Is there any reason NOT to be on "auto?"

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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Esskay33
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Is there any reason NOT to be on "auto?"

Post by Esskay33 » Sat Oct 15, 2016 6:22 pm

Generally, is there any reason not to set your machine to auto? My thought is this:

-My DME, through the last 1.5 months, has ended up setting me on CPAP pressure of 10. My AHI is down to 2.35 (30 day average,) and I am happy as it is a huge improvement. Why wouldn't I set my machine to auto mode with a pressure range of 10-20?

Not really looking for specific personal advice, but was thinking this over on a flight yesterday and can't come up with a good reason why you wouldn't set it to auto and possibly treat some more events (in theory.) What am I missing?

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BlackSpinner
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Re: Is there any reason NOT to be on "auto?"

Post by BlackSpinner » Sat Oct 15, 2016 6:31 pm

Some people are sensitive to change so any auto pressure changes will wake them.

If you prefer auto just change it back.

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Re: Is there any reason NOT to be on "auto?"

Post by Pugsy » Sat Oct 15, 2016 6:33 pm

There are a few potential reasons to not use auto or not use a wide range.

Some people might have central apneas pop up at a certain pressure...doesn't happen all that often but could happen..so a person might want to make sure the pressure never gets to whatever that certain pressure might be.

Some people have aerophagia issues if the pressure goes above a certain point and sometimes the aerophagia is worse than maybe letting a little apnea even slide past the defenses.

Some people think they sleep better without the pressures changing around all over the place. They think the changing pressures disturb their sleep quality.

Sometimes the variations in pressure make mask leak control harder to anticipate and deal with.

I don't have any of the above issues so I do well with a rather wide range of pressures and just let the machine sort it out and I sleep through it all.

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Re: Is there any reason NOT to be on "auto?"

Post by rick blaine » Sun Oct 16, 2016 6:35 am

In addition to the above, auto-adjusting treatment is contra-indicated in some stages of heart failure.

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Re: Is there any reason NOT to be on "auto?"

Post by palerider » Sun Oct 16, 2016 9:53 am

rick blaine wrote:In addition to the above, auto-adjusting treatment is contra-indicated in some stages of heart failure.
citation please.

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Re: Is there any reason NOT to be on "auto?"

Post by chunkyfrog » Sun Oct 16, 2016 10:11 am

So, how many degrees of "auto adjustment" are we thinking of?
Single pressure? With or without exhale pressure relief (_flex)?
Auto--wide open, tightened bottom, open top?
Or like mine--two centimeters below, two above my usual range?
Or dozens of other possible combinations.
No reason not to have a machine capable of autotitration--either use it--or don't.
Adjust to fit. After all, we are all different.

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Re: Is there any reason NOT to be on "auto?"

Post by avi123 » Sun Oct 16, 2016 12:43 pm

Esskay33 wrote:Generally, is there any reason not to set your machine to auto?
An American Academy of Sleep Medicine Report as of Nov 2007:

"certain APAP devices may be initiated and used in the self-adjusting mode for unattended treatment of patients with moderate to severe OSA without significant comorbidities (CHF, COPD, central sleep apnea syndromes, or hypoventilation syndromes); "

Source: http://www.aasmnet.org/Resources/Practi ... Update.pdf

Notice that members on this website who encourage people to use Auto CPAPs without knowing if these persons suffer from Cardiac Health Failure, COPD, central sleep apnea syndromes or hypoventilation, are actually breaking the laws.

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Last edited by avi123 on Sun Oct 16, 2016 1:57 pm, edited 1 time in total.
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Re: Is there any reason NOT to be on "auto?"

Post by palerider » Sun Oct 16, 2016 1:30 pm

avi123 wrote:
Esskay33 wrote:Generally, is there any reason not to set your machine to auto?
An American Academy of Sleep Medicine Report as of Nov 2007:

"certain APAP devices may be initiated and used in the self-adjusting mode for unattended treatment of patients with moderate to severe OSA without significant comorbidities (CHF, COPD, central sleep apnea syndromes, or hypoventilation syndromes); "

Source: http://www.aasmnet.org/Resources/Practi ... Update.pdf
ancient crap, just like the guy that posted it.

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Re: Is there any reason NOT to be on "auto?"

Post by Guest » Sun Oct 16, 2016 5:03 pm

correction:
afaik CHF is Congestive Heart Failure not
avi123 wrote:Cardiac Health Failure
also worth noting is that my dads pulmo doc put him on a bipap because of the CHF

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avi123
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Re: Is there any reason NOT to be on "auto?"

Post by avi123 » Sun Oct 16, 2016 5:44 pm

Guest wrote:correction:
afaik CHF is Congestive Heart Failure not
avi123 wrote:Cardiac Health Failure
also worth noting is that my dads pulmo doc put him on a bipap because of the CHF
Thanks, see also here that a bipap therapy is a way to go about it.

This is from Den Wolfman:

World J Cardiol. 2014 Nov 26; 6(11): 1175–1191.

Published online 2014 Nov 26. doi: 10.4330/wjc.v6.i11.1175

PMCID: PMC4244615

Positive airway pressure therapy for heart failure.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4244615/

In relation to the OP: As I understand it almost all the accredited Sleep study clinics don't put patients on an Auto CPAP, unattended, while they do their titrations.

Is it possible that the advice of not using Auto CPAP was meant for those with heart arrhythmias while CHF has to do with coronary artery disease, a condition where the coronary arteries become narrowed or completely blocked ?

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see my recent set-up and Statistics:
http://i.imgur.com/TewT8G9.png
see my recent ResScan treatment results:
http://i.imgur.com/3oia0EY.png
http://i.imgur.com/QEjvlVY.png

Guest

Re: Is there any reason NOT to be on "auto?"

Post by Guest » Sun Oct 16, 2016 8:15 pm

i am confused by the above but will point to this i am not sure who is saying this but it does refer to "accredited Sleep study clinic" and a titration not home use
avi123 wrote:In relation to the OP: As I understand it almost all the accredited Sleep study clinics don't put patients on an Auto CPAP, unattended, while they do their titrations.

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Re: Is there any reason NOT to be on "auto?"

Post by palerider » Sun Oct 16, 2016 8:54 pm

Guest wrote:i am confused by the above but will point to this i am not sure who is saying this but it does refer to "accredited Sleep study clinic" and a titration not home use
avi123 wrote:In relation to the OP: As I understand it almost all the accredited Sleep study clinics don't put patients on an Auto CPAP, unattended, while they do their titrations.
best to just ignore avi, he's well past his 'best by' date... and loves to dredge up irrelevant crap to confuse people... not that I think he does it on purpose... just that's how his mind has started to wander.

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Re: Is there any reason NOT to be on "auto?"

Post by Lucyhere » Sun Oct 16, 2016 9:06 pm

palerider wrote:
Guest wrote:i am confused by the above but will point to this i am not sure who is saying this but it does refer to "accredited Sleep study clinic" and a titration not home use
avi123 wrote:In relation to the OP: As I understand it almost all the accredited Sleep study clinics don't put patients on an Auto CPAP, unattended, while they do their titrations.
best to just ignore avi, he's well past his 'best by' date... and loves to dredge up irrelevant crap to confuse people... not that I think he does it on purpose... just that's how his mind has started to wander.
palerider...

Avi is 90 years old. If he isn't posting something that could potentially harm someone, LEAVE HIM THE HELL ALONE, you Big Bully

If you are directing your posts to him, let me assure you that you are on his Foe list, and unlike you, he doesn't tell people they are on his Foe list and then read the post.
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Re: Is there any reason NOT to be on "auto?"

Post by chunkyfrog » Sun Oct 16, 2016 9:12 pm

A great deal of what avi says can be harmful; or are you unable to READ?

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Re: Is there any reason NOT to be on "auto?"

Post by palerider » Sun Oct 16, 2016 9:17 pm

noise wrote:Avi is 90 years old. If he isn't posting something that could potentially harm someone, LEAVE HIM THE HELL ALONE, you Big Bully

If you are directing your posts to him, let me assure you that you are on his Foe list, and unlike you, he doesn't tell people they are on his Foe list and then read the post.
to whoever, posted this, (and I wouldn't have read it if it weren't for chunky's comment...)

avi posts bullshit that misleads and confuses people, I'm talking to THEM, as is the responsible thing to do.

you can take your hypocritical horseshit "be kind... takes so much less energy." and shove it where the sun doesn't shine.

it's clear you don't give a shit about the welfare of anybody that may be misled or confused by avi's bullshit, but others of us do.

edit: just in case anybody is wondering, I've got a firefox extension, "foxreplace" that substitutes offensive words for others, words like the usernames of posters here that contribute nothing but noise... so between that and the foe list, all I see is

"This post was made by noise who is currently on your ignore list."

and the forum is a nicer place

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Last edited by palerider on Mon Oct 17, 2016 7:04 am, edited 1 time in total.
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