Resmed Autoset II how to set

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
Do nurses have OSA?
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Resmed Autoset II how to set

Post by Do nurses have OSA? » Mon Aug 23, 2010 9:57 am

good morning,

I have a new machine and have the instructions how to set the autopart. My order is for CPAP 12 with CFlex 3 or 4. Can anyone give me advice on how to set my machine with similar settings for auto?

thanks in advance,
Connee

dtsm
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Location: CT

Re: Resmed Autoset II how to set

Post by dtsm » Mon Aug 23, 2010 10:47 am

I'm assuming C-flex is like EPR? I would suggest starting at: EPR 3, apap range 12-20, then tweak EPR settings (for comfort) after a few days. You might EPR 2 or 1 works just as fine. Then after determining final EPR, you can narrow apap band accordingly.

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rested gal
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Re: Resmed Autoset II how to set

Post by rested gal » Mon Aug 23, 2010 11:37 am

Nurse, your equipment profile says you have a ResMed machine. But you said your prescription mentions setting "C-Flex."

ResMed machines use "EPR" for exhalation relief.

Respironics (and Philips Respironics) machines use "C-Flex" and "A-Flex" for exhalation relief.

Is your machine a ResMed S8 Autoset II? If so, there is no setting in the menu for "C-Flex." There is a setting for "EPR."

The range dtsm suggested of 12 - 20 with EPR at whatever feels comfortable to you sounds fine to me. If you set the minimum pressure at 12 and EPR at "3" (for a 3 cm drop in pressure each time you breathe out), the minimum pressure will drop down to 9 by the end of each of your exhalations.

If you really need 12 to keep your airway open during sleep, and if 9 is not enough to keep your airway at least partially open at the end of breathing out, an apnea might be in place, preventing you from being able to get another breath started.

It helps to have the software and do your own data downloads at home, so you can see if you need more than 12 for your minimum pressure when using EPR 3, or if a 3 cm reduction is ok (which it probably will be.)

Software would make it easier to see what happens with EPR 1, 2, or 3 (for a 1 cm drop in pressure when exhaling, 2 cm drop, or 3 cm drop.) You could then adjust the EPR one way or the other, or even turn it off. Or raise the minimum pressure, if need be, to compensate for the amount of EPR drop you find most comfortable for breathing out, yet still be able to hold the airway well and truly open.
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