Starting settings for switch from Airsense 10 to Aircurve 10 VAUTO to minimize Aeroph

[Sleeprider]

Well, I never met anyone that quit breathing due to a psychological disorder. For most of us breathing at night is an autonomic nervous system that the conscious mind cannot affect. While any physician can get a sleep medicine credential, if he practices in a way that departs from the way he answered the exam questions, then a referral is in order. Try to get one practicing in his field of expertise like pulmonary, neurological, internal, etc. I think you should decline assignment to a urologist, even if he has a sleep credential... It would sure be interesting to read his patient notes.

[ardenum]

Quack alert! Hide your tin foil hats!

[TexasTiger]

After a horrible night last night I made contact with a knowledgeable tech at the VA that agreed to set my VAUTO to settings hopefully not blowing me up like a balloon!  He was very nice and seemed to understand this is a stepping stone to getting the right machine to handle the centrals.  The new settings are:
VAUTO
IPAP = 10
EPAP = 6
PS = 4
TI - Trig - Cycle left at defaults

Will post some charts during the next few days for comments.

[TexasTiger]

            Another horrible night!  Should have checked their new settings closer - pressures stayed at IPAP=10 & EPAP=6 CONSTANT ALL NIGHT!  Requesting them to change (have to ask them as so far no authority from them - the VA - to change myself).  Asking for IPAP=11, EPAP=4, PS=3 which in VAUTO (if I calculated correctly) should give me a range of 4/7 to 8/11.  Hope this helps - feel like I've been hit by a truck!  Last two night screenshots attached.

[Sleeprider]

Waiting for someone else to do your settings is unnecessary https://www.apneaboard.com/resmed-airsen...setup-info

I can assure you that as long as you use PS 4 the number of centrals will be high. If you need a comfortable night, change that to 1 or 2 cm. I think your EPAP at 6.0 is just fine. So in S-mode IPAP 7 or 8, EPAP 6.0, or in Vauto mode Max pressure 8.0, EPAP min 6.0, PS 1 or 2.

[TexasTiger]

Thanks Sleeprider - letting the VA change for now as it is their machine and the tech. I'm working with responds right away.  For now I just want to get the aerophagia down to sleep better and let the centrals stay high in order to push for the ASV.  It is really hard getting through the day with poor sleep - I really feel that just getting the EPAP down and under control will help.  I'm sleeping through the centrals but the bloating keeps me awake.

In VAUTO mode using IPAP=8, EPAP=6, PS=2 would not that be just a CPAP Brick putting out a constant 8/6 with no real auto functions?  I'm still trying to get a handle on the bi-level pressures and changes.

[Sleeprider]

Well no. First those settings are bilevel but could be accomplished by any Resmed CPAP (auto or fixed pressure). Secondly, the term “brick” is reserved fo those machines that do not provide efficacy data. There is definitely a place for fixed pressures, especially when working on complex apnea; however I agree with your approach and advocated it earlier. Either way, you have agreed wit me

[TexasTiger]

                Dropped the IPAP max. from 11 to 10 cm and everything seems to have smoothed out with little to no aerophagia - may be an outlier cause not a normal day/night with friends over late and too much food.  If all stays as good as last night seems to be this machine will be fine - centrals in check and under 5 AHI!  I'm sure it could be tweaked for better results but going to leave as is for a while to see if the better results will hold.  Last two nights charts attached.