Resmed Airsense 10 Autoset versus DreamStation Auto

[lamar2217]

Hello: Recently starting using the DreamStation on trial. All settings are equivalent to my Airsense 10 AutoSet. 10/15, No EPR, nominal humidification. AHI has increased from average 0.9 (6 months data) to 3.2 (7 days data). Same mask. Same sleeping position. Any discussion or suggestions would be appreciated. First suggestion - go back to Resmed. I am curious about machine differences.

Thanks

[lamar2217]

Forgot to mention that the increase is largely hypo apneas.

[Pugsy]

2 different auto adjusting algorithms even if the settings are the same.

[palerider]

Hello: Recently starting using the DreamStation on trial. All settings are equivalent to my Airsense 10 AutoSet. 10/15, No EPR, nominal humidification. AHI has increased from average 0.9 (6 months data) to 3.2 (7 days data). Same mask. Same sleeping position. Any discussion or suggestions would be appreciated. First suggestion - go back to Resmed. I am curious about machine differences.

Thanks

Philips machines are less responsive to patient needs than Resmed machines, they typically require higher minimum pressures to achieve best results, and sometimes are not able to achieve equally good results, no matter what the setting is.
https://www.youtube.com/watch?v=lzCCgNLya_g

[D.H.]

For what it's worth, here my review of the Dream Station Auto. It's the only current model machine that I've used (I used several antiquated machines prior to mid-2016). Here's the good and the bad.




Advantages:
• Automatic means that it will raise the pressure as needed when it senses distress. I think I feel more refreshed than before.
• Good statistics are generated, so you can see how you slept, and make adjustments as needed. In addition, stats are good for your doctor to see how you are doing.
• Machine is very quiet.
• Heated hose is very good, never had rainout despite full setting on humidity.
• Automatic altitude adjustment (good for travel).
• Leak compensation.
• Auto/on and auto/off can be activated and deactivated separately.
• Humidifier is fully integrated, but detachable. It can be replaced/repaired independently of the main unit. It can also be left behind to save space (if you can live without the humidification).
• Humidifier chamber is wide open on top, making it easy to fill, empty, and clean. The unit is sealed when the door over the chamber is closed.
• Puts out the prescribed pressure more precisely than my old machine (yes, I verified this).


Disadvantages:
• Machine is a bit larger than the major competing machine.
• Sometimes, there is a burning smell, especially after a potty break. I’m pretty sure it’s harmless.
• Frequently, the water does not last the whole night. I generally wake up at least once overnight, so I refill it at that time. This might not work for everybody.
• The humidifier door was not closing properly after about eighteen months. The DME replaced the humidifier at no cost to me. There was a viable workaround in the meanwhile, so it was not an emergency.
• Some have complained about the brightness of the display when you turn it off and back on, such as for a potty break. I don’t find this a problem. In fact, I use the light to reattach my mask to the hose.
• The “full” line on the water tank is hard to see.
• The machine is somewhat noisier when used without the humidifier attached.
• The power cord has a proprietary signal, so you cannot use a different cord, even if the voltage, wattage, amperage, and fitting are all identical. This means that if you need a replacement cord (or a spare cord), you have to get the cord specific to Dream Stations. If you want to use a battery (such as for camping and electrical outages), you have to buy an $80 proprietary device to generate this signal.

[chunkyfrog]

"Which is better?" oddly parallels the eternal Ford vs Chevy debate.
There is no real answer, as the air is too full of hormones.