Resvent Ibreeze 30STA settings

[antoni]

Couple weeks ago I bought Resvent 30STA from MBR Medicals. I replaced my old Resmed Airsence 10 for her. My settings for Airsense was Pressure 6-9 and pressure release mostly 3. on this settings my AHI was range of 5 mostly CA events. Changing pressure release to 0 didnot helped to much  with CA or periodic breathing. 
I was not able to get clinical manual for 30STA, so setting was more chalenging. After over one week different try currently I am using machine as :  Auto Spontanious (S) mode,  IPAPmax-9, IPAPmin-6, EPAPmin-4, EPAPmax-6, rise time-500ms, Vt-590ml, Press Adj-2(I dont know what it is?), Timin -0.9s, Timax1.9s,  Itrigger and Etrigger-Auto.   Itrigger and Etrigger can be set Auto or 1,2,3,4,5.   I dont know what is moust sensitive triiger 1or 5, I assume 5 but not shure.
On Airsense my tidal volume was ussualy about 400ml, on 30STA is close to 600ml. I think callibration of flow sensor on Resvent is not correct, I rather trust Resmed, but it is only relative number for me not to much important.
With this settings: Epap: 4-6, Ipap: 6-9, and Vt-590, PS changing beetween 2 and 5.
I fill more comfortable and better sleep with this setting then if I set constant PS. I can set constant PS only if I dont set constant Vt. With constant Vt PS is veriable. AHI is usually range of to what is better then with Airsense, and also I fill more comfortable  and can better control flow limittation and leak. 
Resvent Ibreeze 30STA has software version: V01.14.00 and machine has been made in 2022.
I know not to many peaple use Resvent machine and probably even less settings like my.
Asking for opinion. my be some advise.
Sorry for my English

[Jay51]

You are probably not able to download and use OSCAR on this particular machine.  Correct?

A few things:  check to see what all of the different modes are (you are currently in S mode).

Your epap (max and min) looks a little low.  How does it feel during sleep?  

Ipap may be a bit low as well.  Again how does it feel?

590 tidal volume is a bit high.  For an average size male, around 500 is around normal (can vary though).  

The Ti min, Ti max are timing controls for inhaling and exhaling.  

Trigger is the setting for the back up rate to start.  

I have used several ventilators.  The Resmed ST (A) was my 1st machine.  

Describe anything that feels off.  Like not enough time inhaling, exhaling; too much time, etc.  Too much pressure or not enough pressure, etc.  

A couple of months ago my RT from DME removed the Philips Evo ventilator I had and replaced it with this Lowenstein Luisa ventilator.  After some tweaking, it seems to be functioning very close (if feels identical) to the old Evo.  I assume your Resvent may function similarly to the Resmed ST (A) if the settings are close enough (and all of the timing controls, etc.).  

May take some time and tweaking. 

Most important thing about ventilator set up:  if you ever feel any pain in your chest or lungs, lower the pressure(s) and maybe also lower the back up rate and Vt. if you are using them for your own safety.

[Crimson Nape]

As of OSCAR version 1.6.0 the iBreeze 30ST/A is supported.
- Red

[antoni]

Thanks for responding.
Tonight I will increase Epapmin by 0.5 to 4.5. Resvent machine showing my tidal volume  higher then before RAirsense 10. I think 590ml on 30STA is equal about 420ml on Airsense. Because of this my setting tidal volume for Resvent is so high because I think of different calibration of flow sensor. I will try to attach some screenshoots from last night.

[antoni]

And also this one more important

[Jay51]

Thanks Red for the post!

Antoni, as few major things stick out from these OSCAR charts.  

1st - not bad therapy.  Overall, charts look pretty good IMO. 

2nd - you have a pretty high minute ventilation rate.  Minute ventilation = respiratory rate (18) x tidal volume of 590.  Normal rate is around 12 to 20 per minute, but can vary.  Tidal volume is acceptable.  

3rd - high leaks at times.  Here are some tips from our wiki:   

• 1Mask Primer
                                                                                                                                                                                              4th - it looks like right when you fall asleep, your tidal volume, etc. increases dramatically.  But then they slowly start decreasing back down to more normal levels.  Are you aware of this?  Does anything feel out of the ordinary when you fall asleep?    
  5th - as long as you are feeling ok, these settings are probably pretty close to optimal in this mode.  
  

I will try to post the Resmed titration guide for the ST (A).  It is probably very similar to your Resvent STA.  You are in S mode now.  That is spontaneous breathing mode.  The machine lets you breathe when you want to.  Good news, with an 18 breathing rate, you don't need the timed mode (has a back up rate if your breathing rate is too low).  And the Resmed ST (A) has an Ivaps mode as well (it is mainly for patients with COPD, Neurological disorders, etc.) to keep tidal volume high enough at a certain level with every breath all night long.  More good news:  with your 590 tidal volume, you don't need this mode either.  

So most likely stay in "S" mode.  Then possibly some minor "comfort" tweaks if necessary.

EDIT:  Sorry.  I see you are in "Bipap" mode and not S mode.  You are right.  For some reason the manual is not available.