Resmed Aircurve`10 VAUTO S ST

[KENSKIP1]

Well I guess that the title says it all. Lord knows what the Veterans Administration payed for this device. However I am willing to give it a try. I tried the "doctors" settings. Way out of what I requested. It had inlet pressure 13. I took it down to 8. Yes I have the ramp setting activated. I set the outlet pressure at 4. This should be an interesting night. Hopefully I may get some benefit from it. Otherwise it will find it's way to the bottom of my closet. I have very little patience relying on a mechanical device to aid my respiratory anomalies.

Here are the sleep study's results"
Sleep Architecture:
The patient slept 217 out of 479 minutes representing a sleep efficiency of 45%. Sleep latency was 50minutes. REM latency was 353 minutes and REM sleep constituted 14% of sleep time. Wake after sleep onset was 212minutes. There were 44 arousals and 13 awakenings with an arousal/awakening index of 12. The patient spent 3% of sleep time on his back. Respiratory Data:
There were 0 central apneas, 0 obstructive apneas and 27 hypopneas. The apnea-hypopnea index was 8. The REM stage AHI was 26/hr. The supine AHI was 20/hr. Light to moderate snoring was noted. The mean oxygen saturation during sleep was 94% and the lowest recorded was 71%. The patient spent 0.1 minutes of sleep time with saturations of 88% or less. Unless otherwise noted, hypopneas are scored with the 4% rule (AASM VIII, D. 1B) using the Acceptance method in accordance with AASM guidelines. Periodic Limb Movement Data:

Recommendations:
This study confirms the presence of physiologic events consistent with obstructive sleep apnea (OSA). The diagnosis of obstructive sleep apnea syndrome requires the presence of historical data such as excessive day time sleepiness or witnessed snoring and apneas at night, in addition to sleep recordings documenting a significant level of sleep-disordered breathing. This study confirms those criteria and treatment for sleep apnea as indicated. Auto-titrating CPAP 6-14 cm or a CPAP titration would be appropriate. Other effective treatments would include an oral appliance or ENT evaluation for treatable upper airway narrowing. Specific treatment decisions would be tailored to each patient based upon the clinical situation and all treatment options should be considered. Treatment would also include careful attention to proper sleep hygiene, weight reduction (if the BMI is elevated), elevate head of bed, positional sleep therapy, and avoidance of alcohol within 4 hours of bedtime. The patient should be cautioned on the hazards of driving while sleepy

[Pugsy]

There are no VAuto ST ResMed machines.
Exactly what does it say on the face of the machine.

[clownbell]

May I caution you that most PAPers do not see dramatic results during the first night. It often takes weeks before improvement begins to be seen, and months before the improvement is truly significant. Plan to pursue the battle over a period of time. Patience and perseverence are the keys, just like in the military.
Get the free OSCAR software, record your results on an SD card placed in the machine, and post your results here for expert help. I hope you see quick results because (with all due respect) you seem impatient. Just be prepared to a lengthy journey. And thanks for wearing the uniform.

[Pugsy]

OSCAR https://www.sleepfiles.com/OSCAR/
http://www.apneaboard.com/wiki/index.ph ... stallation
http://www.apneaboard.com/wiki/index.ph ... rpretation
http://www.apneaboard.com/wiki/index.ph ... ganization organize and how to do screen shots.
wiki/index.php/Oscar:organize Wiki

http://www.cpaptalk.com/viewtopic/t1585 ... eview.html


Did your machine come with a SD card in the slot?
If it didn't...any generic SD card 32 GB or less will work just fine. 8 GB is more than plenty storage but they are getting hard to find. Don't go buying one of those big fancy SD cards....expensive, not needed and if you go over 32 GB your machine may have a problem with it.

SD card MUST be in the slot during the night to get the detailed data files the machine will write to the SD card.

[KENSKIP1]

There are no VAuto ST ResMed machines.
Exactly what does it say on the face of the machine.

Yes it does have a card installed.

AirCurve 10 Vauto However on the owners manual it clearly states Aircurve*10 VAUTO S ST

[palerider]

Well I guess that the title says it all.

Er, no, that's three completely different machines.

Forget the users manual, look at the machine.

Lord knows what the Veterans Administration payed for this device. However I am willing to give it a try. I tried the "doctors" settings. Way out of what I requested. It had inlet pressure 13. I took it down to 8.

Which may be way too low to keep your airway open.

Yes I have the ramp setting activated. I set the outlet pressure at 4. This should be an interesting night.

That's an understatement.

Hopefully I may get some benefit from it. Otherwise it will find it's way to the bottom of my closet. I have very little patience relying on a mechanical device to aid my respiratory anomalies.

Oh, let's hope you sell it instead, so someone can benefit from it.

[Pugsy]

AirCurve 10 Vauto However on the owners manual it clearly states Aircurve*10 VAUTO S ST

It is the AirCurve 10 VAuto that you have.

The user manual is called a combo manual because it also covers other models in the AirCurve line.
The model machine you have is the AirCurve 10 VAuto....that's what is on your machine.
You don't have the AirCurve 10 S model machine and you don't have the AirCurve 10 ST model machine.

It's common for ResMed to combine manuals but that doesn't mean you have all the models the manual shows.

[KENSKIP1]

Well I guess that the title says it all.

Er, no, that's three completely different machines.

Forget the users manual, look at the machine.

Lord knows what the Veterans Administration payed for this device. However I am willing to give it a try. I tried the "doctors" settings. Way out of what I requested. It had inlet pressure 13. I took it down to 8.

Which may be way too low to keep your airway open.

Yes I have the ramp setting activated. I set the outlet pressure at 4. This should be an interesting night.

That's an understatement.

Hopefully I may get some benefit from it. Otherwise it will find it's way to the bottom of my closet. I have very little patience relying on a mechanical device to aid my respiratory anomalies.

Oh, let's hope you sell it instead, so someone can benefit from it.

Sir, your insipid comments have me perplexed. Being a new user I was under the impression that this forum could be of assistance. However reading your reply causes me to rethink that I would get support from others. Well I guess not in your case. Could you possible be in need of some therapy? Maybe you could benefit from some more fiber in your diet. Have a good day sir.

[Pugsy]

It would be helpful if you learned the correct terminology that is commonly used.

"outlet" or "inlet" pressures is not what they are called.

EPAP or IPAP is what they are referred to....exhale or inhale

What settings we you actually prescribed to be using and what settings are you actually using?
You need to understand your settings and what they mean and can do.
What mode are you using?
Your machine will do 3 different modes.
1. cpap mode
2. S mode with is fixed bilevel mode
3. Auto adjusting bilevel mode

I use the AirCurve 10 VAuto myself...so I am familiar with the machine.

If you go changing things willy nilly you could create more problems for yourself and then blame the machine and set it in the closet where it can't help you at all.

[KENSKIP1]

AirCurve 10 Vauto However on the owners manual it clearly states Aircurve*10 VAUTO S ST

It is the AirCurve 10 VAuto that you have.

The user manual is called a combo manual because it also covers other models in the AirCurve line.
The model machine you have is the AirCurve 10 VAuto....that's what is on your machine.
You don't have the AirCurve 10 S model machine and you don't have the AirCurve 10 ST model machine.

It's common for ResMed to combine manuals but that doesn't mean you have all the models the manual shows.

Thank you for the clarification, Ken

[KENSKIP1]

It would be helpful if you learned the correct terminology that is commonly used.

"outlet" or "inlet" pressures is not what they are called.

EPAP or IPAP is what they are referred to....exhale or inhale

What settings we you actually prescribed to be using and what settings are you actually using?
You need to understand your settings and what they mean and can do.
What mode are you using?
Your machine will do 3 different modes.
1. cpap mode
2. S mode with is fixed bilevel mode
3. Auto adjusting bilevel mode

I use the AirCurve 10 VAuto myself...so I am familiar with the machine.

If you go changing things willy nilly you could create more problems for yourself and then blame the machine and set it in the closet where it can't help you at all.

Pugsy, Good morning, First off I would like to take this moment to thank you for your reply. I have the settings set to auto. I have the incoming air set to 8. The exhaust setting is at 4. Yes I do have the ramp feature activated. I managed to get 4 hours on the machine. I had several leaks according to "Oscar" Please do not get me wrong, my bark is worse than my bite. I have every intention to give this machine every chance available to help me with my respiratory requirements. Again "Thank You" Ken

[Pugsy]

If you are using auto mode with EPAP at 4 then the ramp feature isn't doing anything.
If you are using auto mode then these would be your setting choices for pressure

Minimum EPAP
Maximum IPAP
PS..pressure support

Are you saying you are in auto mode with minimum EPAP 4 and maximum IPAP of 8???
What is your PS?
These are very restrictive settings and may not do a good job of preventing the airway collapses that come with OSA especially if 13 cm was prescribed in some manner.

What were your doctors advised settings?

[KENSKIP1]

If you are using auto mode with EPAP at 4 then the ramp feature isn't doing anything.
If you are using auto mode then these would be your setting choices for pressure

Minimum EPAP
Maximum IPAP
PS..pressure support

Are you saying you are in auto mode with minimum EPAP 4 and maximum IPAP of 8???
What is your PS?
These are very restrictive settings and may not do a good job of preventing the airway collapses that come with OSA especially if 13 cm was prescribed in some manner.

What were your doctors advised settings?

Doctor's Recommendation:
1. BiPAP 12/8 cm. 2. PAP mask was placed, checked for fit, seal and comfort. The mask will be used with the designated PAP device.

[palerider]

Sir, your insipid comments have me perplexed. Being a new user I was under the impression that this forum could be of assistance. However reading your reply causes me to rethink that I would get support from others. Well I guess not in your case. Could you possible be in need of some therapy? Maybe you could benefit from some more fiber in your diet. Have a good day sir.

Oh, don't worry, I won't continue bothering to try to help you learn how to maximize the effectiveness of your cpap treatment.

Have a nice day.