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[Treatment] Request for Advise on my new ResMed AirCurve 10 VAuto BiLevel
#11
RE: Request for Advise on my new ResMed AirCurve 10 VAuto BiLevel
I should state that I found no problem with the min EPAP from 4.0 to 5.0. I am ok with the change in PS from 3.0 to 4.0, but perhaps it is a bit too strong. PS is very new to me, as I did not use it or did not have it on my S9 Autoset APAP in the past, which is the machine I left to use my VAuto. Even a PS of 3.0 is a very noticeable difference to me. 

Is anybody aware of literature discusssing the pros and cons of PS in PAP therapy with relatively low pressures over time? Is it considered a good thing for health, or simply a comfort setting?
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#12
RE: Request for Advise on my new ResMed AirCurve 10 VAuto BiLevel
There is a difference in how the autoset (resmed s10) and the VAUTO (resmed s10) numbers work.

The autoset - You set the min pressure and that is where the pressure starts and goes up from there on inhale.  EPR (exhale pressure relief) subtracts the EPR from the min to give you the exhale pressure. So Min 8 Epr 3 would give you a inhale pressure of 8 and an exhale pressure of 5.  The Max is as high as the machine will go to stop apnea.

Vauto - The Min pressure is the lowest pressure on exhale.  You add the PS(pressure support) to the Min for the inhale pressure.  The max again is as high as the machine will go to stop apnea.  So the same number we had before except EPR is now PS...  Min 8 PS 3  Inhale pressure is 11, exhale is 8 - max is the still as high as the machine will go to stop apnea.

I hope I explained it well enough if not I'm sure someone will come by and do a better job or correct anything I made a mistake on.
Apnea (80-100%) 10 seconds, Hypopnea (50-80%) 10 seconds, Flow Limits (0-50%) not timed  Cervical Collar - Dealing w DME - Chart Organizing
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#13
RE: Request for Advise on my new ResMed AirCurve 10 VAuto BiLevel
On BPAP machines like the VAuto, PS is the setting of pressure added to EPAP/exhalation pressure to give the IPAP/inspiration pressure. PS won't be found on a CPAP/APAP. And it's part of the therapy setting group.
Dave

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INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#14
RE: Request for Advise on my new ResMed AirCurve 10 VAuto BiLevel
I think the change from EPAP min 4 to 5 was beneficial and reduced OA events. The PS may be too strong, and there is a pretty significant increase in tidal volume that might be why you felt overstimulated by the ventilation. Keep the increase in EPAP and back off PS to 3.2 or 3.4
Sleeprider
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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.
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#15
RE: Request for Advise on my new ResMed AirCurve 10 VAuto BiLevel
@Sleeprider

Ok great, thank you! I will make the recommended changes tonight and report back. I'll change the PS from 4.0 to 3.4 tonight.
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#16
RE: Request for Advise on my new ResMed AirCurve 10 VAuto BiLevel
Hello All,

Here is my Oscar report from night #3 with my ResMed AirCurve 10 VAuto BiLevel

Here is a summary of settings over the past 3 nights:

Night 1: Min EPAP 4, Max IPAP 18, PS 3.0
Night 2: Min EPAP 5, Max IPAP 18, PS 4.0
Night 3: Min EPAP 5, Max IPAP 18 PS 3.4

Symptoms: Feel less rested today. I think I had a mask leak contributing to this. No desire for a nap nor any somnolence. Feel like I need 1 more hour sleep. The PS change from 4.0 to 3.4 was very comfortable and I like PS 3.4 better. 

Please advise and thanks. 


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#17
RE: Request for Advise on my new ResMed AirCurve 10 VAuto BiLevel
Results are fine. You have been changing EPAP and PS and at this point, making notes of how you feel and responding accordingly seems like a good plan. Well done! Use PS 3.4 with our blessing. That is exactly how it’s done.
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

____________________________________________
Download OSCAR Software
Soft Cervical Collar
Optimizing Therapy
Organize your OSCAR Charts
Attaching Files
Mask Primer
How To Deal With Equipment Supplier


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.
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#18
RE: Request for Advise on my new ResMed AirCurve 10 VAuto BiLevel
@Sleeprider

Thank you very much! The support from you and Gideon has been fantastic. I will let it be for a while and see how things level out. Thank you again for your wonderful service and software.
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