Setting struggles PR ASV Sys 1 to R.Med AirCurve 10 ASv

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TAT.LANTA
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Setting struggles PR ASV Sys 1 to R.Med AirCurve 10 ASv

Post by TAT.LANTA » Sat Nov 27, 2021 7:18 pm

After many years, coming up to 10 years now, of using my old faithful Philips Respironics System (One 960P )ASV advanced without any problems and now having changed to Resmed AirCurve 10 ASV I am struggling with taming the Resmed, it feels like a wild horse by comparison. It seems to be trying to breath for me, when it is not required to do so. The Philips allowed me the freedom to breath as i wanted and only stepped in when needing support, which does not seem to be the case with the Resmed.
My oxygen levels are also dropping below 90% with the new machine.

My settings on the Philips were:
Max pressure 25
Epap Min 9 Epap Max 12
PS min 5 PS Max 12
BPM Auto
Flex type NONE
Rise time 0 Ramp 0

The same settings on the Resmed: Epap Min 9 Epap Max 12 PS Min 5 PS Max 12
Has anybody else on the forum had this experience? Is there any fine tuning that can be done to get closer to the softly softly approach that the Philips had?

On the Resmed now reduced the Epap Min to 6 Max to 14 PS Min 5 PS Max 14 But My Oxygen Saturation levels are dropping throughout the night. Any ideas would be greatly appreciated of how to get the Resmed to behave more like the Philips that was working so well for me.
Last edited by TAT.LANTA on Sun Nov 28, 2021 2:54 pm, edited 2 times in total.
My New Mantra:
Goodbye old friend (previous machine)
:? I will TRUST my New RESMED :?
Resmed AirCurve 10 ASVAuto Epap Min 8, Epap Max 14 PS Min 5, PS Max 14

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palerider
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Re: Setting struggles PR ASV Sys 1 to R.Med Pacewave 10

Post by palerider » Sat Nov 27, 2021 7:47 pm

TAT.LANTA wrote:
Sat Nov 27, 2021 7:18 pm
After many years, coming up to 10 years now, of using my old faithful Philips Respironics System (One 960P )ASV advanced without any problems and now having changed to Resmed AirCurve 10 ASV I am struggling with taming the Resmed, it feels like a wild horse by comparison. It seems to be trying to breath for me, when it is not required to do so. The Philips allowed me the freedom to breath as i wanted and only stepped in when needing support, which does not seem to be the case with the Resmed.
My oxygen levels are also dropping below 90% with the new machine.

My settings on the Philips were:
Max pressure 25
Epap Min 9 Epap Max 12
PS min 5 PS Max 12
BPM Auto
Flex type NONE
Rise time 0 Ramp 0

The same settings on the Resmed: Epap Min 9 Epap Max 12 PS Min 5 PS Max 12
Has anybody else on the forum had this experience? Is there any fine tuning that can be done to get closer to the softly softly approach that the Philips had?

On the Resmed now reduced the Epap Min to 6 Max to 14 PS Min 5 PS Max 14 But My Oxygen Saturation levels are dropping throughout the night. Any ideas would be greatly appreciated of how to get the Resmed to behave more like the Philips that was working so well for me.
Your EPAP is what provides oxygenation, so lowering the EPAP is likely what caused the SpO2 to drop.

The Resmed won't increase pressure unless it senses a reduction in your tidal volume, which it calculates as a rolling average of your breathing.

perhaps start off breathing more gently when you first turn it on?

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TAT.LANTA
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Re: Setting struggles PR ASV Sys 1 to R.Med Pacewave 10

Post by TAT.LANTA » Sat Nov 27, 2021 8:02 pm

Thank you palerider I shall put my epap back to 9 and see if my saturation levels pick up and watch my breathing when I start off.
My New Mantra:
Goodbye old friend (previous machine)
:? I will TRUST my New RESMED :?
Resmed AirCurve 10 ASVAuto Epap Min 8, Epap Max 14 PS Min 5, PS Max 14

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Respirator99
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Re: Setting struggles PR ASV Sys 1 to R.Med Pacewave 10

Post by Respirator99 » Sat Nov 27, 2021 8:42 pm

TAT.LANTA wrote:
Sat Nov 27, 2021 8:02 pm
Thank you palerider I shall put my epap back to 9 and see if my saturation levels pick up and watch my breathing when I start off.
The trick with the Resmed ASV is to breathe slowly and very regularly at first. The machine will sense your breathing rate and try to match it. Sometimes it comes on a bit too strong - in that case just blow back hard and the algorithm will reset and it will again try to match your own breathing.
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Re: Setting struggles PR ASV Sys 1 to R.Med AirCurve 10 ASv

Post by TAT.LANTA » Sun Nov 28, 2021 3:31 pm

Hi Respirator 99 Sound like a good idea. I shall give a go at breathing back at it, to see if it will stop the machine attempting to force me to breathe at its pace, which makes me feel quite sea sick! :mrgreen:

Palerider I turned the the epap back to 9 last night so the saturation stats went back to normal with just a few minor dips, you were spot on. Really appreciate the wealth of experience. Thank you for your input.

Still seriously miss my Philips Respironics though.
With my philips I felt at ease immediately after just one night of use.
Concerned that after a week I am still struggling with the new RM AirCurve 10 ASV. :?
My New Mantra:
Goodbye old friend (previous machine)
:? I will TRUST my New RESMED :?
Resmed AirCurve 10 ASVAuto Epap Min 8, Epap Max 14 PS Min 5, PS Max 14

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palerider
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Re: Setting struggles PR ASV Sys 1 to R.Med AirCurve 10 ASv

Post by palerider » Sun Nov 28, 2021 5:09 pm

TAT.LANTA wrote:
Sun Nov 28, 2021 3:31 pm
Hi Respirator 99 Sound like a good idea. I shall give a go at breathing back at it, to see if it will stop the machine attempting to force me to breathe at its pace, which makes me feel quite sea sick! :mrgreen:
The machine follows YOUR pace, but if you start off breathing faster, it'll set that as the initial breath rate, and try to maintain it. How's the 'starting out with slower, smoother breaths' going, or did you have a chance to try that?
TAT.LANTA wrote:
Sun Nov 28, 2021 3:31 pm
Palerider I turned the the epap back to 9 last night so the saturation stats went back to normal with just a few minor dips, you were spot on. Really appreciate the wealth of experience. Thank you for your input.
Awesome.
TAT.LANTA wrote:
Sun Nov 28, 2021 3:31 pm
Still seriously miss my Philips Respironics though.
With my philips I felt at ease immediately after just one night of use.
Concerned that after a week I am still struggling with the new RM AirCurve 10 ASV. :?
Most people find the Resmed ASV superior to the Respironics AutoSV, give it time and keep telling yourself that the machine is following you. and will always follow you. I think you two will become good friends soon enough.

Yes, it is different from the Respironics, but generally considered to be better.

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Re: Setting struggles PR ASV Sys 1 to R.Med AirCurve 10 ASv

Post by TAT.LANTA » Sat Dec 04, 2021 4:44 pm

Hi Palerider,
Thank you for letting me know that the Resmed is considered a better machine by some, I had no idea. Your words of reassurance
makes me really want to persevere with my new machine and perhaps I will in time learn to trust it.
With the PR recall I suppose I now have little choice, but to make friends with it.

One thing that I have noticed, that has NEVER ever happened with my lovely PR auto AV advanced is, that some nights, on my AirCurve 10 I am getting zero AHI.
Oscar comes up with a big fat Zero. Really strange and freaking me out a bit. Could this be an Oscar glitch?
If it is not an Oscar glitch, I wonder if I should turn the settings down on my Resmed, just to get a minimum of AHI numbers as per my Philips.

May sound stupid, but my worry is that the Resmed is being too efficient and slowly killing me by being too strong and efficient and the 'zero' AHI that it produces, is all good and well, but could it be at the expense of my lungs, could it be bad for us because it is so abnormal and weird?

Had to battle quite a bit with the Philips over many years, just to get the AHI below 2 but often strayed into the 3 point something, on bad nights. Am I alone in being seriously freaked out here?

Has anyone else gone from an PR auto Asv advanced to a resmed Aircurve 10 and had the same experience with regards AHI ie BIG difference?
My New Mantra:
Goodbye old friend (previous machine)
:? I will TRUST my New RESMED :?
Resmed AirCurve 10 ASVAuto Epap Min 8, Epap Max 14 PS Min 5, PS Max 14

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palerider
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Re: Setting struggles PR ASV Sys 1 to R.Med AirCurve 10 ASv

Post by palerider » Sat Dec 04, 2021 4:59 pm

TAT.LANTA wrote:
Sat Dec 04, 2021 4:44 pm
some nights, on my AirCurve 10 I am getting zero AHI.
That's not at all uncommon with the Resmed ASV.
TAT.LANTA wrote:
Sat Dec 04, 2021 4:44 pm
Oscar comes up with a big fat Zero. Really strange and freaking me out a bit. Could this be an Oscar glitch?
If it is not an Oscar glitch, I wonder if I should turn the settings down on my Resmed, just to get a minimum of AHI numbers as per my Philips.
So, you're complaining that your AHI is ... too good, and you want to make it worse?
TAT.LANTA wrote:
Sat Dec 04, 2021 4:44 pm
May sound stupid,
Well, yes.
TAT.LANTA wrote:
Sat Dec 04, 2021 4:44 pm
but my worry is that the Resmed is being too efficient and slowly killing me by being too strong and efficient and the 'zero' AHI that it produces, is all good and well, but could it be at the expense of my lungs, could it be bad for us because it is so abnormal and weird?
The machine is doing it's job, let it do it's job and stop arguing with success.
TAT.LANTA wrote:
Sat Dec 04, 2021 4:44 pm
Had to battle quite a bit with the Philips over many years, just to get the AHI below 2 but often strayed into the 3 point something, on bad nights. Am I alone in being seriously freaked out here?
Yes.

Like I said, Resmed ASV is simply superior to philips autosv.

Resmed invented the ASV, they STILL do it better.

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Re: Setting struggles PR ASV Sys 1 to R.Med AirCurve 10 ASv

Post by zonker » Sat Dec 04, 2021 5:40 pm

TAT.LANTA wrote:
Sat Dec 04, 2021 4:44 pm


One thing that I have noticed, that has NEVER ever happened with my lovely PR auto AV advanced is, that some nights, on my AirCurve 10 I am getting zero AHI.
Oscar comes up with a big fat Zero. Really strange and freaking me out a bit. Could this be an Oscar glitch?
If it is not an Oscar glitch, I wonder if I should turn the settings down on my Resmed, just to get a minimum of AHI numbers as per my Philips.

May sound stupid, but my worry is that the Resmed is being too efficient and slowly killing me by being too strong and efficient and the 'zero' AHI that it produces, is all good and well, but could it be at the expense of my lungs, could it be bad for us because it is so abnormal and weird?
not stupid at all. but i must tell you, there are people reading this and thinking "i'd KILL to get zero ahi!!". :lol: :lol:

i seldom get zero myself on resmed (not YOUR machine, but a simple apap). and for the longest time, this frustrated me. but folks like palerider, pugsy, dog slobber and others have shown me that it isn't necessary in the slightest to get that magic zero. though forum friend dog slobber does like to tease me with HIS constant zeros! :wink:

it's merely that the resmed algorithm is different. and it really serves you better than the philips. i know this for sure, because i've used both. before the recall of philips machine, i used both on and off for the first three months of this year. since the recall, of course, i'm using the resmed. and i feel i'm better off for that decision. not just because of the recall; it's because i'm being better treated!
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Re: Setting struggles PR ASV Sys 1 to R.Med AirCurve 10 ASv

Post by TAT.LANTA » Mon Dec 06, 2021 7:03 pm

Thank you Palerider and Zonker

It is reassuring to know that zero AHI is good.
I am quite amazed to discover that my results are so much better on the resmed compared to the Philips.

Palerider I had no idea that Resmed were first to invent the ASV it is good to know and obviously their machine does a so much better job.

What you say Zonker about feeling better on the Resmed is also very interesting. I cannot say that I am feeling better yet, because I am still missing how wonderful and refreshed my Philips used to make me feel, pre recall.

My Resmed still possibly needs some tweaking and fine tuning, so I can begin to feel as good as before.

Thank you both for putting my mind at rest.
My New Mantra:
Goodbye old friend (previous machine)
:? I will TRUST my New RESMED :?
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zonker
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Re: Setting struggles PR ASV Sys 1 to R.Med AirCurve 10 ASv

Post by zonker » Mon Dec 06, 2021 7:36 pm

TAT.LANTA wrote:
Mon Dec 06, 2021 7:03 pm
Thank you Palerider and Zonker
i will shove palerider aside and say your welcome! :lol:

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Re: Setting struggles PR ASV Sys 1 to R.Med AirCurve 10 ASv

Post by SleepGeek » Mon Dec 06, 2021 9:13 pm

palerider wrote:
Sat Dec 04, 2021 4:59 pm

Resmed invented the ASV, they STILL do it better.
Citation Please.
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Re: Setting struggles PR ASV Sys 1 to R.Med AirCurve 10 ASv

Post by Pugsy » Mon Dec 06, 2021 9:38 pm

SleepGeek wrote:
Mon Dec 06, 2021 9:13 pm
palerider wrote:
Sat Dec 04, 2021 4:59 pm

Resmed invented the ASV, they STILL do it better.
Citation Please.
Google can be your best friend.

http://www.lakesidepress.com/CPAP/ASV.htm

You are welcome to go digging for patent dates but ResMed got the first one.
ASV.PNG

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Re: Setting struggles PR ASV Sys 1 to R.Med AirCurve 10 ASv

Post by palerider » Mon Dec 06, 2021 9:45 pm

Pugsy wrote:
Mon Dec 06, 2021 9:38 pm
SleepGeek wrote:
Mon Dec 06, 2021 9:13 pm
palerider wrote:
Sat Dec 04, 2021 4:59 pm

Resmed invented the ASV, they STILL do it better.
Citation Please.
Google can be your best friend.

http://www.lakesidepress.com/CPAP/ASV.htm

You are welcome to go digging for patent dates but ResMed got the first one.

ASV.PNG
Yeah, well, some people are too busy trying to cause trouble to be bothered with actually try to LEARN anything. (although, it DID say "please", not that I think it knows what the word means)

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Re: Setting struggles PR ASV Sys 1 to R.Med AirCurve 10 ASv

Post by SleepGeek » Mon Dec 06, 2021 10:04 pm

Pugsy wrote:
Mon Dec 06, 2021 9:38 pm
Google can be your best friend.

You are welcome to go digging for patent dates but ResMed got the first one.
I did before I posted but apparently Google doesn't know what you do. :|

So instead of saying "wrong" like some people here do I thought I'd ask.

Sorry to trouble you.

This is what I found
https://patents.justia.com/inventor/gilbert-d-saul
No mention that Inventor Dr. Gilbert D. Saul was ever associated with resmed.
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