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Please help me fine-tune my dad's Vauto settings
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nimboo Offline

Members

Posts: 11
Joined: Feb 2016

Machine: Respironics Duet LX System
Mask Type: Nasal mask
Mask Make & Model: unsure
Humidifier: unsure
CPAP Pressure: unsure
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #1
Please help me fine-tune my dad's Vauto settings
Hey guys,

Finally got my dad a Resmed Aircurve 10 Bi-level Vauto, and would like some advice on his sleep charts: http://m.imgur.com/a/HP2fK

For the first two nights we used an epapmin of 6 and a pressure support of 3

Then I raised his epapmin to 7, with a ps of 3, and it seemed to do much better.

I raised it because while I watched him fall asleep the first few nights, I noticed he stopped breathing right after he fell asleep, just when he relaxed the most, so I assumed the air stint wasn't pressurized enough. Sure, after he stopped breathing the machine adjusted the pressure higher, but why not turn up the minimum to minimize the amount of times the machine has to adjust?

I don't know - I'm very new to this, just trying to help my dad.

Please advise me on anything else I can change, thanks!

Also - he currently sleeps with a mouthpiece to move his jaw forward, but it needs to be replaced, which ones do you guys use? Any recommendations? He can't afford a doctor, so I'm talking something we can just buy.
03-25-2016 02:44 PM
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DeepBreathing Offline
Wiki Editor
Moderators

Posts: 2,296
Joined: Sep 2013

Machine: Resmed S9 VPAP Adapt
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Resmed H5i
CPAP Pressure: EPAP: 9 - 15 PS: 3 - 10
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Perth, Western Australia

Post: #2
RE: Please help me fine-tune my dad's Vauto settings
Hi Nimboo. On the basis of those charts he's doing pretty good. At this stage I would't change anything, just monitor him for a week or two and see if any trends develop.

The fact that he stops breathing just after he falls asleep may not be significant - there is a transition period between wakefulness and sleep when breathing does get a bit irregular and ragged, and this is often flagged as apneas. As regards the mouthpiece, I think a well-tuned xPAP machine will be more successful and less invasive. Once he's settled into using the machine, try him without the mouthpiece for a few nights and see how it goes. You may find he doesn't need it any more.

DeepBreathing
Apnea Board Moderator
www.ApneaBoard.com


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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.
03-25-2016 10:34 PM
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trish6hundred Offline

Advisory Members

Posts: 6,453
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: Please help me fine-tune my dad's Vauto settings
Hi nimboo,
I don’t know enough about your machine but keep checking back, there are quite a few that have that or a similar machine to be able to help you. Have you gotten a clinitians manual for his machine? I think there is a link on the board for them.
It’s great that you are looking out for your dad.
Keep up the good work and don’t give up.
Edit: DeepBreathing and I posted at the same time, (Ha-Ha.) Good luck to you.

trish6hundred
(This post was last modified: 03-25-2016 10:49 PM by trish6hundred.)
03-25-2016 10:42 PM
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vsheline Online

Advisory Members

Posts: 1,915
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: #4
RE: Please help me fine-tune my dad's Vauto settings
Hi Nimboo, great to hear from you.

Your Dad's data shows he is doing well. You've already adjusted the machine very well.

In a week or two we may have some suggestions for fine tuning, but looks like a really excelent job so far.

Well done!

Take care,
--- Vaughn

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.
(This post was last modified: 03-26-2016 09:06 PM by vsheline.)
03-26-2016 09:03 PM
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