Problem with pressure on REMstar Auto C-Flex - please help!

Hi,

I'm new here and very tired so forgive me if I've posted in the wrong place or whatever.

I'm a bit desperate. I've got a REMstar Auto C-Flex machine and I've had it for a year. Everything was fine until today - it auto adjusted to whatever level I needed when I'm asleep.

Today I had to go for an annual review at the sleep clinic. They "tested" the machine and gave it back to me. Now it'acting very weird. I put the mask on, it starts automatically - but this time at 15.0 instead of the usual 4.0.

I immediately press the Ramp button and it goes down to 4.0. HOWEVER, now it creeps up very quickly - 4.1, 4.2, 4.3 etc - every few seconds and before you know it I can't breathe and have to turn it off.

It's really annoying cos I just want to got to bed - it's 1.46 am but I can't sleep without it - well actually my wife can't sleep if I'm not wearing the mask.

The clinic is now closed until Monday so I'm officially up s**t creek.

Please can anyone tell me how to adjust the machine back to what it was before? And hopefully salvage my weekend!

Thanks,

Harvey

I take it they didn't give you the Setup instruction manual when you got the machine.....

These instructions have been posted many, many times on the forum, but here they are again.

My guess is that you're pressure is SUPPOSED to be 15 cm. and that's why they changed the machine. To actually set the starting pressure at 4 cm. is NOT good therapy.....especially if you NEED something in the neighborhood of 15 cm. If you need a pressure that high to clear an event (apnea or hypopnea) and your pressure is way down there, it's going to take quite a while to get there. In the mean time, you're not getting enough oxygen and your blood is desaturating.
I'm all for people taking control of their therapy, but without the software and card reader to download the data and see what's happening, it's not what I'd call "good" therapy. In other words, just because you've got an "Auto", doesn't mean it automatically goes to the right pressure. The bottom pressure needs to be VERY close to where it'll respond the quickest. Otherwise, use the machine in CPAP mode in single pressure.

That being said, you'll want to check ALL of the existing settings. Write them all down on a piece of paper to verify them with the setup instructions. If you have any questions, please come back here and ask.

Copy those instructions to a file on your computer so you'll have them.

Den



REMstar Auto w/C-Flex Setup

When in the Setup Menu, the humidifier ^ and ramp v buttons operate as up and down keys to change the settings, the left/right user buttons < > allow you to go to the previous/next question or setting, and the pressure start/stop button is used to exit the Setup Menu. Holding the humidifier or ramp buttons down will cause the values to change more quickly.

To enter the Therapy Setup Menu, hold the two top user buttons < > down while plugging in the power cord.
Continue holding the buttons down until the REMstar Auto w/C-Flex beeps twice.

Note: The word "setup" will appear on all of the screens indicating that you are in the Therapy Setup Menu.
(If you press the Pressure start/stop button, you will exit the Setup Menu.)

A. Compliance hours/nights: (recommend leaving alone, but CAN be cleared at this point)
Select next setting with >

B. Therapy mode: (CPAP/CFLE/APAP/AFLE) select with ^ or v
Select next setting with >

B1. If CPAP or CFLE select pressure setting: Select with ^ or v
Select next setting with >

B1a. C-Flex mode (if you chose CFLE mode): Select setting 1, 2 or 3 with ^
Select next setting with >

B2. If APAP or AFLE, select minimum pressure setting: Select with ^ or v
Select next setting with >

B2a. If APAP or AFLE, select maximum pressure setting: Select with ^ or v
Select next setting with >

B2b. C-Flex mode (if you chose AFLE mode): Select setting 1, 2 or 3 with ^
Select next setting with >

C: Ramp time setting: Select with ^ or v
(ramp time will be turned off with a setting of 0)
(if using APAP or AFLE mode, Ramp setting MUST be set to 0:00)
Select next setting with >

D. Ramp pressure setting: Select with ^ or v (use only in CPAP or CFLE mode)
Select next setting with >

E. Patient disconnect setting: 1 = on 0 = off Select with ^ or v
Select next setting with >

F. Buttons lights setting: 1 = on 0 = off Select with ^ or v

(Last setting. Use On/Off button to exit Setup)

Thanks Wulf. I've been chatting with HRH in the live room for a little while and he just wants to get to sleep. I think if we can get him through tonight, he can read and review the right thing to do for tomorrow night, or at least get some decent sleep until he can revisit his doctor on Monday.

HRH,

Please keep in mind that xPAP is not always comfortable and even though you used a low pressure for most of the past year, if it needs to go up to clear the majority of your apnea/hypopneas, please understand and adjust your machine correctly and make your body adjust to the new pressure. It is VERY important.

Thank you thank you thank you!!!! You guys are amazing - it was set on CPAP and not AUTO

Now I can try to get some sleep!!

Thanks again Wulfman!

Nice to meet you FreeLancer74. You've restored my faith in the USA