auto? What exactly is it supposed to do?

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
joe n
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auto? What exactly is it supposed to do?

Post by joe n » Wed May 26, 2010 7:05 am

I have the M series auto machine.
What does the auto function do?
I wake at times when the pressure ramps up to the higher pressures, should the auto function detect normal breathing and reduce the pressure? I lay there breathing normally and the pressure stays at the 17 pressure, it is hard to go back to sleep.
The ads say the auto function should adjust the pressure with each breath, what don't I understand?

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DreamStalker
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Re: auto? What exactly is it supposed to do?

Post by DreamStalker » Wed May 26, 2010 7:17 am

"Auto" means that the machine auto adjusts the pressure based on your breathing patterns. So if you begin to have apneas, it will increase pressure to stent open your throat and stop the apneas. This occurs only if you have the feature on.

Your machine also has "A-FLEX" exhalation relief so that it lowers pressure so that you can breathe more naturally. When one breathes out (exhales) the pressure may rise suddenly since we are breathing against pressure while using the machine. The A-FLEX senses when you exhale and reduces pressure during the exhalation phase of your breathing. This occurs only if you have the feature on.

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Wulfman
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Re: auto? What exactly is it supposed to do?

Post by Wulfman » Wed May 26, 2010 9:33 am

joe n wrote:I have the M series auto machine.
What does the auto function do?
I wake at times when the pressure ramps up to the higher pressures, should the auto function detect normal breathing and reduce the pressure? I lay there breathing normally and the pressure stays at the 17 pressure, it is hard to go back to sleep.
The ads say the auto function should adjust the pressure with each breath, what don't I understand?
You might want to read some of these links.

our-collective-cpap-wisdom/reasons-APAP.html

http://smart-sleep-apnea.blogspot.com/

http://www.cpap-supply.com/Articles.asp?ID=123

http://www.wisegeek.com/what-is-an-auto ... achine.htm

Autotitrating CPAP machines, aka, autocpap machines and autotitration CPAP machines. (An auto-titration CPAP machine measures a patient’s inhalation and exhalation on a breath-by-breath basis, automatically adjusting the system’s in/out air pressure in response to the sleeper’s varying needs.)


It's my understanding that these machines were originally designed to provide titration in circumstances where a typical sleep study titration was unsuccessful. They would come closer to figuring out what SINGLE (CPAP) pressure was better-suited for the patient.
In the ensuing years, they became more frequently used in nightly therapy. Used in a range of pressures, they do not necessarily give "better" therapy, due to the changing pressures and their slow responses to events. There is a broad misconception that they "automatically" go to the needed pressure to "prevent" events. This is not necessarily the case and in a poorly configured machine it is far from the truth.
For some people they work and for others they don't.


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(5) REMstar Autos w/C-Flex & (6) REMstar Pro 2 CPAPs w/C-Flex - Pressure Setting = 14 cm.
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elena88
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Re: auto? What exactly is it supposed to do?

Post by elena88 » Wed May 26, 2010 12:22 pm

I discovered my titration pressure was 8.9 from an auto..
However, on my two month followup the graphs show the pressure going up to 16, 17, 18, even 19.
There is another thread DOES RAINOUT CAUSE OVER TITRATION.. which I think explains why my pressures went up and stayed up..

I had turned up the humidity
full blast to the last setting, and had a lot of water in the tube, which on that thread, it said that
the machine may read that water bubbling in your tube as an obstruction.. That makes a lot of sense to me..

so just tossing that out there in case you had your humidity cranked up..

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Additional Comments: sleep study: slept 66 min in stage 2 AHI 43.3 had 86 spontaneous arousals I changed pressure from 11 to 4cm now no apap tummy sleeping solved apnea

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Big Daddy RRT,RPSGT
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Re: auto? What exactly is it supposed to do?

Post by Big Daddy RRT,RPSGT » Wed May 26, 2010 1:23 pm

Even with Auto you may need to use your "ramp" button to lower your pressure to get back to sleep. After a while most don't need this but at first many do. Keep trying!

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