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What factors to be concerned about with resmed aircurve 10
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ckingzzzs Offline

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Machine: resmed aircurve 10 VAUTO
Mask Type: Nasal pillows
Mask Make & Model: swift fx nasal pillows
Humidifier: resmed aircurve10 vauto
CPAP Pressure: min epap 7, max ipap 20, PS 4
CPAP Software: ResScan SleepyHead

Other Comments: CPAP user June-Dec 2015, VPAP starting Jan 2016 and struggling with proper adjustments

Sex: Male
Location: maine

Post: #1
What factors to be concerned about with resmed aircurve 10
I have been using the resmed aircurve 10, vauto now since Jan 2, 2016. I reviewed my results today and was not too impressed. The results provides various information including:

respiratory rate
minute ventilation
Tida volume
I:E ratio
IPAP
EPAP

Should I be concerned about any of the above-noted values and if so which ones???
02-15-2016 01:21 PM
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Sleeprider Online
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Posts: 3,400
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Machine: Resmed Aircurve 10 Vauto
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed Climateline
CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: Where they make Respironics

Post: #2
RE: What factors to be concerned about with resmed aircurve 10
The data we usually review in Sleepyhead is mainly events, flow, pressure, snores, flow limitation and machine settings. This link shows how to organize your daily detailed data to get the most out of it. You're welcome to submit a screenshot as shown in the tutorial, and some of us may be able to help you make more sense of it. https://sleep.tnet.com/resources/sleepyhead/shorganize

______________________________________________
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02-15-2016 01:28 PM
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ckingzzzs Offline

Preferred Members

Posts: 57
Joined: Aug 2015

Machine: resmed aircurve 10 VAUTO
Mask Type: Nasal pillows
Mask Make & Model: swift fx nasal pillows
Humidifier: resmed aircurve10 vauto
CPAP Pressure: min epap 7, max ipap 20, PS 4
CPAP Software: ResScan SleepyHead

Other Comments: CPAP user June-Dec 2015, VPAP starting Jan 2016 and struggling with proper adjustments

Sex: Male
Location: maine

Post: #3
RE: What factors to be concerned about with resmed aircurve 10
[attachment=2156]
(02-15-2016 01:28 PM)Sleeprider Wrote:  The data we usually review in Sleepyhead is mainly events, flow, pressure, snores, flow limitation and machine settings. This link shows how to organize your daily detailed data to get the most out of it. You're welcome to submit a screenshot as shown in the tutorial, and some of us may be able to help you make more sense of it. https://sleep.tnet.com/resources/sleepyhead/shorganize

please see attached shots, are they large enough


[attachment=2157]

[attachment=2158]

[attachment=2161]
(This post was last modified: 02-16-2016 10:46 AM by ckingzzzs.)
02-16-2016 10:36 AM
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ckingzzzs Offline

Preferred Members

Posts: 57
Joined: Aug 2015

Machine: resmed aircurve 10 VAUTO
Mask Type: Nasal pillows
Mask Make & Model: swift fx nasal pillows
Humidifier: resmed aircurve10 vauto
CPAP Pressure: min epap 7, max ipap 20, PS 4
CPAP Software: ResScan SleepyHead

Other Comments: CPAP user June-Dec 2015, VPAP starting Jan 2016 and struggling with proper adjustments

Sex: Male
Location: maine

Post: #4
RE: What factors to be concerned about with resmed aircurve 10
[attachment=2160]
(02-16-2016 10:36 AM)ckingzzzs Wrote:  
(02-15-2016 01:28 PM)Sleeprider Wrote:  The data we usually review in Sleepyhead is mainly events, flow, pressure, snores, flow limitation and machine settings. This link shows how to organize your daily detailed data to get the most out of it. You're welcome to submit a screenshot as shown in the tutorial, and some of us may be able to help you make more sense of it. https://sleep.tnet.com/resources/sleepyhead/shorganize

please see attached shots, are they large enough
02-16-2016 10:43 AM
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Sleeprider Online
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Posts: 3,400
Joined: Dec 2014

Machine: Resmed Aircurve 10 Vauto
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed Climateline
CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: Where they make Respironics

Post: #5
RE: What factors to be concerned about with resmed aircurve 10
Those look great! Well done. Your problem with CA is far greater than your OA at this point. Have you ever tried capping the max pressure at 11.0? It might result in some trade-off, but better to lose some of that CA. In fact it might be worth trying max 10.5 and turn down the EPR a bit to 2.0 so as not to lose too much obstructive therapy. Many complex patients do well with a bilevel pressure support of 2.0 and lower pressures overall, then letting the servo deal with the residual CA and H. In your case, there will still be some centrals, but lower pressures may minimize them, and not dropping your EPAP so far could help prevent OA. Do you follow my logic?

______________________________________________
Organize your SleepyHead Data
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Robysue's Beginner's Guide to Sleepyhead
02-16-2016 11:11 AM
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ckingzzzs Offline

Preferred Members

Posts: 57
Joined: Aug 2015

Machine: resmed aircurve 10 VAUTO
Mask Type: Nasal pillows
Mask Make & Model: swift fx nasal pillows
Humidifier: resmed aircurve10 vauto
CPAP Pressure: min epap 7, max ipap 20, PS 4
CPAP Software: ResScan SleepyHead

Other Comments: CPAP user June-Dec 2015, VPAP starting Jan 2016 and struggling with proper adjustments

Sex: Male
Location: maine

Post: #6
RE: What factors to be concerned about with resmed aircurve 10
(02-16-2016 11:11 AM)Sleeprider Wrote:  Those look great! Well done. Your problem with CA is far greater than your OA at this point. Have you ever tried capping the max pressure at 11.0? It might result in some trade-off, but better to lose some of that CA. In fact it might be worth trying max 10.5 and turn down the EPR a bit to 2.0 so as not to lose too much obstructive therapy. Many complex patients do well with a bilevel pressure support of 2.0 and lower pressures overall, then letting the servo deal with the residual CA and H. In your case, there will still be some centrals, but lower pressures may minimize them, and not dropping your EPAP so far could help prevent OA. Do you follow my logic?

sleeprider, are we looking at the same graphs as I dont see it as great. I am using a resmed aircurve 10 vauto, where is the EPR setting?? when you say capping the max pressure do you mean the IPAP max pressure.
02-16-2016 11:48 AM
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_cy_ Offline

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Machine: Resmed AirCurve 10 Vauto
Mask Type: Nasal mask
Mask Make & Model: Respironics Wisp
Humidifier: Resmed Humidair
CPAP Pressure: 4 to 14
CPAP Software: ResScan SleepyHead

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Post: #7
RE: What factors to be concerned about with resmed aircurve 10
(02-16-2016 11:48 AM)ckingzzzs Wrote:  sleeprider, are we looking at the same graphs as I dont see it as great. I am using a resmed aircurve 10 vauto, where is the EPR setting?? when you say capping the max pressure do you mean the IPAP max pressure.

Aircurve 10 vauto doesn't have a EPR setting which is available for Airsense 10. EPR or exhaust pressure relief can only be adjusted to a narrow range VS a much wider range on a bilevel machine like Aircurve 10 Vauto.

Aircurve 10 Vauto detects both obstructive and central sleep apnea. CSA is detected by forced oscillation technique. which adds 1 cm pressure @4hz when an apnea is detected, then results are interpolated to measure airway patency.
(This post was last modified: 02-26-2016 06:05 AM by _cy_.)
02-26-2016 06:01 AM
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Sleeprider Online
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Advisory Members

Posts: 3,400
Joined: Dec 2014

Machine: Resmed Aircurve 10 Vauto
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed Climateline
CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: Where they make Respironics

Post: #8
RE: What factors to be concerned about with resmed aircurve 10
attachments are gone, so I'm not sure exactly what I was responding to. It seems CA was greater than OA in the attachments, and a suggestion was made to lower the pressure support. I should not have used the terms EPR or maximum PS in discussing an Aircurve 10 Vauto...sorry.

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02-26-2016 08:39 AM
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