Pressures, Resmed VpapS9

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
Perlina
Posts: 11
Joined: Sat Aug 10, 2013 6:48 pm

Pressures, Resmed VpapS9

Post by Perlina » Fri Nov 06, 2015 6:52 pm

I would greatly appreciate it if someone would please explain something about pressures on my Resmed S9 Vpap, as I would like to change it myself. Exactly why is it crucial to maintain a gap - and what is that gap exactly? - between the inhale and exhale pressures? I have never understood this and would like to begin setting my own pressures.

JDS74
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Joined: Sun Jan 23, 2011 2:57 pm
Location: South Carolina

Re: Pressures, Resmed VpapS9

Post by JDS74 » Sat Nov 07, 2015 8:17 pm

Without personal experience with ResMed equipment, here is my understanding of the "gap" in pressures. This is referred to as bi-level pressure. The machine is providing you with a particular pressure when you inhale that is higher to keep your airway open. If there is a gap set, then the machine provides a slightly lower pressure when you exhale. It is easier for some to breathe that way.

The difference between inhale pressure (usually higher) and exhale pressure is a matter of patient comfort. Sometimes it is easier to breathe, sometimes it is to reduce the possibility of Aerophagia (swallowing air), etc. It is generally not necessary for effective treatment. There are some on this forum, who for personal and effectiveness reasons, choose to have both inhale and exhale pressures the same even though their equipment supports bi-level operation,

It would be helpful if you could fill in your equipment profile using text mode in the User Control Panel so we could see what you are using. In addition, it might be helpful if you would comment on the need for changing machine pressures. What problem are you trying to solve?, etc.

_________________
Mask: Oracle HC452 Oral CPAP Mask
Humidifier: DreamStation Heated Humidifier
Additional Comments: EverFlo Q 3.0 Liters O2 PR DSX900 ASV
Oracle 452 Lessons Learned Updated
DSX900 AutoSV with HC150 extra humidifier and Hibernite heated hose
Settings: EPAP Min-10.0, EPAP Max-17, PS Min-3, PS Max-10, Max Pressure-20, Rate-Auto, Biflex-1.
Sleepyhead and Encore Pro 2.21.

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OkyDoky
Posts: 2869
Joined: Mon Aug 25, 2014 5:18 pm

Re: Pressures, Resmed VpapS9

Post by OkyDoky » Sat Nov 07, 2015 9:44 pm

Sometimes the inhale and exhale difference in pressure is necessary if there is an underlying lung or muscle issue that makes it difficult to exhale. But like JDS74 says if it is for patient comfort sometimes it is adjusted.
Now if you are in Auto mode and have a Minimum and Maximum number that is a range of pressures that your machine can adjust to if you need more or less pressure.
Do you have a screenshot from Sleepyhead that you can post?
ResMed Aircurve 10 VAUTO EPAP 11 IPAP 15 / P10 pillows mask / Sleepyhead Software / Back up & travel machine Respironics 760