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Aircurve 10 vpapauto use experiences
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ckingzzzs Offline

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Posts: 57
Joined: Aug 2015

Machine: resmed aircurve 10 VAUTO
Mask Type: Nasal pillows
Mask Make & Model: swift fx nasal pillows
Humidifier: resmed aircurve10 vauto
CPAP Pressure: min epap 7, max ipap 20, PS 4
CPAP Software: ResScan SleepyHead

Other Comments: CPAP user June-Dec 2015, VPAP starting Jan 2016 and struggling with proper adjustments

Sex: Male
Location: maine

Post: #1
Aircurve 10 vpapauto use experiences
Does someone have an experience to share regarding the use of the resmed aircurve 10, vpap machine. I just started using one and I wanted to learn a bit of other experiences?? For example, things I would like to know are what factors to be aware of that may need adjustment, etc...
02-16-2016 08:06 AM
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PaytonA Offline
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Posts: 3,016
Joined: Dec 2013

Machine: ResMed S9 VPAP Auto
Mask Type: Full face mask
Mask Make & Model: Resmed Mirage Quattro
Humidifier: H5i(distilled-top up)
CPAP Pressure: VAuto MinE14.0 MaxI 20.6 PS4.0
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Orange County,California

Post: #2
RE: Aircurve 10 vpapauto use experiences
Are you assuming that your range is 5-20 or is that what it has been set at? The max wir pressure for the VPAPs is 25 cm/H2O.
02-16-2016 11:17 AM
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Sleeprider Online
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Posts: 3,388
Joined: Dec 2014

Machine: Resmed Aircurve 10 Vauto
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed Climateline
CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: Where they make Respironics

Post: #3
RE: Aircurve 10 vpapauto use experiences
What are your current settings? It appears you are in Auto mode with min EPAP 5.0, Max IPAP 13 and PS 3.0.

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02-16-2016 11:29 AM
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ckingzzzs Offline

Preferred Members

Posts: 57
Joined: Aug 2015

Machine: resmed aircurve 10 VAUTO
Mask Type: Nasal pillows
Mask Make & Model: swift fx nasal pillows
Humidifier: resmed aircurve10 vauto
CPAP Pressure: min epap 7, max ipap 20, PS 4
CPAP Software: ResScan SleepyHead

Other Comments: CPAP user June-Dec 2015, VPAP starting Jan 2016 and struggling with proper adjustments

Sex: Male
Location: maine

Post: #4
RE: Aircurve 10 vpapauto use experiences
(02-16-2016 11:29 AM)Sleeprider Wrote:  What are your current settings? It appears you are in Auto mode with min EPAP 5.0, Max IPAP 13 and PS 3.0.

my settings were:

ps=4
timax=2
timin=.3
ipapmax=25
epapmin=5
trigger=low
cycle=med

with these settings I got:
IPAP median 11.3, max 14.3
EPAP median 7.4, max 10.3
Apnea Index=12.7, AHI=16.7, central=10.4, after 44 days

I now made some changes to:
timax=3
timin=1
Ipap=25
Epap=6.6
ps=3

not sure which numbers to change to address my centrals
02-16-2016 11:55 AM
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PaytonA Offline
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Monitors

Posts: 3,016
Joined: Dec 2013

Machine: ResMed S9 VPAP Auto
Mask Type: Full face mask
Mask Make & Model: Resmed Mirage Quattro
Humidifier: H5i(distilled-top up)
CPAP Pressure: VAuto MinE14.0 MaxI 20.6 PS4.0
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Orange County,California

Post: #5
RE: Aircurve 10 vpapauto use experiences
What is your rationale for changing Ti max and Ti min? Why is your trigger set to "low"?

Best Regards,

PaytonA
02-16-2016 01:26 PM
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Sleeprider Online
Wiki Editor
Advisory Members

Posts: 3,388
Joined: Dec 2014

Machine: Resmed Aircurve 10 Vauto
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed Climateline
CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: Where they make Respironics

Post: #6
RE: Aircurve 10 vpapauto use experiences
I think the increase in EPAP Min should help with residual OA events. The reduced pressure support should help with the CA, and it could go to 2.0. It will be interesting to see how this works out. The use of pressure support in some people tends to increase CA. I don't have enough information to advise on the timing or trigger. Your tidal and timing looked good from the data you included before, so I'd leave those settings along unless you have something in mind.

[Image: attachment.php?aid=2157]

[Image: attachment.php?aid=2161]

______________________________________________
Organize your SleepyHead Data
Post your SleepyHead Data from Imgur
Robysue's Beginner's Guide to Sleepyhead
02-16-2016 02:42 PM
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ckingzzzs Offline

Preferred Members

Posts: 57
Joined: Aug 2015

Machine: resmed aircurve 10 VAUTO
Mask Type: Nasal pillows
Mask Make & Model: swift fx nasal pillows
Humidifier: resmed aircurve10 vauto
CPAP Pressure: min epap 7, max ipap 20, PS 4
CPAP Software: ResScan SleepyHead

Other Comments: CPAP user June-Dec 2015, VPAP starting Jan 2016 and struggling with proper adjustments

Sex: Male
Location: maine

Post: #7
RE: Aircurve 10 vpapauto use experiences
(02-16-2016 01:26 PM)PaytonA Wrote:  What is your rationale for changing Ti max and Ti min? Why is your trigger set to "low"?

Best Regards,

PaytonA

when I put my trigger on medium, it appears the machines is forcing the air before I need it and forces me to inhale to quickly between breaths where with a setting to low I do not get this at all and its more comfortable. however, I have noticed that the first 11 days of use with a trigger setting to medium provided better results then when my trigger is set to low. I feel my nostrils inflate (i use nasal pillows) when trigger is set to medium and not as much when the trigger is set low
02-16-2016 08:15 PM
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Sleepster Offline
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Posts: 4,995
Joined: Feb 2012

Machine: ResMed AirCurve10 VAuto
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: HumidAir and SlimLine Hose
CPAP Pressure: MaxI 13.6 | MinE 5.2 | PS 4.4
CPAP Software: ResScan SleepyHead

Other Comments: Diagnosed Nov 2011. Conquered aerophagia.

Sex: Male
Location: Houston, Texas

Post: #8
RE: Aircurve 10 vpapauto use experiences
(02-16-2016 08:15 PM)ckingzzzs Wrote:  when I put my trigger on medium, it appears the machines is forcing the air before I need it and forces me to inhale to quickly between breaths where with a setting to low I do not get this at all and its more comfortable. however, I have noticed that the first 11 days of use with a trigger setting to medium provided better results then when my trigger is set to low. I feel my nostrils inflate (i use nasal pillows) when trigger is set to medium and not as much when the trigger is set low

You should make changes one at a time and wait several days or weeks to see its effect. I recommend putting the machine settings back to what the doctor ordered, see what at least a week or two's data looks like, and then possibly consider making a change based on the data or experiences.

Have you tried a mask other than nasal pillows? Some people don't like pillows because of the way they can inflate your nostrils so they try a nasal mask.

They switched you to the VAuto to treat central apnea? What was the reasoning behind that decision?

Sleepster
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INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
02-17-2016 06:58 AM
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ckingzzzs Offline

Preferred Members

Posts: 57
Joined: Aug 2015

Machine: resmed aircurve 10 VAUTO
Mask Type: Nasal pillows
Mask Make & Model: swift fx nasal pillows
Humidifier: resmed aircurve10 vauto
CPAP Pressure: min epap 7, max ipap 20, PS 4
CPAP Software: ResScan SleepyHead

Other Comments: CPAP user June-Dec 2015, VPAP starting Jan 2016 and struggling with proper adjustments

Sex: Male
Location: maine

Post: #9
RE: Aircurve 10 vpapauto use experiences
(02-16-2016 02:42 PM)Sleeprider Wrote:  I think the increase in EPAP Min should help with residual OA events. The reduced pressure support should help with the CA, and it could go to 2.0. It will be interesting to see how this works out. The use of pressure support in some people tends to increase CA. I don't have enough information to advise on the timing or trigger. Your tidal and timing looked good from the data you included before, so I'd leave those settings along unless you have something in mind.

[Image: attachment.php?aid=2157]

[Image: attachment.php?aid=2161]

Sleeprider I think your analysis is pretty good and here is why. I changed the following yesterday and got some of the best results in days.

PS=3
timax=2.3
tmin=.6
trigger=med
cycle=med
epapmin=6.6

the only problem I am having is that when viewing the horizontal bar graph on the machine as I breath, the machine drops down in pressure before I have had a chance to complete inhalation. I am not sure if this is a cycle issue or I need to increase my tmin. and wondering as to what figure I should increase epapmin

   
(This post was last modified: 02-17-2016 08:22 AM by ckingzzzs.)
02-17-2016 08:21 AM
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Sleeprider Online
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Advisory Members

Posts: 3,388
Joined: Dec 2014

Machine: Resmed Aircurve 10 Vauto
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed Climateline
CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: Where they make Respironics

Post: #10
RE: Aircurve 10 vpapauto use experiences
That last day looks quite a bit better. You can let that setting go for a while, but I still see a correlation of peak pressure with CA events. I would consider limiting IPAP Max to 11.0 based on what I'm seeing there, and I still like a PS of +2, but a few more days at current settings are not going to hurt.

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Robysue's Beginner's Guide to Sleepyhead
(This post was last modified: 02-17-2016 10:17 AM by Sleeprider.)
02-17-2016 10:14 AM
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