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DavidAM - Treatment
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07-11-2024, 03:50 PM
RE: DavidAM - Treatment
Hi. I was with the guy from the PAP distributor today, and he didn't want me to have an ASV, but a Lumis 150 ST. So I ended up renting it for a month. Now, this thing's settings seem very complicated. My APAP settings were EPR 3, and a pressure range of 7-11.4; I saw my pulmonologist the other day and she insisted that I don't go over 7 with the minimum pressure, when I told her that I had it set at 10.
Could anyone help me set it up?
07-11-2024, 04:56 PM
RE: DavidAM - Treatment
The Lumis ST is a fixed pressure bilevel machine with a back up rate. From your post your EPAP is 7.0, IPAP 11.0 which is a pressure support of 4.0. The other settings we need to know are mode and backup rate. The ST does S-mode, ST mode and CPAP. Let's hear how yours is setup. Also, you can request the clinical manual for a Resmed Aircurve 10 ST and it is basically the same machine. https://www.apneaboard.com/adjust-cpap-p...tup-manual
Sleeprider
Apnea Board Moderator www.ApneaBoard.com ____________________________________________ Download OSCAR Software Soft Cervical Collar Optimizing Therapy Organize your OSCAR Charts Attaching Files Mask Primer How To Deal With Equipment Supplier INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
07-12-2024, 05:51 AM
RE: DavidAM - Treatment
Hi, Sleeprider. It's good to see you, thank you for your answer. My machine has modes CPAP, S, ST, T, PAC and iVAPS. I currently have it set to ST.
Last night I set Cycle to Very Low because the exhale was too steep and I felt like I was having all the air rapidly pulled out of my lungs (and I still kinda do); and Trigger to Medium, because when it was higher I felt like I couldn't get enough air. Breathing with this machine feels pretty weird. Even though it has iVAPS and all the other modes, the machine still says just "VPAP ST" on the front, and not "ST-A", I don't really know why. My backup rate is on, and the "Target Pt Rate" is set to 12.
07-12-2024, 07:24 AM
RE: DavidAM - Treatment
In posting future Oscar graphs, we would rather see the full night and the pressure, respiratory, settings data on the left, along with any wave form you want to ask about. This is covered in the Organizing your OSCAR Chart wiki http://www.apneaboard.com/wiki/index.php...ganization
Cycle sensitivity does not change the rate of transition from IPAP to EPAP, just the threshold at which the transition occurs. Cycle does not have a setting like the rise-time for IPAP. I don't think you're going to feel a lot of relief by lowering cycle sensitivity. This feeling is somewhat typical for ST which produces a square-wave pressure transition (on/off) you can visualize in your mask pressure chart. We now know your backup rate but not your pressures.
Sleeprider
Apnea Board Moderator www.ApneaBoard.com ____________________________________________ Download OSCAR Software Soft Cervical Collar Optimizing Therapy Organize your OSCAR Charts Attaching Files Mask Primer How To Deal With Equipment Supplier INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
07-12-2024, 07:27 AM
RE: DavidAM - Treatment
My pressures are 7.0 EPAP and 11.0 IPAP. What mode should I use? Should I continue being on ST?
07-17-2024, 07:47 AM
RE: DavidAM - Treatment
My best suggestion for iVAPS is to stick with ST mode if you can.
Whether ST or iVAPS, I would suggest the following settings for you:
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