AirCurve 10 VAuto Bipap settings help needed

palerider wrote: ↑

Sat Mar 02, 2019 3:56 pm

Point of order, minepap won't go below 4, the machine has to be in non-auto mode to get an EPAP of 3.

Well crap....I must have looked at the manual cross eyed again.

Well hell...why not at least go to fixed bilevel mode and try it 3 EPAP and 7 IPAP just to see how comfortable it is.' Don't necessarily have to sleep with it...just see how it feels while awake.
It was more of an idea to see if she could even get comfortable and then worry about settings.
I was trying to come up with some idea to get her at least comfortable breathing with 4 PS since apparently that is what is need to prevent the teeth grinding issues.

Grasping at all straws...short ones and long ones.

If a person can't get comfortable then they are going to have trouble falling asleep...and the name of the game is falling asleep.

Pugsy wrote: ↑

Sat Mar 02, 2019 4:03 pm

palerider wrote: ↑

Sat Mar 02, 2019 3:56 pm

Point of order, minepap won't go below 4, the machine has to be in non-auto mode to get an EPAP of 3.

Well crap....I must have looked at the manual cross eyed again.

nah, it's just a bit confusing... and another good reason to do what YOU do, use the right terms when trying to help people.

There is a difference in EPAP and MinEPAP in the machine.

Thanks Pugsy and Palerider,

How do I turn on fixed bipap mode?

Changing modes just means going into the clinical setup menu and highlighting "mode" and turning the knob.
Do you know how to get into the setup menu area?
If not the provider manual you can request here below will explain it.
https://www.apneaboard.com/adjust-cpap- ... tup-manual

Angielynn wrote: ↑

Sun Mar 03, 2019 10:09 am

Thanks Pugsy and Palerider,

How do I turn on fixed bipap mode?

What are you trying to achieve with the fixed bipap S mode ? It would be better to use the VAuto mode locked down to a tight pressure range and your desired pressure support ?

Jas_williams wrote: ↑

Sun Mar 03, 2019 10:39 am

Angielynn wrote: ↑

Sun Mar 03, 2019 10:09 am

Thanks Pugsy and Palerider,

How do I turn on fixed bipap mode?

What are you trying to achieve with the fixed bipap S mode ? It would be better to use the VAuto mode locked down to a tight pressure range and your desired pressure support ?

I think a trial with EPAP at 3 just to see how it feels with PS of 4 making IPAP 7.
In Auto bilevel mode the minimum EPAP is 4 and she can't see what 3 feels like with PS of 4.
She's not real comfortable with 4 epap and 8 ipap.

Pugsy wrote: ↑

Sun Mar 03, 2019 10:46 am

Jas_williams wrote: ↑

Sun Mar 03, 2019 10:39 am

Angielynn wrote: ↑

Sun Mar 03, 2019 10:09 am

Thanks Pugsy and Palerider,

How do I turn on fixed bipap mode?

What are you trying to achieve with the fixed bipap S mode ? It would be better to use the VAuto mode locked down to a tight pressure range and your desired pressure support ?

I think a trial with EPAP at 3 just to see how it feels with PS of 4 making IPAP 7.
In Auto bilevel mode the minimum EPAP is 4 and she can't see what 3 feels like with PS of 4.
She's not real comfortable with 4 epap and 8 ipap.

Ah I missed the min epap of 3 thanks Pugsy

Jas_williams wrote: ↑

Sun Mar 03, 2019 10:39 am

Angielynn wrote: ↑

Sun Mar 03, 2019 10:09 am

Thanks Pugsy and Palerider,

How do I turn on fixed bipap mode?

What are you trying to achieve with the fixed bipap S mode ? It would be better to use the VAuto mode locked down to a tight pressure range and your desired pressure support ?

A "tight pressure range" is almost always a bad idea. (though there are cases, such as having aerophagia).

For most people, all that you accomplish by lowering the max setting is to prevent the machine from responding to your needs if you need more pressure.

Pugsy wrote: ↑

Sat Mar 02, 2019 10:48 am

ajack wrote: ↑

Sat Mar 02, 2019 10:42 am

I'll remember you are female in future. I was using the he in a generic way, the op may also be female, who knows?

They normally use min and max epap with PS
EPAP + PS = IPAP
If they are calling it max ipap, as you know, it's actually a max epap setting and ps .. , the epap changes and the PS stays the same

so the setting would be
epap 5, ipap 19, ps4 and see where the machine goes when a chart is posted.

I try to use the terminology that people see on their LCD screens....less chance of confusion.
I already explained what ResMed does with their fixed PS.

And without knowing what kind of problem the OP has now or in the past with things...I would NOT suggesting changing IPAP max from 9 to 15.
I don't have enough information to warrant that suggestion....it's a WAG and I don't do wags unless I have no choice and in this situation ...there are choices. The choices involve taking some time and getting more history...and I won't give up accuracy for speed and WAGs.

It doesn't really matter, the results will be seen over time and adjustments can be made. It's just easier using the auto to auto titrate. I do question why a BPAP was prescribed by the doctor. With epap5 ps 4. There doesn't seem to be any requirement in the prescription that would need a bpap.

My main point was to tell you not to tell people to 'experiment' with the Ti settings. It's bad advice.

ajack wrote: ↑

Sun Mar 03, 2019 7:04 pm

My main point was to tell you not to tell people to 'experiment' with the Ti settings. It's bad advice.

Your "main point" was to confuse the OP by gibbering on about irrelevant things.

Fortunately, the OP realized quite early that your postings are best ignored.

ajack wrote: ↑

Sun Mar 03, 2019 7:04 pm

Pugsy wrote: ↑

Sat Mar 02, 2019 10:48 am

ajack wrote: ↑

Sat Mar 02, 2019 10:42 am

I'll remember you are female in future. I was using the he in a generic way, the op may also be female, who knows?

They normally use min and max epap with PS
EPAP + PS = IPAP
If they are calling it max ipap, as you know, it's actually a max epap setting and ps .. , the epap changes and the PS stays the same

so the setting would be
epap 5, ipap 19, ps4 and see where the machine goes when a chart is posted.

I try to use the terminology that people see on their LCD screens....less chance of confusion.
I already explained what ResMed does with their fixed PS.

And without knowing what kind of problem the OP has now or in the past with things...I would NOT suggesting changing IPAP max from 9 to 15.
I don't have enough information to warrant that suggestion....it's a WAG and I don't do wags unless I have no choice and in this situation ...there are choices. The choices involve taking some time and getting more history...and I won't give up accuracy for speed and WAGs.

It doesn't really matter, the results will be seen over time and adjustments can be made. It's just easier using the auto to auto titrate. I do question why a BPAP was prescribed by the doctor. With epap5 ps 4. There doesn't seem to be any requirement in the prescription that would need a bpap.

My main point was to tell you not to tell people to 'experiment' with the Ti settings. It's bad advice.

Are you a doctor or a dme ? What school did you attend to be coming in here telling people what the can or can't do with their own machines? If I had followed my prescription I would have thrown the machine out the window by now.

Cynmatthes wrote: ↑

Sun Mar 03, 2019 9:25 pm

ajack wrote: ↑

Sun Mar 03, 2019 7:04 pm

My main point was to tell you not to tell people to 'experiment' with the Ti settings. It's bad advice.

Are you a doctor or a dme ? What school did you attend to be coming in here telling people what the can or can't do with their own machines? If I had followed my prescription I would have thrown the machine out the window by now.

He's just a bozo who likes to post while drinking and argue.

Note, *VERY FIRST POST:*

ajack wrote: ↑

Thu Mar 09, 2017 7:56 am

Hi, my first post. As a new guy to apnea, I don't know how realistic it is to promote an AHI under 2, when 5 is normal and "An AHI of less than 10 is not likely to be associated with clinical problems."
http://www.britishsnoring.co.uk/sleep_a ... apnoea.php

Most of ajack's posts come down to "I read something on the internet that I don't understand but I'll argue you to the death about it". maybe it's the booze talking:

ajack wrote: ↑

Fri Feb 23, 2018 12:01 am

It must have been ... I was drinking, when I posted?

He's a menace.

palerider wrote: ↑

Sun Mar 03, 2019 9:49 pm

Cynmatthes wrote: ↑

Sun Mar 03, 2019 9:25 pm

ajack wrote: ↑

Sun Mar 03, 2019 7:04 pm

My main point was to tell you not to tell people to 'experiment' with the Ti settings. It's bad advice.

Are you a doctor or a dme ? What school did you attend to be coming in here telling people what the can or can't do with their own machines? If I had followed my prescription I would have thrown the machine out the window by now.

He's just a bozo who likes to post while drinking and argue.

Note, *VERY FIRST POST:*

ajack wrote: ↑

Thu Mar 09, 2017 7:56 am

Hi, my first post. As a new guy to apnea, I don't know how realistic it is to promote an AHI under 2, when 5 is normal and "An AHI of less than 10 is not likely to be associated with clinical problems."
http://www.britishsnoring.co.uk/sleep_a ... apnoea.php

Most of ajack's posts come down to "I read something on the internet that I don't understand but I'll argue you to the death about it". maybe it's the booze talking:

ajack wrote: ↑

Fri Feb 23, 2018 12:01 am

It must have been ... I was drinking, when I posted?

He's a menace.

Well its annoying. I have the vauto and am always curious what some of the of the settings do. I enjoy reading the explanations you and pugsy give about how things work. And when someone says just don't do it, first thing I want to go do is go try it.

Cynmatthes wrote: ↑

Sun Mar 03, 2019 10:55 pm

palerider wrote: ↑

Sun Mar 03, 2019 9:49 pm

Cynmatthes wrote: ↑

Sun Mar 03, 2019 9:25 pm

ajack wrote: ↑

Sun Mar 03, 2019 7:04 pm

My main point was to tell you not to tell people to 'experiment' with the Ti settings. It's bad advice.

Are you a doctor or a dme ? What school did you attend to be coming in here telling people what the can or can't do with their own machines? If I had followed my prescription I would have thrown the machine out the window by now.

He's just a bozo who likes to post while drinking and argue.

Note, *VERY FIRST POST:*

ajack wrote: ↑

Thu Mar 09, 2017 7:56 am

Hi, my first post. As a new guy to apnea, I don't know how realistic it is to promote an AHI under 2, when 5 is normal and "An AHI of less than 10 is not likely to be associated with clinical problems."
http://www.britishsnoring.co.uk/sleep_a ... apnoea.php

Most of ajack's posts come down to "I read something on the internet that I don't understand but I'll argue you to the death about it". maybe it's the booze talking:

ajack wrote: ↑

Fri Feb 23, 2018 12:01 am

It must have been ... I was drinking, when I posted?

He's a menace.

Well its annoying. I have the vauto and am always curious what some of the of the settings do. I enjoy reading the explanations you and pugsy give about how things work. And when someone says just don't do it, first thing I want to go do is go try it.

It's *very* annoying, especially when 'thinks he's a doctor ajack(ass)' decides to jump in and derail the thread of a newbie seeking information. Perhaps if more people start telling him to shut up, he'd eventually do us all a favor and go away.

If there's anything on your machine you're curious about, feel free to ask me.

As far as the TiMin setting, you can play with it, but... do watch your charts, especially the individual breaths, and the Mask Pressure chart, and make sure you're not setting TiMin so high that it's keeping you from exhaling when you want to...

Basically, if you don't have a lung disease that makes it hard for you to get a full breath, then there's no actual reason to change the TiMin setting... it's there for people with special lung needs, and really has nothing to do with sleep apnea.

I did have someone sending me his data in PMs, he'd turned the TiMax up so far, that it was preventing him from exhaling normally, and was thus messing up his breathing... Eventually, he turned it down, and had much more normal looking breathing as a result.

It certainly didn't do him any *harm* though it may have reduced the quality of his sleep. It certainly wasn't 'dangerous' in any way.

palerider wrote: ↑

Sun Mar 03, 2019 11:10 pm

Cynmatthes wrote: ↑

Sun Mar 03, 2019 10:55 pm

palerider wrote: ↑

Sun Mar 03, 2019 9:49 pm

Cynmatthes wrote: ↑

Sun Mar 03, 2019 9:25 pm

ajack wrote: ↑

Sun Mar 03, 2019 7:04 pm

My main point was to tell you not to tell people to 'experiment' with the Ti settings. It's bad advice.

Are you a doctor or a dme ? What school did you attend to be coming in here telling people what the can or can't do with their own machines? If I had followed my prescription I would have thrown the machine out the window by now.

He's just a bozo who likes to post while drinking and argue.

Note, *VERY FIRST POST:*

ajack wrote: ↑

Thu Mar 09, 2017 7:56 am

Hi, my first post. As a new guy to apnea, I don't know how realistic it is to promote an AHI under 2, when 5 is normal and "An AHI of less than 10 is not likely to be associated with clinical problems."
http://www.britishsnoring.co.uk/sleep_a ... apnoea.php

Most of ajack's posts come down to "I read something on the internet that I don't understand but I'll argue you to the death about it". maybe it's the booze talking:

ajack wrote: ↑

Fri Feb 23, 2018 12:01 am

It must have been ... I was drinking, when I posted?

He's a menace.

Well its annoying. I have the vauto and am always curious what some of the of the settings do. I enjoy reading the explanations you and pugsy give about how things work. And when someone says just don't do it, first thing I want to go do is go try it.

It's *very* annoying, especially when 'thinks he's a doctor ajack(ass)' decides to jump in and derail the thread of a newbie seeking information. Perhaps if more people start telling him to shut up, he'd eventually do us all a favor and go away.

If there's anything on your machine you're curious about, feel free to ask me.

Thanks. I will send questions in my data thread tomorrow so as not to clutter this one. I am going to need to change the name up since Zonker set the new bar with Zonkers Crib. that will be hard to top. Cyn's pester the experts ? Cyn's game of thrones? Or as the mask leaks? Hmmmm.