Sorta new

[tmbarber4]

Well here goes, My husband is on cpap and the DME brought out a cheap do nothing machine. I have been reading here for the last few months and have learned so much but there is so much I just don't understand. First I have returned the cpap and bought him one. I have figured out how to get into the settings but I really don't know where to go from there. The machine is a Resmed autoset spirit. I just got it today (used with 22 hours on it) now the question is where to set it at. The prescription I believe says (10cm??). Now I will give you some of the numbers on the sleep study.
"The patient spent a total of 489 minutes is bed, of which 337 min. were sleep resulting in a sleep efficiency of 69 %.. The patient had sleep latency of 14 minutes and Rem latency of 44 minutes. The patient spent 2% in stage one, 87% in stage two, 0% in stages three and four(delta) and 11% in Rem.
The patient had a total of 99 episodes of disordered breathing which resulted is arousals and/or oxygen desaturation of 3% more. These episodes consisted of 92 obstructive apneas, 7 obstructive hypopneas, 0 central and 0 mixed. this results in an apnea index of 16.4 and a hypopnea index of 1.2 Combined A&H index is 17.7. Baseline oxygen sat. was 99% with the lowest sat. noted at 74% The longest apnea was 57 seconds long. Limb movement 0. Cardiac rhythm strip showed normal sinus rhythm.
Loud disruptive snoring.
Now About the dr. forget it, lucky to get a sleep study. I really don't think he knows much about apnea. The DME worse and not resp. therapist is the area so they were just winging it. Please I just need to know about where to set this machine and then I can tweak it from there. Also I am hoping to find out how he is doing, will this machine show that?
Thanks for any help

[jules]

was there a second part where he was put on a cpap called titration?

[tmbarber4]

No I don't see anything like that

[jules]

then you need to let the machine be wide open - assume this is an apap titration at home -

[tmbarber4]

Okay just you don't understand, I don't know what that means. Please more information. And do you know if this machine will give me the information on how he is doing?

[jules]

since he didn't have the part of the test where they try you on cpap in the lab, I assume they are doing that part now at home to find the pressure

did they say they would get the information in a week or so?

ask him if they put the mask on him at all the night during the night -

we can figure this out - it isn't unusual to do the second part of the test with an apap (auto machine like vantage is ) and get the data back to the doc for a pressure ---- however you need to confirm that is happening -

as much as it is hard to accept the DME might be doing this right (scary too), lets get some more information

[jules]

was he set on 10 before on the old machine? you can set this machine for that if that was his Rx before but check before you use it - the information from the study you posted doesn't have it -- you need to find out

[tmbarber4]

He had the second study and they did not give us that information. He was given the remstar m series machine that he used for a couple of months, then the trouble started with having no res. therapist to answer questions. Then the insurance said we would have to meet another $750.00 deductable for the new year before they would pay any more on the machine so I returned the remstar m and bought a resmed autoset spirt for him. I am NOT dealing with the DME anymore as I returned their machine. I am on my own trying to figure this out. Agin he had the first sleep study then he went back and the doctor wrote the script for what looks like a setting at 10cm.

[jules]

so he had the second part, just you don't have it

and you think the Rx says 10, so set the machine for 10 - there are posts on how to access the clinical menu on the forum - or post a new thread asking for it - someone will tell you - and tell you how to get the information off the LED before NOON in the morning -

[jules]

okay - I just searched that machine - what machine is it exactly? You said Resmed AutoSet Spirit - is there more on the top of it or the the bottom? I am a remstar user myself - the S8 original was called vantage, the new one is Autoset but the older models might have been called Autoset spirit. I know you said it didn't have many hours but that doesn't mean it is brand new as it could have been in someone's closet for years.

We need a Resmed expert to help you get the information if it is available. Can you post more about the machine - date of manufacturer - if it says S7 or S8 on it etc.?

[tmbarber4]

This shows the machine http://www.respicuremedsys.com/autoset.htm

[Wulfman]

I agree with Jules. If the prescription says "10 cm.", then you need to set it in CPAP mode at 10 cm. and at least see (from the reported data) how it works at that pressure. There is no EPR (exhale relief) on that machine in Auto mode......only in CPAP mode.

If you don't have them, the following are the instructions on how to get into the machine.
I believe the full manual may be in this link:

http://www.internetage.ws/cpapdata/manuals/

Den


1. Accessing the Clinical Menu

Turn on the device and wait until the standby (RAMP/SETTLING) screen appears on the LCD.
At this stage you can adjust the ramp/settling time.

Press the DOWN and RIGHT keys simultaneously for 3 seconds to access the clinical menu.


2. Changing Options and Settings.

Press the LEFT (menu) key to access the SETTINGS menu screen.

Use the UP and DOWN keys to scroll through the RESULTS, OPTIONS and SERVICING menu screens.

From a menu screen, use the LEFT (enter) key to access the parameters in that menu.

Use the UP and DOWN keys to scroll through menu parameters.

Use the LEFT key to view or change each parameter setting as required.

Press the RIGHT (exit) key until you return to the standby (RAMP/SETTLING) screen.

[hose head]

You need to get a copy of 2nd report. In the US it is your right to have it. When I asked my doctor for it, she said, "What you didn't get a copy?"
I got copy that day. Until then set it at 10 and run it as CPAP with EPR @ 2 it will drop on exhale 2 cmH2O. Good Luck.

[kteague]

I have used that machine before with good results. Sounds like he was having trouble at the prescribed pressure of 10, but I'm not sure the nature of his trouble or if it was more mask related than pressure. More info could be helpful. Since this is a data capable machine, you will now be able to see the data in the screen every morning and can see if it is working for him. All of this can be a lot to take in at first. Having that data capable auto titrating machine helped me find out what pressure I really needed and start being successful with my treatment - back in 2006. Take it a step at a time as needed - it is doable.

[tmbarber4]

[quote="Wulfman"]I agree with Jules. If the prescription says "10 cm.", then you need to set it in CPAP mode at 10 cm. and at least see (from the reported data) how it works at that pressure. There is no EPR (exhale relief) on that machine in Auto mode......only in CPAP mode.

If you don't have them, the following are the instructions on how to get into the machine.
I believe the full manual may be in this link:

Thanks so much, This should be very helpful, now he is out of town and will start on this cpap on MMonday, once I get the reading of the machine I will put those up for all to see.
How many days of using it will you be able to tell how he is doing?