I have a Respironics REMaster LX that I have had at least 8-10 years. Years ago I had a sleep study and the pressure was set at 14. I have not been very compliant with the machine. When I am able to sleep with such a high setting, I usually wake up at 1:30am and pull it off. (It has a separate humidifier that helps some). The problem is I feel like I am in a tornado.
I work in the medical field as a RN and have talked to some guys who are respiratory tech/therapists (one who works in the sleep lab). They told me that back when I had my test the "best practice" was to titrate someone up high enough that they had zero apneic episodes. Of course, the high settings led to more non-compliance and the new though is that a night of 85%-95% apnea free is ideal. This results in lower setting and increased compliance.
The problem is my insurance sucks and I don;don't have the money to have another sleep study. I want to adjust my settings to 12 and go from there. The machine does display the setting when you first turn it on.
It is an old machine. I tried the tricks like holding both buttons down (one is power the other is the ramp button) while unplugging and re-plugging the machine in. This does nothing. It does have a hole in the side of the machine with a very small round rod rest in the hole. I tried adjusting this with pliers but could not get it to budge. Do I need to open my machine? I know I should have a doctor's order, but I can't afford the study.
Adjusting pressure on an old, old machine
6 posts
• Page 1 of 1
Re: Adjusting pressure on an old, old machine
Please PM (Private Message) me with your e-mail address and I will send it to you in .pdf form.markar1002 wrote:I have a Respironics REMaster LX that I have had at least 8-10 years. Years ago I had a sleep study and the pressure was set at 14. I have not been very compliant with the machine. When I am able to sleep with such a high setting, I usually wake up at 1:30am and pull it off. (It has a separate humidifier that helps some). The problem is I feel like I am in a tornado.
I work in the medical field as a RN and have talked to some guys who are respiratory tech/therapists (one who works in the sleep lab). They told me that back when I had my test the "best practice" was to titrate someone up high enough that they had zero apneic episodes. Of course, the high settings led to more non-compliance and the new though is that a night of 85%-95% apnea free is ideal. This results in lower setting and increased compliance.
The problem is my insurance sucks and I don;don't have the money to have another sleep study. I want to adjust my settings to 12 and go from there. The machine does display the setting when you first turn it on.
It is an old machine. I tried the tricks like holding both buttons down (one is power the other is the ramp button) while unplugging and re-plugging the machine in. This does nothing. It does have a hole in the side of the machine with a very small round rod rest in the hole. I tried adjusting this with pliers but could not get it to budge. Do I need to open my machine? I know I should have a doctor's order, but I can't afford the study.
By the way, there were several versions that had the "LX" designation and are covered in three different manuals:
REMstar LX
REMstar Plus LX
REMstar Solo LX
REMstar Solo Plus LX
REMstar Virtuoso LX
Den
(5) REMstar Autos w/C-Flex & (6) REMstar Pro 2 CPAPs w/C-Flex - Pressure Setting = 14 cm.
"Passover" Humidification - ResMed Ultra Mirage FF - Encore Pro w/Card Reader & MyEncore software - Chiroflow pillow
User since 05/14/05
"Passover" Humidification - ResMed Ultra Mirage FF - Encore Pro w/Card Reader & MyEncore software - Chiroflow pillow
User since 05/14/05
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snore4yrs2
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Re: Adjusting pressure on an old, old machine
I find myself in the position where I need to reset the pressure on my RemStar LX. I have be unable to figure out how to set it again. I have set the pressure in the past but have lost the document because of a hard drive problem. I will use my travel Cpap in the mean time.
Re: Adjusting pressure on an old, old machine
Instead of a sleep study suggest you find a doctor, this can be a general practitioner, who will write you a prescription for a replacement machine. In my experience many doctors will do this and if you are an RN you probably can find the ones that will.
Have the prescription written for a APAP capable machine. The official story is that you want some feature of the machine such as EPR on the ResMed S9 and that you will use it as a CPAP machine.
Shop around to get a good price and be sure that you can get the clinicians manual. The clinicians manual will explain how to change the settings. This will undoutably be much cheaper than a sleep study. Consider buying it on line since this will be likely cheaper than from DME.
Use the machine in APAP mode either to find your new CPAP pressure or continue to use it in APAP mode. Adjust to your hearts content.
This not only gets around the need for a sleep study but it also gives you a machine which likely will have some features that will make it easier to use. The machines have changed significantly. Even if officilly you do not need an APAP machine such a machine often results in a better experience.
Have the prescription written for a APAP capable machine. The official story is that you want some feature of the machine such as EPR on the ResMed S9 and that you will use it as a CPAP machine.
Shop around to get a good price and be sure that you can get the clinicians manual. The clinicians manual will explain how to change the settings. This will undoutably be much cheaper than a sleep study. Consider buying it on line since this will be likely cheaper than from DME.
Use the machine in APAP mode either to find your new CPAP pressure or continue to use it in APAP mode. Adjust to your hearts content.
This not only gets around the need for a sleep study but it also gives you a machine which likely will have some features that will make it easier to use. The machines have changed significantly. Even if officilly you do not need an APAP machine such a machine often results in a better experience.
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Guest
Re: Adjusting pressure on an old, old machine
Wulfman wrote:Please PM (Private Message) me with your e-mail address and I will send it to you in .pdf form.markar1002 wrote:I have a Respironics REMaster LX that I have had at least 8-10 years. Years ago I had a sleep study and the pressure was set at 14. I have not been very compliant with the machine. When I am able to sleep with such a high setting, I usually wake up at 1:30am and pull it off. (It has a separate humidifier that helps some). The problem is I feel like I am in a tornado.
I work in the medical field as a RN and have talked to some guys who are respiratory tech/therapists (one who works in the sleep lab). They told me that back when I had my test the "best practice" was to titrate someone up high enough that they had zero apneic episodes. Of course, the high settings led to more non-compliance and the new though is that a night of 85%-95% apnea free is ideal. This results in lower setting and increased compliance.
The problem is my insurance sucks and I don;don't have the money to have another sleep study. I want to adjust my settings to 12 and go from there. The machine does display the setting when you first turn it on.
It is an old machine. I tried the tricks like holding both buttons down (one is power the other is the ramp button) while unplugging and re-plugging the machine in. This does nothing. It does have a hole in the side of the machine with a very small round rod rest in the hole. I tried adjusting this with pliers but could not get it to budge. Do I need to open my machine? I know I should have a doctor's order, but I can't afford the study.
By the way, there were several versions that had the "LX" designation and are covered in three different manuals:
REMstar LX
REMstar Plus LX
REMstar Solo LX
REMstar Solo Plus LX
REMstar Virtuoso LX
Den
6 posts
• Page 1 of 1