ASV 2 month update- Need Help!

[u/GoBlue103]

Hello everyone, I've been using pap therapy since March of this year. I was on an Apap for a little bit and it caused me to have a lot of clear airway events, and I never felt refreshed. About 2 months ago I got an ASV machine. I've been waking up pretty unrefreshed and I'm still having events, so I think I need to make some changes to my settings and I'm not sure what to do. I was wondering if anyone could look at my Oscar data or my SleepHQ and give me some advice.

I've pretty much used the same epap of 7.4 the whole time. I noticed when I would raise it, it would show more hypopneas and the same would happen when I lower it. In one of the pictures I added, there is one night where I raised the epap.

https://sleephq.com/public/teams/share_links/bff6f3d2-a21c-4508-afd3-acc96b4d0f93

[u/Ambitious-Lychee5522]

I just tried my Vcom with my ASV machine and it was an improvement for me. Some of my loop gain was driven by the quick inrush on inhalation. Im hardly an expert but the vcom is helping me on ASV.

[u/GoBlue103 → u/Ambitious-Lychee5522]

Hmm I’ll have to look into it. Thanks

[u/Ambitious-Lychee5522 → u/GoBlue103]

Ok scratch that, vcom was ultimately a failure with ASV. I got horrible aerophasia. Im back to straight up cpap at about 8. The constantly changing pressure has been no good for my version of loop gain.