What Settings For My New Autopap?

Yoga · Post by **Yoga** » Mon Feb 28, 2005 8:08 am

Based on the recommendations of many about the Remstar Auto w/c-flex, I am supposed to receive one today. I was titrated at 7. The Swift mask is fine at 7. However, due to snoring at a setting of 7 with the F&P 405 flexfit & Nasalaire I, I had to up the setting to 11 on my Remstar Pro w/cflex when using those 2 masks. What settings do you recommend for my new auto?

Thanks.

derek · Post by **derek** » Mon Feb 28, 2005 8:26 am

Yoga,
Congratulations on am excellent choice

I presume you will have the clinician's manual to allow you to make changes. PM me with an email address if you don't.

The settings are not too critical. Just start off by making sure you encompass your expected treatment range, and let the smarts in the machine do the work for you.

Cosiderations: At the low end, remember that this is where the machine will start when you turn it on. Make sure that you are comfortable at that pressure - some folk have problems if the pressure is too low.
At the high end - you might want to leave it at 20 cm H2O and see what happens over the first few nights, just to see what you really need.

I was titrated at 12 cm. I have mine set at 5.5 - 14 cm. It rarely gets over 11 cm.

derek

gailzee · Post by **gailzee** » Mon Feb 28, 2005 11:36 am

Hi
I have the PB 420E. I have mine on autopap of 5-14.0. I never have gotten to 14. With the "Silverlining" software I am able to monitor my progress, and my average has been at 10.5. Point is with the "regular" CPAP (dare I say "straight" CPAP-- LIAM??) your higher pressures might actually be running too high, discomfort, etc etc. One night I hit 11.0.
Beauty of autopap, it lessens the thinking I have to do. I have to concentrate more on the nasal pillow and trying to be comfortable and have no leaks with that.

I was pleasantly surprised when I asked for an autopap and my dr. rewrote the scrip without question. So I guess they've either heard the auto/straight cpap argument, or probably more likely, too darn busy to give a rip about changing a scrip.

It is my opinion ONLY, that due to many doc's, RT's, DME's, not knowing or backing an auto, adds fuel on this board when many noobies get handed a scrip and don't even know about an auto pap and its impact.

I say why take more pressure when you can benefit from less. Makes sense to me.

I find the 420E to be fine with me. I have no other machine to compare it to, and I don't count the sleep study, that was at a clinical setting and LORD knows how old a machine it was. It was very large in size, so I'm gathering it's been in use awhile.

Yoga wrote:Based on the recommendations of many about the Remstar Auto w/c-flex, I am supposed to receive one today. I was titrated at 7. The Swift mask is fine at 7. However, due to snoring at a setting of 7 with the F&P 405 flexfit & Nasalaire I, I had to up the setting to 11 on my Remstar Pro w/cflex when using those 2 masks. What settings do you recommend for my new auto?

Thanks.

Yoga · Post by **Yoga** » Mon Feb 28, 2005 11:38 pm

Thank you Derek and Gaileeze. I received the manuals. My husband set the machine for 6-14.

I took a 2 hour nap and tried the remstar auto cflex with a Swift mask. I felt that when it started that 6 was not enough air flow. When I woke up, I felt that the air flow was too strong and the setting was registering 13.5. Is anyone else using a Swift mask withe the remstar auto cflex and have any suggestions.

I have not purchased the software yet as wanted to be sure the machine would not be too noisy.

If I opt to use the machine as a straight cpap, would I still be able to download useful information?

Yoga · Post by **Yoga** » Mon Feb 28, 2005 11:58 pm

Thank you Derek and Gaileeze. I received the manuals. My husband set the machine for 6-14.

I took a 2 hour nap and tried the remstar auto cflex with a Swift mask. I felt that when it started that 6 was not enough air flow. When I woke up, I felt that the air flow was too strong and the setting was registering 13.5. Is anyone else using a Swift mask withe the remstar auto cflex and have any suggestions.

I have not purchased the software yet as wanted to be sure the machine would not be too noisy.

If I opt to use the machine as a straight cpap, would I still be able to download useful information?

rested gal · Post by **rested gal** » Tue Mar 01, 2005 12:15 am

hi Yoga,

You asked:

If I opt to use the machine as a straight cpap, would I still be able to download useful information?

I'm not sure about that, but I've done this before: you can set it on auto (or auto/cflex if you prefer) and set both the upper and lower pressure to same number - like low pressure at 10 and high pressure at 10. It will work as if it were a straight cpap delivering just that one pressure. You would definitely get all the overnight data then. Maybe it will give the full data if set in cpap mode or cpap/c-flex mode...dunno. I do know the low/high pressure set for same number will work to give data.

wading thru the muck! · Post by **wading thru the muck!** » Tue Mar 01, 2005 12:23 am

Yoga,

I use the REMstar Auto w/C-flex and the Swift with no problems. My pressure rarely gets that high though. I have no problem with the bottom at 6cm and could go lower but keep it there to minimize my snores.

gailzee · Post by **gailzee** » Tue Mar 01, 2005 12:47 pm

I can't answer the Remstar question for you, but several others on here can, but I do use the swift, you know, it's ok. It's not like winning the lottery, but it's the least objectionable.

I could ans. your questions re: software only for the PB 420E. I finally had much needed help and tutorial from a very knowledgeable cpap-er, and now ea. morning I look to see how my apap ran and what I ''did" during my sleep.

I'd love to know what levels of sleep we pass thru, seems like it could be built into software, no?

Good luck with finding out ans. to remstar questions.

G.

Yoga wrote:Thank you Derek and Gaileeze. I received the manuals. My husband set the machine for 6-14.

I took a 2 hour nap and tried the remstar auto cflex with a Swift mask. I felt that when it started that 6 was not enough air flow. When I woke up, I felt that the air flow was too strong and the setting was registering 13.5. Is anyone else using a Swift mask withe the remstar auto cflex and have any suggestions.

I have not purchased the software yet as wanted to be sure the machine would not be too noisy.

If I opt to use the machine as a straight cpap, would I still be able to download useful information?

rested gal · Post by **rested gal** » Tue Mar 01, 2005 3:03 pm

hi gailzee,

That would be nice...

I'd love to know what levels of sleep we pass thru, seems like it could be built into software, no?

But.... would you really want to wire your head up each night for EEG and put little sensors near your eyes? 'Cuz that, and more, would be what it would take to pass sleep stage info along into a machine, I do believe. And it would be a pretty expensive machine - not an autopap as we know them.

Liam1965 · Post by **Liam1965** » Tue Mar 01, 2005 3:07 pm

rested gal wrote:But.... would you really want to wire your head up each night for EEG and put little sensors near your eyes?

<SHUDDER>

I don't EVER want to go through that again, unless the result is a direct neural interface to the internet, so I can respond even FASTER to cpaptalk.com questions.

Liam, who knew sleep studies could provide LSD-like flashbacks...

Yoga · Post by **Yoga** » Tue Mar 01, 2005 9:45 pm

Muck,

I decided to up the lower pressure because 6 was just too low. What is your upper setting?

Last night I used the Flexfit 405 mask and when I woke up it was at 9.5 which felt o.k. However, I was surprised because I usually had to set it at 11 on the Remstar Pro w/cflex to avoid snoring.

Unfortunately the machine has a chemical smell which I can not tolerate so was advised to let it blow w/o the humidifier in cpap mode for 12 hours. Anyone else having this problem and how did you solve it?

chrisp · Post by **chrisp** » Tue Mar 01, 2005 9:54 pm

Yes the "NEW" smell is normal. Put the cpap in your car and let it run for the day. The plastic smell will be gone from the cpap and your car will smell new.

This only works in older cars. If you try it in a new car it won't work.

Cheers,

Chris

wading thru the muck! · Post by **wading thru the muck!** » Tue Mar 01, 2005 10:06 pm

Yoga,

I set mine at 6cm to 13.5cm. My lab titration was 7cm. I have run the machine wide open and have found little difference at the top end. I just put the lowwer cap as a safety measure.

unclebob · Post by **unclebob** » Tue Mar 01, 2005 10:30 pm

Hi chrisp,

That was a great post! Still chuckling and if I wake up laughing in the night could seriously damage the muffler on my hose!

Bob F

-SWS · Post by **-SWS** » Tue Mar 01, 2005 10:33 pm

chrisp wrote:Yes the "NEW" smell is normal. Put the cpap in your car and let it run for the day. The plastic smell will be gone from the cpap and your car will smell new.

This only works in older cars. If you try it in a new car it won't work.

Cheers,

Chris

So that's how they make those hanging and liquid spray deodorizers with the "new car" smell! Those enterprising hose heads....!!!

What Settings For My New Autopap?

What Settings For My New Autopap?

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