Still struggling with cpap ASV

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
otterley
Posts: 55
Joined: Thu Sep 23, 2021 11:55 am

Re: Still struggling with cpap ASV

Post by otterley » Fri Aug 08, 2025 5:53 am

And translation of original without cpap sleep analysis :

Summary – Polysomnography 16/01/2020
Main Diagnosis:

Moderate obstructive hypopneic sleep apnea syndrome (OHSAS)

Apnea-Hypopnea Index (AHI): 24/hour (27/hour including flow limitations)

Predominantly obstructive hypopneas

Arousal-inducing but non-desaturating (mean SpO₂ 92%, minimum 89%, no time < 90%)

Sleep Quality & Structure:

TST: 6h00 / TSP: 7h22 (efficiency 81%)

Stage distribution: N1: 0.6% – N2: 57.4% – N3: 30.2% – REM: 11.8%

Sleep onset latency: 164 min (very delayed)

REM latency: 216 min

Micro-arousals: 185 total (31/hour, normal < 20/hour)

Intra-sleep awakenings: 19 (> 30 s, total 82 min awake during sleep)

Respiratory Findings:

Apneas: 15 (2/hour) — mostly obstructive

Hypopneas: 127 (21/hour) — majority obstructive

Flow limitations: 185 (31/hour)

Supine AHI: 32/hour

Oxygen Saturation:

Mean: 92%

Minimum: 89%

No time below 90%

Other Findings:

Snoring: present 37% of TST, average intensity 87 dB

Heart rate: mean 63 bpm, sinus rhythm, min 49 bpm, max 106 bpm

PLMs: 147 total (12/hour), none during sleep

Conclusion & Recommendations:

Moderate OHSAS with significant sleep fragmentation from frequent respiratory events and micro-arousals.

Suggest management with CPAP or mandibular advancement device.

Avoid evening alcohol and muscle relaxants.

Maintain healthy body weight.

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Nocibur
Posts: 244
Joined: Sat Jan 25, 2025 6:08 am

Re: Still struggling with cpap ASV

Post by Nocibur » Fri Aug 08, 2025 3:16 pm

otterley wrote:
Wed Aug 06, 2025 1:39 am
What do you think ?
OK, 2 things:

1. Trying to fix your issues with an ASV machine is absolutely absurd (fr. absolument absurde).

2. Even if by some convoluted, bizarre rationale whereby someone would argue that ASV might offer some benefit, the settings chosen are complete nonsense.

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Nocibur
Posts: 244
Joined: Sat Jan 25, 2025 6:08 am

Re: Still struggling with cpap ASV

Post by Nocibur » Fri Aug 08, 2025 3:22 pm

weuw wrote:Last time I wrote here Sleeprider told me to use ASV
NM. That explains everything.

musculus
Posts: 240
Joined: Tue Feb 26, 2013 8:35 am

Re: Still struggling with cpap ASV

Post by musculus » Fri Aug 08, 2025 6:57 pm

Nocibur wrote:
Fri Aug 08, 2025 2:13 am
musculus wrote:
Thu Aug 07, 2025 4:11 pm
Nocibur wrote:
Thu Aug 07, 2025 2:34 am
otterley wrote:
Fri Sep 24, 2021 11:26 am
I wonder why I sleep so bad. Maybe it is not apnea but depression after all ???
Or Sertraline side effet...
YA THINK!!???
usually it's the other way around, poor sleep causes depression like symptoms. Also, the stress will lower the arousal threshold of neurons which makes you more susceptible to RERAs.
Please stop.
common neuroscience

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otterley
Posts: 55
Joined: Thu Sep 23, 2021 11:55 am

Re: Still struggling with cpap ASV

Post by otterley » Sat Aug 09, 2025 1:15 am

Nocibur wrote:
Fri Aug 08, 2025 3:16 pm
otterley wrote:
Wed Aug 06, 2025 1:39 am
What do you think ?
OK, 2 things:

1. Trying to fix your issues with an ASV machine is absolutely absurd (fr. absolument absurde).

2. Even if by some convoluted, bizarre rationale whereby someone would argue that ASV might offer some benefit, the settings chosen are complete nonsense.
Please can you tell me what are the settings I must use ?