How CPAP Works with VCOM and Expiratory Pressure Relief
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- Опубліковано 30 чер 2024
- Average demonstration of how CPAP work, and how it works with VCOM and EPR turned on.
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Hopefully a good enough demonstration showing how CPAP works, as well as how CPAP works with EPR turned on as well as VCOM installed in the circuit. Thank you for watching! All comments welcome.
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Hi Jason, someone in your comments sektion raised an really interesting concearn about the supposedly "positive effects" in airflow data seen from using v-com. That it's actually mostly a artificial effect from "tricking" the airflow algorithm in the Resmed CPAP machine, so that it actually reports inaccurate data when the v-com is disturbing the airflow.
This is kinda important if true....have you heard of this before and verified if there's some truth to this?? 🤔
Thanks for helping out the papper community! 😉👍
Hi I love your videos but could you make a video for people like me who have a CPAP mask and braces
Yes plz
yes I would like a video on this subject because I will soon have a CPAP and I have dental braces
Still thanking Chung Choo Chen, Doug Toombs and others.......love it.
I wonder who decided to doubled the price, VCOM or CPAP Supplies.
you mentioned that BiPap air delivery is different. I'd be interested in your taken on a VCOM with BiPap
Awesome video Jason! Thank you
If you add the Vcom should you turn off EPR? Thanks
Can you tell me where your tongue should be when using a BPAP machine, either nasal pillow mask. Should my tongue be positioned at the top of my mouth or the bottom to avoid leakage and dry mouth.
Ps: you do a GREAT job
Jahson, you didn't make it clear that bi-level users *should not* use V-COM... just sayin'.
Uhh, wasn't the v-com device later found out to do the same thing, as just changing the mask setting of the Resmed machine from pillow to nasal/full face? Or am I remembering incorrectly? 🤔
I don’t know if I trust the data on the card with the V-Com in line. Yes some of it is better with it but some is worst.
I did have to raise the pressure by 1 but had to turn EPR on to 1 to get a good night sleep without swallowing air or chipmunk cheeks.
That is a THICC iPad cover.
Jason, do you know where to get this in UK? Only place I can see is trying to charge £60! Suffer bad with chipmunk cheeks and leads to leaks, even with tape
You plugged the VCOM in the back. I have a heated house, could I use it between the house and mask?
Absolutely. That where I use mine. Just needs to be between machine and you.
I’m still confused. I am using the v-com. Does that mean that my date is inaccurate?
CPAP supplies won’t deliver to Australia.
still confused on what someone on low pressure (6.8) and EPR2 is supposed to do if they get aerophagia and also can't handle higher expiratory pressure. If pressure is higher aerophagia is unbearable. Can't exhale without EPR though 🤷🏼♂️
When are you going to cover KPAP by the people who invented VCOM?
The V-com says to replace it every3 months. Why? It’s just a piece of plastic with holes? (Yes, I like how it works)
I don’t know. I haven’t replaced mine.
You created a resonant system (the human airway doesn't have an iPad in it) that will naturally dysregulate the control loop algorithm running in the CPAP. You put the VCOM damping factor on it, yeah less bounce. Not representative at all for a CPAP during normal use. Nice job second-guessing decades of algorithm development by ResMed. Remember: SD card data is invalid while VCOM is used, it puts a damping factor on the derived flow data as well.
i'm curious as to how the flow data is invalidated by using the vcom. are you saying that my flow rate data isn't correct if i use the vcom?
since beginning to use one (and boosting my cpap pressure a couple cms) my flow rate numbers have been very low. as has my ahi numbers. more importantly, my events are way down. if i now have 5 total events in a night, that's a lot.
i'm just trying to get the best therapy, since i haven't seen a sleep dr in two decades. i have an as10, with the pressure set to 10.8, with the vcom attached at the machine.
i wasn't happy using epr, and my numbers reflected that. i have heard and read all the various reasons that epr (especially on resmed machines) is janky. the lack of effort to exhale was more disconcerting to me than the perceived extra effort it takes to exhale with the vcom.
thanks for any input.
NERD!
@@jttj742 Thank you 😄
@@GK-vj9dz The effect on the flow waveform is that it's "squeezed down" (similar to dynamic range compression in music, amplitude compression) and smoothed. This means that less hypopneas are detected since the contrast in amplitude is lost (ResMed detects hypopneas with 50% amplitude decrease) and Flow Limitation will be smoothed away.
@@cebruthius interesting. thanks for the info.
Do people breathe that fast? Looks more like you'd see in a panting dog?
Normally, no. The machine thinks someone is attached when you get it started with a little “bounce”. The way it looks is a great visual of how it feels.
@@Freecpapadvice Kind of you to respond. The bag seemed to going in and out - judging by the speed the tablet was going up and own - very quickly, like, as I said, a dog panting.