HELP!!! Adjusting Pressure Resmed Pro

I have a Remstart Auto with Cflex and was in for a followup with my sleep doc. Based on my data, he wanted to change my pressure from 8-16 to a steady 10. He said I can write a new prescription and send to the DME or here is how you can do it yourself. He basically told me about holding the buttons while plugging in. I do have the Encore Pro software, so I can also reprogram it that way also. Although I don't think I can change everything through the Encore software. For example, I do not see where to change the Cflex setting through the software.

BigDaddy420 wrote:Ive had sleep apnea since i was a child and i dont have insurance so im finding it almost impossible to replace my cpap. I went without one for 2 years and now ive finally got my hands on one, a Respironics RESMED Pro with Cflex. its only 2 months old, hardly used. but how do i adjust the pressure? it has a smart card, i didnt really know what that was at first but i read up on it, and i see that stores information on your sleep patterns. can anyone help me on adjusting the pressure? id really appreciate it, i havent had a decent nights sleep in over 2 years!!!

Darm it I was trying to find out more info on the ResMed auto Sprint machine. I did not know that Respironics and ResMed are the same!

What should I not do to make sure I don't change settings on a 420G????

Gregg, we can't change the C-Flex settings through the software. (I think that was very remiss of Respironics not to make that change available via the software too, but...oh well.) I know you know the rest of this, Gregg, but for others:

The only way to change the C-Flex setting is with the buttons on top of the machine. To get to the C-Flex menu, hold down the "ramp" button until it beeps, or until you see the info in the window change (mine doesn't beep.) Then use the gray left/right arrow buttons to step through the menu. I need a magnifying glass to see the tiny words indicating "what" I'm looking at in the window! Use the ramp and humidifier buttons as up/down buttons to change the C-Flex setting to 1, 2, or 3. To get out of the menu, just press the on/off button on top of the machine. That will automatically save any changes you made.

After getting the menu to open by holding down the ramp button, if a person just wants to look at the settings in the display window, but doesn't want to make any changes, it's safe to use the gray left/right buttons to look through it. The only time a change is made is if you use the "ramp" or "humidifier" buttons. You don't have to worry about accidentally making any changes to the machine's main pressure settings. You can't do that through the "ramp" button access to a menu.

1 is the least exhalation relief with C-Flex. 3 gives the most relief - the most drop in pressure during exhalation. Most DMEs probably set C-Flex at just 1 or 2. I prefer 3.

If a person wants to look at more settings in their REMstar auto than just C-Flex, they'd have to do what the DME would do - unplug the machine and then plug it back in while holding down both gray arrow buttons until it beeps. To simply look through the various settings without making any changes, use only the gray arrow buttons. The ramp and humidifier buttons are the only buttons that would actually make changes. The on/off button is the exit. Any changes would be saved.

If a person does decide to look at the main settings on their AUTO via unplug/plug in, they should be very careful not to make any changes when the tiny word "ramp" is showing in the window. On the Auto "ramp" MUST be set on zero. There is no "ramp" ability when a machine is operating as an autopap, so that little "ramp" window is referring to something else entirely. It's for setting up a split night study where the numbers 2, 3, and 4 are for how many hours the machine will be running but will not be delivering treatment pressures to the patient. "Ramp" on an autopap has to be "0".

How would one initially turn on the C-Flex? When I go into the "user" menu I don't get the c-flex option so I assume this has to be turned on somewhere... I haven't gone into the DME Menu yet (not that I would since it would mean I wouldn't have to call my DME and God knows I want to wait a week for him to come out) but is there a place to first "turn-on" cflex from the DME menu and then adjust it with the User menu?

Nevermind....

I didn't not do what everyone is telling everyone else to not do and so I didn't not find the option to not turn on the the c-flex so now my machine isn't not working much better..... I actually can't not exhale now without not making my eyeballs pop out of their sockets.

Thanks everyone!

My pressure is set to 13 by the way and I'm going to leave that alone. I set the c-flex level to 3....I mean...I would have if I hadn't not turned that option on.

Do the c-flex numbers corespond to a specific increment of presure? Like by setting it 1 isn't lowering the presure to 12 when I exhale? and 2 lowering it to 11....etc...

-Cliff

Glad to hear you didn't find out how not to do all that, Cliff! LOL

No, C-Flex doesn't have any set-in-stone cm's for the three "drop" settings. It's kind of relative to each person's exhalation force in relation to whatever pressure is coming in, as best I can tell.

If I exhale very forcefully against, say a pressure of 12, the drop sounds more dramatic - just going by the sound of the way the machine revs down when you exhale. But if I exhale very lightly, for the same amount of time as I did it forcefully, the drop doesn't sound like as much.

May just be my imagination though, as both ways feel like I'm getting enough relief. And it's difficult to judge it subjectively when I'm trying two such very different kinds of exhalation. The revving down of the machine does sound different though.

rested gal wrote:.... The revving down of the machine does sound different though.

I found that differnce in the revving down reaction to different exhalations with the PB GK420e - so it can't be the cflex...
O.

ozij wrote:

rested gal wrote:.... The revving down of the machine does sound different though.

I found that differnce in the revving down reaction to different exhalations with the PB GK420e - so it can't be the cflex...
O.

From what the patent said, it implied that it used an algorithm that was based on exactly as RG described. The more forceful the exhalation, the deeper the drop...

Course they didn't make it very easy to understand tho, so I may be all wet.

Whatever it was, it worked pretty good. My 2nd night with the machine, I woke up a couple of times during the night but not for long and I woke up thismorning feeling rested.

The true test will be tonight at Church... If I can make it through the whole service without dozing off then it worked

One more thing, I also tried using the cpap in conjunction with a Breathright strip last night and it seemed to help....anyone else have any success with these?

.

-Cliff

hi Cliff,

Whatever it was, it worked pretty good.

There ya go! That's the way I look at some things too. I might not understand it, but if it works, great. I feel that way about television...and my car!

Yes, I've heard of quite a few people using Breathe Right strips to help them get the air in better while using their cpaps.

Cliff wrote:
The true test will be tonight at Church... If I can make it through the whole service without dozing off then it worked

-Cliff

And if it doesn't, I think cpap.com sells lightweight portable models.

Allan

I see that no one has replied to Sinclaj's question: What should I not do to make sure I don't change settings on a 420G????

Perhaps that is something that you should never never do or else the sky will fall.

Think like a cat.......everything is meant to be played with.......

Some of you with a PB Goodknight 420G might be interested in the review at: http://microship.com/resources/reviews/ ... -cpap.html

In that that article is information to alert you so you do not accidently press the button under the letters "Go" and and find that you are trying to set the pressure level, ramp time or starting ramp pressure.