Any [other] AutoIQ/AutoCheck stories to share?

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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BasementDwellingGeek
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Any [other] AutoIQ/AutoCheck stories to share?

Post by BasementDwellingGeek » Wed Apr 25, 2012 3:23 pm

On a whim Saturday I set my machine in AutoIQ mode. I was titrated at 13cmH2O over a year go, prior to UPPP surgery. When the surgeon shared the the news that the results of the post surgery sleep study indicated I still had severe OSA, I asked if another study was necessary. The surgeon suggested that since my AHI was close enough to the initial study, 73 vs 70, the same pressure would be OK. A few days later I became a hosehead, and have been for over 6 months. But I was still curious if I could get by with less pressure. I hoped so, having read that higher pressure requires more power and I am interested in multi-day(night) kayaking trips running CPAP on battery power while camping on islands off the coast of Maine. (Go MITA!)

Imagine my surprise when checking the data Sunday morning to find my max pressure was 18.50! The average was 13.00, which is inline with my prescription. The 95% was 15.00. My AHI was good at 0.70. Typically I am under 1, almost always under 2 and have seen 4.xx only twice.

The next night results were: Average = 12.50, 95% = 14.00, Max = 17.10, AHI = 1.33.

Night 3 came back at: Average = 14.1, 95% = 16.00, Max = 17.50, AHI = 0.71.

From what I've read
The Auto-Trial phase gathers information and based on what it learns, it then sets a fixed pressure and converts to the Auto-Check phase. The Auto-Check then checks back every 30 hours just to see if the therapy pressure it established is still on track. If not, the device will automatically adjust to obtain an ideal pressure.
Last night the pressure seemed higher at the start. I wondered whether this was because I had gotten acclimate to the lower limit while set in AutoIQ to 10 or whether the pressure was actually higher. Checking the data this morning told the story. I was 15cmH2O all night with an AHI of 1.15. As near as I an figure 15 is 90% of the average max of the three nights. There was something in the setup “A-Check Pressure 90% (4.0 – 20.0)”

In straight CPAP mode Respironics does not report Flow Limitations or Vibratory Snores. There is a secondary snore reported but I haven't figured out how they differ. I note this because night one my pressure peaked within half an hour of retiring, largely due Vibratory Snores, 6 of them. There were also 3 OAs and one Flow Limitation, but the greatest rise was from the VS. There were also 8 VS2s in that span.

So now I am in Auto-Check mode, To be reevaluated in 30 hours? Is that 30 hours of hose time or calendar time? I'm guessing the former. Averaging about 7.7 hours a night, I suspect there may be a change in pressure some time Friday morning or Saturday night.

How long does Auto-Check last? Until I manually set it to off or is there a built-in limit?

Has anybody else experimented with this feature?

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chunkyfrog
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Re: Any [other] AutoIQ/AutoCheck stories to share?

Post by chunkyfrog » Wed Apr 25, 2012 3:27 pm

If I were you, I would inform your doctor the titration he ASSumed is not checking out.

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Gerryk
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Re: Any [other] AutoIQ/AutoCheck stories to share?

Post by Gerryk » Wed Apr 25, 2012 3:34 pm

How long ago did you have the surgery? I had the same surgery and after my surgery my machine was set to auto until I had a new study done about six months later. My machine was set to auto again afterwards but my pressure requirements were much lower.

Gerry

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retrodave15
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Re: Any [other] AutoIQ/AutoCheck stories to share?

Post by retrodave15 » Wed Apr 25, 2012 4:01 pm

I have an Auto IQ machine as well. Sleep lab set me at 8 after a few weeks I felt better but not great. Set my machine to auto IQ, now I am at 11.5. One other note, and this came from my sleep doc, if you to a reset on your machine, it gives you a full 30 days on auto IQ again. She calls it the poor mans Auto Cpap. My insurance makes it difficult to get an auto machine without a bunch of hassle

I have run the auto IQ twice for 30 days with almost the exact same result.

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chunkyfrog
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Re: Any [other] AutoIQ/AutoCheck stories to share?

Post by chunkyfrog » Wed Apr 25, 2012 4:07 pm

Reset--good to know.
Geek: what percentage of your AHI is open airway?
When I see high pressures, I suspect PAP-induced centrals.
If this is not the case, then, in the immortal words of Gilda Radner,"Never Mind."

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Re: Any [other] AutoIQ/AutoCheck stories to share?

Post by BasementDwellingGeek » Wed Apr 25, 2012 4:12 pm

chunkyfrog wrote:If I were you, I would inform your doctor the titration he ASSumed is not checking out.
Simply looking at AHI, it is working. I have been under 5 since day one. Something I'm sure many others here wish they could say. I do wonder if I should have had another PSG, but I'm glad I didn't have to go through it. Had I known then what I know now, thanks to this forum, I might have pushed for an APAP and this discussion would be moot.

I found a reference to this discussion on how algorithms differ between manufacturers of CPAP machines. http://www.inspiredrc.com/McCoy%20et%20 ... vices1.pdf And another suggesting proper manual titration. http://www.aasmnet.org/Resources/clinic ... 040210.pdf I haven' yet completely digested them, but wonder if the manual techniques were used rather than the automated routines in the CPAP would that suggested pressure be 13, 15 or something else.

Another data point: others have commented that their AHI goes up in pollen season. I KNOW my nasal tissues are swollen despite spritzing with a saline spay and flushing with the neti pot several times a day. Perhaps this rise is only temporary.

I have never seen a sleep Dr. I am "between jobs" currently and uninsured so I am somewhat reluctant to incur seemingly unnecessary expenses since I do a mini study every night.

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Mask: Swift™ FX Nasal Pillow CPAP Mask with Headgear
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Additional Comments: own home grown SW to make it all work together, SH too.
bdg
(PR System One REMstar Pro CPAP Machine with C-Flex Plus and related humidifier as backup)

There are two types of people in this world. Those that can extrapolate from incomplete data

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BasementDwellingGeek
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Re: Any [other] AutoIQ/AutoCheck stories to share?

Post by BasementDwellingGeek » Wed Apr 25, 2012 4:50 pm

Gerry, Initial study was 9/8/10. Titration a 10/14/10. I opted for surgery but I ended up breaking my ankle. Being in cast with a fair amount of inactvity I developed a clot behind my knee. This required a few weeks of Warfarin to thin my blood, so surgery was postponed even longer, 6/8/11. Picked up CPAP machine 9/27/11 and had to get acclimated to the idea of using for a few days. Finally on 10/2/11 I spent the night with my new nightly companion.

Dave, the news about resetting AutoIQ definitely good to know.

ChunkyFrog, that high pressure was due to Vibratory Snores with a cluster of 3 OA. No CA.
Image

second night Image

third night Image

_________________
Mask: Swift™ FX Nasal Pillow CPAP Mask with Headgear
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control
Additional Comments: own home grown SW to make it all work together, SH too.
bdg
(PR System One REMstar Pro CPAP Machine with C-Flex Plus and related humidifier as backup)

There are two types of people in this world. Those that can extrapolate from incomplete data

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Pugsy
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Re: Any [other] AutoIQ/AutoCheck stories to share?

Post by Pugsy » Thu Apr 26, 2012 7:25 am

retrodave15 wrote:One other note, and this came from my sleep doc, if you to a reset on your machine, it gives you a full 30 days on auto IQ again. She calls it the poor mans Auto Cpap.
This is really good to know. I am assuming that the reset that is mentioned is reset of therapy hours to zero. This erases all previous session data but who cares if you have it on the SD card and in the software.
This does not alter machine hours of use for total life of the machine. For anyone wondering this is what is done when someone gets a used machine and doesn't want the previous owners data getting mixed in with the new owner's data. It's easy to do...clinical menu...therapy section...scroll down to reset to zero prompt and it is explained in the provider/clinical manual.

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Rysmithjr
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Re: Any [other] AutoIQ/AutoCheck stories to share?

Post by Rysmithjr » Sat May 05, 2012 9:48 pm

Where can I find this clinical/provider manual?

My auto-trial went for 7 days and I have not had great sleep since it set itself at 10.5 constant (I've been pulling the mask off middle of the night at times)

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Pugsy
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Re: Any [other] AutoIQ/AutoCheck stories to share?

Post by Pugsy » Sat May 05, 2012 9:55 pm

Rysmithjr wrote:Where can I find this clinical/provider manual?

My auto-trial went for 7 days and I have not had great sleep since it set itself at 10.5 constant (I've been pulling the mask off middle of the night at times)
Check out this link...toward the bottom of the page are instructions on how to request the provider manual.
Be sure to be specific as to which model.
http://www.apneaboard.com/adjust-cpap-p ... tup-manual

This would be the full and proper name
Respironics PR System One AutoIQ REMstar Pro with C-Flex+

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Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier
Additional Comments: Mask Bleep Eclipse https://bleepsleep.com/the-eclipse/
I may have to RISE but I refuse to SHINE.