What is the official protocol for setting an AutoPap?

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MrGrumpy
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What is the official protocol for setting an AutoPap?

Post by MrGrumpy » Thu Feb 11, 2016 7:56 pm

I hate to admit this, but I dont know what it is. Ive been running Autopaps since 2007 and "my own" way of doing it was how I did it. It was this: I set my minimum pressure as my in the sleep lab, titrated CPAP pressure of 10 as my minimum pressure. And most of the time, set my maximum as 20. In the last year or so, I sometimes set it back tighter to 14, as Ive found tightening the top pressure, that prevents abdominal irritation.

But whats the OFFICIAL protocol for setting up an AutoPap? Say, you know what your 95th percentile is (Resmed) or your 90th percentile (Phillips Respironics). Say your 95th is, 11.5.

On Resscan, 95th is 11.5. On Resscan, your thirty day average median is lower, its 7.3 or 8. And on Resscan, your maximum thirty day average pressure is, 14.

How should I set my APAP up on the consideration I find my 95th percentile too much to tolerate blowing all the time. Whats a realistic setup, but going by the industry official protocol?

I hate to admit that Im asking this, because I never bothered to ask as I never really cared what the industry protocol is, until recently. I suppose because Im a desperate man now.

Thanks
Id be dead by now if I didn't use my CPAP gear every night.

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chunkyfrog
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Re: What is the official protocol for setting an AutoPap?

Post by chunkyfrog » Thu Feb 11, 2016 8:03 pm

There appears to be no "official" protocol.
You can use whatever settings work best for you.
We only share what works for us. You can do as you like.

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Hang Fire
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Re: What is the official protocol for setting an AutoPap?

Post by Hang Fire » Thu Feb 11, 2016 8:04 pm

MrGrumpy wrote:going by the industry official protocol?
LMAO.

Set your min to 8, leave your max at 14 and let's look at the results tomorrow.

In the meantime, STHU.

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Krelvin
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Re: What is the official protocol for setting an AutoPap?

Post by Krelvin » Thu Feb 11, 2016 8:27 pm

You are now asking...
MrGrumpy wrote: What is the official protocol for setting an AutoPap?

I hate to admit this, but I dont know what it is. Ive been running Autopaps since 2007 and "my own" way of doing it was how I did it.
You are a confusing guy?
MrGrumpy wrote:I used to think auto titration was da bomb. Whether it be plain old AutoPap or autoBipap, I used to think "I had to have it." Nothing less than an APAP for me, thank you.

Now, Ive changed my mind on the subject. I think auto titrating devices just complicate things and have begun to see things more the way many sleep specialists see them...a single set pressure is oftentimes the best.
MrGrumpy wrote:its much safer, legally, to do it the regular way. Go through a sleep doctor and DME first.
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MrGrumpy
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Re: What is the official protocol for setting an AutoPap?

Post by MrGrumpy » Thu Feb 11, 2016 8:39 pm

I want you to STHU
Hang Fire wrote:
MrGrumpy wrote:going by the industry official protocol?
LMAO.

Set your min to 8, leave your max at 14 and let's look at the results tomorrow.

In the meantime, STHU.
Id be dead by now if I didn't use my CPAP gear every night.

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Goofproof
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Re: What is the official protocol for setting an AutoPap?

Post by Goofproof » Thu Feb 11, 2016 8:51 pm

Our you sure you aren't related or living with Enchanter, or sharing med's. Your questions sound familiar, and crazy. Jim
Use data to optimize your xPAP treatment!

"The art of medicine consists in amusing the patient while nature cures the disease." Voltaire

MrGrumpy
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Re: What is the official protocol for setting an AutoPap?

Post by MrGrumpy » Thu Feb 11, 2016 8:58 pm

Do not know who or what you are talking about

Goofproof wrote:Our you sure you aren't related or living with Enchanter, or sharing med's. Your questions sound familiar, and crazy. Jim
Id be dead by now if I didn't use my CPAP gear every night.

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palerider
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Re: What is the official protocol for setting an AutoPap?

Post by palerider » Thu Feb 11, 2016 9:02 pm

Goofproof wrote:Our you sure you aren't related or living with Enchanter, or sharing med's. Your questions sound familiar, and crazy. Jim
I think you're on to something there.

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chunkyfrog
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Re: What is the official protocol for setting an AutoPap?

Post by chunkyfrog » Thu Feb 11, 2016 9:03 pm

People, let's try to be kinder, please, particularly to one another.
To Mr. Grumpy: The "OFFICIAL" way would be to become the gentle, obedient sheep your insurance/DME wants.
When you make up your mind, you can proceed in whichever direction you choose.

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MrGrumpy
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Re: What is the official protocol for setting an AutoPap?

Post by MrGrumpy » Thu Feb 11, 2016 9:15 pm

I understand what you are saying. But there are sleep docs and sleep techs out there who do know what they are doing. And there are protocols for setting these things up a right way and a wrong way. I know because my first CPAP experience was done correctly, I know it can be done if these professionals do their job.

Im trying to find out the basic protocol for setting up an AutoPap so I dont have to rely upon these professionals nearly as much in the future. Because I am not getting anywhere offline in the last few years and Im tired of it.

I have never been a sheep with my insurance and DME, btw. More like a pitbull. Might be one of the reasons I get treated the way I do...payback.
chunkyfrog wrote:People, let's try to be kinder, please, particularly to one another.
To Mr. Grumpy: The "OFFICIAL" way would be to become the gentle, obedient sheep your insurance/DME wants.
When you make up your mind, you can proceed in whichever direction you choose.
Id be dead by now if I didn't use my CPAP gear every night.

Sonnyboy
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Re: What is the official protocol for setting an AutoPap?

Post by Sonnyboy » Thu Feb 11, 2016 10:08 pm

MrGrumpy wrote:I understand what you are saying. But there are sleep docs and sleep techs out there who do know what they are doing. And there are protocols for setting these things up a right way and a wrong way. I know because my first CPAP experience was done correctly, I know it can be done if these professionals do their job.

Im trying to find out the basic protocol for setting up an AutoPap so I dont have to rely upon these professionals nearly as much in the future. Because I am not getting anywhere offline in the last few years and Im tired of it.

I have never been a sheep with my insurance and DME, btw. More like a pitbull. Might be one of the reasons I get treated the way I do...payback.
chunkyfrog wrote:People, let's try to be kinder, please, particularly to one another.
To Mr. Grumpy: The "OFFICIAL" way would be to become the gentle, obedient sheep your insurance/DME wants.
When you make up your mind, you can proceed in whichever direction you choose.
For me, this forum is the best place to find answers to cpap questions.

I do not know who the autopap official is or if such a person or entity exists, however, in your efforts to pursue your search you might:

Start here:
https://www.google.com/?gws_rd=ssl#q=cp ... n+protocol

or here:
https://www.google.com/?gws_rd=ssl#q=cp ... guidelines

or even here:
https://www.google.com/?gws_rd=ssl#q=cp ... tocol+aasm

Likely sleep labs have written protocols too.

Let me know the answer when you find it.

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Goofproof
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Re: What is the official protocol for setting an AutoPap?

Post by Goofproof » Thu Feb 11, 2016 10:26 pm

If there were protocols, they wouldn't have wasted the money on control buttons, more profit for sales. Jim
Use data to optimize your xPAP treatment!

"The art of medicine consists in amusing the patient while nature cures the disease." Voltaire

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palerider
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Re: What is the official protocol for setting an AutoPap?

Post by palerider » Thu Feb 11, 2016 10:30 pm

Sonnyboy wrote:I do not know who the autopap official is or if such a person or entity exists, ....
Likely sleep labs have written protocols too..
as I see it (and we all know what that's worth ), there aren't likely any hard and fast rules, because people are squishy watery meatbags, and not precision machines. therefore, simple hard and fast rules just aren't going to work... grumpy seems to want something simple and plain, and I believe he's going to be disappointed in his search.

you do tests, and you can evaluate the data, and use judgment to pick a starting place, and then collect more data, reevaluate, and adjust... and since people aren't precision mechanisms, it's best to keep collecting data and adjusting.

it's easy for anybody that pays attention to see, a sleeper will have good nights, and less good nights, without changing anything on the machine, because there are so many other variables. what one had for supper, what's blooming in the air, what the temp is, what the humidity is, whether one's aches and pains are better or worse, amount of water retention (possibly back to what was eaten that day) and probably hundreds of other variables.

simple and fast protocol for coming up with a number? nope.

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chunkyfrog
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Re: What is the official protocol for setting an AutoPap?

Post by chunkyfrog » Thu Feb 11, 2016 10:36 pm

Life is complicated--unless you are a dog.
{{{"You are putting on your SHOES! oh joy, time for a WALK! Hurry, lord. I gotta go outside, NOW"}}}

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SewTired
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Re: What is the official protocol for setting an AutoPap?

Post by SewTired » Fri Feb 12, 2016 12:45 pm

According to the PA at my sleep clinic, without a lab titration, they set it from 6-12 and look at the results. There are several reasons for this. The majority of folks will generally fall within this range. Someone who may need higher pressure has time to adapt before determining a higher pressure is necessary. Issues with aerophagia or increased acid reflux GENERALLY is less at these pressure. It surprised me that they actually DO this method, but they have patients who are completely unable to be accommodated in their lab environments due to psychological or physical restrictions.

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