ResMed AirCurve 10 VAuto ???

sidesleeper7 · Post by **sidesleeper7** » Fri Aug 13, 2021 7:19 pm

well i had to get rid of the Philips Dreamstation AUTO because of the recall, I was liking it and feeling better until that happened, I finally got another machine,
the ResMed AirCurve 10 VAuto - can this machine be used in the same manner as the dreamstation? I do not have CSA to my knowledge and am looking forward to getting back to treatment but want to make sure this machine will be okay to use, as far as I can see it has different settings, if i use it on auto will it be exactly like the Dreamstation autoset? tx

SleepGeek · Post by **SleepGeek** » Fri Aug 13, 2021 7:36 pm

sidesleeper7 wrote: ↑
Fri Aug 13, 2021 7:19 pm
if i use it on auto will it be exactly like the Dreamstation autoset? tx

Not exactly but if you know your old settings and how to change this one - start there.

sidesleeper7 · Post by **sidesleeper7** » Fri Aug 13, 2021 7:55 pm

SleepGeek wrote: ↑
Fri Aug 13, 2021 7:36 pm

sidesleeper7 wrote: ↑
Fri Aug 13, 2021 7:19 pm
if i use it on auto will it be exactly like the Dreamstation autoset? tx
Not exactly but if you know your old settings and how to change this one - start there.

I do pressure was 7-12 and it was set on automode - I just want to make sure using this new aircurve v-auto is safe or wont cause and unwanted issues by using it.

tx

Pugsy · Post by **Pugsy** » Fri Aug 13, 2021 8:09 pm

sidesleeper7 wrote: ↑
Fri Aug 13, 2021 7:19 pm
well i had to get rid of the Philips Dreamstation AUTO because of the recall, I was liking it and feeling better until that happened, I finally got another machine,
the ResMed AirCurve 10 VAuto - can this machine be used in the same manner as the dreamstation? I do not have CSA to my knowledge and am looking forward to getting back to treatment but want to make sure this machine will be okay to use, as far as I can see it has different settings, if i use it on auto will it be exactly like the Dreamstation autoset? tx

The VAuto doesn't treat centrals...that's the AirCurve 10 ASV that treats centrals.

Yes...we can set it up so it pretty much functions like the DreamStation Auto CPAP function.
Won't be exact because of the different auto adjusting algorithms between the 2 brands but we can get it real close.

Give us all the settings you were using on the DreamStation

Mode
Pressure....if using auto mode...minimum and maximum pressure
ramp...on or off, if on how long
Flex...which Flex and what setting...if Flex was used.

I use the VAuto...and I have used the Respironics Auto CPAP (earlier model but the basics didn't change) and we can come up with something real close to what you were at least starting out the night using so should feel the same.

Easy peasy...Some of the settings you see on the VAuto we won't mess with because the factory defaults work well for most people so you can ignore those settings...like Trigger, or Ti max or min.

Main things we will fool with will be
mode....cpap, bilevel fixed or bilevel auto...that will be your choices
and if using auto bilevel....minimum EPAP (exhale) and Maximum IPAP (inhale)
and PS....pressure support which is the difference between IPAP and EPAP.

Pugsy · Post by **Pugsy** » Fri Aug 13, 2021 8:17 pm

You posted just when I posted.

Auto mode...7 minimum and 12 maximum.... did you ever hit the 12 max?

I need Flex settings please to maybe come up with a PS number that is close.

But so far...

Auto bilevel mode

Minimum EPAP will be around 7
Maximum IPAP will be 12 or neighborhood

PS will depend on your Flex setting used.

Pugsy · Post by **Pugsy** » Fri Aug 13, 2021 8:19 pm

Oh....totally safe to use the VAuto...it's nothing more than an apap with extra features.
The only thing that might cause a problem is PS and that only if you set it crazy high.
I use this very same machine...it's a really nice machine..

sidesleeper7 · Post by **sidesleeper7** » Fri Aug 13, 2021 11:43 pm

Pugsy wrote: ↑
Fri Aug 13, 2021 8:17 pm
You posted just when I posted.

Auto mode...7 minimum and 12 maximum.... did you ever hit the 12 max?

I need Flex settings please to maybe come up with a PS number that is close.

But so far...

Auto bilevel mode

Minimum EPAP will be around 7
Maximum IPAP will be 12 or neighborhood

PS will depend on your Flex setting used.

sorry it was set between 7-9 max and it would run at 9 for most of the night, pretty sure i had it on A-Flex with the flex setting on 3. it is a slightly used machine so is there a way to restore to factory defaults before we tinker the settings? I just tried to get it to where i couldnt really feel the pressure when exhaling because when i do the worse i sleep, the more normal feeling for me the better. tx for your help.

Pugsy · Post by **Pugsy** » Sat Aug 14, 2021 12:05 am

Yes, there is a way to restore the settings to the factory defaults.
As well as there is a way to erase any old patient data on the machine...don't forget to erase the SD card as well.

Go here and get the clinical provider manual via email.
https://www.apneaboard.com/adjust-cpap- ... tup-manual

In the manual it will show you the section where you have the option to erase all data as well as restore factory defaults.
I can't remember exactly but I think it is or near the area where you can set the clock and/or calendar.
Also how to get to the setup menu area if you don't know how.

You were running a really tight range in auto mode? Any special reason for the max of 9 that you hit fairly often?

Flex at 3....actually might not give a straight 3 cm drop during exhale because Flex actual drop depends on how forcefully you breathe.
So example...when you had the minimum at 7...you might not have been getting a drop to 4 during exhale with Flex...but it would probably be fairly close. Let's assume you did just to get a starting point.
On the Respironics machine...that 7 minimum is IPAP and the drop to 4 because of Flex..that would be EPAP.

So on the VAuto you would set minimum EPAP to 4 and PS at 3 and that will give you IPAP of 7.....should feel very similar or close to what you were using.
Now the max IPAP setting...you could set it to 9.
With these settings the machine will function very close to how the DreamStation functions. Might not be exact because Flex actual drop is based on how forcefully you breathe.

I suggest giving those settings a try. Use OSCAR and lets see the results. Do you know about OSCAR?
OSCAR https://www.sleepfiles.com/OSCAR/
http://www.apneaboard.com/wiki/index.ph ... stallation
http://www.apneaboard.com/wiki/index.ph ... rpretation

Now...depending on why you limited the max to 9 and what we might see as results with these settings...you might need more max IPAP.
But for now so as to not make drastic changes that will feel weird or do what might seem weird to you...I would suggest using what amounts to what you were using with the Respironics...and then we can discuss any potential changes you might need.

So..
Auto Bilevel mode
Minimum EPAP 4
PS ..3
Maximum IPAP 9

When first starting the machine your EPAP will be 4 which is probably very close to what you were getting with the Respironics...
and your IPAP will be at 7 which is what you were getting...but it can go to 9...if needed...and it might be needed but we don't know for sure until we see the reports and figure out why you limited the max in the first place.

Don't turn on ramp...you don't need it with these settings anyway.

This should feel and function very similar to the Respironics machine. A different algorithm and the Flex exhale might feel slightly different than PS does...but it will be very close and actually has the potential to be more comfortable.
I know I like PS way of exhale relief a lot better than Flex way.

sidesleeper7 · Post by **sidesleeper7** » Sat Aug 14, 2021 3:14 pm

Pugsy wrote: ↑
Sat Aug 14, 2021 12:05 am
Yes, there is a way to restore the settings to the factory defaults.
As well as there is a way to erase any old patient data on the machine...don't forget to erase the SD card as well.

Go here and get the clinical provider manual via email.
https://www.apneaboard.com/adjust-cpap- ... tup-manual

In the manual it will show you the section where you have the option to erase all data as well as restore factory defaults.
I can't remember exactly but I think it is or near the area where you can set the clock and/or calendar.
Also how to get to the setup menu area if you don't know how.

You were running a really tight range in auto mode? Any special reason for the max of 9 that you hit fairly often?

Flex at 3....actually might not give a straight 3 cm drop during exhale because Flex actual drop depends on how forcefully you breathe.
So example...when you had the minimum at 7...you might not have been getting a drop to 4 during exhale with Flex...but it would probably be fairly close. Let's assume you did just to get a starting point.
On the Respironics machine...that 7 minimum is IPAP and the drop to 4 because of Flex..that would be EPAP.

So on the VAuto you would set minimum EPAP to 4 and PS at 3 and that will give you IPAP of 7.....should feel very similar or close to what you were using.
Now the max IPAP setting...you could set it to 9.
With these settings the machine will function very close to how the DreamStation functions. Might not be exact because Flex actual drop is based on how forcefully you breathe.

I suggest giving those settings a try. Use OSCAR and lets see the results. Do you know about OSCAR?
OSCAR https://www.sleepfiles.com/OSCAR/
http://www.apneaboard.com/wiki/index.ph ... stallation
http://www.apneaboard.com/wiki/index.ph ... rpretation

Now...depending on why you limited the max to 9 and what we might see as results with these settings...you might need more max IPAP.
But for now so as to not make drastic changes that will feel weird or do what might seem weird to you...I would suggest using what amounts to what you were using with the Respironics...and then we can discuss any potential changes you might need.

So..
Auto Bilevel mode
Minimum EPAP 4
PS ..3
Maximum IPAP 9

When first starting the machine your EPAP will be 4 which is probably very close to what you were getting with the Respironics...
and your IPAP will be at 7 which is what you were getting...but it can go to 9...if needed...and it might be needed but we don't know for sure until we see the reports and figure out why you limited the max in the first place.

Don't turn on ramp...you don't need it with these settings anyway.

This should feel and function very similar to the Respironics machine. A different algorithm and the Flex exhale might feel slightly different than PS does...but it will be very close and actually has the potential to be more comfortable.
I know I like PS way of exhale relief a lot better than Flex way.

Thanks for the help

I am still trying to wrap my head around the differences in this machine and the resmed airsense auto - Just having a hard time understanding the difference would a good comparison be like using a machine on pressure 10 cpap mode and have a epr of 3 so the pressure out is 10 and exahould would be 7 equalling two different pressures?

Pugsy · Post by **Pugsy** » Sat Aug 14, 2021 3:24 pm

sidesleeper7 wrote: ↑
Sat Aug 14, 2021 3:14 pm
still trying to wrap my head around the differences in this machine and the resmed airsense auto - Just having a hard time understanding the difference would a good comparison be like using a machine on pressure 10 cpap mode and have a epr of 3 so the pressure out is 10 and exhale would be 7 equalling two different pressures?

10 inhale and 7 exhale....is indeed 2 different pressures.
One for inhale and one for exhale. That's what bilevel is..2 different pressures....doesn't matter if you use PS to achieve the 2 different pressures or EPR to achieve 2 different pressures. End result is the same. They just go about it a little differently.
EPR is deducted from inhale...PS is added to exhale but the end result is the same.

sidesleeper7 · Post by **sidesleeper7** » Sat Aug 14, 2021 3:26 pm

Pugsy wrote: ↑
Sat Aug 14, 2021 3:24 pm

sidesleeper7 wrote: ↑
Sat Aug 14, 2021 3:14 pm
still trying to wrap my head around the differences in this machine and the resmed airsense auto - Just having a hard time understanding the difference would a good comparison be like using a machine on pressure 10 cpap mode and have a epr of 3 so the pressure out is 10 and exhale would be 7 equalling two different pressures?
10 inhale and 7 exhale....is indeed 2 different pressures.
One for inhale and one for exhale. That's what bilevel is..2 different pressures....doesn't matter if you use PS to achieve the 2 different pressures or EPR to achieve 2 different pressures. End result is the same. They just go about it a little differently.
EPR is deducted from inhale...PS is added to exhale but the end result is the same.

Gotcha, thx again, I hope it works well, will keep you updated.

palerider · Post by **palerider** » Sat Aug 14, 2021 3:36 pm

sidesleeper7 wrote: ↑
Sat Aug 14, 2021 3:14 pm
I am still trying to wrap my head around the differences in this machine and the resmed airsense auto - Just having a hard time understanding the difference would a good comparison be like using a machine on pressure 10 cpap mode and have a epr of 3 so the pressure out is 10 and exahould would be 7 equalling two different pressures?

EPR is a limited bilevel, so setting an AutoSET to pressure 10, EPR 3 is the same as setting the VAuto to EPAP 7, PS 3, (well, technically, that would be S mode and you'd set it to EPAP 7 IPAP 10.

The differences in the machine are that the EPAP and IPAP can be set completely separately, with up to 22cm difference between them EPAP 3 IPAP 25 (which is a great way to hyperventilate and possibly pass out).

You can also tailor the sensitivity of the machine to when it's triggered into IPAP and also the sensitivity to the end of your inhalation when it cycles back to EPAP, and you can control how the minimum and maximum amount of time it will stay at IPAP pressure.

that's mostly it for the differences.

sidesleeper7 · Post by **sidesleeper7** » Sun Aug 15, 2021 10:23 pm

This look ok? I’m not sure what ti max and ti min is ?

Tx

palerider · Post by **palerider** » Mon Aug 16, 2021 12:28 am

sidesleeper7 wrote: ↑
Sun Aug 15, 2021 10:23 pm
This look ok? I’m not sure what ti max and ti min is ?

Tx

Don't change TiMin unless you know what you're doing, and have a good reason to do so, leave it at 0.3 seconds. feel free to increase TiMax unless you have some underlying lung disease that precludes that.

sidesleeper7 · Post by **sidesleeper7** » Mon Aug 16, 2021 1:00 am

palerider wrote: ↑
Mon Aug 16, 2021 12:28 am

sidesleeper7 wrote: ↑
Sun Aug 15, 2021 10:23 pm
This look ok? I’m not sure what ti max and ti min is ?

Tx
Don't change TiMin unless you know what you're doing, and have a good reason to do so, leave it at 0.7 seconds. feel free to increase TiMax unless you have some underlying lung disease that precludes that.

The TiMin is set to standard 0.3 is this okay ? And 2.0 on the TiMax

ResMed AirCurve 10 VAuto ???

ResMed AirCurve 10 VAuto ???

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