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VPAP ADAPT SV prescription setting trouble
#1
hello!

I just recently purchased a VPAP adapt Sv, after a very complex multilevel surgery (UPPP...). Im currently 26 years old, and not obese. Neither CPAPs nor VPAPs were solving my issue. My diagnoses is Complex Apnea, and its been a nightmare for almost 5 years, no solutions at all.

The supplier couldnt set my pressure needs since I had just taken a recent sleep test. However, they suggested they could guide through the process.

If my needs are IPAP 17 cm H2O, EPAP 14 cm H2O. How can i configure my machine in ASV mode?

THe main issue i have now is that the max and min pressure is 15 and 10 cm H2O respectively, and cannot reach the required while entering clinical menu, those are the highest values It can reach. EPP could only be set to 10 cm H2O.

THanks for the help,

PS: Ive noticed the machine goes out of the limits sometimes, mostly IPAP sometimes is 17 cm H2O
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#2
Hi DavidBol,
WELCOME! to the forum.
Hang in there and someone who knows the ins & outs of ASV machines will be able to help you soon.
Best of luck to you.
trish6hundred
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#3
I do not know the machine, but perhaps my ramblings may help?

EPAP = everything but inhale
IPAP = inhale
PS = Pressure support

IPAP = EPAP + PS

So, if you want EPAP to be '14', you'd set MIN EPAP = 14. If you want IPAP to =17, that would mean setting PS to '3' (EPAP+PS=IPAP)

Again, I do not know your machine, but I am using a Resmed VPAP Auto 25 (bi-level)...

Hang tight, others will come and add.
*I* am not a DOCTOR or any type of Health Care Professional. My thoughts/suggestions/ideas are strictly only my opinions.

"Only two defining forces have ever offered to die for you. Jesus Christ and the American Soldier. One died for your Soul, the other for your Freedom."
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#4
What is the difference between a Resmed Bilevel Auto and VPAP Auto 25? How many types of Bilevel machines does Resmed have?
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#5
(01-11-2014, 08:55 PM)me50 Wrote: How many types of Bilevel machines does Resmed have?

At least three in the current Australian catalogue: VPAP S, VPAP ST and VPAP Adapt, all with additional options such as IVAPS etc. Some of these are promoted as ventilators rather than sleep support products.
DeepBreathing
Apnea Board Moderator
www.ApneaBoard.com


Bed

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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#6
(01-11-2014, 09:05 PM)DeepBreathing Wrote:
(01-11-2014, 08:55 PM)me50 Wrote: How many types of Bilevel machines does Resmed have?

At least three in the current Australian catalogue: VPAP S, VPAP ST and VPAP Adapt, all with additional options such as IVAPS etc. Some of these are promoted as ventilators rather than sleep support products.

all I know is that I am supposed to get a Resmed Bilevel Auto but I saw something about a VPAP Auto 25. Since I have not been using a bilevel before, I don't know a lot about them and I want to make sure that I am getting the best there is on the market right now. I don't want to have to change machines again. I am a little untrusting after my experience with my last DME. Since I have to pay some of the cost for this machine, I want the best Resmed Bilevel that treats OSA (I don't have central or mixed) Any help is appreciated
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#7
(01-11-2014, 09:23 PM)me50 Wrote: all I know is that I am supposed to get a Resmed Bilevel Auto but I saw something about a VPAP Auto 25. Since I have not been using a bilevel before, I don't know a lot about them and I want to make sure that I am getting the best there is on the market right now.

The VPAP Auto 25 is part of the S8 series. The 25 refers to the maximum pressure of 25, the same as the S9 VPAP Auto. The S8 VPAP Auto only had a maximum pressure of 20.
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#8
(01-11-2014, 10:09 PM)big_dave Wrote:
(01-11-2014, 09:23 PM)me50 Wrote: all I know is that I am supposed to get a Resmed Bilevel Auto but I saw something about a VPAP Auto 25. Since I have not been using a bilevel before, I don't know a lot about them and I want to make sure that I am getting the best there is on the market right now.

The VPAP Auto 25 is part of the S8 series. The 25 refers to the maximum pressure of 25, the same as the S9 VPAP Auto. The S8 VPAP Auto only had a maximum pressure of 20.

Thank you. Do you know if the S9 Bilevel Auto is the best Bilevel Resmed has on the market right now?
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#9
(01-11-2014, 10:20 PM)me50 Wrote: Thank you. Do you know if the S9 Bilevel Auto is the best Bilevel Resmed has on the market right now?

Sorry, I'm not a bilevel user. The VPAP Auto 25 is my mom's machine.
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#10
(01-11-2014, 10:20 PM)me50 Wrote: Thank you. Do you know if the S9 Bilevel Auto is the best Bilevel Resmed has on the market right now?

Resmed don't make a machine with "Bilevel" in the name. The current "consumer" range are all S9 VPAP types. There are quite a few of them, all with different characteristics and aimed at treatment different conditions. So there's no one "best" machine.

I know you've had problem doctors and DMEs in the past, but when you're getting into this level of sophistication, you really need to have a thorough in depth discussion with your medical advisors. It's a matter of selecting the most appropriate machine rather than some theoretical "best" machine.

Having said all that, if your main issue is central or mixed apnea, then the VPAP Adapt would be a good place to start. Its an auto-servo (ASV) machine rather than a simpler bilevel which will not treat centrals.
DeepBreathing
Apnea Board Moderator
www.ApneaBoard.com


Bed

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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