AutoSet spirit data questions

Barb (Seattle) · Post by **Barb (Seattle)** » Sat Aug 20, 2005 8:54 am

I hate to be difficult, but I tried tape and it grossed me out...all that sticky wetness under the tape *gag* I actually feel lousy now that you ask, irregardless of #'s. I'm not sure I'm ready to "fly" without the sleep center just quite yet and go on my own with machines and pressures, but maybe some time soon if I get disgusted enough with them...who knows.

Last nights stats:

AHI 40
AI 7.8
HI 32.2
leak was only 0.16

The weeks average so far is only 20 on the AHI though...

ozij · Post by **ozij** » Sat Aug 20, 2005 10:47 am

john5757 wrote:Barb,

The one question: The sleep study showed a pressure of 8...and the autopap showed 12 being around the right pressure and then you said the setting are at 12 locked at 12? then you are not using the auto features. When the machine was at 8 or 8 to 16 how did you feel any difference? I feel that I am missing part of the story.

So do I, Barb.
O.

Barb (Seattle) · Post by **Barb (Seattle)** » Sat Aug 20, 2005 4:54 pm

ozij wrote:
john5757 wrote:Barb,

The one question: The sleep study showed a pressure of 8...and the autopap showed 12 being around the right pressure and then you said the setting are at 12 locked at 12? then you are not using the auto features. When the machine was at 8 or 8 to 16 how did you feel any difference? I feel that I am missing part of the story.
So do I, Barb.
O.

capt · Post by **capt** » Sat Aug 20, 2005 5:26 pm

Barb, since you keep mentioning a setting of 12 and 12 is not working. We want to know if you know you to change your pressure settings for your AutoSpirit? We also want to know if your machine is set to a cpap straight pressure of 12, instead of the autocpap setting. Do you use the settling setting? Have you tried using the autoset setting when you initially start using your machine instead of using the settling setting?

john5757 · Post by **john5757** » Sat Aug 20, 2005 5:58 pm

" I was on CPAP before, then got the autoset spirit set to 8. Then, he set it to auto between 8 and 16, then set it to 12"

Barb,

If I understand it correctly you had a sleep study that said 8 for the pressure. The doctor then set the auto spirit to 8 in CPAP mode and then later for whatever reason he then set the spirit 8 to 16 in Auto mode and from that data he decided to put the Spirit in CPAP mode at 12. Let me know if I understand this correctly. There is a big difference between 8 from the sleep study and the 12 from the Spirit when it was in the Auto mode. Both numbers can not be right and 12 is right in the middle of the Auto range that the Spirit was set for. Currently is sounds like that the Auto Spirit is now set for 12 in CPAP mode. This means we are not sure what is the right pressure for you. In my question in the last post is, were you able to tell any difference in how you feel with all the different settings on the machine?

Sergeant Bob · Post by **Sergeant Bob** » Sun Aug 21, 2005 11:50 am

Hi Barb! Sorry to hear your having problems. I have the same machine and my numbers are:

Press- 14.2
Lk- .26
AHI- 9.2
AI- .5
HI- 8.7
With the Frequenseeker Mouthbreathing Assist Device (MAD)

They were previously:

Press- 14.2
Lk- .78
AHI- .15.1
AI- 1.2
HI- 13.9

Without the MAD (that's the mouthguard thingy)

Don't know if it will work for you but it sure seems to help me. Before using it I woke up with RDM ( Really Dry Mouth every morning and my humidifier chamber completely empty (at a setting of 4).

I woke up this morning without RDI and my humidifier was still half full.
Those boil and shape mouthguards are only $0.97 each at Wally World.

There is still room for improvements in my treatment, but it made a big difference.

So, don't get discouraged. Get MAD!

I hope it can work for you!

_________________

CPAPopedia Keywords Contained In This Post (Click For Definition): humidifier, AHI, RDI

Barb (Seattle) · Post by **Barb (Seattle)** » Sun Aug 21, 2005 12:09 pm

[quote="Sergeant Bob"]Hi Barb! Sorry to hear your having problems. I have the same machine and my numbers are:

Press- 14.2
Lk- .26
AHI- 9.2
AI- .5
HI- 8.7
With the Frequenseeker Mouthbreathing Assist Device (MAD)

They were previously:

Press- 14.2
Lk- .78
AHI- .15.1
AI- 1.2
HI- 13.9

Without the MAD (that's the mouthguard thingy)

Don't know if it will work for you but it sure seems to help me. Before using it I woke up with RDM ( Really Dry Mouth every morning and my humidifier chamber completely empty (at a setting of 4).

I woke up this morning without RDI and my humidifier was still half full.
Those boil and shape mouthguards are only $0.97 each at Wally World.

There is still room for improvements in my treatment, but it made a big difference.

So, don't get discouraged. Get MAD!

I hope it can work for you!

Barb (Seattle) · Post by **Barb (Seattle)** » Sun Aug 21, 2005 12:14 pm

[quote="capt"]Barb, since you keep mentioning a setting of 12 and 12 is not working. We want to know if you know you to change your pressure settings for your AutoSpirit? We also want to know if your machine is set to a cpap straight pressure of 12, instead of the autocpap setting. Do you use the settling setting? Have you tried using the autoset setting when you initially start using your machine instead of using the settling setting?

Barb (Seattle) · Post by **Barb (Seattle)** » Sun Aug 21, 2005 12:18 pm

[quote="john5757"]" I was on CPAP before, then got the autoset spirit set to 8. Then, he set it to auto between 8 and 16, then set it to 12"

Barb,

If I understand it correctly you had a sleep study that said 8 for the pressure. The doctor then set the auto spirit to 8 in CPAP mode and then later for whatever reason he then set the spirit 8 to 16 in Auto mode and from that data he decided to put the Spirit in CPAP mode at 12. Let me know if I understand this correctly. There is a big difference between 8 from the sleep study and the 12 from the Spirit when it was in the Auto mode. Both numbers can not be right and 12 is right in the middle of the Auto range that the Spirit was set for. Currently is sounds like that the Auto Spirit is now set for 12 in CPAP mode. This means we are not sure what is the right pressure for you. In my question in the last post is, were you able to tell any difference in how you feel with all the different settings on the machine?

capt · Post by **capt** » Sun Aug 21, 2005 2:13 pm

Settling is what other manufacturers call ramp. I have no idea why ResMed uses the term settling in the menu of the AutoSpirit. It took me 45 minutes of reading the manual to figure out what settling is, as I was used to using the term ramp. I still do not understand why your machine is set at 12. I have the same question John5757 is still asking.

Barb (Seattle) · Post by **Barb (Seattle)** » Sun Aug 21, 2005 10:37 pm

The tech is going by what the machine was recording during the week it was on auto, rather than the sleep study

If that doesn't answer what you are asking, I'm not sure what else to say

ozij · Post by **ozij** » Mon Aug 22, 2005 12:14 am

What I want to know is why was the sleep study so OFF? 12??? That isn't anywhere NEAR what it was during the sleep study. Makes me wonder if they scored it wrong.

Ok, this is slightly toungue in cheek, but lets say the similarity between the sleep study result, and the auto result is about as big as that between sleeping in a lab and sleeping at home.

More seriuosly: One night's result doesn't have to be the right result for many others.

I think I understand what you're telling us: your auto machine was used in auto mode to titrate you at home. Titration is a process of looking for the "right" straight pressure, and apparently the tech decided the results indcate your "right" pressure is 12. And now you are on straight PAP.

I'm not a doctor, sleep tech etc. I am a person who uses an autopap on auto mode, because my body's pressure needs vary from one night to the other. I made it my business to read my machine's manuals, read forums on the net, and ask questions. When I thought I understood what this was all about, I very carefully, very gradually started making changes in the way my machine was configured.

Knowing how to do it is not enough. You have to understand why you're doing it.

O.

Machine	Mask