Climateline tubing: Like it or Hate it?

[ptl4now]

i I received my new machine last night, with the S9 with the climate line tubing. I was all excited to go to bed last night!!! I cracked my window (apparently not enough because it did not cool off in my room). I couldn't sleep, i kept coughing and coughing, my mouth was so dry. This is not normal for me. I got up, opened my window further, and played around with the settings on my machine. The climate control was set all the up to 80. so I lowered it to 70 and went back to bed. the room cooled, and I slept for 4 hours, when I woke up with a face full of water, more than I have ever had before on my old machine. Yet, i think my mouth was still real dry, now I am not sure, everythign is blurry.

How do I set this for a cold room where I do not get dried out, and I do not get water all over my face?????

[HerbM]

You didn't say "How Cold"?

I am setting mine about 71-73 (with Airfit P10) and a room at 65-67 degrees.

No issue at all.

If you want to disable the heat tubing turn it around with fancy connector at mask, but the idea is that it is supposed to prevent the rain out.

BTW, I love it but have as a beginner have nothing else to compare.

[ptl4now]

How cold?? well, it was 11 degrees below zero outside when I work up. I have no themometer in my room, so I have no idea how cold it was in my bedroom. I don't have control to set heat on any certain temp, so i cannot even give a starting point. What happens if you turn your climate control up, and what happens when you turn it down? I don't know which way to go for less rain out!!!

[HerbM]

One of the more experience people may know this cold BUT here is what I THINK might be true.

With you room at somewhere between -11 and 40 or so (at best) you have a temperature differential that the hose likely cannot handle even with it's heat -- minimal heat really because it never gets HOT.

The higher the temperature you set an S9 the more moisture in the air so when the air cools LOGIC says there is more water there to condense out.

You might try turning it way down or off. Cold air carries less water (has a lower dew point). The H5i humidifier might freeze up at the temperatures of your room.

Can you compromise on the temp by leaving the window just a crack open?

Also, I don't believe the climateine has much to do with the temp setting -- that is what the heating plate is doing to the water the air passes over -- the tube is just supposed to keep it from cooling between the machine and you. (I believe.)

I don't believe you are supposed to wrap/cover a climateline -- maybe some one else knows but that is the standard workaround for an ordinary tube that is getting chilled by room temperature.

But realistically SOME of my climateline ends up under the blankets with me and so far it hasn't done anything bad. YMMV

Much of the above is conjecture based only on my training in diving and pressure related engineering and not actual experience.

[Sir NoddinOff]

I'm a pretty big fan of heated hoses for two reasons. One. They keep 'rain out' or condensation from dripping into my mask. Two. They help me use my Quattro FX full face mask by providing some extra warm moisture into my throat when I switch to mouth breathing, which I do from time to time throughout the night. I hate waking up with a throat like the Sahara desert. Some people find the warm humid air comforting and others hate it... pretty much like most of the issues involving CPAP.

[BlackSpinner]

On my PR1 system you have to set it up special to use the heated hose. Are you sure it is ON and the system knows you have one?

[Pugsy]

With the ClimateLine hose being used the automatic setting is the default and the only thing you can change is the temperature of the hose. Did you go into the clinical setup menu and alter the humidity default from automatic?
The machine is set up to recognize the Climateline immediately and unless you changed something...it set itself to automatic delivery. With the automatic setting the only choice on the LCD screen for adjustment is temperature.

There is a manual adjustment available but let's just stick with automatic for now.
This automatic setting uses sensors in the machine and it will try to maintain a constant 80 % humidity delivery...and it doesn't make any difference what temperature the hose is set at.
So more heat doesn't equal more added moisture when the ClimateLine heated hose is used....
Now if a non heated hose is used..yes, more heat means more added moisture.

Posts number 2 and 3 in this thread talk about condensation both in mask and hose and options to reduce it.
viewtopic/t94035/Pugsys-Pointers-3Deali ... -road.html

Where you went wrong was turning the machine down to 70 degrees...the humidifier was cranking out 80% humidity and a temperature of 70 degrees simply won't hold on the moisture and condensation occurs.
So the temperature needs to be increased and if your bedroom is going to cool down a lot...you may need 80 or more.
I like a cold bedroom...I have to use 84 degrees with my ClimateLine and I still get an occasional small amount of condensation in my mask.

Hose cozies can be used with the Climateline. In fact ResMed even makes one that can be used on it. Also many forum members use Padacheek's hose cozies successfully. I have never read of anyone having a problem using a hose cozy on the Climateline and I haven't read anything from ResMed saying not to do it.

So to reduce rain out when using the ClimateLine hose at the default Automatic setting (and if you only get a temp choice available that tells me it is set to automatic in the clinical menu)...
you either have to increase the temp in the hose, warm up the air temp in the bedroom or insulate the hose with a hose cozy and depending on mask used some insulation on the mask (barrel cozy for nasal pillow masks).

Dry mouth....what mask were you using? A full face mask where the mouth is covered by the mask?
Probably mouth breathing and sometimes no amount of added moisture will fix it...
It's a common problem and discussed often here on the forum.

[ptl4now]

.I have to use 84 degrees with my ClimateLine and I still get an occasional small amount of condensation in my mask.

So basically I want to turn it up, not down? and my machine only goes up to 80....do I need to call someone to ask to change the numbers I can access??

Thank you all for the helpful responses!!!

I do keep my room cold most nights, i crack my window. it was only open an inch or two last night, just enough to cool everything off, not enough to freeze anything.

Someone mentioned how do I know if my machine is set to detect the climateline.....how do I know if this is right? the options on the screen are for climate line, instead of humidity, does that mean its set right??

I tried contacting the company I got the machine through, but of course, they were with a client, and did not call me back, so I am on my own for the night!!

[Pugsy]

Yes, you want warmer air because the warmer the air the less chance of condensation. So increase the temp.
Your machine should go to 86 degrees. Not sure why it won't.
Here's a link for downloadable pdf of the clinical/provider manual for your machine
http://www.apneuvereniging.nl/forum/pdf ... manual.pdf
It explains how to get into the clinical menu ...sounds like the DME supplier has done something so you can't increase the temp..not sure what it could have been if you can reduce the temp. Doesn't make sense. Normally if you can't do one change you can't do the other.
Anyway, download and read the manual when you have time...it will help explain the features and what you need to do to change the temp...while you are in the clinical setup menu...change Sleep Quality to On from the default Useage.

Here's a page where there is a video in addition to some other instructions with pictures.
http://www.apneaboard.com/resmed-s9-cpap-setup
the video is towards the bottom.

Someone mentioned how do I know if my machine is set to detect the climateline.....how do I know if this is right? the options on the screen are for climate line, instead of humidity, does that mean its set right??

yes, it means that the machine knows you are using the Climateline...also the fact that you have temp degrees means it recognizes the ClimateLine....if it didn't you wouldn't get degrees...you would only get numbers 1 through 6 for humidity.
So I know your machine knows you have the climateline attached.

Go with 80 degrees tonight if you can't get it to go higher. It will be a lot better than 70 degrees. Worry about making it higher tomorrow if you need to.

What is the model name of your S9? Model name is right up there on the blower where the LCD screen is.

[HerbM]

You likely will have the best chance by changing it to manual.

Then you can set the humidity and the hose temperature separately.

Crank the hose UP to 80. Turn the humidity down (1-6) until you reduce the rainout.

ClimateLine user instructions http://www.resmed.com/au/assets/documen ... lo_eng.pdf

[Pugsy]

Crank the hose UP to 80. Turn the humidity down (1-6) until you reduce the rainout.

Gotta be careful doing this....being dried out from lack of moisture is more uncomfortable than dealing with a little rain out.
Rain out is annoying but won't hurt you.
Having dried out nasal mucosa and sinuses can make a person feel horrible with some really nasty symptoms that take 3 or 4 days to go away...I speak from personal experience.

[HerbM]

The presumption is that he will adjust the humidity down until he is just below rain out and keep the humidity in the hose fairly high.

Don't crank it ALL THE WAY down automatically. And if there isn't enough range play with the heat setting as well, lower the heat from 80 and increase the RH that way.

The main issue is now on manual THE USER must be careful to estimate what settings will work for him as the weather conditions change.

Using a temperature calculate on google https://www.google.com/search?q=68+degr ... hannel=kws and a RH conversion calculator like there [url]http://www.randombox.net/humidity.php[url] and monitor the weather forecast for overnight and it's possible to learn to adjust.

(Or find a better calculator that works in the units you prefer.)

Auto is better if you can get it to work. Separating the heat and humidity settings gives you more control at the expense of more work and more frequent error IF the machine could even get it right.

The automatics on the machine are smart but they locked the RH at 80 for the automatic settings (see manual) and that takes away the machines way to compensate for larger ranges of temperatures.

[chunkyfrog]

I am so spoiled by heated tubing. In the last 3 years, my only nights with no heat have been while traveling.
I may have to steal DH's independent heated tubing to use with my Intellipap.
(I wonder if he'll notice)

[ptl4now]

Wow, lot's of really good info here, thank you all for the posts and advice!!! I never managed to make it to bed at all last night, so I didn't play around with my machine at all. I will be headed to bed shortly (finally!!) and I am gonna set the climate control up to 86 and see what happens. It's also a warmer night, has to be close to zero or above I think, perhaps that will affect it as well.

Thanks again for all and any input!!!