CPAPtalk.com

Hello all,

diagnosed with mild OSA, with AHI 11.4 events per hour. I don't have access to a sleep clinic near by, so bought the following, and am hoping for some help on setting up. I am a back sleeper and tend to mouth breathe.

Bought:

• Airsense 10 Autoset (Card to Cloud Version) - https://sleepeh.ca/collections/black-fr ... ud-version

• DreamWear Full Face - Medium

• AirFit F30 Full Face Mask with Headgear - Medium

Sleep test:

Since you are starting off with no formal titration study, it's worth a week or so of autotiration to figure out where the machine wants to go in order to treat your apnea as well as to allow you a chance to get used to what it feels like sleeping with the machine.

So in terms of settings:

I'd use Auto mode.

I'd set Max Pressure = 20. (You can revisit this setting if you wind up with aerophagia problems.)

I'd turn Ramp = Off.

I'd try starting out with Min Pressure = 7. (That will give you a full 3cm drop when you exhale if EPR = 3.)

I'd set EPR = 3. If that's not comfortable, try EPR = 2. If ' still not comfortable try EPR = 1. If it's still not comfortable, turn EPR off.

If you feel like there's too much air for you to breath comfortably when Min Pressure = 7, then drop the Min Pressure 1cm at a time until you can breathe comfortably.

If you feel like there's not enough air for you when Min Pressure = 7, then increase Min Pressure 1cm at a time until you can breath comfortably.

If you are using a ClimateLine hose, then you might as well start with the Auto settings. If the air feels too warm, too cold, too moist, or too dry to breathe comfortably, you will then need to put the hose controls on manual and make appropriate changes.

If you are using an unheated hose, you might as well start with the humidifier set to about 4 (the middle of the 1-8 settings). If the air is too dry, you can increase it. If the air is too moist decrease it. If you get condensation in the hose, consider turning the humidifier down, running the hose under the covers, or buying a heated ClimateLine hose.

After a week or so of autotitration, you will have the data that you need to figure out what a reasonable minimum pressure to use is. You'll also know whether there is a good reason to limit the max pressure. And you may also be able to figure out whether you want to experiment with fixed pressure mode---while a majority of folks on the forum prefer auto mode, there are some who have a strong preference for fixed pressure mode because there's one less thing to deal with in terms of sleeping with the machine: Pressure changes can wake some people up, although most of us sleep right through them.

Be patient. And good luck! And post here if you have any questions or run into some of the many bumps that new PAPers often hit.

robysue1 wrote: ↑

Fri Dec 02, 2022 4:40 pm

I'd use Auto mode.

I'd set Max Pressure = 20. (You can revisit this setting if you wind up with aerophagia problems.)

I'd turn Ramp = Off.

I'd try starting out with Min Pressure = 7. (That will give you a full 3cm drop when you exhale if EPR = 3.)

I'd set EPR = 3. If that's not comfortable, try EPR = 2. If ' still not comfortable try EPR = 1. If it's still not comfortable, turn EPR off.

Came here to say exactly this, though I'd use less words

perfect starting point, post data after the first night.

Have you tried any ways of not back sleeping? That often can make a big difference.

So last night was my first attempt with the airsense 10 autoset. Really struggled to sleep, but got 4 hours of data. I'll try again tonight. I used the settings posted here (thanks!!). Any notable issues that I should be adjsuting, acknowlding it's very little data to go off of...


Times are off by 2 hours here; went to bed around 11pm, not 1am

Mask on: 11pm - Mask off - 3am'ish.

I'm not seeing anything that screams, "Adjust this now!"

If I were you, I'd leave the settings alone for about a week and work on learning how to get to sleep comfortably with the mask on.

In other words, focus on comfort issues for the time being since starting with min Pressure = 7 seems to be doing a decent enough job in terms of preventing events.

What happened after 4:00 AM? Did you take the mask off and return to sleep without it? That's a bad habit you want to snip in the bud. If you are struggling to get back to sleep, it's ok to get out of bed for a few minutes and go into another darkened room to let yourself settle down and face putting the mask on again.

robysue1 wrote: ↑

Tue Dec 13, 2022 8:23 pm

I'm not seeing anything that screams, "Adjust this now!"

If I were you, I'd leave the settings alone for about a week and work on learning how to get to sleep comfortably with the mask on.

I totally agree.

Thanks so much everyone for the quick replies!

re: 4am - I couldn't sleep, so I took the mask off and shut it off. I will try to go the full night tonight!

Last night I tried the Resmed F30 mask... Didn't like it as much as the Philips Dreamware. had to remove after 3-4 hours again ( I know.. I know...). Will try Dreamware again tonight. Any comments on the below?

CdnGuy wrote: ↑

Wed Dec 14, 2022 1:56 pm

Last night I tried the Resmed F30 mask... Didn't like it as much as the Philips Dreamware. had to remove after 3-4 hours again ( I know.. I know...). Will try Dreamware again tonight. Any comments on the below?

why did you have to remove it?

btw, for 3 1/2 hrs, you can't get better than an ahi of 0.
there is literally nothing to say. you can hope that if you can keep a mask on all night that you'll still get an ahi of 0.