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[Equipment] VPAP lll st -- change to CPAP set-up
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fulfunc Offline

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Posts: 2
Joined: Feb 2013

Machine: respironics PR-561 ca
Mask Type: Nasal mask
Mask Make & Model: respironics confort gel blue
Humidifier: IN6TFLG
CPAP Pressure: 10 - 14
CPAP Software: Not using software

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Sex: Undisclosed
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Post: #1
Question VPAP lll st -- change to CPAP set-up
I am a long term XPAP user with complex breathing issue.

A friend of mine has been instructed to change a recently supplied VPAP lll ST from 10 - 15 (bipap) to a CPAP at 16+ cm. He has serious breathing issues and sets off his mask leak alarms all the time.

His doctor wants him to go back to a CPAP, since he seemed to have better results with his old F&P 20, but up the pressure to 16+.

The F&P 200 is over 5 years old, due for retirement. I don't trust it to get up to and deliver 16+ cm reliably. He still has this VPAP lll st, which is designed to supply these high pressures with ease.

He has me do any changes & fine tuning for him since I have lots of practice through my own machines. Also, I take the time to explain things to him as I do it. He has serious short term memory damage after his long bouts of severe apnea.

Does anyone have experience with this reconfiguration??

Any suggestions?? I still have to get clinician manual & access instructions but since it is menu driven it shouldn't be too bad..
02-22-2013 05:20 PM
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zonk Offline

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Posts: 7,908
Joined: Feb 2012

Machine: A10 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Activa LT
Humidifier: Integrated /ClimateLineAir
CPAP Pressure: 9/13
CPAP Software: ResScan

Other Comments: CPAP since Nov 2010

Sex: Male
Location: Australia

Post: #2
RE: VPAP lll st -- change to CPAP set-up
the manual for "ResMed VPAP III & III-ST" available via email (section three) make sure to ask for the right one
http://www.apneaboard.com/adjust-cpap-pr...tup-manual

if wanted to keep using the F&P machine, have the pressure checked
any CPAP supplier can check the pressure for you or get a manometer and you can make your own as shown here
http://www.apneaboard.com/forums/Thread-...=manometer
Welcome
02-22-2013 05:47 PM
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trish6hundred Offline

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Posts: 6,424
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: #3
RE: VPAP lll st -- change to CPAP set-up
Hi fulfunc,
WELCOME! to the forum.!
Hang in there for more responses to your post.
Best of luck.

trish6hundred
02-22-2013 06:22 PM
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zimlich Offline

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Posts: 392
Joined: Feb 2012

Machine: Respironics PR System One BiPap Auto SV Advanced
Mask Type: Nasal mask
Mask Make & Model: ResMed gel Nasal Mask
Humidifier: System One
CPAP Pressure: 8-20 ASV, 8 EPAP,PS 12
CPAP Software: Not using software

Other Comments: I use the Quattro FFM when necessary

Sex: Female
Location: Norfolk, VA

Post: #4
RE: VPAP lll st -- change to CPAP set-up
These high tech machines should be able to operate as a CPAP by setting EPAP/IPAP to the same pressure- 16. It's a bilevel machine, but doesn't need to be configured as such Of course you know this. The real question is the machine paid for? If your friend owns the machine keeping it will not be a problem. If not I would try and wrangle a Bilevel machine with an EPAP pressure of 16. Bilevel won't help that much however, as my understanding is that the EPAP should be set to the high pressure that your friend needs, IPAP a bit higher. Many people don't set the EPAP that high. With the clinicians manual you should be able to set the machine up so it's comfortable. If the machine has breathing support I use AUTO. Ramp time may be a feature that is helpful- 16 is a pretty high pressure.

He certainly needs help with his mask fit. As you know a common mistake is tightening the mask too much. Make sure the mask is not too old and cushions replaced monthly for the best fit. I have good success with fitting my mask with the blower on and lightly holding the mask to my face so the cushion can inflate, then attaching the straps. With a properly fitted mask and the correct size I have 0 leaks most nights. The machine should have a mask setting feature which will tell him when the mask is worn correctly.
Good luck. Maybe he can join the forum He is fortunate to have you watching out for him.
Not having a clinicians manual I may not have helped.
(This post was last modified: 02-23-2013 09:17 AM by zimlich.)
02-23-2013 09:16 AM
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Sleepster Offline
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Posts: 4,988
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: #5
RE: VPAP lll st -- change to CPAP set-up
They switched me from a CPAP at a pressure of 13 cm to a BiPAP set at IPAP pressure of 13 cm and EPAP 8 cm.

Sleepster
Apnea Board Moderator
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02-23-2013 10:48 AM
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fulfunc Offline

New Members

Posts: 2
Joined: Feb 2013

Machine: respironics PR-561 ca
Mask Type: Nasal mask
Mask Make & Model: respironics confort gel blue
Humidifier: IN6TFLG
CPAP Pressure: 10 - 14
CPAP Software: Not using software

Other Comments:

Sex: Undisclosed
Location:

Post: #6
RE: VPAP lll st -- change to CPAP set-up
Thanks Zimlich --- ALL POINTS duly noted -- preaching to the choir --I wish we could teach all Apnea patients these finer points.

I tried when I was active with Sleep/Wake disorders help group up here, but everything flew way over their heads, even the engineers who should understand these basics of flow & pressure.

I have to use both APAP and a Thornton positioner (mandibular device) to overcome multiple blockages and daily changes. They work great together for me. Took a long time to find the right combo, and an excellent sleep specialist in Toronto.




(02-23-2013 09:16 AM)zimlich Wrote:  These high tech machines should be able to operate as a CPAP by setting EPAP/IPAP to the same pressure- 16. It's a bilevel machine, but doesn't need to be configured as such Of course you know this. The real question is the machine paid for? If your friend owns the machine keeping it will not be a problem. If not I would try and wrangle a Bilevel machine with an EPAP pressure of 16. Bilevel won't help that much however, as my understanding is that the EPAP should be set to the high pressure that your friend needs, IPAP a bit higher. Many people don't set the EPAP that high. With the clinicians manual you should be able to set the machine up so it's comfortable. If the machine has breathing support I use AUTO. Ramp time may be a feature that is helpful- 16 is a pretty high pressure.

He certainly needs help with his mask fit. As you know a common mistake is tightening the mask too much. Make sure the mask is not too old and cushions replaced monthly for the best fit. I have good success with fitting my mask with the blower on and lightly holding the mask to my face so the cushion can inflate, then attaching the straps. With a properly fitted mask and the correct size I have 0 leaks most nights. The machine should have a mask setting feature which will tell him when the mask is worn correctly.
Good luck. Maybe he can join the forum He is fortunate to have you watching out for him.
Not having a clinicians manual I may not have helped.
02-25-2013 09:41 PM
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