Should my Dreamstation be set to APAP or CPAP?

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
fotomatt1
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Should my Dreamstation be set to APAP or CPAP?

Post by fotomatt1 » Mon Nov 06, 2017 7:35 am

I was looking at my Sleepyhead data, and I realized that for the first 40 days I had my machine starting last November, my machine was set to APAP and the pressure seemed to vary between 6 and 12. Then it shows a prescription change to CPAP and now my machine is at a constant pressure of 8. I'm not sure if this change was initiated by my doctor, or if it coincided with a firmware update. How should I set my machine? Should I change it back to

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Pugsy
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Re: Should my Dreamstation be set to APAP or CPAP?

Post by Pugsy » Mon Nov 06, 2017 7:39 am

Well someone changed it and it wasn't a firmware update.
Either the doctor did it or had the DME do it or you were the auto mode that is only temporary.

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fotomatt1
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Re: Should my Dreamstation be set to APAP or CPAP?

Post by fotomatt1 » Mon Nov 06, 2017 9:20 am

It’s been set to a fixed pressure for about 10 months. Should I leave it that way or is there a benefit to auto?


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Pugsy
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Re: Should my Dreamstation be set to APAP or CPAP?

Post by Pugsy » Mon Nov 06, 2017 9:33 am

There can be a benefit for using auto mode for some people.
I am one of those people. My OSA is worse in REM and I sometimes need 6 to 8 cm more pressure in REM. If I didn't use auto mode I would have to use 6 to 8 cm more fixed pressure all night just to prevent what might happen in REM and REM usually makes up about 20 % of the night. I am not too keen on using 16 cm all night instead of 8 cm most of the night and letting the machine go to16 as needed.

Now not everyone will have such marked differences in pressure needs for REM sleep (or supine sleep) so it may not matter if the machine can auto adjust or not.

If you are sleeping good, feeling good, nice low AHI and are in general quite happy with your therapy then there is no urgent need to change the mode.

Some people find they sleep better without the machine auto adjusting things...that's fine too.

There are pros and cons to all this cpap stuff.

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ChicagoGranny
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Re: Should my Dreamstation be set to APAP or CPAP?

Post by ChicagoGranny » Mon Nov 06, 2017 10:56 am

fotomatt1 wrote:How should I set my machine?
You left out the most important part. What is your AHI? (And how do you judge the quality/length of your sleep and your level of energy during the day?)

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Re: Should my Dreamstation be set to APAP or CPAP?

Post by Pugsy » Mon Nov 06, 2017 11:59 am

xxyzx wrote:doctors say RDI matters a lot
AHI not so much
Oh really? Now which doctors would that be and do you have documentation to back up your opinion?
If AHI didn't matter so much then how come the diagnostic criteria still primarily looks at AHI?
And don't go blowing your usual "medicrap" smoke BS.
I would like to see real facts and not opinion.

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Re: Should my Dreamstation be set to APAP or CPAP?

Post by Pugsy » Mon Nov 06, 2017 12:28 pm

Sigh..I didn't really expect anything more than one person's very biased opinion.
No proof. Can't produce it because it doesn't exist.

Diagnosis and therapy evaluation criteria is multi faceted and all components are important and need to be taken into account.
No one component is more or less important in the evaluation or diagnosis process than the other.

The medical profession has elected to adopt certain standards and they are what they are and we can't change those standards no matter how much we might maybe disagree with them or think they are lacking in something.

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Duck
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Re: Should my Dreamstation be set to APAP or CPAP?

Post by Duck » Mon Nov 06, 2017 12:40 pm

xxyzx wrote:doctors say RDI matters a lot
AHI not so much
Which planet are these doctors on that say it doesn't matter so much how often one stops breathing in their sleep?

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Re: Should my Dreamstation be set to APAP or CPAP?

Post by ajack » Mon Nov 06, 2017 2:15 pm

It's not really a planet, it's more like a sand castle in his mind

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Re: Should my Dreamstation be set to APAP or CPAP?

Post by Pugsy » Mon Nov 06, 2017 3:49 pm

xxyzx wrote:do you dismiss RDI as being useful
doesnt RDI cover more than AHI
No. Please reread what I said. I never dismissed RDI or anything else for that matter. You are the one who was doing the dismissing.
xxyzx wrote:arent a lot of people still having problems with a low AHI
Never said they weren't. Again, please take the time to reread what I said.
xxyzx wrote:try using some logic
but if you need an authority to tell you then google for the truth
I don't think I am the person having trouble understanding anything. Again, please reread what it was I said.

All I asked was who was "these good doctors" who say AHI isn't important...you are the one who said they were out there.
It's your job to provide the documentation for what you say they say. Not my job to do your job.
You are the one saying that these good doctors are ignoring standard diagnostic guidelines and have come up with their own.

Never mind responding. You can't provide proof as requested because it doesn't exist.

Have a nice day. I am done wasting my time arguing with a stump this time.

But be very careful....when you say that I say something that I didn't say....you will be called out on it.

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Re: Should my Dreamstation be set to APAP or CPAP?

Post by Marillion » Mon Nov 06, 2017 5:00 pm

Riiiight...so which doctors said that AHI is bureaucratic nonsense again? Can you name just one?

You can't just go and accuse someone like Pugsy of "ignoring the evidence" when you yourself have made a claim that you are not backing up with any evidence. Do you not see the logic in that?