Is there any reason NOT to be on "auto?"

[Esskay33]

Generally, is there any reason not to set your machine to auto? My thought is this:

-My DME, through the last 1.5 months, has ended up setting me on CPAP pressure of 10. My AHI is down to 2.35 (30 day average,) and I am happy as it is a huge improvement. Why wouldn't I set my machine to auto mode with a pressure range of 10-20?

Not really looking for specific personal advice, but was thinking this over on a flight yesterday and can't come up with a good reason why you wouldn't set it to auto and possibly treat some more events (in theory.) What am I missing?

[BlackSpinner]

Some people are sensitive to change so any auto pressure changes will wake them.

If you prefer auto just change it back.

[Pugsy]

There are a few potential reasons to not use auto or not use a wide range.

Some people might have central apneas pop up at a certain pressure...doesn't happen all that often but could happen..so a person might want to make sure the pressure never gets to whatever that certain pressure might be.

Some people have aerophagia issues if the pressure goes above a certain point and sometimes the aerophagia is worse than maybe letting a little apnea even slide past the defenses.

Some people think they sleep better without the pressures changing around all over the place. They think the changing pressures disturb their sleep quality.

Sometimes the variations in pressure make mask leak control harder to anticipate and deal with.

I don't have any of the above issues so I do well with a rather wide range of pressures and just let the machine sort it out and I sleep through it all.

[rick blaine]

In addition to the above, auto-adjusting treatment is contra-indicated in some stages of heart failure.

[palerider]

In addition to the above, auto-adjusting treatment is contra-indicated in some stages of heart failure.

citation please.

[chunkyfrog]

So, how many degrees of "auto adjustment" are we thinking of?
Single pressure? With or without exhale pressure relief (_flex)?
Auto--wide open, tightened bottom, open top?
Or like mine--two centimeters below, two above my usual range?
Or dozens of other possible combinations.
No reason not to have a machine capable of autotitration--either use it--or don't.
Adjust to fit. After all, we are all different.

[avi123]

Generally, is there any reason not to set your machine to auto?

An American Academy of Sleep Medicine Report as of Nov 2007:

"certain APAP devices may be initiated and used in the self-adjusting mode for unattended treatment of patients with moderate to severe OSA without significant comorbidities (CHF, COPD, central sleep apnea syndromes, or hypoventilation syndromes); "

Source: http://www.aasmnet.org/Resources/Practi ... Update.pdf

Notice that members on this website who encourage people to use Auto CPAPs without knowing if these persons suffer from Cardiac Health Failure, COPD, central sleep apnea syndromes or hypoventilation, are actually breaking the laws.

[palerider]

Generally, is there any reason not to set your machine to auto?

An American Academy of Sleep Medicine Report as of Nov 2007:

"certain APAP devices may be initiated and used in the self-adjusting mode for unattended treatment of patients with moderate to severe OSA without significant comorbidities (CHF, COPD, central sleep apnea syndromes, or hypoventilation syndromes); "

Source: http://www.aasmnet.org/Resources/Practi ... Update.pdf

ancient crap, just like the guy that posted it.

[Guest]

correction:
afaik CHF is Congestive Heart Failure not

Cardiac Health Failure

also worth noting is that my dads pulmo doc put him on a bipap because of the CHF

[avi123]

correction:
afaik CHF is Congestive Heart Failure not

Cardiac Health Failure

also worth noting is that my dads pulmo doc put him on a bipap because of the CHF

Thanks, see also here that a bipap therapy is a way to go about it.

This is from Den Wolfman:

World J Cardiol. 2014 Nov 26; 6(11): 1175–1191.

Published online 2014 Nov 26. doi: 10.4330/wjc.v6.i11.1175

PMCID: PMC4244615

Positive airway pressure therapy for heart failure.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4244615/

In relation to the OP: As I understand it almost all the accredited Sleep study clinics don't put patients on an Auto CPAP, unattended, while they do their titrations.

Is it possible that the advice of not using Auto CPAP was meant for those with heart arrhythmias while CHF has to do with coronary artery disease, a condition where the coronary arteries become narrowed or completely blocked ?

[Guest]

i am confused by the above but will point to this i am not sure who is saying this but it does refer to "accredited Sleep study clinic" and a titration not home use

In relation to the OP: As I understand it almost all the accredited Sleep study clinics don't put patients on an Auto CPAP, unattended, while they do their titrations.

[palerider]

i am confused by the above but will point to this i am not sure who is saying this but it does refer to "accredited Sleep study clinic" and a titration not home use

In relation to the OP: As I understand it almost all the accredited Sleep study clinics don't put patients on an Auto CPAP, unattended, while they do their titrations.

best to just ignore avi, he's well past his 'best by' date... and loves to dredge up irrelevant crap to confuse people... not that I think he does it on purpose... just that's how his mind has started to wander.

[Lucyhere]

i am confused by the above but will point to this i am not sure who is saying this but it does refer to "accredited Sleep study clinic" and a titration not home use

In relation to the OP: As I understand it almost all the accredited Sleep study clinics don't put patients on an Auto CPAP, unattended, while they do their titrations.

best to just ignore avi, he's well past his 'best by' date... and loves to dredge up irrelevant crap to confuse people... not that I think he does it on purpose... just that's how his mind has started to wander.

palerider...

Avi is 90 years old. If he isn't posting something that could potentially harm someone, LEAVE HIM THE HELL ALONE, you Big Bully

If you are directing your posts to him, let me assure you that you are on his Foe list, and unlike you, he doesn't tell people they are on his Foe list and then read the post.

[chunkyfrog]

A great deal of what avi says can be harmful; or are you unable to READ?

[palerider]

Avi is 90 years old. If he isn't posting something that could potentially harm someone, LEAVE HIM THE HELL ALONE, you Big Bully

If you are directing your posts to him, let me assure you that you are on his Foe list, and unlike you, he doesn't tell people they are on his Foe list and then read the post.

to whoever, posted this, (and I wouldn't have read it if it weren't for chunky's comment...)

avi posts bullshit that misleads and confuses people, I'm talking to THEM, as is the responsible thing to do.

you can take your hypocritical horseshit "be kind... takes so much less energy." and shove it where the sun doesn't shine.

it's clear you don't give a shit about the welfare of anybody that may be misled or confused by avi's bullshit, but others of us do.

edit: just in case anybody is wondering, I've got a firefox extension, "foxreplace" that substitutes offensive words for others, words like the usernames of posters here that contribute nothing but noise... so between that and the foe list, all I see is

"This post was made by noise who is currently on your ignore list."

and the forum is a nicer place