[Treatment] Cycle setting of bi-level vs. the exhalation rate vs. palatal prolapse

[G. Szabo]

Does cycle setting affect the exhalation flow rate at the early exhalation stage? 

This question concerns mitigating palatal prolapse (PP) by reducing exhalation flow rates. High PS or EPR can worsen PP because the induced high exhalation rate can flip the soft palate into a closed position. 

I was wondering if the role of the Cycle setting affects the initial exhalation rate, i.e., the exhalation flow rate that develops during the very first period of the exhalation cycle. In other words, is there an optimum cycle setting from the perspective of PP?

So far, I have used the cycle sitting to achieve better inhalation/ exhalation time ratios. 

I know that v-com might be an avenue too. But it has mixed reviews so far.

[Sleeprider]

I am not a fan of VCom, but your example of PP could be an exception. As with many aspects of therapy with an unusual issue, trial and error is your friend, and I can't predict what will and will not work. Your familiarity with the bilevel options, with observation of the repeatable results, should be your best guide. I learn more from members like you than I can contribute back.

[SeePak]

Szabo.

I too have PP.
I have been using VCOM as well.

Looking thru my charts, to see if there are any PP events while using VCOM, will continue and let u know.

I will say this which i posted on the VCOM -Bilevel Thread.

Check your Respiratory Rate history using the Overview Tab.

When using VCOM i have a totally stable chart with no peaks at the 95% and 99 % levels!

I can post if you wish, but it is definitely repeatable and visible during ALL the testing i have done with VCOM.

Thinking with LESS pressure/flow swings you will get LESS PP.

Hoping you give VCOM a try!?