Kate's Therapy

katestyles · Post by **katestyles** » Fri May 17, 2019 6:39 pm

Pugsy wrote: ↑
Fri May 17, 2019 6:35 pm
PS of 4 is what the labs commonly start out with and most people come out of a bilevel titration with PS of 4 or 5.
On a rare occasion a little more for some reason or other.

My suggestion is start with PS of 4
use auto mode...
Minimum EPAP 17
PS of 4
Maximum IPAP 25

See how much a little more IPAP helps with those FLs before adding more EPAP....might help out just enough.

Ok - I was going to restrict the max pressure just to start with - I have this irrational fear that the machine will shoot straight up to 25cms and hang out there. I was trying to feel as though I had some head room for a day or two.

Pugsy · Post by **Pugsy** » Fri May 17, 2019 6:39 pm

Oh...it also will have some other comfort settings.....use the factory defaults first and see how you do with them.
Most people won't need to change those but if you have trouble getting in sync with the machine rate...then we can change them.
When I was using the VAuto S9 I did just fine with those default settings.

You know to go to the apneaboard and get the clinical manual????
It's a combo manual.
https://www.apneaboard.com/adjust-cpap- ... tup-manual

If you want to restrict the max...try 22 IPAP max...tiny room to roam.

katestyles · Post by **katestyles** » Fri May 17, 2019 6:43 pm

Pugsy wrote: ↑
Fri May 17, 2019 6:39 pm
Oh...it also will have some other comfort settings.....use the factory defaults first and see how you do with them.
Most people won't need to change those but if you have trouble getting in sync with the machine rate...then we can change them.
When I was using the VAuto S9 I did just fine with those default settings.

You know to go to the apneaboard and get the clinical manual????
It's a combo manual.
https://www.apneaboard.com/adjust-cpap- ... tup-manual

If you want to restrict the max...try 22 IPAP max...tiny room to roam.

I have the clinical manual - I have been reading it avidly for days!

Pugsy · Post by **Pugsy** » Fri May 17, 2019 6:48 pm

I predict you will like the machine.
I see no sense in using PS of 3...that's what your EPR is doing. Make use of the machine's special abilities.
First time I ever used a bilevel machine...was a fixed bilevel machine and I used 4 PS...and it took me about 5 minutes to say to myself..."you gotta get one of these"

It was a used machine that I bought from a forum member for a friend who needed bilevel because her pressure needs were like yours and she had some COPD and was struggling.

She wanted me to use it first to make sure it was working like it should and set it up for her.
So I did.
When I sent it to her I told her that if she didn't like it that I would gladly buy it back....she got the machine and used it one night and the next morning the only message I got was "over my dead body"

katestyles · Post by **katestyles** » Fri May 17, 2019 6:50 pm

Pugsy wrote: ↑
Fri May 17, 2019 6:48 pm
I predict you will like the machine.
I see no sense in using PS of 3...that's what your EPR is doing. Make use of the machine's special abilities.
First time I ever used a bilevel machine...was a fixed bilevel machine and I used 4 PS...and it took me about 5 minutes to say to myself..."you gotta get one of these"
It was a used machine that I bought from a forum member for a friend who needed bilevel because her pressure needs were like yours and she had some COPD and was struggling.

She wanted me to use it first to make sure it was working like it should and set it up for her.
So I did.
When I sent it to her I told her that if she didn't like it that I would gladly buy it back....she got the machine and used it one night and the next morning the only message I got was "over my dead body"

lol;

I am just excited not to be maxxed out at 20

palerider · Post by **palerider** » Fri May 17, 2019 6:52 pm

katestyles wrote: ↑
Fri May 17, 2019 6:17 pm
So - trying hard not to be overexcited, but thanks to LSAT, I have a tracking number that says I will be the proud owner of a Resmed Vauto tommorrow by 8pm!!

I am planning to start at comparable settings to my current APAP which is running at min 20, max 20, EPR 3.
Can someone check my math please?

1) Should I be putting Epap 17, Ipap 20?

2) All the titration protocols say PS should be at 4. Is 3 OK?

3) Should I be doing any other kind of settings?

4) What is the next change to make? I'm trying to limit FL.

What I would suggest is:

MinEPAP 17
MaxIPAP 25
PS 4 (or 3)

and see what it wants to do.

The auto doesn't have epap and ipap, it has minepap and maxipap, and PS to set the pressures, and ranges.

If you go with a PS of 3, it'll *start* at what you've got now, and go up if it needs to.. if you go with the 4 that Pugsy recommends, then it'd be like a pressure of 21, EPR 4 (which, of course, you can't do.. .but I figured if I said it that way, it'd make more sense since that's the nomenclature you're used to at this point.

palerider · Post by **palerider** » Fri May 17, 2019 6:53 pm

katestyles wrote: ↑
Fri May 17, 2019 6:39 pm

Pugsy wrote: ↑
Fri May 17, 2019 6:35 pm
PS of 4 is what the labs commonly start out with and most people come out of a bilevel titration with PS of 4 or 5.
On a rare occasion a little more for some reason or other.

My suggestion is start with PS of 4
use auto mode...
Minimum EPAP 17
PS of 4
Maximum IPAP 25

See how much a little more IPAP helps with those FLs before adding more EPAP....might help out just enough.
Ok - I was going to restrict the max pressure just to start with - I have this irrational fear that the machine will shoot straight up to 25cms and hang out there. I was trying to feel as though I had some head room for a day or two.

Please don't be one of those "I want to lower the max because 'reasons'" people.

Put maxipap on 25, and *trust the machine*.

katestyles · Post by **katestyles** » Fri May 17, 2019 8:11 pm

palerider wrote: ↑
Fri May 17, 2019 6:53 pm

katestyles wrote: ↑
Fri May 17, 2019 6:39 pm

Pugsy wrote: ↑
Fri May 17, 2019 6:35 pm
PS of 4 is what the labs commonly start out with and most people come out of a bilevel titration with PS of 4 or 5.
On a rare occasion a little more for some reason or other.

My suggestion is start with PS of 4
use auto mode...
Minimum EPAP 17
PS of 4
Maximum IPAP 25

See how much a little more IPAP helps with those FLs before adding more EPAP....might help out just enough.
Ok - I was going to restrict the max pressure just to start with - I have this irrational fear that the machine will shoot straight up to 25cms and hang out there. I was trying to feel as though I had some head room for a day or two.
Please don't be one of those "I want to lower the max because 'reasons'" people.

Put maxipap on 25, and *trust the machine*.

I am not one of those - I am one of the ones who let the max be 20, and found the machine bumping against the top of the graphs.

Just for a few days I wanted daylight above the max pressure line.....

katestyles · Post by **katestyles** » Fri May 17, 2019 8:12 pm

palerider wrote: ↑
Fri May 17, 2019 6:52 pm

katestyles wrote: ↑
Fri May 17, 2019 6:17 pm
So - trying hard not to be overexcited, but thanks to LSAT, I have a tracking number that says I will be the proud owner of a Resmed Vauto tommorrow by 8pm!!

I am planning to start at comparable settings to my current APAP which is running at min 20, max 20, EPR 3.
Can someone check my math please?

1) Should I be putting Epap 17, Ipap 20?

2) All the titration protocols say PS should be at 4. Is 3 OK?

3) Should I be doing any other kind of settings?

4) What is the next change to make? I'm trying to limit FL.
What I would suggest is:

MinEPAP 17
MaxIPAP 25
PS 4 (or 3)

and see what it wants to do.

The auto doesn't have epap and ipap, it has minepap and maxipap, and PS to set the pressures, and ranges.

If you go with a PS of 3, it'll *start* at what you've got now, and go up if it needs to.. if you go with the 4 that Pugsy recommends, then it'd be like a pressure of 21, EPR 4 (which, of course, you can't do.. .but I figured if I said it that way, it'd make more sense since that's the nomenclature you're used to at this point.

OK.

MinEPAP 17
MaxIPAP 25
PS 4 (or 3)

babydinosnoreless · Post by **babydinosnoreless** » Fri May 17, 2019 8:36 pm

katestyles wrote: ↑
Fri May 17, 2019 8:12 pm

palerider wrote: ↑
Fri May 17, 2019 6:52 pm

katestyles wrote: ↑
Fri May 17, 2019 6:17 pm
So - trying hard not to be overexcited, but thanks to LSAT, I have a tracking number that says I will be the proud owner of a Resmed Vauto tommorrow by 8pm!!

I am planning to start at comparable settings to my current APAP which is running at min 20, max 20, EPR 3.
Can someone check my math please?

1) Should I be putting Epap 17, Ipap 20?

2) All the titration protocols say PS should be at 4. Is 3 OK?

3) Should I be doing any other kind of settings?

4) What is the next change to make? I'm trying to limit FL.
What I would suggest is:

MinEPAP 17
MaxIPAP 25
PS 4 (or 3)

and see what it wants to do.

The auto doesn't have epap and ipap, it has minepap and maxipap, and PS to set the pressures, and ranges.

If you go with a PS of 3, it'll *start* at what you've got now, and go up if it needs to.. if you go with the 4 that Pugsy recommends, then it'd be like a pressure of 21, EPR 4 (which, of course, you can't do.. .but I figured if I said it that way, it'd make more sense since that's the nomenclature you're used to at this point.
OK.

MinEPAP 17
MaxIPAP 25
PS 4 (or 3)

Try ps 4. You will like it. I tried 3 and it sucked.

you can always back it down if you don't like it. It doesn't seem like it would make a huge difference in comfort but it does.

djams · Post by **djams** » Sat May 18, 2019 7:40 am

Whatever you set it at - best of luck to you! I'm late getting in here, but congrats!

Heck, I'm excited for you. Looking forward to seeing how it goes.

Dog Slobber · Post by **Dog Slobber** » Sat May 18, 2019 1:05 pm

Who can't wait for katestyles to get her new bilevel and improve her therapy?

And while we're at it, three cheers for LSAT!

djams · Post by **djams** » Sat May 18, 2019 2:00 pm

Raises hand, and yells "HOORAY!"

You're awesome DogSlobber. Your gif's sum up my feelings better than my words do!

Dog Slobber · Post by **Dog Slobber** » Sat May 18, 2019 2:22 pm

djams wrote: ↑
Sat May 18, 2019 2:00 pm
Raises hand, and yells "HOORAY!"

You're awesome DogSlobber. Your gif's sum up my feelings better than my words do!

Now that our buddy Zonk is back, I have to step up my friendliness and support game. Hard to compete with that guy.

katestyles · Post by **katestyles** » Sat May 18, 2019 3:51 pm

It is so beautiful!

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