Dreamstation to Aircurve 10 VAUTO Settings - PS help needed

timeforagorism · Post by **timeforagorism** » Mon Sep 06, 2021 7:27 am

Hello,

After some help from this wonderful forum the screenshot below is a bad day. As the title implies I have a Dreamstation but need to switch to the Aircurve 10 VAUTO because of the recall. My sleep doc is useless and wants another sleep study before writing for a new machine, even with it being 5 years old. Most providers seem to be dropping the ball with this recall, side issue.

I went ahead and bought an Aircurve 10 VAUTO and now I need some help with the settings. To me the biggest change is that the PS does not adjust like the Dreamstation. I am looking for a good PS to start with. It seems my average is around 2 so I was going to start with 1.6.

Any recommendations you have would be great as tonight I plan on using the new Aircurve for the first time.

: 2021-09-06 09_23_33-OSCAR 1.2.0 (Profile_ Jim).png (121.8 KiB) Viewed 1117 times

I will be monitoring this today so I can provide updated info as needed. Thank you in advance for any help.

Kind Regards,
Jim

Pugsy · Post by **Pugsy** » Mon Sep 06, 2021 8:41 am

The 95% numbers just mean you were at OR BELOW that number for 95% of the night.
It does NOT mean that is where you were at for 95% of the night and it is NOT an overall average.

Try PS of 2 and PS of 3 while awake and choose the one that is simply more comfortable to you.

Given the looks of your detailed report I think a little more IPAP is in order and the easiest way to get that is a little more PS.

Try it for a night and see what the report shows tomorrow as well as how well you slept.

palerider · Post by **palerider** » Mon Sep 06, 2021 11:55 am

timeforagorism wrote: ↑
Mon Sep 06, 2021 7:27 am
Hello,

After some help from this wonderful forum the screenshot below is a bad day. As the title implies I have a Dreamstation but need to switch to the Aircurve 10 VAUTO because of the recall. My sleep doc is useless and wants another sleep study before writing for a new machine, even with it being 5 years old. Most providers seem to be dropping the ball with this recall, side issue.

I went ahead and bought an Aircurve 10 VAUTO and now I need some help with the settings. To me the biggest change is that the PS does not adjust like the Dreamstation. I am looking for a good PS to start with. It seems my average is around 2 so I was going to start with 1.6.

Any recommendations you have would be great as tonight I plan on using the new Aircurve for the first time.

2021-09-06 09_23_33-OSCAR 1.2.0 (Profile_ Jim).png

I will be monitoring this today so I can provide updated info as needed. Thank you in advance for any help.

Kind Regards,
Jim

With a PS that low, you don't even *need* a bilevel machine, but, you've got one, so set the PS to 1, or 1.6, that's an insubstantial difference. feel free to play with it as you like, I wouldn't go past 5 though.

timeforagorism · Post by **timeforagorism** » Tue Sep 07, 2021 5:14 am

I went with the PS of 2. Breathing does seem much smoother with the Aircurve as compared to the Dreamstation. Usually that pressure spike on the Dreamstation would wake me up.

Are there ever any concerns about too much pressure?

: 2021-09-07 07_09_51-.png (103.3 KiB) Viewed 1045 times

Conrad · Post by **Conrad** » Tue Sep 07, 2021 6:39 am

Nice numbers!!!

I hope that mine look as good once I get my Vauto.

timeforagorism · Post by **timeforagorism** » Wed Sep 08, 2021 5:44 am

Pugsy wrote: ↑
Mon Sep 06, 2021 8:41 am
The 95% numbers just mean you were at OR BELOW that number for 95% of the night.
It does NOT mean that is where you were at for 95% of the night and it is NOT an overall average.

Try PS of 2 and PS of 3 while awake and choose the one that is simply more comfortable to you.

Given the looks of your detailed report I think a little more IPAP is in order and the easiest way to get that is a little more PS.

Try it for a night and see what the report shows tomorrow as well as how well you slept.

Any idea why the pressure went up so high at 3am? Do people ever put caps on the pressure?

: 2021-09-08 07_42_03-OSCAR 1.2.0 (Profile_ Jim).png (106.26 KiB) Viewed 984 times

Pugsy · Post by **Pugsy** » Wed Sep 08, 2021 7:41 am

timeforagorism wrote: ↑
Wed Sep 08, 2021 5:44 am
Any idea why the pressure went up so high at 3am? Do people ever put caps on the pressure?

Something changed in your airway that caused the machine to think that it needed to give you more pressure to prevent further collapse.

Supine sleeping and REM stage sleep are both well known to worsen OSA and cause a need for more pressure.
Given the pattern to when your increases seem to happen my first thought is REM stage sleep.
Google sleep stages and take a look at the normal hypnograms you can see when REM happens and about how long we are in REM.

My own OSA is documented 5 times worse in REM than in non REM and I often need 6 to 8 cm more pressure in REM. I have seen spikes similar to yours myself.

And there is nothing stopping you from having a double whammy with maybe you are on your back and in REM at the same time. It sure wouldn't be impossible.

Yes, sometimes people do limit the max IPAP but they only do that if those higher pressures are causing problems that are worse than a handful of OAs might cause.

Are those increases causing you to wake up or causing you to have air in the gut issues?

timeforagorism · Post by **timeforagorism** » Wed Sep 08, 2021 10:04 am

Pugsy wrote: ↑
Wed Sep 08, 2021 7:41 am

timeforagorism wrote: ↑
Wed Sep 08, 2021 5:44 am
Any idea why the pressure went up so high at 3am? Do people ever put caps on the pressure?
Something changed in your airway that caused the machine to think that it needed to give you more pressure to prevent further collapse.

Supine sleeping and REM stage sleep are both well known to worsen OSA and cause a need for more pressure.
Given the pattern to when your increases seem to happen my first thought is REM stage sleep.
Google sleep stages and take a look at the normal hypnograms you can see when REM happens and about how long we are in REM.

My own OSA is documented 5 times worse in REM than in non REM and I often need 6 to 8 cm more pressure in REM. I have seen spikes similar to yours myself.

And there is nothing stopping you from having a double whammy with maybe you are on your back and in REM at the same time. It sure wouldn't be impossible.

Yes, sometimes people do limit the max IPAP but they only do that if those higher pressures are causing problems that are worse than a handful of OAs might cause.

Are those increases causing you to wake up or causing you to have air in the gut issues?

This does line up with when I usually hit REM sleep. That was typically the time I would have more issues. I seem to be tolerating the increased pressure, none of the issues you mention above. I will continue with as is for now and see how it goes.

I appreciate the info! ty much

palerider · Post by **palerider** » Wed Sep 08, 2021 10:49 am

timeforagorism wrote: ↑
Tue Sep 07, 2021 5:14 am
I went with the PS of 2. Breathing does seem much smoother with the Aircurve as compared to the Dreamstation. Usually that pressure spike on the Dreamstation would wake me up.

The pressure probes on the dreamstation are a 1.5cm pressure increase over the period of several minutes, they're gradual changes. They weren't waking you up, it was something else.

palerider · Post by **palerider** » Wed Sep 08, 2021 10:51 am

timeforagorism wrote: ↑
Wed Sep 08, 2021 5:44 am
Any idea why the pressure went up so high at 3am?

We don't know, you aren't showing us the charts we want.
https://www.cpaptalk.com/wiki/index.php/Oscar:organize

timeforagorism wrote: ↑
Wed Sep 08, 2021 5:44 am
Do people ever put caps on the pressure?

The smart ones don't, not unless there's a *very* good reason.

timeforagorism · Post by **timeforagorism** » Wed Sep 08, 2021 1:31 pm

palerider wrote: ↑
Wed Sep 08, 2021 10:51 am

timeforagorism wrote: ↑
Wed Sep 08, 2021 5:44 am
Any idea why the pressure went up so high at 3am?
We don't know, you aren't showing us the charts we want.
https://www.cpaptalk.com/wiki/index.php/Oscar:organize
timeforagorism wrote: ↑
Wed Sep 08, 2021 5:44 am
Do people ever put caps on the pressure?
The smart ones don't, not unless there's a *very* good reason.

Okay, this looks like the desired format.

: 2021-09-08 15_27_51-.png (109.26 KiB) Viewed 917 times

: 2021-09-08 15_29_49-.png (99.3 KiB) Viewed 917 times

palerider · Post by **palerider** » Wed Sep 08, 2021 4:21 pm

Snores and flow limited breathing caused the pressure to bump up, opening your airway, which stopped the snoring and flow limited breathing.

timeforagorism · Post by **timeforagorism** » Fri Sep 10, 2021 5:14 am

Well this is a first. I feel like I slept pretty dang good last night. I had been having crazy nose itching with the Dreamstation, I almost think that was the particles. I have not had any of that nose itching after switching to this machine same mask and everything.

: 2021-09-10 07_10_32-OSCAR 1.2.0 (Profile_ Jim).png (111.23 KiB) Viewed 827 times

zonker · Post by **zonker** » Fri Sep 10, 2021 4:15 pm

timeforagorism wrote: ↑
Fri Sep 10, 2021 5:14 am
Well this is a first. I feel like I slept pretty dang good last night. I had been having crazy nose itching with the Dreamstation, I almost think that was the particles. I have not had any of that nose itching after switching to this machine same mask and everything.

2021-09-10 07_10_32-OSCAR 1.2.0 (Profile_ Jim).png

congratulations!

time and time again on this forum, we're seeing people switch from philips to resmed with good results.

Dreamstation to Aircurve 10 VAUTO Settings - PS help needed

Dreamstation to Aircurve 10 VAUTO Settings - PS help needed

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Re: Dreamstation to Aircurve 10 VAUTO Settings - PS help needed

Re: Dreamstation to Aircurve 10 VAUTO Settings - PS help needed

Re: Dreamstation to Aircurve 10 VAUTO Settings - PS help needed

Re: Dreamstation to Aircurve 10 VAUTO Settings - PS help needed

Re: Dreamstation to Aircurve 10 VAUTO Settings - PS help needed

Re: Dreamstation to Aircurve 10 VAUTO Settings - PS help needed

Re: Dreamstation to Aircurve 10 VAUTO Settings - PS help needed

Re: Dreamstation to Aircurve 10 VAUTO Settings - PS help needed

Re: Dreamstation to Aircurve 10 VAUTO Settings - PS help needed

Re: Dreamstation to Aircurve 10 VAUTO Settings - PS help needed

Re: Dreamstation to Aircurve 10 VAUTO Settings - PS help needed

Re: Dreamstation to Aircurve 10 VAUTO Settings - PS help needed