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General Discussion on any topic relating to CPAP and/or Sleep Apnea.
kong
 
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Location: Fresno, California
Gender: Male

Best CPAP Machine

Postby kong on Mon Apr 17, 2017 5:12 pm

What's the best auto-CPAP machine? I believe I'm eligible for a new machine since I've had my machine for over 5 years. I left a message for my doctor to order a new machine. When using CPAP, my AHI ranges from about 3-10. Increasing the pressure doesn't lower the AHI.

Thanks for your help.

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Mask 
Dx: Severe OSA, AHI 40 or 68 (2 sleep studies)
Machine: SleepStyle 254 Auto CPAP Machine with Built In Heated Humidifier.
Mask: ResMed Mirage Quattro Full Face Mask
Software: Fisher & Paykel Performance Maximizer.
Pressure: 12-15 cm.

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bwexler
 
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Re: Best CPAP Machine

Postby bwexler on Mon Apr 17, 2017 5:52 pm

Have you been using software to monitor your therapy?
Do you know if you have been having centrals?
Any idea why the wide variations in your AHI?

Answers to these questions may help someone here to provide better guidance.

_________________
Mask: Single Size SleepWeaver Elan™ Soft Cloth Nasal CPAP Mask
Humidifier: PR System One 60 Series Heated Tube Humidifier with Heated Tube
Additional Comments: Also using Sleaplyhead 0.9.53, Pro 2.12 and CMS50i

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Uncle_Bob
 
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Re: Best CPAP Machine

Postby Uncle_Bob on Mon Apr 17, 2017 6:28 pm

kong wrote:What's the best auto-CPAP machine? I believe I'm eligible for a new machine since I've had my machine for over 5 years. I left a message for my doctor to order a new machine. When using CPAP, my AHI ranges from about 3-10. Increasing the pressure doesn't lower the AHI.

Thanks for your help.



You can get a copy of your prescription and mail it in to an on line company like cpap.com and order the machine yourself. Bill the insurance later after double checking they allow on line purchases.
You can simply browse the latest machines from the top manufacturers and make your own choice based on your opinion and the reviews of many others.

You have not given us too much information to provided any further advice regarding your AHI. Increasing pressure can result in central apneas for some.

Getting a machine with full data should be your priority, be sure to avoid the basic machines often referred to as bricks. You would do well to read up on the wiki here regarding machine selection, see the following link

http://www.cpaptalk.com/wiki/index.php/CPAP_Machine_Choices

gosman
 
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Re: Best CPAP Machine

Postby gosman on Mon Apr 17, 2017 9:54 pm

The link to machines for CPAP talk is outdated! It is still listing the S8!

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CPAPLowspark
 
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Re: Best CPAP Machine

Postby CPAPLowspark on Tue Apr 18, 2017 3:32 pm

I'm a newbie so take my opinion with a grain of salt...but I love the ResMed AutoSet that I have...simple, easy and compact for carrying...no issues so far...
Machine: AirSense™ 10 AutoSet CPAP Machine with HumidAir™ Heated Humidifier
Mask: ResMed AirFit N20 Nasal Mask

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TASmart
 
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Re: Best CPAP Machine

Postby TASmart on Tue Apr 18, 2017 4:29 pm

gosman wrote:The link to machines for CPAP talk is outdated! It is still listing the S8!


If you are referring to the cpap . com site the listing for the S8 is for reference only. I really like my AirSense 10 Auto though.

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kong
 
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Re: Best CPAP Machine

Postby kong on Tue Apr 18, 2017 10:55 pm

bwexler wrote:Have you been using software to monitor your therapy?
Do you know if you have been having centrals?
Any idea why the wide variations in your AHI?

Answers to these questions may help someone here to provide better guidance.


My machine, as far as I know, does not detect central sleep apneas. During a sleep study 5 years ago, I averaged 1.5 central sleep apneas per hour; I did not have any central hypopneas.

I don't know why my AHI is not consistently under 5. The doctor has tried a variety of different pressure settings. I have also tried many. However, I am unable to consistently get my numbers below 5.

_________________
Mask 
Dx: Severe OSA, AHI 40 or 68 (2 sleep studies)
Machine: SleepStyle 254 Auto CPAP Machine with Built In Heated Humidifier.
Mask: ResMed Mirage Quattro Full Face Mask
Software: Fisher & Paykel Performance Maximizer.
Pressure: 12-15 cm.

fenfen
 
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Gender: None specified

Re: Best CPAP Machine

Postby fenfen on Thu Apr 20, 2017 4:12 am

Dear Uncle Bob
you mention in your replay that Increasing pressure can result in central apneas for some. would you please explain what meant by central apneas . I have problem with the pressure. it becomes high and wakes me up. I do need your help and advise.

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bwexler
 
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Re: Best CPAP Machine

Postby bwexler on Thu Apr 20, 2017 10:04 am

Kong

If we ass u me that you need a simple APAP machine and not a BiLevel or ASV, then the jury will be split.
The best Resmed machine would be the Airsense 10 Autoset for Her. Yes I know you are a him.
The best Phillips Resperonics would be the Dreamstation Auto.
Sorry I am not up to date on the model numbers.
The folks who use each of these brands will swear there brand is best. No other brands will gain much traction in this group or Apneaboard dot com. No matter what you choose,you should be sure it will provide full efficacy data and be compatible with Sleepyahead software. You will then be able to post your reports here and get advice from some experts on how to fine tune your treatment.

_________________
Mask: Single Size SleepWeaver Elan™ Soft Cloth Nasal CPAP Mask
Humidifier: PR System One 60 Series Heated Tube Humidifier with Heated Tube
Additional Comments: Also using Sleaplyhead 0.9.53, Pro 2.12 and CMS50i

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Okie bipap
 
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Location: Central Oklahoma
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Re: Best CPAP Machine

Postby Okie bipap on Thu Apr 20, 2017 3:01 pm

fenfen wrote:Dear Uncle Bob
you mention in your replay that Increasing pressure can result in central apneas for some. would you please explain what meant by central apneas . I have problem with the pressure. it becomes high and wakes me up. I do need your help and advise.


Central apnea: A respiratory episode where there is no airflow and no effort to breathe lasting greater than 10 seconds.

_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier
Mask: Amara View Full Face CPAP Mask with Headgear
Additional Comments: IPAP 20, PS 3, no ramp, Sleepyhead software
Aircurve 10 bilevel set at 20 cm water, 0 pressure support, using Amara View mask

kong
 
Posts: 47
Joined: Thu Mar 01, 2012 7:06 pm
Location: Fresno, California
Gender: Male

Re: Best CPAP Machine

Postby kong on Thu Apr 20, 2017 3:41 pm

bwexler wrote:Kong

If we ass u me that you need a simple APAP machine and not a BiLevel or ASV, then the jury will be split.
The best Resmed machine would be the Airsense 10 Autoset for Her. Yes I know you are a him.
The best Phillips Resperonics would be the Dreamstation Auto.
Sorry I am not up to date on the model numbers.
The folks who use each of these brands will swear there brand is best. No other brands will gain much traction in this group or Apneaboard dot com. No matter what you choose,you should be sure it will provide full efficacy data and be compatible with Sleepyahead software. You will then be able to post your reports here and get advice from some experts on how to fine tune your treatment.


bwexler--Thanks for your answer. Now I have it narrowed down to three machines. Knowing that I am a male, why do you recommend an Airsense 10 Autoset for Her over the regular Airsense 10 Autoset?

_________________
Mask 
Dx: Severe OSA, AHI 40 or 68 (2 sleep studies)
Machine: SleepStyle 254 Auto CPAP Machine with Built In Heated Humidifier.
Mask: ResMed Mirage Quattro Full Face Mask
Software: Fisher & Paykel Performance Maximizer.
Pressure: 12-15 cm.

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Re: Best CPAP Machine

Postby Guest on Thu Apr 20, 2017 7:21 pm

fenfen wrote:Dear Uncle Bob
you mention in your replay that Increasing pressure can result in central apneas for some. would you please explain what meant by central apneas . I have problem with the pressure. it becomes high and wakes me up. I do need your help and advise.

While a true central is when the brain doesn't tell you to breath yet the airway is open, what I have experienced is when the pressure gets too high and you can't exhale. In that case, a bipap helps tremendously cuz you can drop the exhale pressure so that you can breath once again. IF you have a high pressure then def give a bipap a test drive or is that a test sleep.

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pedroski
 
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Re: Best CPAP Machine

Postby pedroski on Fri Apr 21, 2017 11:38 pm

kong wrote:
bwexler wrote:Kong

bwexler--Thanks for your answer. Now I have it narrowed down to three machines. Knowing that I am a male, why do you recommend an Airsense 10 Autoset for Her over the regular Airsense 10 Autoset?


Hey Kong,

The reason bwexler recommended the Airsense 10 Autoset for Her is that it has two algorithms for responding to breathing events, but the regular Airsense 10 Autoset only has one.

Here's a YouTube video which explains that.

https://www.youtube.com/watch?v=N7jpQw4uTDQ

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Software: ResMed ResScan™ Smart Card Reader for S8™ and S8™ II Machines
Additional Comments: Autoscan 5.7

fenfen
 
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Gender: None specified

Re: Best CPAP Machine

Postby fenfen on Sun Apr 23, 2017 3:51 am

Guest wrote:
fenfen wrote:Dear Uncle Bob
you mention in your replay that Increasing pressure can result in central apneas for some. would you please explain what meant by central apneas . I have problem with the pressure. it becomes high and wakes me up. I do need your help and advise.

While a true central is when the brain doesn't tell you to breath yet the airway is open, what I have experienced is when the pressure gets too high and you can't exhale. In that case, a bipap helps tremendously cuz you can drop the exhale pressure so that you can breath once again. IF you have a high pressure then def give a bipap a test drive or is that a test sleep.

I do appreciate your help and feed back regarding central apnea and now I understand the meaning. Most likely this what is happing with me. Will it help if I change (reduce) the pressure setting ? even doctors here (where I live) do not know what I am talking about, may be just nowadays. I did the first sleep study in perth 11 years ago but just recently I started using CPAP.. I need specialist advise, what to do?. Thank you in advance for the help.

fenfen
 
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Gender: None specified

Re: Best CPAP Machine

Postby fenfen on Sun Apr 23, 2017 3:55 am

Okie bipap wrote:
fenfen wrote:Dear Uncle Bob
you mention in your replay that Increasing pressure can result in central apneas for some. would you please explain what meant by central apneas . I have problem with the pressure. it becomes high and wakes me up. I do need your help and advise.


Central apnea: A respiratory episode where there is no airflow and no effort to breathe lasting greater than 10 seconds.

Many thanks

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