V-Com CPAP Tips & Helpful Hacks

Рет қаралды 19,261

Жыл бұрын

The V-Com is a CPAP comfort device that reduces high airflow during inhalation whilst maintaining expiratory positive airway pressure during exhalation. It can make a big difference to those cpap users struggling with mask leaks, mouth leaks, bloating and stomach pain (aerophagia), dry nose, throat and mouth and other cpap side effects caused by high airflow. It does all this without reducing Apnea control.
In this video i show you how to position V-Com in your CPAP circuit and provide useful hacks for various CPAP setups.
Affiliate Links
1. V-Com Exclusive SleepHQ Members 30% Discount - cpap.review/v-com (members only)
Aussie members can purchase V-Com here also.
2. Medlock Exclusive SleepHQ Members 75% Discount - cpap.review/medlock-pro
3. Q-Lite US - cpap.review/q-lite-us
4. Q-Lite Aussie - cpap.review/q-lite-aussie
5. Uncle Nickos Mini Tube - cpap.review/small-dick
6. Zephair Adapter - cpap.review/airmini-adapter-a...
Become a SleepHQ Pro member and access exclusive deals on all the best CPAP gear.
try.sleephq.com/ is my online cpap support community & cpap reporting platform. Master your therapy and improve your sleep with our powerful cloud-based platform.
Create a FREE account and download your detailed therapy report today!
Features Include -
1. High-resolution 'breath-by-breath' analysis - View every apnea and every breath in full detail.
2. Sleep Journal - Track how changes to device settings influence your sleep & therapy results.
3. Custom PDF reports - Detailed therapy reports complete with journal entries.
4. Therapy Trends - Monitor changes to your apnea control over time.
5. Support - Access to the SleepHQ Community Forum
6. Education - From CPAP novice to therapy PRO. Master your device and settings with the SleepHQ Academy course
7. Blood Oxygen, Heart Rate & Movement Data - Connect a SleepHQ O2 Ring to your account to view additional data sources and take your therapy to the next level.
8. Access to exclusive, member-only discounts on the latest and greatest CPAP gear
And much more!
SleepHQ O2 Ring - www.sleephq.com/o2-ring/
SleepHQ Magic Uploader - www.sleephq.com/magic-uploader/
Join My Facebook Community - cpap.review/facebook
My Monthly Newsletter - cpap.review/newsletter
Thanks for all the love & support!
Uncle Nicko

Пікірлер: 98

@jasonparsons7950 Жыл бұрын

Dude. Love your videos. I was just diagnosed with sleep apnea. I haven't yet tried a CPAP. But your vids are awesome. I wish I could sit with you to help me get started.

@brittanylevinson741 8 ай бұрын

Thanks Nicko. Ordered one. I use Bleep because holy comfortable Batman, but of course anything to reduce exhalation pressure is lovely.

@michaelcasper2613 Жыл бұрын

Hey, thanks very helpful

@youcanthide004 Жыл бұрын

I bought one of these when they were first released, I absolutely love it. It’s a game changer. It makes the ease and comfort of inhaling and exhaling much more comfortable.

@DoubtingThomas333 6 ай бұрын

That's what IHR and EPR is for....

@Ultrajamz Ай бұрын

What pressure are you at? Wondering if I need it with my low pressure therapy

@youcanthide004 Ай бұрын

@@Ultrajamz generally run at about 15

@russbeard3665 11 ай бұрын

Nice to hear the innuendo's😆, the added injection of humor helps👍 I'm thinking Nick and the SleepHQ team may be the best thing to come out of Australia since AC/DC🤔?! ...but better because I'm getting better sleep... I always woke up with a hangover with AC/DC🙁

@CPAPReviews 11 ай бұрын

Loved the comment mate! Thanks

@samstinkeringaround8961 Жыл бұрын

I’m so glad you made this video, I connected my vcom at the mask and the noise was like a hurricane.

@CPAPReviews Жыл бұрын

Glad it helped brother Sam

@Marcus935OS Жыл бұрын

Since the V-Com just seems to reduce airflow, how is this different than just reducing the CPAP pressure?

@nullbtb 4 ай бұрын

From what I can tell it doesn’t reduce overall pressure, only inhalation pressure. Your exhalation pressure will stay the same. The discovery the inventor made is that it’s the exhale pressure that is giving the treatment not the inhale pressure (as was previously thought), so by lowering inhale pressure and maintaining exhale pressure you maintain the therapy but improve comfort.

@billanderson3346 11 ай бұрын

If this eliminates my need for a chin strap, I will use it. I made the purchase. Fingers crossed that it works.

@ParasKPatel 11 ай бұрын

🤣🤣🤣 I love the Fight Club style editing!

@robjgarc 2 ай бұрын

I ended up stopping using the V-Com; my issues were mouth leak and aerophagia and the V-Com worked great to fix that. I use a mask with the airflow coming from the top of the headgear and so I had to get the short hose to reduce the noise. I feel like if you are a back or side sleeper that doesn't move much throught the night, this set up will work great. I, however, roll around all night and often end up on my stomach. This set up causes the top of my headgear to shift around and wake me up from mask leak and from the tubing getting stuck between the pillow and headboard. I tried hanging the hose directly over where I sleep and that didn't work. Curiously, this doesn't happen with the short hose removed and the V-Com connected to the top of the headgear. Something about the short tube is causing this problem. I was able to remedy mouth leak with a halo chinstrap, but then I found out that the dental appliance that I had been previously using for sleep apnea also stopped mouth leak and so I'm using that. Gear used: Resmed Airsense 11 to heated hose to V-Com to 18" humidifier hose listed in the video affiliate links to Resmed N30i. Hope this helps anyone.

@Thatsmessedupman 2 ай бұрын

What kind of dental appliance?

@wr9418 Жыл бұрын

I appreciate all of the work you put into your videos. I'm new to cpap. Struggling with it. I have resmed 10, n20 mask, heated tube. Noise increases with vcom. Would it help to get a nonheated tube? Do plain tubes fit into these resmed10? Thank you so much for your videos!

@michaelkilpatrick5331 11 ай бұрын

Main machine is a BMC Luna IQ with P2 pillows. Very quiet! Received Z2 from you yesterday and tried it last night with the P2 and found it a bit noisy. Halfway through the night I connected the Q-lite muffler and I found it noisier (frog in a drain pipe type of effect). My wife, who has sometimes annoyingly excellent hearing, says she can't hear any noise so it must be noise ducting to my lugholes up the tube (don't get any of this from the Luna IQ). Maybe I'll give a V-Com a try.

@Yot359 Жыл бұрын

thanks for this video! confirms my thoughts abour the vcom maybe able to lower the noise level for a portable cpap im still not sure whats best to get between a V-com or a muffler to use it with my airmini... i would love it if someday please you can do a review / noise comparison of the Vcom, Vs. Breas Q-lite Vs. Breas Q-tube (bigger), Vs. Transcend Micro WhisperSoft (no foam in there, just baffles like a car muffler)

@hoffmannbeck 10 ай бұрын

Waiting for same review... airmini +(vcom/qlite/vcom+qlite)

@dtoro15 Жыл бұрын

I put my V-Com directly to my machine and then attach the hose. I don't hear anything and it helps with reducing leaks. I turned up my pressure from 10 to 11 and it helped a lot. I don't use a heated tube- never had any issues.

@lorenzoishere Жыл бұрын

Why did you turned up the preasure?

@CPAPReviews Жыл бұрын

Awesome mate. It's so good for mask/mouth leak!

@wr9418 10 ай бұрын

What type of machine do you use? Resmed 10? Thanks.

@user-uq6oj7us8r 11 ай бұрын

Hi Nick. I'm on night 3 of V-com, having expensively got one here to the UK from the USA. Seems to be helping with the aerophagia, yay, and it softens the briskness of the flow. As someone else mentioned here, should I reset the mask to full face even though i use a P10, so as not to upset the AS10 algorithm?

@drbell26 11 ай бұрын

Thanks for the idea. I ordered a Vcom but haven't received it yet. I have a ResMed 11 and wondered how to fit the unit away from the mask. Thanks for the flexi-tube idea. Hopefully, some smart engineer will design a jumper power cable and get rich.

@drbell26 10 ай бұрын

I learned a new word due to getting a CPAP "Aerophagia". I found my stomach feels better when I use the Vcom. Still have a slight issue (I think my pressure is 4-15) I'm going to turn down the max pressure a little. I came back to rewatch this video to see what the name of the shorty tube was called so I could use the heated tube that came with my Resmed 11. I've been using the vcom straight off the machine without the heater plugged in. Thanks again for the show and keeping it entertaining.

@faithjackson5514 Жыл бұрын

Iam 72 yrs old. I have the bleep and got mine about 3 days ago. My setting are 4 to 8. Plus I have a deviated septum. And my drops and leaks have gone way down. I ac not get help where I live so I went from A full face mask to the bleep and I sleep much better. Thanks Nick, I'll try bumping my minimum up too

@CPAPReviews Жыл бұрын

So great to hear from you! Thanks for sharing your experience

@bkyle1234 Жыл бұрын

I use a full face mask by Phillips on a DS2 and found that the V-Comm tends to work better attached to the mask rather than at the CPap machine itself. My pressure is locked in at 13. Turned off Ramp and that helped also. Think this device is going to work out fine,

@CPAPReviews Жыл бұрын

Thanks for your feedback legend. Cheers

@nailbomb3 10 ай бұрын

how so? more comfortable or better results or both? you didn't notice noise at the elbow?

@karanmathur1672 9 ай бұрын

Vary nic purdcta

@colingrant4690 Жыл бұрын

Hi Nick, tried your V-com noise hack, Cpap 12-pressure, slimline tube, nasal dreamwear mask, EPR off. When I attach V-com to the top of the mask no noise from the top vent but noise from the front of my mask when I breathe in, got a slimline 18-inch extension as you suggested, and put the V-com between the slimline tube and the 18-inch slimline extension but still get same noise from the front of the mask when I breathe in. If I put the V-com at my Airsense 10 then no noise from the mask. But I want to put the V-com at the mask or extension so I can put in a quick connect before the V-com so I can use the auto shut-off feature and not have to get out of bed to go to my machine to turn it off. Any ideas? Could it make a difference if I got regular-size tubes instead of slimline? Thanks!

@transitions-stagesofgrowth8643 Жыл бұрын

Due to aeropagia i have moved from apap to cpap by following SleepO2. I moved to cpap and reduced the pressure. When Nick recommend the vcom i go one and for the first days it was great. Then for the past week my ahis are good but the o2 drops are low into the 80s. I think from the video that I need to increase from 7.5 to 8.5, but do I stay on cpap or go back to apap?

@lepint6671 Жыл бұрын

I have a Phillips Dream wear mask and I am going to follow your guide, however I am having trouble with the mask causing skin problems as I have some Dermatitis. Some time ago you had a video mentioning Padded Liners. Is there any difference in the few brands available? sorry to be a bother but you have a LOT of videos and I cant find the one I want.

@edgargonzo626 Жыл бұрын

Will this work for a bleep eclipse mask?

@samstinkeringaround8961 Жыл бұрын

I have a ResMed n-20 I think I’m going to try to take the hose off of it and connect it to the vcom put a space in between see if that works

@senorcabra8963 11 ай бұрын

I started using the v-com last week and all my cpap report numbers have dramatically improved. This is great, but my skeptical brain immediately goes to the question; Is it possible the v-com causes the machine to miss events and give a misreading of what's actually happened? Sorry to be the turd in the punchbowl, but there it is.

@davidgallaher8102 Жыл бұрын

I've the resmed airsense 10, I've the comfort settings on which I think makes it apap? Is this still worth using?

@terryb1781 Жыл бұрын

I hooked up the p10 to the Vcom and dropped the Apap to Cpap. Took out the EPR and dropped the pressure. On Apap I was running 15 low to 17 high. My AHI would run under 1 on Apap with EPR on. But the I suffer from mouth leak and wake up with my mouth very dry. So I put the Vcom on, dropped the Apap to Cpap, dropped the EPR, and dropped the pressure incrementally down to 14. My AHI varies from 1.2 to .5 but still dealing with a mouth that escapes air. Have a full beard thats bigger than Santa but I use tape although that really doesn't work. Still I'm under 2 AHI with a very dry mouth.

@Thatsmessedupman 2 ай бұрын

Did you try taping your mouth?

@lisaweldy6096 11 ай бұрын

what is the exact name of the mini tube (I have the Resmed Airsense 11 and use an F30i mask.

@jacqueshooten6731 10 ай бұрын

Hey Nick I am a little confused on air flow, meaning which end goes to mask and which end goes to hose from Cpap machine since they are different size ends. The V-com instructions don't tell you the flow direction. I couldn't tell from your hack demonstration . Does the Direction of either end matter Meaming large to small or small to large opening from tube to mask?

@samstinkeringaround8961 Жыл бұрын

Hey uncle Nick, so I tried putting a spacer in between the V comb and the mask over 12 inches and it still like a Vortx. It never cuts off like it normally does not sure why it just keeps blowing air constantly, so I’m out on the V-comI don’t like it. It doesn’t work for me. Without the V-com inplace after the ramp time, the mask gets quiet and feels like there is no air blowing with it in place. It’s a constant air blow not sure why. Sam

@wotmate 9 ай бұрын

I've got a BMC machine and put the vcom on the output of the machine... but if I wake up in the middle of the night to go to the toilet, I unclip the elbow from the mask, and the air coming out is A LOT louder with the vcom.

@TheDRUM2112 Жыл бұрын

Nick do you know whats going on with the res med app? thanks mate

@lorenzoishere Жыл бұрын

I still have leaks and i use only a preasure of 10 cm H2O

@hoffmannbeck 10 ай бұрын

What about using qlite on airmini? It helps with the noise of the airflow?

@nickmancini11 Жыл бұрын

I’ve vcom with the brevida and it felt like sucking through a straw like you said. I’m on APAP as per doctor’s orders for now so at lower pressure is definitely an issue. Maybe I’ll revisit vcomm when i can get to a static pressure.

@CPAPReviews Жыл бұрын

Just increase the apap min pressure up to 6-7 range and it makes a big difference

@nickmancini11 Жыл бұрын

My minimum pressure is 6. Maybe I’ll try a 7. I guess i should talk to my doctor first so I’m still in compliance. I want to find a static pressure, but I’ve been hesitant to talk to the doctor because it’s not easy to discuss treatment changes with doctor’s here. I’ve been on CPAP for like 3 months.

@jdhogfan1 Жыл бұрын

I was titrated at 16, couldn't handle it for more than a few hours (so much aerophagia), enabled 14-17 apap with the vcom and sleeping like a baby last 3 nights for 8 hours under 1 AHI.

@CPAPReviews Жыл бұрын

@jwdavis1 wow! I love comments like this mate. Makes all the effort worthwhile. Cheers

@CPAPReviews Жыл бұрын

@nickmancini11 i hear ya mate. CPAP mode be a game changer also mate. Just remember that your doctor has never slept with a CPAP before and most of them are rookies (to put it politely!)

@Thatsmessedupman 2 ай бұрын

When using vcom with CPAP, do you still have a pressure range set or are you supposed to stay at a constant pressure?

@richlargent5665 11 ай бұрын

Where fo I get a short hose that will fit the climateline hose and running to the f30 mask?

@kennethbrown5374 11 ай бұрын

Is there somewhere in Australia where you can purchase a v-com

@bigtimereacts Жыл бұрын

What is the name of the short tubing?

@peteyb9763 Жыл бұрын

Does anyone know of how to get this in canada?

@bahpapajarmjackson 3 күн бұрын

Any downside to a plumbers clamp rather than tape?

@samstinkeringaround8961 Жыл бұрын

So I tried the method you suggested, it produces still a constant flow, also it pops up on my machine as a massive mask leak. Is this just because it’s a rested 11?

@CPAPReviews Жыл бұрын

Hey brother, it might be worth watching a follow up vid i made - kzfaq.info/get/bejne/bL9zaqdh0NWwhWg.html Let me know how you go. Cheers

@peepers4763 Жыл бұрын

Tried the V-Com for the first time last night. Worked as advertised however didn’t get enough air flow flow. Felt like I was sucking rather then neutral breathing. Myself I need the CPAP pressure. Less pressure on inhalation was uncomfortable. COPD May be the reason.

@CraigFoxPinn Жыл бұрын

Give it a couple of weeks to get used to it. Some people it’s comfortable day one, others require a week or two.

@transitions-stagesofgrowth8643 Жыл бұрын

Did I understand that with a nasal mask I need to set the machine to face mask?

@manuelstodomingojr3473 Жыл бұрын

Fantastic hacks. Following your lead on removing the sound abatement foam in my Dreamstation Go, the machine became a bit noisy. To the point that it bothers my wife. Can you make a video on how to do your magic hack on a Dreamstation Go? Thanks

@GK-vj9dz Жыл бұрын

i did nicko's foam removal on my 2 system one 560 machines. they now sound like a 747 at takeoff. i guess it is what it is. i doubt that device he shows in this vidya (the exterior foam in chamber thing) would make a difference, as the noise is coming from the machine itself. one of the 560s has very low run hours. i'll hold onto it, in case someone comes up with a good sound abatement device for inside the machine. i've moved on to the resmed 10 for nightly therapy.

@manuelstodomingojr3473 Жыл бұрын

@@GK-vj9dz thank you for your input.

@josephyap5695 Жыл бұрын

Hi Nick, I live in Auckland, NZ. Where can I buy the V-com and the little tube? Can I get them from one of the AU online shops? Thanks

@CPAPReviews Жыл бұрын

Hey bro, so V-Com $40AUD, probably worth just buying the QLite that has the mini tube included $40 and shipping is $50 to NZ from Aus via DHL (5 days). It would only be worth it if you're really struggling with therapy comfort buddy

@A.Martin Жыл бұрын

@@CPAPReviews yea I see all these nice deals you offer in Australia (and the US), and the shipping to NZ is just criminal.

@Paul-AUS Жыл бұрын

@@CPAPReviews I just read the Qlite is not compatible for use with a heated tube, Any other ideas Nick where to buy this

@rmbeavers 10 ай бұрын

Questions from a noob. 1) I've heard V-Com cannot or should not be used with an EPR (i.e. Resmed 10). Is that true? 2) I have a DreamWear mask, so I understand that the V-Com should be installed not at the top of the head location, but instead I should get one of those mini-tubes that you displayed at 4:30. Will that not defeat the purpose of the heated tube?

@lazlo09 8 ай бұрын

Im in the same position but with resmed 11 and i think that the mini tube wotn affect much since its fairly short and at the end of the heated tube meaning the air passed a long heated tube already when it hit the unheated mini tube. I would expect that a rainout wont occur in such a short tube.

@bdonnici Жыл бұрын

Can you verify that when using V-Com, the mask setting should be full face even when using a nasal mask? I've seen that directive in threads in the Community - just want to make sure.

@CPAPReviews Жыл бұрын

Yes i'm doing a video on this shortly. I had a chat to Dr William Noah who is the inventor and he mentioned this. I just keep forgetting to talk about it in the vids. Cheers

@robertwilcox3679 Жыл бұрын

Is the V-comm beneficial with an ASV machine?

@CPAPReviews Жыл бұрын

Hey bro, i don't think they've fully tested it with ASV just yet

@A.Martin Жыл бұрын

Took me a few times to pause on that Donald Trump artwork you flashed on the screen

@CPAPReviews Жыл бұрын

Old mate hung like an elephant

@guaripolo69 Жыл бұрын

I tried it for 3 nights, my problem is mask leaks, and just made my AHI go to the 30s and woke up with headache all 3 days, and just generally felt like i did before cpap. Was told this only works for cpap and not really apap, is thay true?

@lorenzoishere Жыл бұрын

The VCOM is mostly for mouth leaks not mask leaks. Try usin another mask.

@CPAPReviews Жыл бұрын

wow, i haven't seen anything like this in the 50+ profiles i've reviewed. The vast majority see improvements in AHI and those who don't on subtle changes in therapy efficacy?

@guaripolo69 Жыл бұрын

@@CPAPReviews when I get my airsense 10 back from getting fixed I will try again and upload the data to sleephq and maybe see if I can get a bit more insight on what may be going on.

@guaripolo69 Жыл бұрын

@@CPAPReviewsit did however help with the leaks, but seemingly at the cost of my pressures just getting lowered? I don't know really what happened

@araydog 2 ай бұрын

I have a mirage fx mask. It does not work with it. The newer masks it’s awesome. The stretchy ones

@pbrian9527 Жыл бұрын

I did not enjoy vcom with P10 pillows. Seemed like less IPAP and normal EPAP.

@CPAPReviews Жыл бұрын

Similar experience for me

@poeterritory Жыл бұрын

Is this available in Australia?

@CPAPReviews Жыл бұрын

Yeah i have them in the Pro community mate. It's $15 for the month but big discount compared with importing them from the US. Cheers

@jorisbonson386 Жыл бұрын

LOL at the naked Trump

@claywilson9842 10 ай бұрын

I took a nickel drilled holes put in hose end....made sure no fragments.... v hack

@stusue9733 Жыл бұрын

Wouldn't it change your sleep data? Though I guess you dont care so much what the numbers are, more how you feel in the morning...

@CPAPReviews Жыл бұрын

It's a fair comment mate and one that i'm investigating. It's certainly not changing the respiratory flags but could it potentially change the way other data is recorded? Potentially yes. Cheers

@jasonparsons7950 Жыл бұрын

Dude. Love your videos. I was just diagnosed with sleep apnea. I haven't yet tried a CPAP. But your vids are awesome. I wish I could sit with you to help me get started.