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: #71
RE: This VPAP Adapt is beyond me, sorry to say.
removed by originator
another reply answered it
(This post was last modified: 10-01-2014 04:54 PM by jcarerra.)
10-01-2014 04:50 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Whitewabit Offline

Preferred Members-2

Posts: 158
Joined: Sep 2014

Machine: ResMed V9 VPAP Adapt S9 (36067), ASV mode
Mask Type: Nasal pillows
Mask Make & Model: ResMed Swift FX, AirFit P10, AirFit F10
Humidifier: ResMed H5i
CPAP Pressure: 5/4/9
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Undisclosed
Location: Somewhere in the midwest

Post: #72
RE: This VPAP Adapt is beyond me, sorry to say.
(10-01-2014 03:40 PM)PhyllisBalboa Wrote:  
(10-01-2014 03:30 PM)Whitewabit Wrote:  Doc oked lower pressures for me .. going from 4-5-9 down to 4-3-5 .. this has to work now!

I see by your profile you're in the same asv mode with the same machine as me. Unless you're in the asv auto mode?

Can you tell me what the numbers you're being switched to are?
I'm thinking: EPAP=4, wait, now I don't know the rest.

Can you make it more clear, with headings, where you were and where your doctor is sending you? Otherwise I have to search through the two threads you and I have going on this air issue and our VPAPs.

And did you get your clinical manual through this forum yet? I swear, that's a lifesaver.

I'm so glad your doctor is working with you!

Well I found out the Adapt has to have a spread of 5 between Min and Max PS, so

my old settings were EPAP-5 Min PS 5 and Max Ps 9
new settings will be EPAP-4 Min PS 3 and Max PS 8

Doctor didn't want to go below 3 on the Min PS which made the Max PS to be 8 couldn't set it any lower. they had wanted the Max PS to be 6 but that is not possible with the minimum of 3.

will try it out for awhile this evening before going to bed, and if I have to I will take a pain pill to help me sleep with it if that is what it takes. but am afraid it might make my centrals worse. but I have to use .. it is the only way to find out!
10-01-2014 04:52 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: #73
RE: This VPAP Adapt is beyond me, sorry to say.
(10-01-2014 04:52 PM)Whitewabit Wrote:  my old settings were EPAP-5 Min PS 5 and Max Ps 9
new settings will be EPAP-4 Min PS 3 and Max PS 8

OK, my old settings were EPAP 8, Min PS 10, Max PS 15
new settings tonight are EPAP 6.4, Min PS 1, Max PS 6

Hope we sleep better tonight...
10-01-2014 10:16 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
PaytonA Offline
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: #74
RE: This VPAP Adapt is beyond me, sorry to say.
(10-01-2014 01:35 PM)retired_guy Wrote:  removed goofy double post.

Must the P10 making you goofy! Laugh-a-lot
10-02-2014 12:12 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: #75
RE: This VPAP Adapt is beyond me, sorry to say.
Well, that didn't go well.

Night before last I started gulping air blasts again before even falling asleep. I had to get up and pace a few times to move the air out, and was still full of air all during the next day. So before bed last time I lowered EPAP from 7.2 to 6.4, figuring I needed a bigger drop to take care of it. So my EPAP on my VPAP (kind of catchy) was 6.4, with PS at 1 to 6, max IPAP then should not go above 12 or so, instead of 13 or so.

That didn't work. Within 10 minutes my chest was hurting like mad, and I was filling up with air. I could feel large masses going down my throat, stomach was cramping up, and becoming nauseated. I was awake, on my side (I don't sleep on my back at all), with my mouth tightly shut and no mask leaks. So I've been thinking about some possible theories to account for this.

One, this seems to happen about every 4 days on therapy. So my idea is that after those days I'm pretty much filled with air throughout, and it takes several days to move and discharge. At the current settings I can't discharge air enough when I'm on the machine nightly. Maybe I need breaks. This is not promising, because I want to use my machine every night, so I must get the settings right.

Two, after being on VPAP for almost 4 months, my body has learned to swallow air for fear of over-inflating my lungs, which is probably more dangerous than air in the digestive track, so despite the lesser pressures these days, it keeps up this habit. This is not promising either, because I don't have a clue on how to do the untraining.

Three, the settings are still too high. I can drop the ps down from min 1 to min 0, and max 6 to max 5. I can drop the EPAP down in bigger chunks maybe closer to 5. I can switch from asv mode to asv auto mode, which allows me to set a range of EPAP.

Four, I can get a brilliant solution from one of these fine forum members.

I'm going for four, three if I have to.
10-02-2014 03:08 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
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: #76
RE: This VPAP Adapt is beyond me, sorry to say.
Are you looking at your data to see what pressure the Adapt is trying to USE with the EPAP+min/maxPS? Does it frequently push it up near the max 12.4 on inhale?

If not, what seems to be the area it likes to be? << This varies with me depending on what body is trying to do...there will be periods during the night where machine capabilities are used near the top of the range, and long other periods where it hangs out happily in the lower numbers.

I will soon be off net for a few days, so may not get to reply.

I hope you are able to get this sorted out. I do not have any knowledge of how to prevent the air infusion to stomach.
10-02-2014 03:19 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: #77
RE: This VPAP Adapt is beyond me, sorry to say.
(10-02-2014 03:19 PM)jcarerra Wrote:  Are you looking at your data to see what pressure the Adapt is trying to USE with the EPAP+min/maxPS? Does it frequently push it up near the max 12.4 on inhale?

Yes, the max IPAP of 13.2 seems to be where it's going most of the time, even when I'm still awake. My graph shows 2 hypopneas only, but still the pressure stays high. No obstructives for 4 months, rarely even get centrals, AHI's always below .3.

I wonder if I should take ps down from a net of 5. Is that a requirement in asv mode? Instead of 1-5, maybe I should have 1-3. Would that bring down max IPAP?

I think the only solution to air swallowing for me is to bring down those high pressures.
10-02-2014 03:29 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
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: #78
RE: This VPAP Adapt is beyond me, sorry to say.
I believe the Adept has a minimum 5cm maxPS-minPS.

At least it is good news that you are having few apneas and hypos.
That does leave room to try lower pressures, but watch your data.

If you are right that you have 'learned' this air swallowing, trying to fins a way to unlearn it would be top agenda. How I don't know. IF it is a learned behavior instead of a 'caused' thing, then changing the pressures may not be the solution. But so long as the lower pressures do not cause apneas/hypos to increase, at least that is there to try.
(This post was last modified: 10-02-2014 03:39 PM by jcarerra.)
10-02-2014 03:39 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: #79
RE: This VPAP Adapt is beyond me, sorry to say.
(10-02-2014 03:39 PM)jcarerra Wrote:  I believe the Adept has a minimum 5cm maxPS-minPS.

At least it is good news that you are having few apneas and hypos.
That does leave room to try lower pressures, but watch your data.

If you are right that you have 'learned' this air swallowing, trying to fins a way to unlearn it would be top agenda. How I don't know. IF it is a learned behavior instead of a 'caused' thing, then changing the pressures may not be the solution. But so long as the lower pressures do not cause apneas/hypos to increase, at least that is there to try.

Yes, my thinking exactly.
10-02-2014 04:51 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Whitewabit Offline

Preferred Members-2

Posts: 158
Joined: Sep 2014

Machine: ResMed V9 VPAP Adapt S9 (36067), ASV mode
Mask Type: Nasal pillows
Mask Make & Model: ResMed Swift FX, AirFit P10, AirFit F10
Humidifier: ResMed H5i
CPAP Pressure: 5/4/9
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Undisclosed
Location: Somewhere in the midwest

Post: #80
RE: This VPAP Adapt is beyond me, sorry to say.
Do you think you are swallowing air at the same time you are just naturally swallowing? Or do you think it is just powering past your natural reflex stopping it? Don't know much about it but guess I will soon need to enlighten myself.

I'm am getting a little bloat also, noticed gas this morning and the day I used it for over 3 hours too .. usually I have very little. So wondering if this is the cause of it? But ate some spicy food for dinner last night too so will see what tonight brings.
10-02-2014 07:28 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 7 321 11-21-2016 01:02 PM
Last Post: storywizard
Question [Equipment] S9 VPAP AUTO QT2U 0 149 11-05-2016 12:27 AM
Last Post: QT2U
  resmed s9 vpap s faliure marcus112 6 363 10-21-2016 08:57 AM
Last Post: Sleeprider
  Still struggling with Resmed Aircurve 10 vpap auto after 7 months ckingzzzs 2 389 07-18-2016 09:40 PM
Last Post: Sleepster
  Looking for some thoughts on VPAP use ckingzzzs 7 909 07-18-2016 06:59 PM
Last Post: ckingzzzs
  Why did the air from my S9 VPAP Auto suddenly get very warm PaytonA 2 327 07-13-2016 12:40 AM
Last Post: chill
Question [Health] Can a VPAP machine make your lung lazy? emamm 9 4,019 06-07-2016 04:52 PM
Last Post: eseedhouse

Forum Jump:

Who's Online (Complete List)