Resmed S9 Autoset, AHI & pressure

DJL · Post by **DJL** » Sat Aug 31, 2013 9:27 am

I have been using the S9 for about two months and in the first month (about 1) the AHI were lower than the second month(about 1.. The figures are still low but the Central Apneas have increased, would taking Hydrocodine tablets in the middle of the night for back/hip pain increase them.
Also does the S9 machine have problem detecting and reacting high mask leaks. Because I have notice some nights that I keep waking up with my mask leaking and if I adjust the mask and hold it against my face, it takes the S9 about 30 seconds or more to lower the pressure. I know that it must be using its memory to allow for the high mask leaks before it reacts, but the 30 seconds or more seems along time.
Do people get woke up regularly by mask leaks, because I am waking up and noticing that there is a leak. Is it the leaks that wake you or you wake up and then notice the leak?
I am using a Aloha nasal pillow (cannot use other types of masks), which I like except for the higher mask leak rate. Is the Aloha know for high leak rates?
I may go back to the Resmed Swift LT pillow mask and see if I can get that to work better. I have tried the F & P Pilaro and the older resmed Swift 2 pillow masks without success.

Dave

oak · Post by **oak** » Sat Aug 31, 2013 9:34 am

I have used my Resmed S9 Autoset for about two months also. I had to get new pillows for my mask as I started to notice an increase in leaking. Are you still using the same pillows/cushion or are you replacing them at a monthly interval?

avi123 · Post by **avi123** » Sat Aug 31, 2013 10:09 am

DJL wrote:I have been using the S9 for about two months and in the first month (about 1) the AHI were lower than the second month(about 1.. The figures are still low but the Central Apneas have increased, would taking Hydrocodine tablets in the middle of the night for back/hip pain increase them.

Hydrocodone (hydrocodine) works by binding to receptors in the brain and nervous system used by the body's natural "pain relievers." Acetaminophen works by lowering a chemical in the brain that stimulates pain nerves. The combination may provide better pain relief than either medicine alone.

Hydrocodone (hydrocodine) can be habit-forming. If you take hydrocodone (hydrocodine) over a long period of time, you can become mentally and physically dependent on it, and you may find this medicine no longer works for you at the prescribed dosage.

Common hydrocodone (hydrocodine) side effects may include: dizziness, light-headedness, nausea, sedation and vomiting. If you are sensitive to or have ever had an allergic reaction to hydrocodone (hydrocodine) or similar narcotic painkillers, you should not take this medicine. Make sure your doctor is aware of any drug reactions you have experienced.

I doubt if taking this Rx would increase Central events, but I am nor A Doc

Also does the S9 machine have problem detecting and reacting high mask leaks. Because I have notice some nights that I keep waking up with my mask leaking and if I adjust the mask and hold it against my face, it takes the S9 about 30 seconds or more to lower the pressure. I know that it must be using its memory to allow for the high mask leaks before it reacts, but the 30 seconds or more seems along time.

Yes, the S9 Machine can't diagnose events if the unintentional leak is above 24 L/Min

Do people get woke up regularly by mask leaks, because I am waking up and noticing that there is a leak. Is it the leaks that wake you or you wake up and then notice the leak?

Not necessarily, depending on the leak size and duration.

I am using a Aloha nasal pillow (cannot use other types of masks), which I like except for the higher mask leak rate. Is the Aloha know for high leak rates?
I may go back to the Resmed Swift LT pillow mask and see if I can get that to work better. I have tried the F & P Pilaro and the older resmed Swift 2 pillow masks without success.

I have no experience with nasal pillows masks.

Dave

Sheriff Buford · Post by **Sheriff Buford** » Sat Aug 31, 2013 10:14 am

DJL wrote:I have been using the S9 for about two months and in the first month (about 1) the AHI were lower than the second month(about 1.. The figures are still low but the Central Apneas have increased, would taking Hydrocodine tablets in the middle of the night for back/hip pain increase them.

Any kind of medication can affect your sleep. Folks can respond to medication differently. The only was you'll know is to quit the medication for a few nights and see how you respond number-wise. Know that 1a 5 AHI is considered medically acceptable, but efforts should e made to get that AHI as low as possible.

Also does the S9 machine have problem detecting and reacting high mask leaks.

No... it will compensate leaks up to 24 l/m. Again, make every effort to reduce them as low as possible.

Because I have notice some nights that I keep waking up with my mask leaking and if I adjust the mask and hold it against my face, it takes the S9 about 30 seconds or more to lower the pressure. I know that it must be using its memory to allow for the high mask leaks before it reacts, but the 30 seconds or more seems along time.

Note that your face will "relax" during your sleep and this can cause more leaks. Welcome to the world of autopap .

Do people get woke up regularly by mask leaks, because I am waking up and noticing that there is a leak. Is it the leaks that wake you or you wake up and then notice the leak?

I am awaken a lot because of leaks. I personally consider this a blessing because I figure I'm sleeping hard... which is good.

I am using a Aloha nasal pillow (cannot use other types of masks), which I like except for the higher mask leak rate. Is the Aloha know for high leak rates?
I may go back to the Resmed Swift LT pillow mask and see if I can get that to work better. I have tried the F & P Pilaro and the older resmed Swift 2 pillow masks without success.

That's the trick about masks... getting one that is comfortable that doesn't leak. More than one of us has had a mask that we ended up drop-kickin' it into the next county... You need to "tame" whatever mask you use. If you don't that you are decreasing your therapy... and may be decreasing it enough that it may be the difference from feeling really great or not..

Dave

RogerSC · Post by **RogerSC** » Sat Aug 31, 2013 12:50 pm

Yes, large leaks wake me up...I can see when I look at my sleep data that I usually have 2 or 3 spikey leaks above 24, very short but stong leaks, a night. I expect that those are the ones that wake me up. So I re-adjust my mask, and go back to sleep. It would be nice not to have that happen, but among the masks that I've tried, the one I'm using has been the best for me so far. Others have either leaked more or I really couldn't sleep with them on.

robysue · Post by **robysue** » Sat Aug 31, 2013 1:12 pm

DJL wrote: Do people get woke up regularly by mask leaks, because I am waking up and noticing that there is a leak. Is it the leaks that wake you or you wake up and then notice the leak?

Ideally you should not be woken up regularly by leaks. If the mask is working for you and the seal is good, then there should be a minimum amount of leaking going on in the first place.

That said: When people are fighting with leaks, it depends on the person what happens in regard to wakes caused by leaks.

Some people blissfully sleep through some really HUGE, and IMPORTANT leaks---in the sense that they post here saying they slept all night, but they were also in Large Leak territory (over 24 L/min for the S9) for several hours and it's clear the leaks are long enough and large enough to have a significant, negative affect on their therapy.

Other people wake up frequently with pesky, bothersome leaks that never come close to hitting Large Leak territory. But they're either lighter sleepers or the characteristics of the leaks are particularly disturbing to their sleep. The effectiveness of their therapy (in terms of AHI) is not affected by the leaks, but the quality of their sleep is: Frequent wakes for whatever reason can be disruptive enough to make you feel bad the next day.

As for whether the leak is what causes the wake or you just happen to wake up and notice the leak: It can be tough to tell the difference. If you tend to turn the machine off and then back on when you wake up (I typically do this), then you can look at the lag between the start of the leak and the the wake and get a feel for whether you're waking up in the middle of a long leak or whether the leak was what probably woke you up.

As others have noted: If the pillows themselves are now 2 months old, the cause of the leaks just might be worn out pillows. And a new pair of pillows just might fix your problem (for another 2 months or so.)

It's worth finding out how frequently your insurance will authorize purchasing new pillows. Some plans are quite generous (a pair every month or so), some are really, really stingy---mine only pays for replacement pillows once every six months. And yes, that's a problem for me.

LSAT · Post by **LSAT** » Sat Aug 31, 2013 1:30 pm

DJL wrote:I have been using the S9 for about two months and in the first month (about 1) the AHI were lower than the second month(about 1.. The figures are still low but the Central Apneas have increased, would taking Hydrocodine tablets in the middle of the night for back/hip pain increase them.
Also does the S9 machine have problem detecting and reacting high mask leaks. Because I have notice some nights that I keep waking up with my mask leaking and if I adjust the mask and hold it against my face, it takes the S9 about 30 seconds or more to lower the pressure. I know that it must be using its memory to allow for the high mask leaks before it reacts, but the 30 seconds or more seems along time.
Do people get woke up regularly by mask leaks, because I am waking up and noticing that there is a leak. Is it the leaks that wake you or you wake up and then notice the leak?
I am using a Aloha nasal pillow (cannot use other types of masks), which I like except for the higher mask leak rate. Is the Aloha know for high leak rates?
I may go back to the Resmed Swift LT pillow mask and see if I can get that to work better. I have tried the F & P Pilaro and the older resmed Swift 2 pillow masks without success.

Dave

You don't indicate what your pressure is set at....also...what do you consider a "high mask leak"? What does your Sleepyhead show?

DJL · Post by **DJL** » Sat Aug 31, 2013 3:32 pm

My 95% pressure is about 8cm, with average of 6.4cm (doctor set at 5 to 20cm) and the 95% leak is 32 with average of 10 (with some spikes at 40).
The DME said that everything was okay except the leaks, but doctor said that is does not really matter if its high. Just like the pressure range, he said to leave it wide open because I do not get higher than about 12cm a few times per night.
The nasal pillows are five weeks old, I did order a new one just before it was a month old, but the DME thought that they had one in stock but when I got there they did not.

Thanks Dave

Resmed S9 Autoset, AHI & pressure

Resmed S9 Autoset, AHI & pressure

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Re: Resmed S9 Autoset, AHI & pressure

Re: Resmed S9 Autoset, AHI & pressure

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Re: Resmed S9 Autoset, AHI & pressure

Re: Resmed S9 Autoset, AHI & pressure