☠️Central Sleep Apnea is DEADLY - ResMed ASV Tutorial

[@CPAPReviews]

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

[@TheGodExperiments]

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...

[@CPAPReviews]

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

[@tabaks]

Yes, I connected. Always useful to have access to more data.

[@Enn-]

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!

[@mikeb1039]

+1

[@Pam-x1x]

I agree. Some sleep doctors treat you like an idiot.

[@gpilsitz1783]

DITTO! 👍👌

[@pjgriffinvideo]

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.

[@ginettegagne5918]

You give me hope! I have central apnea caused by the CPAP. Syndrome name: Treatment emergent central apnea… I am discouraged being always tired! 😢

[@samanthawhyte9300]

What's asv

[@waryor87]

How was the pressure set with your Airsense ? It can change everything

[@SteveFrench_420]

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.

[@SteveFrench_420]

​​@@ginettegagne5918😮 caused by CPAP? That's nuts... If you can afford it, look into the REMedy implant.

[@glenking3058]

Just got RESMed Airsense 11 ASV machine. I'm in TX, USA. I learned more about Central Apnea in this video than in the previous years (10+) of unsuccessful CPAP therapy. Thanks!

[@CPAPReviews]

Welcome buddy. All the best

[@blazeandcyrus]

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.

[@CPAPReviews]

Glad to hear it mate. Thanks for watching

[@justtinkering6713]

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.

[@Jacob1701]

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.

[@WilliamLondree]

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

[@rightarmofwyoming]

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.

[@RobdeKlerk-qg6lc]

Did you forgot to breathe while awake ?

[@casaanya8186]

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?

[@davidmiguel916]

​@@RobdeKlerk-qg6lc I forget to breathe when awake sometimes. Thought it might be stress or some.

[@warwickjarvis]

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. 👍🏼

[@CPAPReviews]

Thank you for the great comment! Appreciate the lovely feedback. Cheers

[@Citizen63-j8k]

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!

[@allinaday9882]

Except for forgetting “for” in the last sentence, your English is 👍!

[@wg8859]

@@allinaday9882 Perfect with me.

[@MountainDiva]

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.

[@CPAPReviews]

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

[@cshum100]

Hey mate when is ResMed going to come out with a Bluetooth oximeter?

[@jasonshortt7]

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.

[@CPAPReviews]

Hi Jason, same here! It was a roller coaster of posts on facebook but glad it ended well

[@jasonshortt7]

@@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.

[@milkywayranchsc]

I had tears of joy for him when you showed the results for the asv

[@redhotchillipepper9917]

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

[@americanfreedomisntfree1317]

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

[@CPAPReviews]

Hey there! That's very kind of you! Much appreciated

[@hughbrackett343]

Thanks for the very clear explanation of Cheyne-Stokes and how the ASV handles it.

[@CPAPReviews]

Hi Hugh, i'm glad you enjoyed the video. All the best

[@kel8761]

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.

[@mistyymichellee]

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. ❤

[@mjjsnell]

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.

[@CPAPReviews]

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

[@mjjsnell]

@@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.

[@cpnmisfit]

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

[@susiek8475]

EXACTLY the same with Fred

[@CPAPReviews]

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 [e-mail] . Thanks mate. Glad ASV is working well for you. Nicko

[@josephcalifano1058]

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.

[@Furby_will_protect]

​@@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).

[@scottjones6624]

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!

[@CPAPReviews]

Hi Scott, thanks for the great comment & subscription brother. I'm glad you enjoyed the vid

[@noahreeverts465]

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!

[@brucesimons158]

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.

[@CPAPReviews]

Thanks Bruce, appreciate that brother. nicko

[@michaeltaube3195]

ASV has really helped me. If anyone is unhappy with their numbers on their biPAP, I highly recommend giving ASV a try.

[@EPBF1]

This was an excellent explanation of what happens when you have central apnea and it really incredible how this person problem got resolved. This was very important teaching and done in a way that understandable. Thank you. Truly love your channel

[@activechild35]

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!!

[@S5King7]

So awesome to see you so passionate about helping these patients! Good on you, mate!

[@BigManAlaska]

Very interesting topic and well explained. I definitely felt focused on the topic and walked away educated instead of confused. This is why I follow your channel.

[@MrCox2121]

I am on BIPAP ASV...My current 90 say average is .09 Yes that is right. Less than 1 event an hour.

[@ChristmasEve777]

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!

[@CPAPReviews]

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

[@KirkJacobsonREJUVN8]

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?

[@TDPEquinox]

@@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.

[@testing6753]

@@TDPEquinox have you figured that out ?

[@testing6753]

@@KirkJacobsonREJUVN8 have you figured that out yet?

[@wardzaza768]

He must feel like a million finally ! Great success story ! Love your channel Nicko! Because of you I didnt give up on my cpap last year and became successful sleeping ! I feel so much better ! Thanks again sir !

[@escanor9920]

Very well explained 😁 ! Since i've been following this channel, I learned a great deal on sleep apneas.

[@LaughterOnWater]

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.

[@LookingGlass363]

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.

[@Jacob1701]

Great explanation of how servo ventilation (from ResMed literature) and other modes work for central apnea, Cheyne-Stokes or hypoventilation. I just wanted to add that at the end, they waveform (ventilation) kicks in by either the back up rate that is set by the clinician or the minute ventilation. When it senses the apneic period, the pressure support increases meaning the machine will make the inspiratory pressure greater to more simulate a breath so the machine is basically giving you a breath like a ventilator during that time. Anyone feel free to object if i said anything incorrectly. Philip, keep up the great work. I would say about half of the patients that needs some type of PAP therapy device, do not wear it because of the different reasons out there that are not fixed for the patient or explained. Its great to see how you are helping patients become more compliant by explanation....at least someone is doing it! I will take a look at the site since I have been out of the RT loop for a bit doing IT work but I am back to being an RT and love it.

[@CPAPReviews]

cheers mate, cant set the backup rate on the ASV, it's 15bpm. Cheers

[@johnmoore9428]

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.

[@CPAPReviews]

You're welcome mate, glad you enjoyed the vid

[@billbromer]

Wow great informative video. These machines when used correctly are life changing. Thank goodness for ASV.

[@CPAPReviews]

Hi William, great comment. Thanks

[@Never2Loud]

So much great info. Much more than I ever receive locally by my physicians or sleep clinic staff,. Thank you!

[@CPAPReviews]

Welcome Pat, glad you enjoyed it!

[@sammyfromsydney]

I have no experience with complex apnea and ASV devices whatsoever and found the video very interesting and informative. At the moment CPAP is working well for me but I see this as something for me to be on the lookout for in myself and anyone who I find out is struggling so I can get them to a sleep specialist if their therapy isn't working. Thank you.

[@CPAPReviews]

Thanks Sammy. Appreciate that. Nick

[@stitchesandstaples]

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]

Do you have heds

[@stitchesandstaples]

@@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

[@bosco1234]

I lived in Singapore and the suppliers I called in to for Resmed, told me they only have a Aircurve 10 VAuto, and they don't carry any others..... I have CSA, I just had a loan set (for a fee) and it's reporting I have CSA (AHI 20+) as the bulk, and I am still trying to figure out the settings, hopefully it "reminds" my body to breathe.... Will logon to your website now. Thank you for doing what you are doing to help everyone

[@wallyfirkins1664]

Thank you very much. I suffer from Central and Obstructive apnea as well. I have been on a Dream Station ASV for 3 years with not good results. I just had a new sleep study that I hope will result in a new machine and different settings. My AHI averages 14 but my daily AHI ranges from 9 to 28. I have terrible mask leaks and aerophagia as well. Your videos are helping me understand my condition and possible solutions.

[@amyhoop9651]

Best Sleep Apnea Info out there! Thanks for all your time educating us.

[@josephlynch3843]

Thank you! Wow, this video exactly captured my situation. My pulmonologist mentioned an ASV machine but decided to go with a BIPAP (my CPAP machine wasn't doing the trick). I've had the BIPAP machine for two weeks...and my AHI is worse! AHI's in the 30-50 range. She lowered the max pressure and it didn't have any effect. I'm sending this report to her to see if we can arrange for an ASV machine. Thank you again.

[@EGlideKid]

I have asthma and watching your analysis of the Chayne-Stokes events made my lungs ache. I had to go get another cup of coffee to feel better! I just started CPAP therapy and after less than two weeks, I've seen my AHI go from 41 to 5-10, aiming for zero. Cheers!

[@losballos2628]

One tip to lower your CA. Disable ERP, be careful on high pressure. If i put my pressure high and Erp enabled I also get CSR..

[@gpilsitz1783]

Thanks, I'm going to try this tonight.

[@sheilaflory2541]

In America and had a home sleep study a year ago with the results getting me a CPAP. After the DME provider and pulmonologist reviewed my data, I was given an overnight lab test. It showed complex apnea but it was too late in the study to hook me up to a different monitor. So after a third sleep study, I was prescribed an ASV unit last Dec. Grateful for how well my local DME provider and insurance company worked together since I had CPAP for a couple months before switching to the high prices ASV. I tried a few months ago to download my info to SleepHQ but couldn’t get it to work. I need to try again as I find myself extremely tired the last few months. Thanks for getting in the weeds and explaining exactly how an ASV works!

[@pozzarefds]

How is the treatment coming on with the ASV?

[@Furby_will_protect]

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.

[@lisazappala4381]

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

[@Josh-ux6zz]

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

[@CPAPReviews]

Hi Josh, good luck with the test mate

[@jensykes4714]

I use resmed Aircurve 10 ASV on ASVauto mode and have been looking for an explanation about it and CSA. Thanks for the explanation of why the machine works so great for me!

[@CPAPReviews]

Nice one Jen! Now you can jump on SleepHQ and check out your results!

[@tomschug4757]

I also use Aircurve 10 ASV. mine is set on ASV usually my AHI is under 1, but I’m still tired most days so I tried ASV auto, my AHI jumped up to 9. My dr can’t explain why.

[@joecannon1231]

Thank you for all this info, sounds like something I might have to look into. Cheers Cobber have a great day

[@CPAPReviews]

You're doing well brother. No need for ASV

[@joecannon1231]

@@CPAPReviews thanks cobber doing me best

[@brandongray5823]

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!

[@nobbyclark5748]

Could you make a detailed video explaining exactly how I can interpret the information shown on the Sleep HQ dashboard

[@xt3708]

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?

[@CPAPReviews]

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

[@AmethystWoman]

Because they can.

[@kristinamartz348]

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!

[@bslaws]

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.

[@veritas3379]

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

[@dc3901]

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?

[@iamintractable1805]

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.

[@AmandaAllen-c2q]

I have BOTH CSA and OSA..per my Dr from my recent visit, I have half and half events each night..my initial test was 10 episodes per hour in July 2021..

[@PeterMann683]

Great tutorial, thanks Nicko, great turn around.

[@CPAPReviews]

Hi Peter, thanks for your channel support Nick

[@823Steve]

Wow! Thank you so much for this video. It did more to help me get any sense out of my data than anything I've seen before.

[@CPAPReviews]

Hi Steve, that's awesome mate, glad you enjoyed the vid

[@SplittingVoices]

Thanks, you are the King of CPAP knowledge. Keep it up mate.

[@CPAPReviews]

Hi Sandro, hope you're well brother. Thanks for the kind words

[@SplittingVoices]

@@CPAPReviews you are helping out many people with your knowledge, so thank you mate.

[@hunnets2009]

Incredible vid mate.... You got skills, nice job

[@CPAPReviews]

Hey brother, that's very kind of you to say. Much appreciated

[@mhlovelady]

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.

[@paulcharlton3187]

Excellent demonstration and explanation. This has improved my understanding of my CSA. Thank-you! 😊😊

[@andrewkoetz3933]

Nick; my DR. told me that I may have a touch of Central Sleep Apnea along with regular sleep apnea. My AHI dropped like a rock since I got my Air Sense 10 to under 10 episodes a night.

[@CPAPReviews]

Congrats mate, that’s great news 🤙

[@wallyfirkins4051]

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.

[@Educa69]

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.

[@George_Ren]

Well explained & informative as always. Cheers

[@CPAPReviews]

Hi George, thanks for the great comment brother. Cheers

[@johncostigan6160]

A great explanation of fairly involved respiration characteristics. Thanks Nicko! I have decided to continue breathing!

[@CPAPReviews]

I think that's a great decision buddy! Thanks for the kind words

[@OceanLife772]

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.

[@auteurfiddler8706]

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."

[@paulfisher4765]

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.

[@tonyhanley9458]

I’ve just started on a cpap . My test results was 107 for 5yrs sleep. I’ve been using cpap for 5 days, I’m getting 5hrs still 2but my events are around 55 to 70 over my first 6 days. My specialist in hospital said ut needs to be below 20. I’m on a setting of 12.

[@tremaincheerful4189]

Fantastic explanation of this technology and so clearly presented! Thank you for the tremendous job you do and help you provide.

[@melissarosander2250]

This is useful! I did a home study and diagnosed with moderate osa. But now on cpap both numbers are low but my central ai is higher than my other numbers. I’m really struggling to get through the night even on lowered pressures.

[@ah6416]

G’Day Nick. Thank you for all the great videos and information you are sharing. I have learned more from you than from my doctor! In fact, I learned about the Philips recall from you. Your tutorial on ASV was insightful and something I need to explore more, since my current therapy does not seem to work. Q: is there a way gather the detail information from Phillips DreamMapper (the aggregated data currently available is useless for analysis)? Btw, I am based in the US and I am still waiting for my recalled Dreamstation replacement.

[@CPAPReviews]

Hi there, glad you're enjoying the content . I'm not to sure on the DreamMapper question but feel free to upload your SD card data to www.sleephq.com . It should work with most Philips machines now

[@TheSmackdwn]

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!

[@bethjoy7675]

How wonderful that such improvement was achieved!

[@wjniemi]

That's awesome, Nick. Will check my data tomorrow for CSR... I have an appointment next week with a sleep neurologist to review my SD card. This is really invaluable. My ahi isn't this bad, but it's weirdly variable from 1.4 to 21.

[@Jake-y4l]

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.

[@paulfisher4765]

Great video Nick, and an excellent example of how the ASV machine treats central apnea. Doctors still seem to fart about with bilevels and so on - are they afraid to take the step to ASV? By the way, where can I get one of those great reverse-printed caps? :)

[@CPAPReviews]

Hi Paul, thanks legend. Haha, i've had a lot of requests for the hats so i've got 10 coming. Should be here within a month mate

[@DarylGlenKelley]

Thanks for the information. I appreciate it

[@hunched_monk3279]

Thanks so much for explaining the theory behind it, so it basically breathes for/with him? Very clever. I thought my APAP was doing the same thing but I guess not!

[@CPAPReviews]

G'day brother, you're welcome. So it's not full on mechanical ventilation, it's more supporting his breathing. He lungs are still working, they just need some encouragement . All you APAP does is create an environment where the pressure on the outside of the lungs is greater than that on inside. Air travels from high pressure to low pressure and forces passed on restriction / blockage.

[@Connor-jf7rp]

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.

[@feelbooster]

Doesnt this treatment good for all patients? It sounds like a good idea to have the goal of keeping breath air volume steady.

[@asf1992]

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

[@silviawachter7440]

Thank you from 🇨🇭 for speaking nice and clear 🙋‍♀️🙋‍♀️🙋‍♀️🙋‍♀️ Silvia

[@charlestimmis273]

Great explanation and video. What I do not understand is why dont they just make one machine that treats both OA and CA. It seems that ASV is just different algorithm to treat CA from CPAP. I think they want to make money by classifying two separate machine types ... rubbish if you ask me....

[@CPAPReviews]

That's exactly what they are doing. All the machines are materially identical in every aspect. Cheers

[@labsnabys]

Thank you for explaining in < 15 minutes what no sleep doctor or therapist has been able to explain in all the years we have been dealing with my husband's sleep apnea! He was finally approved for ASV recently after fighting for it with three different sleep doctors and probably 6 different sleep studies. The difference has been dramatic and hopefully life-changing.

[@CPAPReviews]

You’re welcome 👋

[@riemsesy]

wow.. that voice.. you can read bedtime stories 😀

[@jamesfuchs3551]

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.

[@RobdeKlerk-qg6lc]

Did you forget to breathe during daytime as well ?

[@hawaiian-cerveza]

I was just diagnosed with complex sleep apnea. I should be getting my airsense 11 in about a week. I subbed to your channel to learn how to maintain my device and learn to read the data when I begin my therapy.

[@sergiomejia4555]

How has it been after using it

[@hawaiian-cerveza]

@@sergiomejia4555 been great. I had to make a few adjustments and get refitted for another mask but it's helped. I haven't fallen asleep throughout the day since I started. I would fall asleep at least twice up to 3 times in a day. I can actually focus when studying and my adhd meds don't work when Im on the cpap therapy. Are you starting?

[@sergiomejia4555]

@@hawaiian-cerveza I’m still trying to figure out what’s going on with me I get my sleep study soon but my breathing while I’m sleeping looks and sounds just like central sleep apnea I’m hoping it is not

[@hawaiian-cerveza]

@@sergiomejia4555 Yeah, I hope you can get to the bottom of this. I was diagnosed with complex sleep apnea. I like to sleep on my back but learned to sleep on my side to get better sleep. I hope the best for you man!

[@tabaks]

What a captivating information! Thank you!

[@CPAPReviews]

You're very welcome. Thanks for watching

[@keppela1]

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.

[@SirFency]

I pick up my CPAP on Wednesday. I doubt it's going to work. I believe I have Central Apnea. I have never been much of a snorer. If Apnea is the underlying cause of my issues then I have had this since I was a little boy. I hope that when I get the CPAP it will track my data to give us a clear indication of the type of Apnea I have. I think the Doctors always just assume it's OSA because its the most common. I'm also about 50 lbs overweight. I have not been this fat my whole life. I use to be really fit and skinny as a rail and had all the same issues I have now. We just never linked to to Apnea until last week. I pray to Jesus this works because I don't know where to turn if this dont fix my issues.

[@vk3so]

Many thanks for this great video Nick! And also for the software you are running online at SleepHQ. After purchasing my ResMed Airsense 10 Autoset, without the wireless capabilities, your SleepHQ page came to the rescue nicely! I can see now all my data. The amount of info is amazing, and I am slowly learning how to use the machine, and sleep better. Great work you have done mate, deeply grateful for your instructional and honest videos. Congrats to all involved. Thank you!

[@juliaandrewjuju]

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

[@MrJetMango]

So a normal CPAP wont help even resmed 11? I think you mentioned somewhere that resmed 11 can even detect and help with central apneas? Great channel btw.

[@peterkline7137]

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?

[@brettma]

Great video. Just wondering how users of ASV get used to a blast of pressure when breathing stops. Doesn’t it disturb sleep and feel like your are gulping air?

[@dpatterson9540]

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?

[@stargazer1359]

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.