A ResMed Funded Test of APAP Machines

wasn't he just on here last month? if so, i can't find him.

ETA: found him-
viewtopic/t185591/Another-reason-not-to ... ncle+nicko

a person may not want to go through the whole thread, but he pops up.

forum user name wanderlustralia.

Sometimes I get the feeling that artificial intelligence has already taken over the world.

Grrrr. I wrote a summary of the article and thought I succeeded in posting it, but ... no. I now only want to add a few thoughts to the thread that has developed.

Although flow limitation is one of the variable used in comparing the 10 machines, there's no information about EPR (or similar) settings.

The main point of the article is to provide a "proof of concept" for a simulation of how machines respond to breathing patterns thought to be typical of various sub-populations of APAP users.

ResMed comes off well using AHI and FLs as the key indicators. The "For Her" version uses lower pressure to get similar results to the ones recorded for the regular Airsense 10 Autoset. (The selected profile for the simulation discussed in the article is that of a woman, for what that's worth.) PR comes off badly. F&P does well for AHI but not for FLs.

lazarus wrote: ↑

Sat Mar 18, 2023 6:50 pm

Sometimes I get the feeling that artificial intelligence has already taken over the world.

Given how much natural stupidity there is galloping around, AI can't be any worse.

Probably a lot better.

sptrout wrote: ↑

Sat Mar 18, 2023 1:57 pm

The SleepHQ Board is growing rapidly ...

Perhaps, but of the 1198 members in CPAP Therapy Help, 67 of them are me.

Uncle Nicko wrote: If you spot a dickhead just flag the post and I'll take out the trash.

What was really funny was when I started reporting other posters as dickheads, and true to their word, those posters promptly disappeared.

McCarthyism lives!

Hmm.

Joe McCarthy.

My next character.

Damn I'm easily entertained.

Rubicon wrote: ↑

Sun Mar 19, 2023 3:45 am

I'm easily entertained.

"Sharpening stones, walking on coals."--https://youtu.be/Az5dzXRRh4E

zonker wrote: ↑

Sat Mar 18, 2023 11:43 am

do people NOT read the whole thread before replying?

Grunching can be useful to avoid groupthink.

https://www.urbandictionary.com/define. ... =grunching

lazarus wrote: ↑

Sun Mar 19, 2023 7:19 am

Rubicon wrote: ↑

Sun Mar 19, 2023 3:45 am

I'm easily entertained.

"Sharpening stones, walking on coals."--https://youtu.be/Az5dzXRRh4E

Good idea.

I'll be Joe Welch instead.

loggerhead12 wrote: ↑

Sun Mar 19, 2023 8:16 am

zonker wrote: ↑

Sat Mar 18, 2023 11:43 am

do people NOT read the whole thread before replying?

Grunching can be useful to avoid groupthink.

https://www.urbandictionary.com/define. ... =grunching

thank you for making me learn something today!

though i don't agree with the definition.

lazarus wrote: ↑

Sun Mar 19, 2023 7:19 am

Rubicon wrote: ↑

Sun Mar 19, 2023 3:45 am

I'm easily entertained.

"Sharpening stones, walking on coals."--https://youtu.be/Az5dzXRRh4E

Probably best not to give him ideas

palerider wrote: ↑

Sun Mar 19, 2023 5:30 pm

Probably best not to give him ideas

Hey, my team just lost out on making it to the Sweet 16 this year, so I gots to get me my entertainment somewhere.

palerider wrote: ↑

Sat Mar 18, 2023 6:33 pm

jsmit86 wrote: ↑

Sat Mar 18, 2023 6:10 pm

Yes... Uncle Nicko can be annoying, but I watched the video.
There were some interesting take-aways.

1. Some providers have provided machines with the settings at 4-20. The study and Nick point out that in some cases having the 20 top end is detrimental, because the machines may respond to an event with more pressure and longer than it's actually needed.

Creepy "uncle" dicko knows so very little.

If the machine has the MINIMUM pressure set properly, then it won't *NEED* to ever come close to the max pressure.

All you do by lowering the max pressure, for MOST people, is prevent the machine from being able to respond if you need more pressure for some reason, like REM after rolling onto your back.

jsmit86 wrote: ↑

Sat Mar 18, 2023 6:10 pm

One of the reasons that people don't tolerate therapy is due to the discomfort of too much pressure, or too much pressure before falling asleep.

2. More pressure than needed can cause other issues, like mask leak, waking the user up, etc.

If only you knew a tenth as much as you think you do.

Very classy - I'm sure we can all aspire to your level of knowledge, our at least your assessment of your level of knowledge, as well as your charming demeanor.

"in some cases having the 20 top end is detrimental"

So.. everyone but you knows so very little? So in NO cases? Or did you mist the "some"

So more pressure than needed can't cause mask leak or waking?
I've seen multitudes of posts on this board from people who specifically cite this issue.

chunkyfrog wrote: ↑

Sat Mar 18, 2023 2:23 pm

No doubt the biggest reason so many apaps end up in a closet.

Note that I did not say ALWAYS.

Warning folks....don't go trashing the thread with comments about comments or people you don't happen to agree with.
It's fast turning into a cesspool of crap talk and that's not needed or appreciated.

I can still lock threads and/or remove the thread or posts.

These machines won't go higher with the pressure unless it thinks it has a valid reason to go higher. Is it actually "needed"??? Well that depends on the why it goes higher but the only time I can think of where it might not be needed is because it is responding to flow limitations that are nasal in origin like bad allergies or a cold or some other reason for nasal congestion.
More pressure won't help FLs that come from swollen nasal mucosa. Gotta go about that fight in a more traditional manner.

As for more pressure causing leaks.........well....people use pressures every day of the week exceeding 20 cm because they need that much pressure and leaks are probably better controlled than my leaks with my pressures half that amount.
Proper mask fitting is needed to be able to deal with high pressures. People get it done every day and leaks or pressure don't wake people up. Hell when I was using the ASV and seeing pressures upwards of 24 cm when PS jumped in for a central I slept right through it. No leaks and no wake ups from the pressure and I slept right through it and never knew it happened until I saw a detailed report.

Play nice folks. Getting shitty with people isn't playing nice and isn't needed and guaranteed to piss the moderator off.

Sometimes restricting the pressure is needed but it needs to be done on a case by case basis and depending on what is happening. Again...just because a machine can go higher doesn't mean it will and it usually has a good reason when it does go higher. Is that reason a "good" reason???? That's what needs to be evaluated on a case by case basis.

If you all continue with the shit talk about each other that puts this thread totally in the cesspool toilet and I will stop it.
Thank you.

jsmit86 wrote: ↑

Sun Mar 19, 2023 6:15 pm

Very classy - I'm sure we can all aspire to your level of knowledge, our at least your assessment of your level of knowledge, as well as your charming demeanor.

Guess what I couldn't care less about?

Your opinion.

Have a nice day.