(10-02-2014, 03:20 PM)PhyllisBalboa Wrote: (10-02-2014, 02:47 PM)PaytonA Wrote: There are also a several other parameters on the VPAP that can adjust the timing and sensitivity of the pressure transitions as well as the rapidity with which the pressure rises from EPAP to IPAP.
Can you tell me where these are? In ASV mode or ASV auto mode only? I have the clinical manual, but didn't notice this.
These are in the clinical settings along with the pressure settings. I am not sure if they are in the settings or advanced settings area.
I am not familiar with the ASV settings but if it is a VPAP I would expect them to be available. The settings are Ti(min) and Ti(max), Trigger and Cycle, and Rise Time. The Ti(min) and Ti(max) set the minimum and maximum time spent in IPAP. The Trigger and Cycle set the sensitivity of the machine to the beginning of inspiration and to the beginning of expiration. The Rise Time sets the time it takes to go from EPAP to IPAP approximately in milliseconds.
I do not recommend adjusting them until you are very familiar with the machine and have thought them through exhaustively.
(10-02-2014, 03:20 PM)PhyllisBalboa Wrote: (10-02-2014, 02:47 PM)PaytonA Wrote: The S9 VPAPs have a feature called "easy breathe" that presets the rise time and possibly some other parameters to make the pressure transitions gentler.
Didn't notice where this feature was either. I'm running in ASV mode, but might switch myself to ASV auto mode if I can't get my settings right.
I have just become aware that the "easy breathe" feature is only available on the VPAP S or the VPAP Auto operating in S mode according to the clinical manual.
Again I am not sure about the above parameters in a VPAP ASV machine. I was not even thinking of ASVs when I wrote that previously. The VPAP Auto, VPAP S, and VPAP ST machines do have these adjustable parameters to control the transition from EPAP to IPAP
Correction! In looking over the Clinician's manual for the VPAP Adapt, it apparently does not have the adjustable parameters for Ti, Trigger, Cycle, and Rise Time that the VPAP S and VPAP Auto have. That surprised me. Sorry about the misleading information.
Best Regards,
PaytonA