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Inhalation machine delay
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wardblvd Offline

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Posts: 2
Joined: Jul 2015

Machine: RESMED S9 VPAP
Mask Type: Nasal pillows
Mask Make & Model: RESMED P10
Humidifier: RESMED H5i
CPAP Pressure: 11/5.RR 10
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #1
Inhalation machine delay
Hello everyone, hope your therapy machine, whichever one you use, is giving you the rest you need, as mine is.

My question is this, How can I adjust my RESMED S9 for a smoother transition from exhalation to inhalation? When going to inhalation it is like I have to suck a small plug out of a straw before the air flow begins. A sensitivity setting is my guess but I don't know how to get to it.

Thanks for any help you can give.

wardblvd
07-12-2015 08:23 AM
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PaytonA Online
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Posts: 3,005
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: Inhalation machine delay
Is your S9 VPAP the VPAP S, VPAP Auto, VPAP ST, VPAP Adapt? How long have you had your machine? How long have you been on PAP? What is your EPAP setting and what is your IPAP setting?

If you can answer all of the questions correctly, I will divulge the secret settings!! Big Grin Dielaughing Just kidding.

You should not have no air flow at the end of an exhale. It should be lower than your inhale flow but there should be significant flow.

First, check the tubing type setting and make sure that it is set to the type of tubing that you are using.

To get into the super secret clinician's menu, start from the Home menu. Hold down the push dial and setting button for 3 -5 seconds and you will get to the clinician's menu. Look for the "Easy Breathe" setting. If you have one and it is not turned on, turn it on.

Let us know how you are doing.

Best Regards,

PaytonA
(This post was last modified: 07-12-2015 12:35 PM by PaytonA.)
07-12-2015 12:33 PM
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wardblvd Offline

New Members

Posts: 2
Joined: Jul 2015

Machine: RESMED S9 VPAP
Mask Type: Nasal pillows
Mask Make & Model: RESMED P10
Humidifier: RESMED H5i
CPAP Pressure: 11/5.RR 10
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #3
RE: Inhalation machine delay
Thanks for the try Payton, but my machine doesn't seem to have an "Easy Breathe" setting. What else can I try?
07-17-2015 07:58 PM
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justMongo Offline

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Posts: 3,839
Joined: Sep 2013

Machine: ResMed VPAP Auto (S9)
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quattro
Humidifier: ResMed H5i
CPAP Pressure: 18 IPAPmax - 11 EPAPmin, PS=5
CPAP Software: Other Software

Other Comments: μολὼν λαβέ

Sex: Male
Location: Калифорния

Post: #4
RE: Inhalation machine delay
(07-17-2015 07:58 PM)wardblvd Wrote:  Thanks for the try Payton, but my machine doesn't seem to have an "Easy Breathe" setting. What else can I try?

What is your PS setting. I run at 4. A wide (large) PS will present more "slap" in the transitions to/from IPAP/EPAP.

If easybreathe isn't in the menu, you may be in auto mode like Payton and I. Our flow waveforms have a nice exponential rise, then decay.

Sorry, but I do not understand what you are putting in your profile for PS, IPAP and EPAP. See mine.

Get the software and view your flow waveforms.

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07-17-2015 08:43 PM
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PaytonA Online
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Monitors

Posts: 3,005
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: Inhalation machine delay
Is your VPAP, a VPAP S, a VPAP Auto or some other flavor of VPAP altogether?
07-17-2015 08:52 PM
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kaiasgram Offline

Advisory Members

Posts: 241
Joined: Aug 2013

Machine: S9 VPAP Auto
Mask Type: Nasal pillows
Mask Make & Model: Aloha
Humidifier: H5i
CPAP Pressure: 8-10
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Northern California

Post: #6
RE: Inhalation machine delay
Ward, go back into the clinical menu -- what is your Trigger setting on? The options are Very low, Low, Medium, High and Very High. The Trigger setting adjusts the sensitivity of the machine when switching from exhale pressure (EPAP) to inhale pressure (IPAP). The lower settings feel like the machine is slower to switch to IPAP when you inhale. This setting alone can make a difference.

You can read more and see a good visual of this on Page 5 of the S9 VPAP clinician manual. You'll also see there's a "Cycle" setting right below Trigger, which handles the sensitivity of the machine in switching from IPAP to EPAP.
(This post was last modified: 07-17-2015 09:32 PM by kaiasgram.)
07-17-2015 09:29 PM
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PaytonA Online
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Monitors

Posts: 3,005
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: #7
RE: Inhalation machine delay
Do we know yet which VPAP wardblvd is using and in what mode???
07-18-2015 10:57 AM
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TyroneShoes Offline

Preferred Members-2

Posts: 505
Joined: Oct 2014

Machine: Resmed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10
Humidifier: Resmed H5i
CPAP Pressure: 10-14
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location:

Post: #8
RE: Inhalation machine delay
While I know little about VPAP, I have found that the choice of mask can actually make a difference. I posted last year, complaining that my system (S9 APAP) seemed to not be smart enough to know when I was finished inhaling, and that there seemed to be a short delay before EPR kicked in, where the back pressure was greater. As soon as I began exhaling it would recognize that and then lower the pressure, but it seemed like it should have been able to detect this quicker and react quicker.

Then I went from the Swift FX NPs to the P10. These are very similar masks, but with the P10 that delay seemed to no longer be there.

This is of course the exact opposite of the OP's experience. I was seeing a delay at the beginning of exhalation, while wardblvd was seeing a delay at the beginning of inhalation. But that said, maybe the mask choice can be a factor for either.
07-18-2015 07:26 PM
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PaytonA Online
Wiki Editor
Monitors

Posts: 3,005
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: #9
RE: Inhalation machine delay
We still do not know which VPAP wardblvd is using as well as what mode it is being used in. It is rather difficult to make any kind of recommendations without that information.
07-20-2015 11:22 AM
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