist.
Unfortunately, since that diagnosis I have then received several more diagnoses that should have clued into me getting a diagnosis of dysautonomia.
The pure craziness is that the diagnoses/symptoms of dysautonomia all started after having MERS (middle eastern respiratory syndrome- caused by a coronavirus) even though I live in the USA, never traveled outside of the eastern seaboard much less leave the country, I didn't travel in the time before diagnosis of MERS or had known contact with anyone who had the specific virus.
This is scary. I thought BiPAP was designed to treat central apnea. I don't really get why it was failing here. I've just been diagnosed with central apnea and they're saying I need a BiPAP. Now I'm wondering if that's going to be a waste of time.
Thanks for the video Nick! I was diagnosed with CSA with an ahi of 124 about 8 months ago. I still struggle to wear it for even just a few hours each night. I've been trying to learn as much as I can, but this video alone taught me more about asv than my Dr has. Appreciate ya!
Thanks for this video, I have been using a Resmed CPAP and Now APAP for 20 years and NEVER had such a clear explanation of what it is and how the machine interacts with Sleep Apnea. I also learned from watching one of your other videos that I don’t have to be locked in to Resmed price gouging for service and repairs and can purchase an after market turbine for my Resmed Airsense 10 directly from you. Thanks again for your instructional videos, web site and for the after market spares and advice you have. 👍🏼
Thank you for the great comment! Appreciate the lovely feedback. Cheers
I had tears of joy for him when you showed the results for the asv
1. Do you think a standard Auto Cpap can tell the difference between Central and Obstructive Apneas?
I have an Airsense 11 Autoset. It is reporting few events, nearly all of which are "Central." But I feel like it
is not helping me much at all.
I had a sleep study two years ago. The report said I had "moderate to severe" apnea and all my apneas were Central. They prescribed a CPAP. When I found out what "central" apnea was, I questioned whether I needed and ASV. Three doctors (all in the same office) simply said "Ok, then your apneas are obstructive." One told me, "Your insurance company is never going to pay for an ASV."
This is where finances get in the way of proper treatment. If you have severe central apnea then you need an ASV. It's as simple as that. Your Autoset is not going to do the job. Go back and beat their door down and demand they do something for you.
From the States, but love your channel. I'm a ResMed AirCurve BiPAP user. What a difference it has made! My nocturia is completely resolved. Research revealed that sleep apnea (I was diagnosed with an AHI of 45.9) causes nocturia. Wish I had been diagnosed years ago. Thanks so much for your informative videos.
G'day Michael, glad you're enjoying my Aussie channel mate haha. It's a great point you make about nocturia! I don't believe i've done a video on it yet but i will certainly add it to my list. Thank you. Nick
@@CPAPReviews That would be a great service. I was undiagnosed for about ten years, all the while suffering from nocturia. I also suffered from Benign Prostate Hyperplexy (enlarged prostate)-- so that's what my doctors and I chased for ten years to address the frequent nighttime urination. In the meantime, I developed afib (also related to sleep apnea) and other heart issues. So wish I had been tested much earlier.
Ive been on a cpap for a few years and idk what anyone is talking about in this video. Sometimes i sleep 12 hours with my machine and i feel so tired i can barely get out of bed. Idk my sleep doctor said i have severe sleel apnea with over 50 things a night. Idk if ill keep using my machine or not.
I have complex sleep apnea, and my body fights my bipap. I didn't use it for over 2 years because of the recall. I recently corrected the issue by removing the foam. But since nothing negative happened during the 2 years I am questioning my diagnosis! I will continue to use my machine, but wonder if I need to!
wow.. that voice.. you can read bedtime stories 😀
Could you make a detailed video explaining exactly how I can interpret the information shown on the Sleep HQ dashboard
Holy molly. I felt so bad for Fred but then bam, you show us how he switched modes and then his AHI goes waaaaay down. This is amazing.
Hi Jason, same here! It was a roller coaster of posts on facebook but glad it ended well
@@CPAPReviews I'm super curious Nick. Did you offer the suggestion to switch modes or was it by advice of their Dr?
Ps: I'm really loving these walk through a of people's sleep data. Super informative.
I was diagnosed with central sleep apnoea after my first brain surgery for Chiari malformation (ironically). This is what started my career in sleep science. Thankfully neurosurgery has dropped my AHI from over 30 to 0. Now I’m dealing with hypersomnia with sleep instability seen in CAP EEG.
I used ASV for awhile but found it really difficult years back so committed to using my experience to help others and gives me great empathy to what emotions some may have starting PAP therapies.
Do you have heds
@@Truerealism747 that I do but we didn’t know that and the link wasn’t known way back in 2005 when I had the surgeries. Only just started to link EDS and Chiari complications after my 2nd surgery cause my instability to overdrive