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Hi --you should have gotten an owners manual with your machine that might show you how to set up your settings. Ramp at 45 min. seems way too long--but then I have my ramp turned off!! If you need the manual to this --some one on here will PM it to you---there are lots of people on here that have it in PDF form. Good Luck!!

Carrie

sleeplessinaz wrote:Hi --you should have gotten an owners manual with your machine that might show you how to set up your settings. Ramp at 45 min. seems way too long--but then I have my ramp turned off!! If you need the manual to this --some one on here will PM it to you---there are lots of people on here that have it in PDF form. Good Luck!!

Carrie

I do have the "user manual" and i can set the ramp to between 5 and 45 min. I have it at 20 min. But i cant adjust anything else. I hold the left and right buttons down and all i can do is see what my machine is set up to do, and check the 4 sets of numbers. I cant at this point adjust my Elite II.

Mr. Smiley

Mr. Smiley wrote:Well I got my numbers first thing this morning. And a question. My numbers are Leak: 0.08 L/s AHI 8.4 AI 1.0 and HI 7.4 Is this good?

I think those numbers look very good! Especially since I'd mentally cut the "HI" in half if you're going to compare your overall AHI to the AHI people using Respironics machines talk about. I don't know this for a fact, but I believe ResMed S8 machines tend to report as "hypopnea" a greater number of flow limited events than a Respironics machine does. It seems to me that some of ResMed's S8 hypopneas would be called just a "flow limitation" in a Respironics machine. Anyway, that seems to be the case when I switch between brands of machines, and get equally good treatment from either but see double or triple the "HI" number reported by the ResMed S8 machine.

So, cutting the ResMed S8 HI in half and using that "half HI number" to add to the AI, would give you an overall AHI of 4.7 instead of 8.4. Nice.

If it were me, after a couple of weeks, I'd try a pressure of 13 or 14 to see if that would reduce the AHI even more (still always mentally cutting the HI in half and re-adding that to the AI to get the "AHI.")

Mr. Smiley wrote:I have pushed the two side buttons of course, else i would have this info, but how can i change the EPR setting? Ive no intrest to change my pressure just EPR, Smart start, till i obtain the software and card reader

Except for the added setting for "EPR Inhale" in the Elite II, the menu is probably essentially the same as for the older Elite. Here are a couple of old topics that might help you figure out your machine's menus:
viewtopic.php?p=226375#226375
viewtopic.php?t=22776 (the "minimum/maximum" pressure settings referred to in this second link are talking about the S8 Vantage Autopap.)

Mr. Smiley wrote:From my take on this, i only have the EPR during the 25 min ramp to my full pressure.

Right -- your EPR is set to operate only during "ramp." I'd raise the ramp start pressure. Starting ramp pressure at only 4.0 cm is awfully low, imho. Can feel stifling trying to breathe through a mask at that low pressure. If I were going to use ramp (I don't) I'd want the pressure to start at least at 5 or 6 cm.

Mr. Smiley wrote: Id like to have it all night, as when i woke up last night it was more difficult to go back to sleep with out taking a sleep aid.

ozij had a great suggestion about just reaching over and hitting ramp again. I'd still adjust the starting ramp pressure up higher than 4.0 cm, unless you like that and want it down that low. But if you want EPR on all night (I would want that), EPR can be changed to "full time" in the clinical setup menu.

Mr. Smiley wrote: Please correct me if im wrong, I was told that the Dr. ordered a level 3 on the M-Series plus machine and that it is a level 1 on the ResMed, the highest setting. I read in the user manual that level 3 has a better relief then level 1?

You're right. The manual you looked at is correct. Whoever told you that EPR 1 (a one cm drop in pressure when you exhale) gives the most EPR relief, or is the same as C-Flex 3, was wrong.

C-flex 3 gives the most pressure reduction C-flex can give for exhaling, but not in exact cm's of pressure reduction.

EPR 3 gives the most pressure relief EPR can give for exhaling, an exact 3 cm drop in pressure during exhalation.

I'm not a doctor or anything in the health care field, but if I were going to turn on EPR full time (instead of just during "ramp"), I'd raise my prescribed pressure a cm or two. You've probably already read my thoughts about machine pressure setting when using EPR, Mr. Smiley:

viewtopic.php?p=336238#p336238

viewtopic.php?p=342731#p342731

My edit: Added "S8" to all my references to ResMed machines in this old post, since the definition of hypopnea was changed by ResMed in the later S9 series machines.

Mr. Smiley wrote:Well I got my numbers first thing this morning. And a question. My numbers are Leak: 0.08 L/s AHI 8.4 AI 1.0 and HI 7.4 Is this good? I was wondering is anyone knows how to change the settings in the Elite II Mine are as follows

Mode: CPAP
Start CPAP: 4.0
CPAP: 12.0
Max Ramp: 45
Mask: Ultra

Mr. Smiley

Hi,

I also have the Elite II and am using the Quattro FF. You show the mask setting as ULTRA. According to the instructions provided with the Quattro, the mask selection should be MIR FULL if using the Quattro. Don't know if that makes a whole lot of difference, but the leak rate might not be the same for the Ultra.

sleep well
Nancy in AZ

I did find a way to set my EPR to work all the time. So im hoping this will work better tonight and make MY therapy better and as enjoyable as i can. Ill post my results tomorrow and hopefully they will get better as time goes on

Mr. Smiley

AHhhhhh I like the small adjustments i made last night. An EPR setting of 2 for ALL night makes a difference. I slept for 7.2 hours. Does the data stay in the Elite II, i tried to look up yesterdays numbers again and there were gone. Do i need to insert the card every day so i have information for the Dr?

My numbers were for tonight Leak 0.16 L/s AHI 5.7 AI 0.9 HI 4.8... and if i use Rested Gal's math for the real AHI would be 3.3

Mr. Smiley

Mr. Smiley wrote:AHhhhhh I like the small adjustments i made last night. An EPR setting of 2 for ALL night makes a difference. I slept for 7.2 hours.

Good!

Mr. Smiley wrote: Does the data stay in the Elite II, i tried to look up yesterdays numbers again and there were gone.

If all of it (daily/weekly/monthly) was saying no data, you might have been trying to look for it after 12 noon. The data disappears and has just zeros after 12 noon (or maybe it says "No data." I can't remember.) The machine resets the LCD data then, to be ready to record for your next sleep session. You'll be able to see data again after you use the machine again. But... the exact "nightly" numbers that you saw yesterday won't be there for the next time. After you use the machine, you've put a new, more recent "nightly" session onto it. The "yesterday's nightly data" gets rolled into the weekly/monthly averages.

Mr. Smiley wrote: Do i need to insert the card every day so i have information for the Dr?

I don't have an Elite II, so someone else will have to answer that. I don't think you have to keep the card in it, or keep putting the card back in, but I don't know that for sure. If it were a Respironics machine, the card does need to be in the machine any time the machine is blowing. But I don't think that's the case with a ResMed machine.

Mr. Smiley wrote:My numbers were for tonight Leak 0.16 L/s AHI 5.7 AI 0.9 HI 4.8... and if i use Rested Gal's math for the real AHI would be 3.3

LOL!!! Well, as quite a few message board members know, my math skills are dreadful! I don't know if it's EVER a good idea to use "Rested Gal's" math.

Joking aside, I know what you mean (you cut the ResMed's HI in half before adding it to the AI.) Yep, that's what I do, too, when using a ResMed machine. That 3.3 does look good! Nice job, Mr. Smiley!!