S9 VPAP Adapt question

Patty (my GF) got her new Resmed VPAP Adapt SV today. When I was setting it up I noticed it had an extra setting that my machine (same one) doesn't have. Her's has in mode setting, CPAP, ASV/AUTO, and ASV. Mine only has CPAP and ASV. What is the ASV/AUTO setting?

Thanks

JeffH

Never mind, I found it.

choice of auto-adjusting EPAP in ASVAuto mode or fixed EPAP in ASV mode.

From Resmed website. New feature, at least to me. My machine is a couple of years old (6400 hrs) and only has CPAP and ASV modes.


JeffH

JeffH wrote:choice of auto-adjusting EPAP in ASVAuto mode or fixed EPAP in ASV mode.

What mode is she going to use?

DreamDiver wrote:

JeffH wrote:choice of auto-adjusting EPAP in ASVAuto mode or fixed EPAP in ASV mode.

What mode is she going to use?

ASV at first. Probably going to call her Doc next week and see what he says about ASV/AUTO.


JeffH

That is interesting about the auto-adjusting epap. My epap is fixed at 6. I sometimes think I'd like to have it set lower. I wonder what goes into the thinking that causes the epap to be set at the number it is.

MagsterMile wrote:That is interesting about the auto-adjusting epap. My epap is fixed at 6. I sometimes think I'd like to have it set lower. I wonder what goes into the thinking that causes the epap to be set at the number it is.

Two answers to that one ..

First, it was the original design. Auto Adjusting BiPAP or ASV requires a lot more technology behind the scenes. So, it's more expensive.

Second, not all patients can tolerate an auto adjusting BiPAP or ASV. In fact, some patients actually score worse when the EPAP adjusts. But those are the minority and the auto adjusting on the high end says that most patients using an ASV unit should adjust to an auto adjusting setup.

I suspect this was added to keep the Resmed ASV unit competitive with the Respironics ASV unit.

For John:

At this point in time do you think most of the differences in machines are mostly software rather than mechanical? I'm thinking that they use the same machine but just load different software on it.

JeffH

JeffH wrote:For John:

At this point in time do you think most of the differences in machines are mostly software rather than mechanical? I'm thinking that they use the same machine but just load different software on it.

JeffH

By the suggested set-up of the two machines I can tell that they differ in technology:

(view it in unzoomed Window)

I think JeffH was asking about differences between machines within a brand, not between brands.

JeffH, to be honest, I duo not know for certain. I do know that in previous versions the mechanical components were quite different. I suspect that may still be the case. For example, the motor used in an ASV unit must be more robust than the average CPAP motor. Why put that type of motor in EVERY unit when only a fraction of the units sold need that much motor. So, while I do not *know*, I am pretty certain the answer is that it is more than just software.

JeffH wrote:Never mind, I found it.
choice of auto-adjusting EPAP in ASVAuto mode or fixed EPAP in ASV mode.
From Resmed website. New feature, at least to me. My machine is a couple of years old (6400 hrs) and only has CPAP and ASV modes.
JeffH

Hi Jeff. I wonder if you (or others here) know what would prompt one's doc to prescribe use of the ASV Auto mode rather than the regular ASV mode for a patient on the S9 VPAP Adapt?

Also, I'm curious what your Flow Limitation graph looks like as a user of either or both modes. FL's were always very very low when I used cpap for over a year. So I'm not sure what to make of so many strong FL spikes now appearing on my FL graph. The FL graph typically isn't preselected to show up on ResScan by S9 Adapt machine users. So if you (any Adapt users) don't see it and you'd like to check it out and comment for me, you can call it up as follows:

To view your Flow Limitation graph, open your patient account in ResScan as usual and then select the REPORT menu. Then click the CUSTOMIZE tab. Expand the Detailed Graphs by clicking the “ (+) ” next to it on the right side of the page (under Report Layout). Then do the same on the left side of the page (under Available Items). Now select Flow Limitation and click “Add”. And then click OK.
---- OR ----
To view your Flow Limitation graph in SleepyHead, open SH, click the File menu and select Preferences. Then select the Graphs tab, check the box next to “Flow Limit” in both the upper “Daily Graphs” list and further below in the “Overview Graphs” list. Then click OK and you will have added the Flow Limitation graph to the other graphs you can see.

Let me know how you do by PM or post here.
All the best.

jdm2857 wrote:I think JeffH was asking about differences between machines within a brand, not between brands.

correct

Papit wrote:

JeffH wrote:Never mind, I found it.
choice of auto-adjusting EPAP in ASVAuto mode or fixed EPAP in ASV mode.
From Resmed website. New feature, at least to me. My machine is a couple of years old (6400 hrs) and only has CPAP and ASV modes.
JeffH

Hi Jeff. I wonder if you (or others here) know what would prompt one's doc to prescribe use of the ASV Auto mode rather than the regular ASV mode for a patient on the S9 VPAP Adapt?

Also, I'm curious what your Flow Limitation graph looks like as a user of either or both modes. FL's were always very very low when I used cpap for over a year. So I'm not sure what to make of so many strong FL spikes now appearing on my FL graph. The FL graph typically isn't preselected to show up on ResScan by S9 Adapt machine users. So if you (any Adapt users) don't see it and you'd like to check it out and comment for me, you can call it up as follows:

To view your Flow Limitation graph, Open ResScan and select any date. Select Tools>Options>Report tab>OK. Click OK in the Select Data window for the selected detailed data session(s). Click the Customize menu tab. Expand (+) Detailed Graphs to see a list of your graphs on the right (Report Layout) and on the left (Available Items). Select Flow Limitation under the Available Items list and click “Add” it. Click OK.

Hope things are getting better and better for you and your GF. All the best.

Papit, you are correct, my flow limitations don't show up. I tried following your directions to get them to but never found the custom menu tab you speak of. Could you maybe clarify your instructions>


Thanks

JeffH

Jeff and any other ASV users (Respironics BiPAP Auto or ResMed S9 VPAP Adapt),

Here are instructions (edited) for adding the Flow Limitation graph to your Detailed Graphs and Reports. I'm looking for users of the ResMed S9 VPAP Adapt and Respironics BiPAP Auto SV to see how common (because of a software artifact) or how patient-specific (therefore varying) are the occurrence of frequent and strong graphed FL spikes. My FL graph during the 18 months I used cpap and apap showed relatively few, very weak flow limitation 'events'. On my new ASV, S9 Vpap Adapt, the graph shows tons of strong and medium ones. Are you seeing the same on your S9 Adapt or BiPAP Auto SV machine? How about when you were using a cpap or apap?

To view your Flow Limitation graph, open your patient account in ResScan as usual and then select the REPORT menu. Then click the CUSTOMIZE tab. Expand the Detailed Graphs by clicking the “ (+) ” next to it on the right side of the page (under Report Layout). Then do the same on the left side of the page (under Available Items). Now select Flow Limitation and click “Add”. And then click OK.
---- OR ----
To view your Flow Limitation graph in SleepyHead, open SH, click the File menu and select Preferences. Then select the Graphs tab, check the box next to “Flow Limit” in both the upper “Daily Graphs” list and further below in the “Overview Graphs” list. Then click OK and you will have added the Flow Limitation graph to the other graphs you can see.

Let me know how you do by PM or post here.

I followed your instructions exactly and even went back to double check. I have added the flow limitations to both sleepy head and rescan but neither of the programs are actually showing the graphs.