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+--- Thread: ResMed aircurve 10V auto (/Thread-ResMed-aircurve-10V-auto)
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ResMed aircurve 10V auto - Kerry Abbott - 05-27-2017
Have COPD Need help with settings. Started on Aircurve 10V auto by ResMed current settings drop sat way low. Also using 4 L O2. See current settings, any suggestions.
Mode V auto
Max IPAP 10.0
Min EPAP 4.0
PS 5.0
T1 Max 3.0
T1 Min 1.0
RE: ResMed aircurve 10V auto - Sleeprider - 05-27-2017
You didn't say what problem you are having, but if you feel like not enough air,then raise the max IPAP, and consider raising EPAPmin if you have obstructive events. Under current settings your range is limited to 9/4 to 10/5 (IPAP/EPAP). Clearly you want more than 1-cm of auto adjustment. If you can download #Sleepyhead, it will help us to further refine your needs.
RE: ResMed aircurve 10V auto - trish6hundred - 05-27-2017
Hi Kerry Abbott,
WELCOME! to the forum.!
Good luck to you with CPAP therapy.
RE: ResMed aircurve 10V auto - ajack - 05-27-2017
did you do your own settings?
I would think you need more PS and less Ti. If you think the machine has been played with, I would do a factory default in setting and work from there. At least the default settings won't hurt you.
It would be worth the money, to get a doctor/provider to set it up for you. I've been reading up on the bilevels for a month and they are still a mystery. I've got a vpap St coming next week, I intend to use it in S mode without backup, because I run high pressure.
Your s10 Vauto would be different to the s9 and I'm unfamiliar with it, is the Ti auto set? is trigger and cycle auto set?
For a guide, this would be the typical starting settings, for 'manual' settings of obstructive/COPD
https://www.resmed.com/us/dam/documents/products/titration/s9-vpap-tx/user-guide/1013904r3_s9-vpap-tx-sleep-lab-titration_user-guide_glo_eng.pdf
page 23
min 5 max 13
PS 8
Ti max. 1.0
Ti min. 0.3
rise time. 150
trigger. medium
cycle. high
they want the air in quick and more time for exhale, so the lung is empty before another breath. good gas exchange and to prevent stacking.
RE: ResMed aircurve 10V auto - silversnore - 05-28-2017
My mother suffers from COPD and since going on Capp I have been researching Capp therapy for her. I found this article which may help. There is much more to the article
http://www.aast.org/Assets/5e4309dd-c952-4a56-b2c9-7060670a7573/635376719195570000/non-invasive-positive-pressure-ventilation-guideline-3-26-14-june-2014-pdf
There are different protocols in which to increase o2 and decrease co2, explained in link
RE: ResMed aircurve 10V auto - Kerry Abbott - 05-28-2017
Great information thank you
RE: ResMed aircurve 10V auto - ajack - 05-29-2017
as long as you understand that the machine is adjusted to your lungs and not your lungs to the machine.
You really need a doctor to set your target tidal volume etc for your lungs. It's not plug and play.
RE: ResMed aircurve 10V auto - ajack - 05-30-2017
How did the change of settings go?
Is the min 5 max 13 PS:8 giving you enough air volume, or do you need more max pressure?
You would have seen from reading the forum, that the sleepyhead program here and a cms-50f o2 recorder off ebay, will be a big help to monitor your treatment.
RE: ResMed aircurve 10V auto - quiescence at last - 05-30-2017
forgive me if I am wrong, but I believe min EPAP of 5 and max IPAP of 13, and PS is 8, then there is no adjustment left to the machine, it stays at the same setting all night long. (13-8=5)
RE: ResMed aircurve 10V auto - ajack - 05-31-2017
I posted the link and suggested a doctor, other than that I'm guessing. It's only because i've been reading up and bought a bilevel S/T for very high pressure and obesity, that I have any clue for a conversation.
It depends if those numbers were used in the avap s mode or avap auto mode, whether they were fixed or adjustable. For avap you could use the trigger and cycle numbers with min 5cm PS:8 and raise the max pressure to 25cm. The pressure and trigger numbers are just the default for copd. They and somewhere to start. They could be set as the base auto settings or used to manually tritrate from there, as per the link. It really needs a doctor to advise, a copd patient on bipap and 4lt O2 isn't to be played with.
From reading, the settings are adjusted from there, as per the patient requirements. The original settings were wrong and straight to auto with min epap 4cm ps:5, wouldn't be best practice with copd. including the wrong trigger settings. AFAIK, the pressure would only rise from a OA/H and not react to the COPD for volume and respiration rate.
At the end of the day the OP may have 5/17 PS:12 as a base titrate and run auto 5-25cm min PS:12. or OP may max out on 5/25cm PS:20. Or even move to a higher output machine. Fixed NIV 5/40 PS:35 isn't unheard of for copd.
I think like adjusting an apap, you have to get into the target zone first. only with apap it is an initial 4-20cm and epr/flex what you like for the first night.