Resmed autoset or not with hypopnea

[kaybaby]

Hello everyone,

I am currently using a System One with the pressure set at 11 for my Hypopnea. I was gifted a Resmed Airsense 10. I have read that the autoset is good for those with obstructive sleep apnea, which I do not have. The Airsense 10 is not the "for her" model.

I was wondering if you all could offer suggestions on whether or not to use the CPAP setting or the autoset? I used it last night with the autoset 8-20, I did not go past 9.4. The ramp is set at 10 minutes and the EPR at 3. I had issues with the "whistling" sound from the mask that was annoying. AHI from last night was 1.11.

What do you all think?

Thanks so much,

Kay

[Omne]

My primary problem is also hypopneas rather than obstructive apneas. I had a set constant pressure originally and it made it worse. When I switched to the autoset it helped a lot. I'll let others more experienced answer the settings part.

[LSAT]

If you do not have obstructive sleep apnea, why are you using a CPAP?

[Julie]

Hypopneas are wannabe apneas, and you could push yourself over that line if you stop. What I would suggest is that if you're a back sleeper (which provokes lots more events, snoring and hypopneas too) make an effort to not do it - pillows in behind, etc... and/or try a soft cervical collar to keep your head up and your airway more open - some people have found it works very well.

[kaybaby]

Thank you for responding. I have tried alternative ways of treating my hypopnea. CPAP therapy works wonderfully and has stopped the horrible headaches I would wake up with. I feel rested and ready to take on the day using my CPAP. Without it, it is miserable. I do stop breathing with my hypopnea as well. I do not take any medication other than for thyroid. No sleeping pills etc.

Kay

[chunkyfrog]

If you do not have obstructive sleep apnea, why are you using a CPAP?

LSAT: I gather you mean an auto should have been prescribed at the very beginning.
Yeah, that happens. Major Burns and many like him made it to civilian practice.

Note, for those who do not understand hypopneas--or may have forgotten:
I believe all the definitions are in the Cpap Wiki at the top of the page. See the light bulb.

[palerider]

I do stop breathing with my hypopnea as well.

that's called "APNEA". describing your situation as "hypopnea" is a misuse of terms that will confuse people and delay getting you the right suggestions to help you.

[kaybaby]

Thanks everyone. I do like this machine much better, just want to make sure I'm using the correct setting. I will play around with it and see what works for me. Have a great evening.

I wanted to add that I "don't" stop breathing with my hypopnea. It was a typo.
Kay

[palerider]

Thanks everyone. I do like this machine much better, just want to make sure I'm using the correct setting. I will play around with it and see what works for me. Have a great evening.

I wanted to add that I "don't" stop breathing with my hypopnea. It was a typo.
Kay

so, as lsat asked, what was your diagnosis, why did you have a sleep test and why are you on a machine if you don't have apena?

[chunkyfrog]

Hypopnea syndrome is often treated with cpap, just like obstructive apnea.
Insurance may have an issue; but screw them.

[Guest]

If you do not have obstructive sleep apnea, why are you using a CPAP?

that is such a sad question coming from a veteran who thinks he knows something
forgive him or ignore him

[Wulfman...]

Hello everyone,

I am currently using a System One with the pressure set at 11 for my Hypopnea. I was gifted a Resmed Airsense 10. I have read that the autoset is good for those with obstructive sleep apnea, which I do not have. The Airsense 10 is not the "for her" model.

I was wondering if you all could offer suggestions on whether or not to use the CPAP setting or the autoset? I used it last night with the autoset 8-20, I did not go past 9.4. The ramp is set at 10 minutes and the EPR at 3. I had issues with the "whistling" sound from the mask that was annoying. AHI from last night was 1.11.

What do you all think?

Thanks so much,

Kay

I would suggest setting the AS-10 to the same settings and configuration you've been using in the previous machine (for awhile) and see how they compare in an "apples to apples" situation. THEN, you can start tweaking to your heart's content.
Have you been using software (specifically Sleepyhead) with your previous machine data?


Den

.

[mlmollenkamp]

I have complex apnea, also with hypopnea. Is your hypopnea central, or obstructive? It makes a big difference in how you tune the machine. You may need to experiment to find what settings work best. For me, increasing pressure leads to more central apneas, less pressure to more obstructive apnea's. But the bulk of my AHI under treatment is from hypopnea (without a machine I have an extremely high AHI from obstructive apnea). My hypopnea index doesn't generally change very predictably however, and varies night to night so for me its a fairly long process. Unfortunately I had a bad night when I took my sleep test, so while the information is very useful and a good starting point (I had an excellent tech) I'm pretty much on my own as an ongoing process. For me it's most useful to make minor adjustments, then live with them for a week or two to average out the night to night variation. if your therapy is working reasonably well make small changes and average over a long period of time. Don't just go by the reports from the machine, it just measures air flow and doesn't know which events are the ones that are important, keep a log of how you feel and see how it correlates against the machine reports. For me, the auto titration is of limited usefulness, although it works if I limit the range over which it operates. Good luck to you!

[Omne]

If you do not have obstructive sleep apnea, why are you using a CPAP?

In my case it's because the hypopneas dropped my SpO2 to 80% during the sleep study. There are also some apneas but a lesser number, it's mostly hypopneas.
That's why AHI is Apnea Hypopnea Index, they treat them similarly.

[palerider]

If you do not have obstructive sleep apnea, why are you using a CPAP?

In my case

you're just a fluffy kitty, what do you know?