RE: [Moving from Dreamstation CPAP to Resmed VPAP S/T] Need some help
You have already proven that your therapy is near perfect with S/T and it is a pretty high AHI with S mode. You have a limited time to use this machine. Turn on S/T mode and show the doctor what works. We can see you don't have a good future in S-mode.
RE: [Moving from Dreamstation CPAP to Resmed VPAP S/T] Need some help
(09-27-2018, 09:39 PM)Sleeprider Wrote: You have already proven that your therapy is near perfect with S/T and it is a pretty high AHI with S mode. You have a limited time to use this machine. Turn on S/T mode and show the doctor what works. We can see you don't have a good future in S-mode.
I am actually gonna keep the machine 1 full month, I am buying the Airfit P10 and they give me 2 more weeks.
So I still have the BiPAP for 1 month basically.
In that case, may I stay a bit longer in S mode after changing the mask and increasing the PS to 6 ?
Thibault
09-28-2018, 02:12 AM
(This post was last modified: 09-28-2018, 02:28 AM by thibaulthib.)
RE: [Moving from Dreamstation CPAP to Resmed VPAP S/T] Need some help
Ok, let's start from scratch tonight!
Here is the changes I have made this afternoon, hopefully for the best:
1) Bought an AirFit P10, tried it for half an hour: it is extremely light, quiet, and there is no leak! Very disappointed by the Dreamwear at the end...
2) Found out the Lumis Trigger was set on "Medium". I have changed it to "Very high". The VPAP is now more sensitive to my inhale attempt, let's confirm tomorrow morning that it did not miss any breathing to trigger the IPAP! Or at least less than yesterday...
3) Set back IPAP/EPAP to 10/6 (PS 4) as per advised by my pulmonologist as a start, because it seems the tidal volume is much higher with this mask VS Dreamwear Gel Pillows.
Question though: How is the "Cycle" setting behaving on AirCurve 10 / Lumis 150 ? I left it on "Medium" because I don't know what I should expect.
Fingers crossed! 
Thibault
09-28-2018, 08:02 PM
(This post was last modified: 09-28-2018, 08:37 PM by thibaulthib.)
RE: [Moving from Dreamstation CPAP to Resmed VPAP S/T] Need some help
Hi all,
Good news this morning! I think we are on good track!
1) Started my night at 11:00pm at 9/6 (PS3), with the AirFit P10, and the Trigger set to "High"
I woke up by 5:15am, looked at my results. The AHI was 4 only and the tidal volume was 280ml.
2) Increased the pressure to 10/6 (PS4). Just woke up, 3h later.
The AHI is still 4 and the tidal volume has increased to 320ml.
Pretty happy about that results so far! I feel better, less tired and less dizzy! Of course, all this is S mode only.
In total, over my 9h sleep, there have been 16 hypopneas and 22 unclassified apneas.
Tonight, I will do 2 changes:
1) Increase to PS5 to get a higher tidal volume, hopefully 340-350ml.
2) However, I am now facing a dilemna: Shall I increase the pressure to 12/7 (PS5) with trigger still set to "High"? Or shall I keep the pressure to 11/6 (PS5) with trigger set to "Very high" ?
PS: With my PR Dreamstation Auto CPAP, my 90% pressure was 7.50 - 8.0 cm H20.
Thibault
RE: [Moving from Dreamstation CPAP to Resmed VPAP S/T] Need some help
Good rule of thumb is to make one change at a time so you can track the result of each change. Too many changes at once and it's hard to figure out what caused what.
09-28-2018, 08:52 PM
(This post was last modified: 09-28-2018, 08:53 PM by thibaulthib.)
RE: [Moving from Dreamstation CPAP to Resmed VPAP S/T] Need some help
(09-28-2018, 08:39 PM)Walla Walla Wrote: Good rule of thumb is to make one change at a time so you can track the result of each change. Too many changes at once and it's hard to figure out what caused what.
Thanks Walla Walla, you are right I am getting too excited, lol!
Ok, even though this does not follow the Resmed titration protocol, I will start by increasing the PS to 5 and check if my tidal volume is ~350ml.
So tonight I will run 11/6 (PS5), still with a trigger set to "High", and check the results tomorrow!
Thank you all for your support, 
Thibault
RE: [Moving from Dreamstation CPAP to Resmed VPAP S/T] Need some help
Remind me again why you want to use S-mode rather than ST mode?
RE: [Moving from Dreamstation CPAP to Resmed VPAP S/T] Need some help
(09-28-2018, 08:53 PM)Sleeprider Wrote: Remind me again why you want to use S-mode rather than ST mode?
My point is to mostly use S mode, because if I can initiate a breath by myself most of the time, I would like to check how much I can do so.
I want to achieve the best results in S mode, and once this is done, I will set up ST mode as a security.
This will also help me to understand where I stand in term of Central Apneas, rather than "hiding" the results behind the T mode, which will "fool" me by making me believe I am all good.
I don't want to have the feeling I must entirely rely on the BiPAP to breath over night, since it is not the case.
I would be pleased to try to explain better if you want.
Thibault
RE: [Moving from Dreamstation CPAP to Resmed VPAP S/T] Need some help
No, that's fine. I observed and your doctors concurred that there was a reason you should be using bilevel to improve your volume, and a backup rate to ensure the breaths continued when you did not spontaneously initiate them. So your need to quantify that problem when you have a ST machine in hand was a surprise to me. I think you may achieve marginal treatment that may leave you unprotected if a non-backup therapy is proven "adequate". I'd rather see you pursue the ST therapy and demonstrate its efficacy so that you get the best machine for your needs. Once you have that, I don't give a sh!t what kinds of experiments you want to perform on yourself, or how much your drink, but for now I think you should focus on getting the ST.
Let me know when you get serious about this, and I'll return, but I don't agree with your current direction and am going to take a break for now.
09-29-2018, 11:54 PM
(This post was last modified: 09-29-2018, 11:56 PM by thibaulthib.)
RE: [Moving from Dreamstation CPAP to Resmed VPAP S/T] Need some help
(09-28-2018, 09:15 PM)Sleeprider Wrote: No, that's fine. I observed and your doctors concurred that there was a reason you should be using bilevel to improve your volume, and a backup rate to ensure the breaths continued when you did not spontaneously initiate them. So your need to quantify that problem when you have a ST machine in hand was a surprise to me. I think you may achieve marginal treatment that may leave you unprotected if a non-backup therapy is proven "adequate". I'd rather see you pursue the ST therapy and demonstrate its efficacy so that you get the best machine for your needs. Once you have that, I don't give a sh!t what kinds of experiments you want to perform on yourself, or how much your drink, but for now I think you should focus on getting the ST.
Let me know when you get serious about this, and I'll return, but I don't agree with your current direction and am going to take a break for now.
Hi Sleeprider,
I get you and I agree with you. However it is important for me to assess in S mode first, sorry for being stubborn on this one.
I will definitely move towards ST by the end of this week.
My results yesterday were really promising, I have finally reached a tidal volume of 380ml, 15 resp/minutes, and a minute vent of 6L. The I:E ratio is also great (1:2). And all this in 11/6 (PS5). I will keep that Pressure Support for now.
Tonight I will increase to 12/7 (PS5) as most of the events are still Unclassified Apneas, and see the effects on the AHI.
This AirCurve S10 VPAP is amazing, along with the AirFit P10 mask. I still haven't fully recovered from all my panic attacks, but I haven't had a great sleep like that for years.
Keep you posted,
Thibault
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