ResMed ClimateLine getting too hot? Insulation?

[satsumass]

Hi,
I had a old SystemOne with the heated tubing that still generated rainout so my doctor said to put the Resmed blue insulation covering over the heated tube AND a snuggie, and that helped. But I got a new S9 with the climateline and i find that i just cant seem to get the heated tube settings right it seems. I seem to wake up and i'm not sure if what i'm feeling is rainout or just SWEAT from the air being too hot. I can't find my climateline manual and i'm not sure if what i'm doing is not advised, as i'm still using the blue resmed hose covering plus the snuggie. Should I Just be using the climateline naked, and will it handle rainout ok? or maybe just keep the insulation and lower the temp?

ANyway any one who knows the actual real guidance fot he climateline from the manual it would be great to hear what it says about using any additional covering.

[zoocrewphoto]

Hi,
I had a old SystemOne with the heated tubing that still generated rainout so my doctor said to put the Resmed blue insulation covering over the heated tube AND a snuggie, and that helped. But I got a new S9 with the climateline and i find that i just cant seem to get the heated tube settings right it seems. I seem to wake up and i'm not sure if what i'm feeling is rainout or just SWEAT from the air being too hot. I can't find my climateline manual and i'm not sure if what i'm doing is not advised, as i'm still using the blue resmed hose covering plus the snuggie. Should I Just be using the climateline naked, and will it handle rainout ok? or maybe just keep the insulation and lower the temp?

ANyway any one who knows the actual real guidance fot he climateline from the manual it would be great to hear what it says about using any additional covering.

If you are having rainout, the hose will probably be making gurgling noises as well. I have never had more than the gurgling, and that was when I was sleeping in a colder room and didn't turn the temp up high enough. I have gotten a sweaty face from too much heat. I usually have my humidity high and my temp around 68-70.

You can use a hose cover with the climateline, but you really don't need two. I have never used one, but I have considered it since the hose sometimes makes noise as it rubs against something. But that is the only reason I would do it. The hose works great without one.

Have you looked to see what settings are currently being used for your climateline hose? You have the option of auto and manual. With manual, you can choose both the temp and level of humidity.

[Stevoreno_55]

I'm waiting for my sleep doctor's titration report and I hope to get a new ResMed S9 Elite or a BiPAP machine soon. Besides the HH I'm also looking forward to having a heated hose. Of all the years I've been on CPAP I've never had a machine with a heated hose nor have I ever experienced rainout. My current pressure as of my last study done in 2007 is 18cm; I don't know what my new pressure will be since I haven't gotten a copy of this year's report back yet. If I begin using a new machine with a HH and a heated hose is it possible that I might begin to experience rainout at 18cm of pressure or more?


Stevoreno_55
MS Gulf Coast
06/13/14

[zoocrewphoto]

I'm waiting for my sleep doctor's titration report and I hope to get a new ResMed S9 Elite or a BiPAP machine soon. Besides the HH I'm also looking forward to having a heated hose. Of all the years I've been on CPAP I've never had a machine with a heated hose nor have I ever experienced rainout. My current pressure as of my last study done in 2007 is 18cm; I don't know what my new pressure will be since I haven't gotten a copy of this year's report back yet. If I begin using a new machine with a HH and a heated hose is it possible that I might begin to experience rainout at 18cm of pressure or more?


Stevoreno_55
MS Gulf Coast
06/13/14

The heated hose is to prevent rainout. If you are not already experiencing rainout, then it is unlikely you would get it unless you are sleeping in a colder area than you usually do. The only time i get gurgling in the hose is when I visit my sister and her house is a lot cooler than I am used to. I have to turn up the temp on the hose to prevent the rainout.

[Stevoreno_55]

I'm waiting for my sleep doctor's titration report and I hope to get a new ResMed S9 Elite or a BiPAP machine soon. Besides the HH I'm also looking forward to having a heated hose. Of all the years I've been on CPAP I've never had a machine with a heated hose nor have I ever experienced rainout. My current pressure as of my last study done in 2007 is 18cm; I don't know what my new pressure will be since I haven't gotten a copy of this year's report back yet. If I begin using a new machine with a HH and a heated hose is it possible that I might begin to experience rainout at 18cm of pressure or more?


Stevoreno_55
MS Gulf Coast
06/13/14

The heated hose is to prevent rainout. If you are not already experiencing rainout, then it is unlikely you would get it unless you are sleeping in a colder area than you usually do. The only time i get gurgling in the hose is when I visit my sister and her house is a lot cooler than I am used to. I have to turn up the temp on the hose to prevent the rainout.

It gets pretty warm here during the summer and mild during the winter but back in January 2014 we had unseasonably cold temperatures here. In mid January 2014 the low temperature here dropped to 15F one night which is very cold for these parts; we locals call it "pencil thin faucet dripping weather". I keep it cool in my room during the winter; set my central heat on around 70F but there were a few nights back in January 2014 where I woke up to a very raw and cold nose which felt like cold AC air had been blowing into it all night.

I don't know if a heated hose would have helped me those few cold nights but I would have liked to had one to give it a try. My DME is letting me use a ResMed S9 Elite CPAP with a HH but unfortunately it does not have a heated hose; the DME's RT set the pressure on their machine to 18cm for me; I currently have the HH set to 3.5. So am I to understand you correctly; if I had a heated hose on this CPAP loaner from my DME would I set the hose to a temperature setting and not set the humidifier to it's current setting like the 3.5 I have it set on now? Would the temperature setting on the heated hose take the place of having to set the HH on anything ranging from 0 to 6?



Stevoreno_55
MS Gulf Coast
06/13/14

[JDS74]

If you had a Respironics System One that is older ( 50 series ), then you had a heated humidifier and not a heated hose.
That became available with the 60 series. With that setup, the use of a double layer of insulation on the hose made sense. I do that with my system. I use the Respironics covering and an additional wrap since my humidity setting is so high. I suspect that the ResMed covering is similar to the Respironics one.

Now that you have a real heated hose (Climateline), the wraps are likely not necessary so try a night of so with the hose naked. When I use a heated hose when traveling, just the Respironics covering is sufficient. But remember, I have my humidity setting cranked all the way up, not like most folks, since I am using an Oracle mask that requires it.

EDIT:
Here is a link to a ResMed document showing the tubing wraps they offer. Scroll down to page 2. Notice that they have wraps for both the standard hose and the SlimLine hose but not the ClimatelIne hose. I suspect that means it is not necessary.

ResMed Accessories

[zoocrewphoto]

I don't know if a heated hose would have helped me those few cold nights but I would have liked to had one to give it a try. My DME is letting me use a ResMed S9 Elite CPAP with a HH but unfortunately it does not have a heated hose; the DME's RT set the pressure on their machine to 18cm for me; I currently have the HH set to 3.5. So am I to understand you correctly; if I had a heated hose on this CPAP loaner from my DME would I set the hose to a temperature setting and not set the humidifier to it's current setting like the 3.5 I have it set on now? Would the temperature setting on the heated hose take the place of having to set the HH on anything ranging from 0 to 6?

With the climateline hose, you have options. You can set it to auto or manual. Manual is like what you have now. With the manual, you can choose your temp and humidity level separately. I like a lot of humidity, so I have mine set for 5 out of 6. I like my room and bed warm, and my air cool, so I have it set to 68 right now. If I turn the temp up too much, my face gets sweaty, and then my mask starts to move around a little. So, the cool air works better for me. The last time I visited my sister, I set it to 74 and still had a little bit of gurgling in the hose. Next time, I will set it higher and see how that goes. Fortunately, I keep my machine lower, so I heard the gurgling, detached the hose, and dumped both ends into a trash can within reach. Shook the hose, and hooked it back up.

The nice thing with the climateline is that you can experiment with the settings and find what you like. And you can adjust it for the seasons and also when you go on vacation.

[Pugsy]

Should I Just be using the climateline naked, and will it handle rainout ok? or maybe just keep the insulation and lower the temp?

Try the Climateline naked or at most with the light thin cover if the plastic noise bugs you.

I used the S9 climateline in the dead of winter with bedroom temps in the low 50s and the hose naked and zero rain out.

Using the bulky hose cozy is just going to retain too much warmth in general. Even if you turn the temp way down.
It's going to create too much warmth and mugginess from the default 80% humidity...probably sort of like a sauna.

Try the hose naked first....then maybe add the thin hose cozy if the plastic bugs you feeling or hearing it.

[Slartybartfast]

I'm with Pugsy. I have a Climateline hose with a cover to make it more comfortable to sleep with. Rainout in the hose isn't a problem. However, when it's cold I DO get rainout in the 2' long hose that connects to the mask. A length of old gym sock makes a good cover for the short hose and reduces/eliminates rainout there.

EDIT: Are you running the Climateline in AUTO or Manual mode? If you're running in manual mode, then it's very easy to get rainout, even in the Climateline hose. I set the Climateline control in my S9 to AUTO mode, at about 76F. In auto mode, the machine monitors the temperature at the distal end of the tubing and adjusts the water reservoir temperature and the heat supplied to the hose to maintain very close to 80% RH delivered to the end of the tubing. It's very difficult to do that in manual mode, and perhaps that's where you're falling down.