Best machine for UARS / RERAs

Is there a machine that works best for treating RERAs? What machine has software that tracks RERAs? How far do you titrate? My sleep doc seems to only titrate out hypopneas. How can I find a sleep doc to titrate out the RERAs? I suppose if I get a machine that detects RERAs I can tritate them myself, using the software. Yes or no? Thanks for your help.

I'm suspicious about machines indicating RERAs. I think definitive detection of RERAs requires a respiratory effort belt.

I'd try just changing my own pressure settings and see what happens with the software. Watch out for other events and how your own health feels. Look at the waveforms, don't have too much faith in the event numbers, especially for things other than apneas.

archangle wrote:I'm suspicious about machines indicating RERAs. I think definitive detection of RERAs requires a respiratory effort belt.

I am, too, for the reason you gave. And also for this reason -- our machines cannot tell when we're asleep or awake. RERAs might get marked by a home machine when the person was already awake for other reasons.

You already have a very good machine, tiredintenn. I don't think there is one particular machine of which it can be said, this one "works best for treating RERAs." Not for everyone. Different people have different responses to this brand/that brand, this model/that model. This setting/that setting. The different responses wouldn't necessarily have anything to do with RERAs, real ones or incorrectly marked ones.

tiredintenn wrote:Is there a machine that works best for treating RERAs? What machine has software that tracks RERAs? How far do you titrate? My sleep doc seems to only titrate out hypopneas. How can I find a sleep doc to titrate out the RERAs? I suppose if I get a machine that detects RERAs I can tritate them myself, using the software. Yes or no? Thanks for your help.

Find sleep centers within your area and ask if they titrate out flow limitations. You not only want to titrate RERAs associated with flow limitations but ALL flow limitations

tiredintenn wrote:Is there a machine that works best for treating RERAs? What machine has software that tracks RERAs? How far do you titrate? My sleep doc seems to only titrate out hypopneas. How can I find a sleep doc to titrate out the RERAs? I suppose if I get a machine that detects RERAs I can tritate them myself, using the software. Yes or no? Thanks for your help.

My approach (with support from my sleep doc) is to increase pressure to reduce flow limitations. Do you have ResScan to look at the data? The S9s provide good flow data as well as flow limitations determined by the curve of the flow data. I too am suspicious of xpap machine detecting RERAs for the same reasons as Rested Gal and archangle.

I have had UARS since 1995,and was finally diagnosed after 5 different Doctors in 1997! Also I had surgery UPPPs,HM,GA! (Surgery only made it harder when I went back to cpap,and additionally caused voice problems,choking on food in back of throat plus sinuses!) (Stay away from surgery if you have UARS!)

So far for me the best machine has been the Hoffrichter Vector Et Auto! (Very Good Results!)
It seems to do the best job for me! I have the software,and It seems to detect my Flow Limitations well,and although it has a seperate EPR (Flexline!) mode It is similar to Devilbiss Smartflex with rounding ! ! Flexline Does not work in Auto Mode! But I do notice that the blower speed does slow down as I exhale,I'm not sure how,or why,But it does make exhaling easier for me!

Machines I have used in the past are straight cpap in 1997! Resmed Adapt (Lousy Results)! Puritan Bennett 420E (Good Results),Puritan Bennett Sandman Auto Cpap( GOOD Results!) Breas PV10i Auto Cpap (Very Good Results!) Breas Isleep 20i Auto Cpap (Lousy Results!) Respironics DS550HS Auto Cpap (Poor Results!)
Resmed S-9 Autoset Auto cpap (Fair Results!) Puritan Bennett Bipap (Good Results!)

Maintenanceman wrote:I have had UARS since 1995,and was finally diagnosed after 5 different Doctors in 1997! Also I had surgery UPPPs,HM,GA! (Surgery only made it harder when I went back to cpap,and additionally caused voice problems,choking on food in back of throat plus sinuses!) (Stay away from surgery if you have UARS!)

So far for me the best machine has been the Hoffrichter Vector Et Auto! (Very Good Results!)
It seems to do the best job for me! I have the software,and It seems to detect my Flow Limitations well,and although it has a seperate EPR (Flexline!) mode It is similar to Devilbiss Smartflex with rounding ! ! Flexline Does not work in Auto Mode! But I do notice that the blower speed does slow down as I exhale,I'm not sure how,or why,But it does make exhaling easier for me!

Machines I have used in the past are straight cpap in 1997! Resmed Adapt (Lousy Results)! Puritan Bennett 420E (Good Results),Puritan Bennett Sandman Auto Cpap( GOOD Results!) Breas PV10i Auto Cpap (Very Good Results!) Breas Isleep 20i Auto Cpap (Lousy Results!) Respironics DS550HS Auto Cpap (Poor Results!)
Resmed S-9 Autoset Auto cpap (Fair Results!) Puritan Bennett Bipap (Good Results!)

Maintenanceman, seems you have quite a bit of experience.. would you care to joint the forum as a member and make your experience available to us here at CPAPTALK? I find it very helpful when there's several different types of experience weighing in on any particular question or issue. thanks for your input. earl

Maintenanceman wrote:I have had UARS since 1995,and was finally diagnosed after 5 different Doctors in 1997! Also I had surgery UPPPs,HM,GA! (Surgery only made it harder when I went back to cpap,and additionally caused voice problems,choking on food in back of throat plus sinuses!) (Stay away from surgery if you have UARS!)

So far for me the best machine has been the Hoffrichter Vector Et Auto! (Very Good Results!)
It seems to do the best job for me! I have the software,and It seems to detect my Flow Limitations well,and although it has a seperate EPR (Flexline!) mode It is similar to Devilbiss Smartflex with rounding ! ! Flexline Does not work in Auto Mode! But I do notice that the blower speed does slow down as I exhale,I'm not sure how,or why,But it does make exhaling easier for me!

Machines I have used in the past are straight cpap in 1997! Resmed Adapt (Lousy Results)! Puritan Bennett 420E (Good Results),Puritan Bennett Sandman Auto Cpap( GOOD Results!) Breas PV10i Auto Cpap (Very Good Results!) Breas Isleep 20i Auto Cpap (Lousy Results!) Respironics DS550HS Auto Cpap (Poor Results!)
Resmed S-9 Autoset Auto cpap (Fair Results!) Puritan Bennett Bipap (Good Results!)

Question:

If I see some Flow Limitation in the Resscan graphs from my A9 Autoset what do I do with this info?

Another question:

If "RERAs are defined as a less than 50% reduction in airflow with an associated EEG arousal but no change in oxygen saturation", then don't you need an EEG equipment.

I would recommend that you look at the Flow Limitations actual length of time! If you have UARS your S-9 should be detecting,and reacting to them by increasing the pressure in steps to eliminate them! The length of time will vary,but it should be of relatively short durations,("If the S-9 pressures are set in the proper range for you!") It is also important too remember that you are maintaining good sleep maintenance!That is too say that you are going to bed at a normal,and regular time suited to your getting quality sleep!You should also make sure that you have good indoor air quality,especially in the room that your sleeping in! This may require use of a Hepa type filter system,along with a fresh air exchanger system!

As far as RERAs I would ask you, has your sleep improved with the S-9! I have no idea at this time how long you have been using this machine,nor do I know if you have reached a very high level of quality sleep with your present machine! I will tell you that if you have UARS,and you find yourself awake in the middle of the night then your have probably had a RERA type of event that would be of a more significant nature! Remember that if you have UARS,that you are having events that are constricting the airway! The S-9 if set up properly should be minmizing the events length of time,so that it does not go into a more significant event! Such as a RERA! Remember too that other things come into play such as a inadvertent mask leak that happens when you move to a new sleep position!