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[Equipment] Help With S9 VPAP Auto Settings
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PaytonA Offline
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Monitors

Posts: 3,013
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: #21
RE: Help With S9 VPAP Auto Settings
I do not suffer from aerophagia but my thoughts are as follows. It appears from what I have seen written that with aerophagia one wants to reduce the average pressure while maintaining enough pressure to reduce OAs. The auto mode and bi-level should both be instrumental in accomplishing this and it becomes a matter of finding the right combination, which is what both of you are doing. I think there is probably a threshold PS beyond which little is gained and some may be lost due to the increasing pressure jump to inspiration. One thing you might also look at, since there is no rise time adjustment in auto mode, is Ti(max). The factory default setting for Ti(max) is 2.0 seconds. I believe it is in the clinical manual that there is a table of suggested Ti(max) and Ti(min) settings based on normal respiratory rate and the Ti(max) settings are mostly below 2.0. Reducing this to the suggested setting might limit your time at IPAP thus reducing the time weighted average pressure possibly to the benefit of the aerophagia.

Best Regards,

PaytonA
07-01-2014 11:20 AM
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Sleepster Offline
Wiki Editor
Moderators

Posts: 4,994
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: #22
RE: Help With S9 VPAP Auto Settings
After six weeks of auto bi-level therapy I'm happy to report a great deal of success. I now have Max IPAP at 13.6, Min EPAP at 5.8, and PS at 4.2. This allows me to start out at a IPAP of 10 and have it increased as needed. It occasionally goes above 12 and rarely above 13. I am only very rarely aware of air-swallowing and there is no gas.

My AHI stays between 0.3 and 3.0. It's never been this low. Smile

Sleepster
Apnea Board Moderator
www.ApneaBoard.com


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.
08-09-2014 09:36 PM
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trish6hundred Offline

Advisory Members

Posts: 6,449
Joined: May 2012

Machine: Resmed S9 AutoSet for Her
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: H5i Heated Humidifier
CPAP Pressure: 10 - 7-20 Cm H2O
CPAP Software: Not using software

Other Comments: I started CPAP in 2008. Totally blind since birth.

Sex: Female
Location: Missouri, USA

Post: #23
RE: Help With S9 VPAP Auto Settings
Hi Sleepster,
CONGRATULATIONS!
good news. It's great to hear that you have had such good success. I know you have been working on this for quite a while, keep up the good work.

trish6hundred
08-09-2014 10:12 PM
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vsheline Offline

Advisory Members

Posts: 1,908
Joined: Jul 2012

Machine: S9 VPAP Adapt (USA Model# 36007, not better 36037 or 36067)
Mask Type: Full face mask
Mask Make & Model: F10 or SimPlus w/ 2Liners. MirageQuatro & Gecko gel pad
Humidifier: H5i
CPAP Pressure: 15 EPAP, PS 5-10
CPAP Software: ResScan

Other Comments: Marfan Syndrome, chronic bradycardia, occasional Cheyne-Stokes Respiration

Sex: Male
Location: California, USA

Post: #24
RE: Help With S9 VPAP Auto Settings
(08-09-2014 09:36 PM)Sleepster Wrote:  After six weeks of auto bi-level therapy I'm happy to report a great deal of success. I now have Max IPAP at 13.6, Min EPAP at 5.8, and PS at 4.2. This allows me to start out at a IPAP of 10 and have it increased as needed. It occasionally goes above 12 and rarely above 13. I am only very rarely aware of air-swallowing and there is no gas.

My AHI stays between 0.3 and 3.0. It's never been this low. Smile

Hi Sleepster,

What are your settings for Trigger sensitivity (lower setting means later/delayed transition to IPAP after start of inhalation) and Cycle sensitivity (lower setting means later/delayed transition to EPAP near end of inhalation)?

Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment. The Advisory Member group provides advice and suggestions to Apnea Board administrators and staff on matters concerning Apnea Board operation and administrative policies - not on matters concerning treatment for Sleep Apnea. I think it is now too late to change the name of the group but I think Voting Member group would perhaps have been a more descriptive name for the group.
08-10-2014 12:10 AM
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Sleepster Offline
Wiki Editor
Moderators

Posts: 4,994
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: #25
RE: Help With S9 VPAP Auto Settings
(08-10-2014 12:10 AM)vsheline Wrote:  What are your settings for Trigger sensitivity (lower setting means later/delayed transition to IPAP after start of inhalation) and Cycle sensitivity (lower setting means later/delayed transition to EPAP near end of inhalation)?

I've just left those at the default settings, Vaughn. I haven't had the inclination to play around with them yet.

Sleepster
Apnea Board Moderator
www.ApneaBoard.com


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.
08-10-2014 08:21 PM
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