Resmed Autoset
- Sleepy Bubba
- Posts: 33
- Joined: Mon Jan 05, 2015 7:23 am
Resmed Autoset
I have been using my machine now since January 1st, and I have made some changes to it.......I lowered the temperature in my tube, and reduced the humidity. I also changed the setting from CPAP to Autoset............I was having 9 events per hour with the thing on CPAP, and read about the Autoset function adjusting pressure when it senses an event..........Since I changed it, from the first night, I have had less than 5 every night (it has been 4 nights) and typically around 3.6. BAsed on what I am reading that is pretty good, though not spectacular. Why would they have given me the machine with the thing set up in CPAP mode?
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- Sheriff Buford
- Posts: 4084
- Joined: Mon Aug 09, 2010 8:01 am
- Location: Kingwood, Texas
Re: Resmed Autoset
Probably because maybe that's what the doctor ordered OR the DME didn't bother to check. Do you know what your prescription says? You may need to tweak the settings in the autoset mode (providing the autoset mode is the mode you prefer). What is your pressure setting in the cpap mode?
Sheriff
Sheriff
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- Sleepy Bubba
- Posts: 33
- Joined: Mon Jan 05, 2015 7:23 am
Re: Resmed Autoset
9. It just seems like if the machine has this sort of ability, why wouldn't that be the default setting. Should I be happy with an AHI under 5, or should I be looking to get it really low?
_________________
Machine: ResMed AirSense™ 10 AutoSet™ CPAP Machine with HumidAir™ Heated Humidifier |
Mask: Eson™ Nasal CPAP Mask with Headgear |
Re: Resmed Autoset
Until you have done the therapy for long enough to know how you feel with it higher or lower, which can take a while, the only thing you can go by is your stats, and the AHI under 5 is a good one to go by. Later you can start "tweaking" it and have an idea the next day whether your tweak was good or bad.
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- chunkyfrog
- Posts: 34405
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Re: Resmed Autoset
Factory default on these machines is auto 4-20. Yours was set in cpap mode on a single pressure.
These are the extremes possible with your machine, but there are a gazillion settings in between.
You now get to be Goldilocks and find YOUR best setting.
Here is where the data is important; you want a nice low AHI, without increasing open air apneas (centrals)
but nice numbers need to balance with good sleep.
I like a tighter range (see my comments) , but zero AHI is not the goal, a restful night is.
These are the extremes possible with your machine, but there are a gazillion settings in between.
You now get to be Goldilocks and find YOUR best setting.
Here is where the data is important; you want a nice low AHI, without increasing open air apneas (centrals)
but nice numbers need to balance with good sleep.
I like a tighter range (see my comments) , but zero AHI is not the goal, a restful night is.
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- Sleepy Bubba
- Posts: 33
- Joined: Mon Jan 05, 2015 7:23 am
Re: Resmed Autoset
OK, I really feel like it is making a difference with me, I'm not sleepy at 2 in the afternoon anymore, and seem to be more ambitious. Been scoring very high on the MyAir (I think that is more of a encouragement tool than anything, however), but having relatively low AHI numbers has been encouraging. While the hose is a bit of a pain, I guess I will get used to moving it with me in the night. Have a drs apptmnt mid Feb, will see what he has to say. Probably will leave it right where it is for now, on Auto with the factory settings pressure wise.
Thanks
Thanks
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Mask: Eson™ Nasal CPAP Mask with Headgear |
- sleep_quest
- Posts: 186
- Joined: Tue Aug 19, 2014 10:24 pm
- Location: San Francisco Bay Area - Peninsula
Re: Resmed Autoset
Take a look at this thread and PM me if you would like me to send you one. It might helpSleepy Bubba wrote:While the hose is a bit of a pain, I guess I will get used to moving it with me in the night.
viewtopic/t103448/viewtopic.php?f=1&t=1 ... 44#p963444
- Wulfman...
- Posts: 6688
- Joined: Mon Sep 01, 2014 6:41 pm
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Re: Resmed Autoset
Because they (apparently) determined in your sleep study (titration.....if you had one) that a pressure of 9 cm. should take care of most of your events. Unfortunately, the sleep labs aren't like sleeping in one's own bed and things can be different at home. You probably should have bumped your pressure up a centimeter or two to see if that lowered your AHI.Sleepy Bubba wrote:I have been using my machine now since January 1st, and I have made some changes to it.......I lowered the temperature in my tube, and reduced the humidity. I also changed the setting from CPAP to Autoset............I was having 9 events per hour with the thing on CPAP, and read about the Autoset function adjusting pressure when it senses an event..........Since I changed it, from the first night, I have had less than 5 every night (it has been 4 nights) and typically around 3.6. BAsed on what I am reading that is pretty good, though not spectacular. Why would they have given me the machine with the thing set up in CPAP mode?
Many people have experienced sleep disturbances by using ranges of pressure in Auto mode and maybe that's another reason why it was set to single pressure. The machines use sensors and programs to interpret your breathing. If they encounter something like a snore or flow limitation, the program tells the machine to increase pressure. If you're in a deep sleep stage or REM, you may be bumped out of that needed sleep stage and into a lighter one and you may end up feeling like you're not rested. It can also end up in a "self-feeding" frenzy in that as the pressures increase, you may subconsciously have additional flow limitations (you may have a reflex reaction to the pressure increases) and it keeps bumping the pressure in a "runaway".......until the pressure blows your mask off and you wake up (if you haven't woken up prior to that).
So, while I'm all for a person having an APAP, they need to be aware of some of the pitfalls of using them in ranges of pressure. It's often recommended that a tight range of pressures is preferable to a wider or wide-open range......if the user is going to use a range.
Den
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(5) REMstar Autos w/C-Flex & (6) REMstar Pro 2 CPAPs w/C-Flex - Pressure Setting = 14 cm.
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User since 05/14/05
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User since 05/14/05
Re: Resmed Autoset
Dumb question - if the lower APAP setting is well adjusted, what's the downside of leaving the upper pressure at 20?
I run at 11-20 and rarely get over 15 - except for a few times a month when I get up to near 17. AHI at 1 summer, 2-3 winter.
I run at 11-20 and rarely get over 15 - except for a few times a month when I get up to near 17. AHI at 1 summer, 2-3 winter.
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Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear |
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control |
Additional Comments: Sleepyhead SW. NeilMed and Alkalol Nasal rinses. Veramyst. AutoPAP 11-20 cms. Started June '14, untreated AHI 31-38, with PAP around 1. |
- Wulfman...
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Re: Resmed Autoset
It depends on the breathing patterns/characteristics of the person. Some people just have many Flow Limitations and/or Snores that don't precede apneas. With that scenario, you can get runaway pressure increases. Some people have apneas without preceding events (sometimes called "frank" apneas) which are going to occur anyway regardless of the pressure ranges or settings.englandsf wrote:Dumb question - if the lower APAP setting is well adjusted, what's the downside of leaving the upper pressure at 20?
I run at 11-20 and rarely get over 15 - except for a few times a month when I get up to near 17. AHI at 1 summer, 2-3 winter.
So, some people can get away with it and some people can't.
Den
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(5) REMstar Autos w/C-Flex & (6) REMstar Pro 2 CPAPs w/C-Flex - Pressure Setting = 14 cm.
"Passover" Humidification - ResMed Ultra Mirage FF - Encore Pro w/Card Reader & MyEncore software - Chiroflow pillow
User since 05/14/05
"Passover" Humidification - ResMed Ultra Mirage FF - Encore Pro w/Card Reader & MyEncore software - Chiroflow pillow
User since 05/14/05
Re: Resmed Autoset
Guess I have "simple" OSA with no centrals so I'm OK. The pressure spikes above 15 don't seem to wake me so I'm good. Love my P10
_________________
Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear |
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control |
Additional Comments: Sleepyhead SW. NeilMed and Alkalol Nasal rinses. Veramyst. AutoPAP 11-20 cms. Started June '14, untreated AHI 31-38, with PAP around 1. |
- TangledHose
- Posts: 862
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- Location: Centennial, CO
Re: Resmed Autoset
Wulfman... wrote:sometimes called "frank" apneas
.
OK, I gotta ask: who is this Frank guy?
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Machine: ResMed AirSense™ 10 AutoSet™ CPAP Machine with HumidAir™ Heated Humidifier |
Mask: Simplus Full Face CPAP Mask with Headgear |
Additional Comments: Also own F&P Icon Auto for backup and travel; and a Transcend when packing space is limited |
Link to Sleepyhead:
http://sleepfiles.com/SH2/
http://sleepfiles.com/SH2/
- Wulfman...
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Re: Resmed Autoset
Darned if I know, but he's been spoken of very often.TangledHose wrote:Wulfman... wrote:sometimes called "frank" apneas
.
OK, I gotta ask: who is this Frank guy?
I always try to supply sources of reading material whenever possible.
Den
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Forum Search:
viewtopic/t103448/search.php?keywords=frank+apneas
viewtopic/t35348/Frank-Apnea.html
viewtopic/t103448/viewtopic.php?f=1&t=8 ... eas#p70811
viewtopic/t103448/viewtopic.php?f=1&t=1 ... eas#p91113
If the references in the forum threads isn't enough, try a Google search of "frank apnea".
https://www.google.com/search?q=%22fran ... 8&oe=utf-8
http://www.journalsleep.org/Articles/240809.pdf
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(5) REMstar Autos w/C-Flex & (6) REMstar Pro 2 CPAPs w/C-Flex - Pressure Setting = 14 cm.
"Passover" Humidification - ResMed Ultra Mirage FF - Encore Pro w/Card Reader & MyEncore software - Chiroflow pillow
User since 05/14/05
"Passover" Humidification - ResMed Ultra Mirage FF - Encore Pro w/Card Reader & MyEncore software - Chiroflow pillow
User since 05/14/05
Re: Resmed Autoset
it's a misuse of a term, by definition, "frank" in medical parlance means "obvious" ... here it's being misused as "sudden, unexpected".TangledHose wrote:OK, I gotta ask: who is this Frank guy?Wulfman... wrote:sometimes called "frank" apneas
quoting definitions:
Medicine
unmistakable; obvious.
"frank ulceration"
Get OSCAR
Accounts to put on the foe list: dataq1, clownbell, gearchange, lynninnj, mper!?, DreamDiver, Geer1, almostadoctor, sleepgeek, ajack, stom, mogy, D.H., They often post misleading, timewasting stuff.
Accounts to put on the foe list: dataq1, clownbell, gearchange, lynninnj, mper!?, DreamDiver, Geer1, almostadoctor, sleepgeek, ajack, stom, mogy, D.H., They often post misleading, timewasting stuff.
- Wulfman...
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Re: Resmed Autoset
Not necessarily. And, I don't see the difference in your trying to split hairs. From the discussions on the forum and the definitions, a "frank" apnea is an "abrupt" (fully developed, clinically evident, obvious and unmistakable) apnea without preceding snores, flow limitations or other events that the manufacturers use in their programming to "predict" an apnea that may sneak into the chain of breathing events. By definition, an apnea is "lack of breath" for 10 seconds or more.palerider wrote:it's a misuse of a term, by definition, "frank" in medical parlance means "obvious" ... here it's being misused as "sudden, unexpected".TangledHose wrote:OK, I gotta ask: who is this Frank guy?Wulfman... wrote:sometimes called "frank" apneas
quoting definitions:
Medicine
unmistakable; obvious.
"frank ulceration"
1: marked by free, forthright, and sincere expression <a frank reply>
2a : unmistakably evident <frank materialism>
2b : clinically evident and unmistakable <frank pus>
Den
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(5) REMstar Autos w/C-Flex & (6) REMstar Pro 2 CPAPs w/C-Flex - Pressure Setting = 14 cm.
"Passover" Humidification - ResMed Ultra Mirage FF - Encore Pro w/Card Reader & MyEncore software - Chiroflow pillow
User since 05/14/05
"Passover" Humidification - ResMed Ultra Mirage FF - Encore Pro w/Card Reader & MyEncore software - Chiroflow pillow
User since 05/14/05