"please keep me updated about oximeters "
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Hey, jnk!!!!
Remember the "puff" at the end of inhalation, beginning of exhalation in Spontaneous mode I was complaining about??
None of the pros could offer a reason why or a way to eliminate it. The doctors wouldn't even discuss it (you can't rely on data from xPAPs - only from PSG titrations). The RRTs didn't have a clue as they weren't experienced w/Resmeds or Resmed VPAPs. So I refused to stay in Spontaneous mode and went back to VPAP mode where I didn't experience that "puff" and therapy is comfortable.
I was just looking thru the Resmed VPAP Auto 25's Clinicians Manual to see if I could find what the devil that %SPERT C & T 0% Robert Cooper posted was.
I didn't come across that yet - BUT - I did come across this and wonder what you think about these two Settings and that "puff" in Spontaneous mode?
Trigger - Sets the level of inspiratory flow above which the VPAP changes from EPAP to IPAP.
Cycle - Sets the level of inspiratory flow below which the VPAP changes from IPAP to EPAP.
If I remember correctly, I'll go check in a minute to be sure, but I think I remember the options were Slow, Medium or Fast. Or else it was Low, Medium or High. One or the other of the three setting options.
Wha choo think or suggest?
None of the pros could offer a reason why or a way to eliminate it. The doctors wouldn't even discuss it (you can't rely on data from xPAPs - only from PSG titrations). The RRTs didn't have a clue as they weren't experienced w/Resmeds or Resmed VPAPs. So I refused to stay in Spontaneous mode and went back to VPAP mode where I didn't experience that "puff" and therapy is comfortable.
I was just looking thru the Resmed VPAP Auto 25's Clinicians Manual to see if I could find what the devil that %SPERT C & T 0% Robert Cooper posted was.
I didn't come across that yet - BUT - I did come across this and wonder what you think about these two Settings and that "puff" in Spontaneous mode?
Trigger - Sets the level of inspiratory flow above which the VPAP changes from EPAP to IPAP.
Cycle - Sets the level of inspiratory flow below which the VPAP changes from IPAP to EPAP.
If I remember correctly, I'll go check in a minute to be sure, but I think I remember the options were Slow, Medium or Fast. Or else it was Low, Medium or High. One or the other of the three setting options.
Wha choo think or suggest?
Views: 17
Replies to This Discussion
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Permalink Reply by Judy on
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They have never given me a REASON WHY they want me in Spontaneous mode. "I" am the one that has to sleep w/this VPAP and if they can't or won't take the time to find the answer so that I do NOT experience that "puff" in Spontaenous mode or provide me w/a good reason that makes sense to me - too bad, so sad, it "ain't a gonna happen". I WILL stay in VPAP auto mode where I sleep comfortably.
You had suggested the Rise Time several months ago now. I tried some adjustments there but never found any of the changes to eliminate the "puff" so I gave up on that idea. My local DME RT had no idea and the local sleep doc hadn't a clue, just said he could't possibly keep up on all the options offered by the various brands and models of xPAPs.
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Permalink Reply by Duane McDade on
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This is what I have been saying all along these machines are not advanced enough to to tell the difference between sh@t and Shinola!! There are way too many variables! The machines Need more input than an air tube. Please would you bet your health on a small air tube with a computer attatched to it? If you think about it .....well ?? would you ? It's a pipe dream, no pun intended.
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Welllllll, I'm going by how I feel when I wake up and how well I stay asleep all night, Duane. And I do NOT feel that great after a night of putting up w/that disconcerting "puff" at the end of inhalation/beginning of exhalation and not being able to get back to sleep for long periods if at all w/the d*mn "puff". And when the VPAP Auto's data AND how I sleep and FEEL concur, I'm happy.
AND, when I'm hospitalized and on a monitor, what is that but a computer?? If the nurse responds when the computer spits out a warning - Great! The key is IF the nurse responds. It doesn't always happen that the nurse responds. Medicine is relying more and more on computers. The imaging procedures all rely on computers. If the software isn't that great, some things don't get seen that they just might be looking for. But its the best they've got to work with now and they work a heck of a whole lot better than the older imaging devices.
Since I can't spend every night sleeping in a sleep lab .... this VPAP Auto is the next best option. And yep, I'll rely on it and how I am sleeping and feeling as the best option available.
jnk, I don't know WHERE my reply to you went, but .... whilst I'm usually quite conservative when it comes to medical care and medications, etc. "I" am the one to endure the benefits - or consequences - of any therapy or medication, etc. that "we" opt to try. So, unless they can come up w/a REASON WHY I'm better off not sleeping phershtunga w/the "puff" in Spontaneous mode that makes sense to me - stuff it! I'll stay in comfortable auto mode and get some restful, restorative sleep, thank you.
Doctors don't walk on water any better than I do. They slip and fall flat on their face on the ice just like I do. Theory is all well and good - but its the results that are the proof of the pudding. And I get better "feel good" results in auto mode.
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Permalink Reply by RockRpsgt on
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Judy are you the one puffing or is the machine blowing a puff. It is very common for people with COPD to "puff" at the end of inhalation or exhalation.
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Binary is under maintenance right now. I will get you the info or link tomorrow when I get up.
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I'm sure it is my VPAP Auto, Rock. But .... in line w/your question I'll put her back in Spontaneous mode again and see if I can be more "accurate" and/or determine whether it may be me.
My one thought about it being me tho is - why not in the 17-18 months in straight CPAP mode w/the Resmed S8 Elite and in auto mode in the Resmed S8 AutoSet Vantage, niether of which had the new EasyBreathe technology or the 14 months w/the VPAP Auto (most of this time in auto mode) and why it occurs ONLY in Spontaneous mode w/the VPAP Auto??
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That I cannot answer for you Judy. I was just involved in a discussion on COPD patients. The topic of the discussion was why COPD patients puff every now and then. I will find the info today for you. I am real interested to hear back on whether it is you or the machine.
Judy said:I'm sure it is my VPAP Auto, Rock. But .... in line w/your question I'll put her back in Spontaneous mode again and see if I can be more "accurate" and/or determine whether it may be me.
My one thought about it being me tho is - why not in the 17-18 months in straight CPAP mode w/the Resmed S8 Elite and in auto mode in the Resmed S8 AutoSet Vantage, niether of which had the new EasyBreathe technology or the 14 months w/the VPAP Auto (most of this time in auto mode) and why it occurs ONLY in Spontaneous mode w/the VPAP Auto??
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