Can Someone PM Me Regarding...

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
JayPSU
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Can Someone PM Me Regarding...

Post by JayPSU » Wed Jul 19, 2006 7:09 pm

Would someone mind PM'ing me and explaing how to access the ResMed S8 AutoSet Vantage Clinical Menu? My DME set my range at 12-18, and I would like to lower that 12 to 4 and have a range of 4-18. I don't want to have all that air in my face if I don't need it, otherwise I'd just use cpap mode! If someone can PM me and help I would greatly appreciate it! Thanks!!


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JayPSU
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Re: Can Someone PM Me Regarding...

Post by JayPSU » Wed Jul 19, 2006 7:35 pm

I should also note that I'm interested in how to access the AHI type of data that it records, how to set it so that i can access it without having a card reader and software. All of that good stuff that we should be allowed to know how to access anyway!



[quote="JayPSU"]Would someone mind PM'ing me and explaing how to access the ResMed S8 AutoSet Vantage Clinical Menu? My DME set my range at 12-18, and I would like to lower that 12 to 4 and have a range of 4-18. I don't want to have all that air in my face if I don't need it, otherwise I'd just use cpap mode! If someone can PM me and help I would greatly appreciate it! Thanks!!


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cpapjack
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Post by cpapjack » Wed Jul 19, 2006 7:47 pm

Jay,

I just sent you a PM.

cpapjack

JayPSU
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Post by JayPSU » Wed Jul 19, 2006 7:51 pm

cpapjack wrote:Jay,

I just sent you a PM.

cpapjack
Thanks! Is it pretty much self-explanatory making the changes once you get to this menu?

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Goofproof
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Post by Goofproof » Wed Jul 19, 2006 7:52 pm

Lowering your pressure to 4 isn't in your best interest, most people starve for air at 4 CM, you may have had a DME whose not dumb, They are hard to find. Jim

Use data to optimize your xPAP treatment!

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

JayPSU
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Post by JayPSU » Wed Jul 19, 2006 7:56 pm

[quote="Goofproof"]Lowering your pressure to 4 isn't in your best interest, most people starve for air at 4 CM, you may have had a DME whose not dumb, They are hard to find. Jim


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cpapjack
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Post by cpapjack » Wed Jul 19, 2006 7:58 pm

JayPSU wrote:Thanks! Is it pretty much self-explanatory making the changes once you get to this menu?
Yes. If you want, I can scan the page of the manual that has this information and email it to you. Let me know. And I agree with goofproof. A pressure setting of 4 is very low. When I was on my APAP trial period, I started out at 4 and I felt like I was suffocating like goof said. I changed it to 6 and that is much better.


JayPSU
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Post by JayPSU » Wed Jul 19, 2006 8:00 pm

cpapjack wrote:
JayPSU wrote:Thanks! Is it pretty much self-explanatory making the changes once you get to this menu?
Yes. If you want, I can scan the page of the manual that has this information and email it to you. Let me know. And I agree with goofproof. A pressure setting of 4 is very low. When I was on my APAP trial period, I started out at 4 and I felt like I was suffocating like goof said. I changed it to 6 and that is much better.

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Post by Snoredog » Wed Jul 19, 2006 8:52 pm

JayPSU wrote:
cpapjack wrote:Jay,

I just sent you a PM.

cpapjack
Thanks! Is it pretty much self-explanatory making the changes once you get to this menu?
Yes it is pretty easy, you just follow the menu. You want to enable the SmartData feature then press the two outside keys to display the data, that is if there is any to display. That machine switches to the next day at 12PM, so you want to view it before noon to display last session data.

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cpapjack
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Post by cpapjack » Wed Jul 19, 2006 9:23 pm

Just sent you the email with the manual.

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wading thru the muck!
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Post by wading thru the muck! » Fri Jul 21, 2006 12:57 pm

JayPSU,

Do you know what your titrated pressure setting was during your sleep study?

I agree with GoofProof, that lowering your bottom pressure may not be a good idea... especially if you are not set up to monitor how it is affection your AHI.

If you must, I would suggest starting at about 8cm and then work your way back up to 12cm as you get used to the pressure.

Also... since your ResMed auto will not allow you to use EPR in the auto mode, you may find that your titrated fixed pressure with EPR may be more comfortable than the auto without.

Sincerely,
wading thru the muck of the sleep study/DME/Insurance money pit!

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sleepylady
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Post by sleepylady » Fri Jul 21, 2006 2:01 pm

JayPSU,

Do you use the ramp feature? If not, I highly recommend it for getting used to higher pressures. I was originally titrated at 14 and then increased to 16. It really came in handy. By the time the pressure got up to 16 I was asleep and able to handle it. Luckily I now have an APAP, though my starting pressure is my old titrated pressure. I go from 14 - 17. I lowered it to 12 - 17 to begin with and found it was too low and I was tired all the time. I eventually increased it to 13 - 17, but was still really tired. When I moved it to 14 - 17, I found it worked best for me. Now I only have about one bad day a week as compared to 6 days.

Do you have a copy of your sleep study? If not, I highly recommend getting it. In the report you'll find a chart that shows the pressures they tried and what your apneas and hypopneas were at those pressures. If you're going to lower your pressure, this will help you to better guestimate what your starting pressure should be.

Also, if you got this APAP from a DME and find you are having problems with the pressure then you may want to think about talking to your doctor about a change of machines to a Respironics APAP with CFlex. I hear great things about that machine. Hopefully you have a rental period so this won't be a problem. In my case, my insurance "rents" my machine for 10 months. I originally had a ResMED S7 Lightweight CPAP. After trying to increase the pressure with little improvement, my doctor switched me to an APAP. Since I was under the rental period, the DME switched it out for a new APAP.

Melinda


JayPSU
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Post by JayPSU » Fri Jul 21, 2006 2:38 pm

[quote="sleepylady"]JayPSU,

Do you use the ramp feature? If not, I highly recommend it for getting used to higher pressures. I was originally titrated at 14 and then increased to 16. It really came in handy. By the time the pressure got up to 16 I was asleep and able to handle it. Luckily I now have an APAP, though my starting pressure is my old titrated pressure. I go from 14 - 17. I lowered it to 12 - 17 to begin with and found it was too low and I was tired all the time. I eventually increased it to 13 - 17, but was still really tired. When I moved it to 14 - 17, I found it worked best for me. Now I only have about one bad day a week as compared to 6 days.

Do you have a copy of your sleep study? If not, I highly recommend getting it. In the report you'll find a chart that shows the pressures they tried and what your apneas and hypopneas were at those pressures. If you're going to lower your pressure, this will help you to better guestimate what your starting pressure should be.

Also, if you got this APAP from a DME and find you are having problems with the pressure then you may want to think about talking to your doctor about a change of machines to a Respironics APAP with CFlex. I hear great things about that machine. Hopefully you have a rental period so this won't be a problem. In my case, my insurance "rents" my machine for 10 months. I originally had a ResMED S7 Lightweight CPAP. After trying to increase the pressure with little improvement, my doctor switched me to an APAP. Since I was under the rental period, the DME switched it out for a new APAP.

Melinda


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bigpaulo
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Post by bigpaulo » Tue Aug 01, 2006 8:26 am

JayPSU, I cleaned up that data for you, this makes it much more readable...

Code: Select all

Pressure 	Time (min)	Sleep (%) 	REM (%) 	AHI (p/h) 
4 			 12.0 		  87.5 		    0.0 		40.0 
6 			 15.4 		  99.4 		    0.0 		23.5 
8 			 18.7 		  92.0 		    0.0 		10.5 
10 			56.0 		  98.2 		    0.0 		 0.0 
12 			46.4 		  94.6 		   19.4 		 2.7 
14 			148.4 		 94.6 		    6.4 		 0.4  
What that tells me is that at a pressure of 10 (cm of water pressure), you had an AHI of 0.0 per hour (my understanding, AHI means apnea and hypopnea events per hour). So if you were going to minimize your AHI, it looks like a pressure of 10 is ideal for you.

What I don't know, and am trying to determine, is how important REM is to your wellbeing and sleep health... it may be better to have a low but non-zero AHI if you maximize your REM percentage... maybe a pressure of 12 would be better for you.

I'm not a doctor, just an engineer, but those numbers clearly show that a pressure of 10 gave you zero AHI "on the night of your sleep titration study"... doesn't mean it can't vary from day to day (allergens in air, humidity, diet, weight change, tides on Neptune, etc.)

Considering your DME set your machine from 12 to 18, if that was my data, and I was going to reset the limits, I would set it from 10 to 18 in AutoPAP mode... 10 appears to give you the best AHI, and is a small change from 12 (always change it in small increments, try for a few days and see how you like the change before deciding on another incremental change). Letting it range up to 18 if needed will be OK, it should only go up that high if it detects the need, which should be rare given the incredible reduction in AHI you recorded at 10.

bigpaulo