Post Reply 
This VPAP Adapt is beyond me, sorry to say.
Author Message
jcarerra Offline

Advisory Members

Posts: 284
Joined: Jun 2014

Machine: ResMed S9 Adapt SV
Mask Type: Full face mask
Mask Make & Model: Quattro
Humidifier: H5i
CPAP Pressure: min/max EPAP 9/15 min/max PS 4
CPAP Software: ResScan

Other Comments:

Sex: Male
Location: Florida

Post: #91
RE: This VPAP Adapt is beyond me, sorry to say.
(10-12-2014 05:28 PM)PhyllisBalboa Wrote:  ...I think I can bring min PS to 0 if I remember right. Then must bring max PS down by 1 for that 5 spread. That will limit the max pressure...

The "5" requirement for PS is only that it must be AT LEAST 5. It can be more--so you CAN have a higher max pressure (maxPS>5),
10-12-2014 06:52 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
PhyllisBalboa Offline

Preferred Members-2

Posts: 155
Joined: May 2014

Machine: ResMed VPAP Adapt S9 (36067), ASV mode
Mask Type: Nasal pillows
Mask Make & Model: Swift FX for Her
Humidifier: H5i
CPAP Pressure: EPAP: 4.4; PS: 1-6
CPAP Software: SleepyHead

Other Comments: diabetes type 1, fibromyalgia, MTHFR double genetic mutation

Sex: Female
Location: American in Montreal, Qc

Post: #92
RE: This VPAP Adapt is beyond me, sorry to say.
(10-12-2014 06:21 PM)PaytonA Wrote:  Good thinking. It just goes to show that when you have a problem after not having it for some time, you need to think about all of the things that have changed and possibly change them all back or identify a most probable parameter and change it back first.

I made the same mistake for a short while recently and started worrying about what I was going to have to do about the increase in the problem that just came up. Then it suddenly came to me that I had changed something for another reason that might have had an impact on the problem. I changed it back and voila' problem disappeared.

Best Regards,

PaytonA

Yeah, I know that, but when I get into a new field I don't know it for awhile. This sleep apnea thing is quite complex, with lots of things to learn. I've been too focussed on getting up to speed and getting well.

The problem with the ramp issue is that I noticed that most people here turn it off, so of course I should do that, too. I thought after 3 months I should discard my 'training wheels'. But I think I have had a limited understanding, not seeing that my machine is very connected with my own personal breathing, even constantly recording it and pushing the pattern back at me. But it's my sleeping breathing it should be following, not my lying awake worrying about tomorrow breathing. I should be asleep when it comes on board to do its job.

Maybe this is something for those with ASV machines to think about. At the end of the ramp time, if we're not asleep, maybe we need to turn it off, then back on to start up the ramp again.

Am I on the right track, thinking this might be a good plan?
10-12-2014 06:55 PM
Find all posts by this user Post Reply Quote this message in a reply
jcarerra Offline

Advisory Members

Posts: 284
Joined: Jun 2014

Machine: ResMed S9 Adapt SV
Mask Type: Full face mask
Mask Make & Model: Quattro
Humidifier: H5i
CPAP Pressure: min/max EPAP 9/15 min/max PS 4
CPAP Software: ResScan

Other Comments:

Sex: Male
Location: Florida

Post: #93
RE: This VPAP Adapt is beyond me, sorry to say.
Everybody is different, but you can learn from others experiences and decide how to fold them into your own situation.

I use a ramp of just 5 minutes to ease getting mask on, mosly. Everybody is different,

did you see
The "5" requirement for PS is only that it must be AT LEAST 5. It can be more--so you CAN have a higher max pressure (maxPS>5)?
10-12-2014 08:15 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
PhyllisBalboa Offline

Preferred Members-2

Posts: 155
Joined: May 2014

Machine: ResMed VPAP Adapt S9 (36067), ASV mode
Mask Type: Nasal pillows
Mask Make & Model: Swift FX for Her
Humidifier: H5i
CPAP Pressure: EPAP: 4.4; PS: 1-6
CPAP Software: SleepyHead

Other Comments: diabetes type 1, fibromyalgia, MTHFR double genetic mutation

Sex: Female
Location: American in Montreal, Qc

Post: #94
RE: This VPAP Adapt is beyond me, sorry to say.
(10-12-2014 06:52 PM)jcarerra Wrote:  
(10-12-2014 05:28 PM)PhyllisBalboa Wrote:  ...I think I can bring min PS to 0 if I remember right. Then must bring max PS down by 1 for that 5 spread. That will limit the max pressure...

The "5" requirement for PS is only that it must be AT LEAST 5. It can be more--so you CAN have a higher max pressure (maxPS>5),

Jcarerra, that's the problem, my max pressure is so high that I'm swallowing air too much and having terrible chest pains. When I started (wide open on the VPAP per the doctor) 4 months ago, max pressure was reaching 23 for 3 months straight. Then I started adjusting EPAP downward and PS support ranges downward. Lately max pressure is 10 or so, still with the air problem. I really want lower max pressure, and that's what I'm struggling with.
10-12-2014 08:42 PM
Find all posts by this user Post Reply Quote this message in a reply
PhyllisBalboa Offline

Preferred Members-2

Posts: 155
Joined: May 2014

Machine: ResMed VPAP Adapt S9 (36067), ASV mode
Mask Type: Nasal pillows
Mask Make & Model: Swift FX for Her
Humidifier: H5i
CPAP Pressure: EPAP: 4.4; PS: 1-6
CPAP Software: SleepyHead

Other Comments: diabetes type 1, fibromyalgia, MTHFR double genetic mutation

Sex: Female
Location: American in Montreal, Qc

Post: #95
RE: This VPAP Adapt is beyond me, sorry to say.
(10-12-2014 08:15 PM)jcarerra Wrote:  Everybody is different, but you can learn from others experiences and decide how to fold them into your own situation.

I use a ramp of just 5 minutes to ease getting mask on, mosly. Everybody is different,
Yes, I must remember not to copy everyone just because they have great ideas.
:grin:

(10-12-2014 08:15 PM)jcarerra Wrote:  did you see
The "5" requirement for PS is only that it must be AT LEAST 5. It can be more--so you CAN have a higher max pressure (maxPS>5)?
Yes, but I want PS to be SMALLER than 5. Why can't it be like an EPR of 1,2, or 3 on your guys' machines? I'm envious, and probably butting my head against a pretty brick wall. I have to learn to live with my machine's unfathomable rules, that's the short story.

But maybe turning the ramp full on might be the simple answer. I'll see tonight.
10-12-2014 08:51 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
retired_guy Offline

Preferred Members-2

Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #96
RE: This VPAP Adapt is beyond me, sorry to say.
Actually you can set the machine to "Autoset" and it will function as a regular S9 Autoset, allowing minimum and maximum pressures, and an epr of 1, 2, or 3.

If I remember my history correctly, you were originally diagnosed and prescribed CPAP with pressure 8. Then, someone else read your reports and decided you had all these Centrals, so you needed something more than a pressure 8.

I have always thought you should be at pressure 8.

Again, this is just me, but if it was my machine and my cute little body, I'd be telling it to run in "Autoset" mode, minimum pressure 6, maximum pressure 10, EPR perhaps 2 to start with, and ramp turned off.
10-12-2014 09:03 PM
Find all posts by this user Post Reply Quote this message in a reply
vsheline Online

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: #97
RE: This VPAP Adapt is beyond me, sorry to say.
(10-12-2014 09:03 PM)retired_guy Wrote:  Actually you can set the machine to "Autoset" and it will function as a regular S9 Autoset, allowing minimum and maximum pressures, and an epr of 1, 2, or 3.

Hi retired_guy,

Actually, the S9 VPAP Adapt does not have the standard AutoSet mode. Only has fixed-pressure "CPAP" mode and ASV mode(s).

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.
10-12-2014 09:12 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
PhyllisBalboa Offline

Preferred Members-2

Posts: 155
Joined: May 2014

Machine: ResMed VPAP Adapt S9 (36067), ASV mode
Mask Type: Nasal pillows
Mask Make & Model: Swift FX for Her
Humidifier: H5i
CPAP Pressure: EPAP: 4.4; PS: 1-6
CPAP Software: SleepyHead

Other Comments: diabetes type 1, fibromyalgia, MTHFR double genetic mutation

Sex: Female
Location: American in Montreal, Qc

Post: #98
RE: This VPAP Adapt is beyond me, sorry to say.
(10-12-2014 09:03 PM)retired_guy Wrote:  Actually you can set the machine to "Autoset" and it will function as a regular S9 Autoset, allowing minimum and maximum pressures, and an epr of 1, 2, or 3.

If I remember my history correctly, you were originally diagnosed and prescribed CPAP with pressure 8. Then, someone else read your reports and decided you had all these Centrals, so you needed something more than a pressure 8.

I have always thought you should be at pressure 8.

Again, this is just me, but if it was my machine and my cute little body, I'd be telling it to run in "Autoset" mode, minimum pressure 6, maximum pressure 10, EPR perhaps 2 to start with, and ramp turned off.

Yes, several conversations back I remember you giving me that advice. And others chimed in that my centrals wouldn't be helped with CPAP. But now I'm rethinking this, along with what you're saying. My clinical manual says I can run this machine in CPAP mode (doesn't mention EPR that I can tell), my mode (ASV), and ASV Auto, which adds a range for EPAP. Vsheline says that I can go to that mode if all this doesn't get resolved soon.

A pressure of 6 to 8 feels the best for me. And yet my machine is still maxing out at over 10. I have a few more things I can do in this mode, then it's on to ASV Auto mode to try that out.
10-12-2014 09:17 PM
Find all posts by this user Post Reply Quote this message in a reply
retired_guy Offline

Preferred Members-2

Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #99
RE: This VPAP Adapt is beyond me, sorry to say.
(10-12-2014 09:12 PM)vsheline Wrote:  
(10-12-2014 09:03 PM)retired_guy Wrote:  Actually you can set the machine to "Autoset" and it will function as a regular S9 Autoset, allowing minimum and maximum pressures, and an epr of 1, 2, or 3.

Hi retired_guy,

Actually, the S9 VPAP Adapt does not have the standard AutoSet mode. Only has fixed-pressure "CPAP" mode and ASV mode(s).

Well, I was looking at page 16 of the Clinician's guide and it sure looked to me like it has the autoset mode. But I haven't ever actually even seen one of these machines so I could be reading the manual incorrectly.
10-12-2014 09:19 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
retired_guy Offline

Preferred Members-2

Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #100
RE: This VPAP Adapt is beyond me, sorry to say.
(10-12-2014 09:19 PM)retired_guy Wrote:  
(10-12-2014 09:12 PM)vsheline Wrote:  
(10-12-2014 09:03 PM)retired_guy Wrote:  Actually you can set the machine to "Autoset" and it will function as a regular S9 Autoset, allowing minimum and maximum pressures, and an epr of 1, 2, or 3.

Hi retired_guy,

Actually, the S9 VPAP Adapt does not have the standard AutoSet mode. Only has fixed-pressure "CPAP" mode and ASV mode(s).

Well, I was looking at page 16 of the Clinician's guide and it sure looked to me like it has the autoset mode. But I haven't ever actually even seen one of these machines so I could be reading the manual incorrectly.

It does look like the manual I have is not the manual I wanted. So sorry for the confusion. If the option is CPAP only, then that at a pressure of 8 as originally prescribed might be a good place to start. A second place to go is to return this machine for one that will give you all the options. Such as the S9 VPAPā„¢ Tx which is the one I got the manual for.
10-12-2014 09:29 PM
Find all posts by this user Post Reply Quote this message in a reply
Post Reply 


Possibly Related Threads...
Thread: Author Replies: Views: Last Post
  Resmed Adapt ASV question storywizard 7 332 11-21-2016 01:02 PM
Last Post: storywizard
Question [Equipment] S9 VPAP AUTO QT2U 0 154 11-05-2016 12:27 AM
Last Post: QT2U
  resmed s9 vpap s faliure marcus112 6 377 10-21-2016 08:57 AM
Last Post: Sleeprider
  Still struggling with Resmed Aircurve 10 vpap auto after 7 months ckingzzzs 2 391 07-18-2016 09:40 PM
Last Post: Sleepster
  Looking for some thoughts on VPAP use ckingzzzs 7 912 07-18-2016 06:59 PM
Last Post: ckingzzzs
  Why did the air from my S9 VPAP Auto suddenly get very warm PaytonA 2 334 07-13-2016 12:40 AM
Last Post: chill
Question [Health] Can a VPAP machine make your lung lazy? emamm 9 4,030 06-07-2016 04:52 PM
Last Post: eseedhouse

Forum Jump:

Who's Online (Complete List)