VCOM & Bi-Level

[eok361]

With respect to the settings I mentioned before. Full Face and no EPR, and ideally CPAP mode. That is what Dr Noah recommends, but if you do a search on this board for VCOM, you will see that most of the 'testers' have ignored that advice. They didn't want to change they way their machines are set up so the 'test' was destined to fail. Honestly even I don't follow all that advice, because I also have some positional apnea and do not need 15 cm all the time, if I sleep on my side I get through the entire night never exceeding 13 cm. So my setup is Full Face Mask and EPR off but Auto set from 12.6 to 15.6 cm.

Wally,

it's nice to see you were willing to at least give the v-com a try. and your results pretty much mirror mine. 

if i added up all the money i've lost trying different masks/collars/tapes/pillows/mouthguards, etc, i could have bought dozens of v-coms. lol

i believe the v-com folks have stated that their algorithm could be written into current resmed machines, but that rm has no interest. i think that's why they are developing their own hardware. i'm curious to see how that goes. i might be interested when it becomes available.

and they repeatedly state to run in CPAP mode, with no EPR.

[Phaleronic]

I have it again, lost the first one, I will try it tonight-turning off FLEX and setting mask type to FFM which is what I use anyway

[SeePak]

Phaleronic, something to consider maybe?.....

I saw a video where an Aussie points out operating differences between Resmed and phillips and another manufacturer (Lowenstein?)

He suggests, i cant confirm, that...

Flex and softpap differ from EPR, in that the inspiration pressure recovery begins BEFORE exhalation is complete.

In my understanding of this, that will eliminate OA events that could have been caused by exhalation pressure , due to flex, softpap or EPR , being BELOW point of OA event.

Comment?

I'm thinking this could be good/bad or indifferent for you, trying the VCOM, cause you already have a full face mask which provides that cushion that we like that possibly absorbs, smoothens, dissipates, pressure changes and

you have a exhalation pressure reduction control, in flex , that could still allow you to use the VCOM and see some advantage, if only in comfort.

Looking forward to your results!

and thanx for trying!!