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+--- Thread: [Pressure] how to exceed max ai of 19 (/Thread-Pressure-how-to-exceed-max-ai-of-19)
RE: how to exceed max ai of 19 - lisaby - 08-02-2017
Using Sleepy Head, I imported the SD card data.
Please advise me where to look.
The Sleepy Head primary folder contains another folder entitled "Profiles" and three XML files
The "Profiles" folder contains a folder entitled "Basil", my first name (my user name "lisaby" starts with basil read right to left)
The "Basil" folder contains:
- three folders with impossible names: "PRS1_Pxxxx..."
- a folder ResMed-xxx...
- three XML documents (channels, machines, profile)
- various files (file, SHG, DAT, cache)
The PRS1_Pxxx... and ResMed -xxx... folders each contain three folders: Events, Summaries, Back-up. Their content is unintelligible files.
Basil
RE: how to exceed max ai of 19 - DeepBreathing - 08-02-2017
OK, that's good information. Just to summarise then, you have an Aircurve 10 CS Pacewave, which is exactly the same machine as the Aircurve 10 ASV in the US.
What is called AI in French is pressure support (PS) in English. The main pressure parameters are:
EPAP = Expiratory positive airway pressure - the pressure when you're breathing out. This provides protection against obstructive apneas and hypopneas.
IPAP = Inspiratory positive airway pressure - the pressure when you're breathing in. This assists inhaling and provides treatment against central apneas.
PS = Pressure support. This is the additional pressure the machine applies on top of EPAP when it senses you inhaling.
EPAP + PS = IPAP
You should be able to set minimum and maximum EPAP and minimum and maximum PS. In ASV Auto mode, the machine will vary the EPAP between the minimum and maximum levels as required to prevent obstructive apneas and hypopneas. It will vary pressure support (PS, AI) on a breath-by-breath basis to keep your breathing even and to overcome central apneas.
Re #SleepyHead: When you start up the program you will get the welcome screen. One of the icons will be "CPAP Importer", which has an image of an SD card. Click on that icon and select the card from the dialog box. Note that you have to select the top level (eg E: ) not a lower level directory like E:\datalog. SleepyHead will then import the data. Once that has happened, click on the "Daily" menu item to see your data and charts. Or else click on "Overview" to see a summary of your results over time.
RE: how to exceed max ai of 19 - Sleeprider - 08-02-2017
(08-02-2017, 04:59 AM)lisaby Wrote: Thanks.
BTW, I tried unsuccessfully to change the "Language" setting of my device. It's stuck at French.
What I did was to compare the screen of my French ResMed Air Curve 10 ASV Auto with that shown in the Clinical Guide that I downloaded from your site. I give the sequence of the parameter names first in English, then in French, including the range of French values in parentheses. I hope this this is an adequate reply to your request.
Settings no. 1 = Réglages
Home = Accuueil
Therapy = Traitement
Mode = ASVAuto (CPAP, ASV, ASVAuto)
(The order of the two following parameters are reversed in French and English)
Max Pressure = EPAP Maximum (4 - 15)
Min Pressure = EPAP Minimum (4 - 15)
French : AI Min (0 - 6)
French: AI Max (10 - 20)
Mask = Masque
Comfort = Confort
French: Ramp Duration (Off)
French: Accessories
French: Circuit (Slim Line, Standard, 3 m)
French: AB Filter (No)
French: Exterior humidification (No)
French: Options
French: Limited access (Maximum)
French: Leakage alarm (Off)
French: SmartStart (Off)
French: Reminders (Mask = Off; Reservoir = Off; Circuit = Off; Filter = Off;
Settings no. 2
French: Configuration
Language: French
Date = Date
Time = Heure
Pressure Units = Unités de Pression (cm H2O)
Temperature Units = Unités de Température (C°)
Restore Defaults = Réglages défaut
French: About
French: Erase data
About = A propos
Thanks for reporting back what is available in the machine menus. What you provided here are the available selections, not the therapy range that is selected. I will use your report to show you what I think should be selected.
If there are already settings in the Mode, and pressures, it would help to know what those are. If they are not present, the machine is on default and not properly setup. If you select any of these, you should see the current setting and alternative choices.
Mode = ASVAuto (CPAP, ASV, ASVAuto) (The order of the two following parameters are versed in French and English): Select ASVAuto.
Max Pressure = EPAP Maximum (4 - 15): Select 5.0
Min Pressure = EPAP Minimum (4 - 15): Select 10.0
French : AI Min (0 - 6): Select 2.0
French: AI Max (10 - 20): Select 15.0
Mask = Masque: Unsure, but select the appropriate mask type, Pillows, Nasal or Full Face Mask. You appear to have the full face selected.
Comfort = Confort: No setting here, this is a menu heading.
French: Ramp Duration (Off): Select OFF
French: Accessories: Another heading no settings
French: Circuit (Slim Line, Standard, 3 m): Choose a hose consistent with your use. Slim Line is 15 mm and Standard is 22 mm. Both have 22 mm fittings.
French: AB Filter (No): Select NO (this is for an anti-bacterial add-on filter)
French: Exterior humidification (No): Select NO (this is for an add-on humidifier other than the built-in heated humidification)
French: Options: Menu header no settings
French: Limited access (Maximum): This is to enable on-screen display of therapy results. In the U.S. model set to PLUS for the most information. Maximum appears correct.
French: Leakage alarm (Off): Select OFF
French: SmartStart (Off): Select OFF
French: Reminders (Mask = Off; Reservoir = Off; Circuit = Off; Filter = Off;
Settings no. 2
French: Configuration
Language: French: Select whatever works best for you French, English, Portugese, Spanish.
Date = Date: Select current date
Time = Heure: Select current time
Pressure Units = Unités de Pression (cm H2O): Select CM (centimeters)
Temperature Units = Unités de Température (C°): Select C for Centigrade unless you want to be backwards like us in the U.S.
Restore Defaults = Réglages défaut: NO Selection...do not use this.
French: About: If you press enter, this will report the machine serial number, model number and run hours.
French: Erase data: Do not use this
RE: how to exceed max ai of 19 - quiescence at last - 08-03-2017
(08-02-2017, 08:53 AM)Sleeprider Wrote:I am sure he meant:(08-02-2017, 04:59 AM)lisaby Wrote: Thanks.....
BTW, I ...
Max Pressure = EPAP Maximum (4 - 15): Select 5.0
Min Pressure = EPAP Minimum (4 - 15): Select 10.0
Max Pressure = EPAP Maximum (4 - 15): Select 10.0
Min Pressure = EPAP Minimum (4 - 15): Select 5.0
QAL
RE: how to exceed max ai of 19 - Sleeprider - 08-03-2017
Thanks QAL. Should have caught that one.. even for this occasionally dyslexic thinker.
RE: how to exceed max ai of 19 - lisaby - 08-03-2017
I can't thank you all enough for your tremendous support and reactivity. I've never received this level of support in my life before - anywhere.
As I said I would, I've donated $100. It is minuscule compared to the value of your advice. I'll donate more at the end. Unfortunately, my budget limits my expression of gratitude.
RE: how to exceed max ai of 19 - lisaby - 08-04-2017
Unaware of the size limitations of attachments, I attached the Daily Report to a message. It was rejected because of the file size of the attachment.
I've now reduced the file size under 512, but I think that I have to wait a day until the system allocates me another 512 k.
I'll try again tomorrow
RE: how to exceed max ai of 19 - SarcasticDave94 - 08-04-2017
Others can clarify and present better directions than I can, but best practice, at least for me, was to post reports via creating an Imgur account that handles the screenshots from SleepyHead then you can post the URL that results from the Imgur posting. There are directions listed for this in the wiki, and after searching for Imgur you should see Posting A Screenshot
RE: how to exceed max ai of 19 - Gideon - 08-04-2017
Link using a 3rd party like Imgur, see 5 easy steps in my signature. No limit that way.
Fred Bonjour (yes, that is my name)
RE: how to exceed max ai of 19 - lisaby - 08-04-2017
Thanks very much for this guidance. Unfortunately, the parameters don't let me breathe comfortably. My devices of two years ago did.
With these settings, I have the impression that my lungs are empty at the end of an exhale and perhaps 30% full at the end of an inhale.
It's the sensation of my lungs being empty that I referred to as suffocation in my first message.
To sleep comfortably, I have the impression that I'd like to breathe with my lungs perhaps 25% full at the end of an exhale and 75% at the end of an inhale.
I'm not changing your settings.
Do you have any advice?
Might the CPAP mode be better able produce a better level of filling the lungs? I ask the question because of the fact that I was using a CPAP device when things were working properly.
I assume that the performance of the devices hasn't changed for the worse during the past couple of years. Accordingly, I have to assume that it's something about me that's changed.
As you know, I have my test of ballooning cheeks. Maybe I require a higher pressure now to obtain the same phenomenon. I'm 80. The problem started when I was 78. Have other people my age experienced the same thing?