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Advice - First night with new machine
#1
Advice - First night with new machine
Good morning all,
I am currently trialing machines prior to purchase.  I used a Phillips Dreamstation for 15 days.  Last night was my first night with a Resmed Airsense 10 autoset.  My numbers are attached below.  Do any of you experts with experience with this machine have any advice on settings?  Some of the settings I  would appreciate opinions on are Ramp (on or off?  I am pretty comfortable with adapting to pressure, so should I just turn it off to get to higher pressures sooner?), and EPR (on or off, which level if on?).

Any other observations on my numbers you would care to share?
   
Brian
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#2
RE: Advice - First night with new machine
With pressure at 7.6 to 16.0 and EPR 2, you seem to be sensitive to the EPR and are experiencing CA events. I think you can cut your EPR back to 1 and do better until you adjust, and I don't see a need for maximum pressure more than 9.0. Based on what I'm seeing here, minimum pressure to 7.0, maximum to 9.0 and EPR at 1
Sleeprider
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#3
RE: Advice - First night with new machine
Brian, it would be interesting to see how you did on your Dreamstation as well You have a significant amount of central apnea here, and if that was also true for the Dreamstation, you might need a different therapy from CPAP. ASV is used to treat central apnea and therapy onset central or complex apnea. Was there any central events noted on your sleep study?
Sleeprider
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INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#4
RE: Advice - First night with new machine
Thanks for the ideas Sleeprider. Later tonight I can dig up some of the details from the dreamstation, and check my original sleepstudy to see if there was Central Apneas documented.

I'll drop the EPR to 1 on the Resmed for tonight as well.

Brian
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#5
RE: Advice - First night with new machine
About ramp. Especially with the adjustments recommended by Sleeprider, I think you can just turn the ramp off. I bet you'll never miss it.

I'm curious: have you noticed a difference in comfort switching from the PR machine to the ResMed? Like a lot of people, I found that the PR machine seemed to be trying to rush me into inhaling, while ResMed machine does a nice job of following my breathing. But not everyone has this same reaction.
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#6
RE: Advice - First night with new machine
(03-25-2020, 11:09 AM)Dormeo Wrote: About ramp.  Especially with the adjustments recommended by Sleeprider, I think you can just turn the ramp off.  I bet you'll never miss it.

I'm curious: have you noticed a difference in comfort switching from the PR machine to the ResMed?  Like a lot of people, I found that the PR machine seemed to be trying to rush me into inhaling, while ResMed machine does a nice job of following my breathing.  But not everyone has this same reaction.

I found the Resmed accommodated a more natural style of breathing, as opposed to a more forceful or intentional breathing required for the Phillips.  It seemed very comfortable last night, so I was a little surprised by the AHI numbers when I downloaded them to Oscar.
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#7
RE: Advice - First night with new machine
Good, I'm glad the ResMed is more comfortable. You are in good hands for strategies to bring your AHI down.
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#8
RE: Advice - First night with new machine
Here are three additional nights of data.  I welcome any suggestions.  I am feeling pretty good overall.  Brian
           
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#9
RE: Advice - First night with new machine
Well on second thought the CA events are not too bad, and I think some of it is caused by the frequent leaks. A more steady pressure between 8 and 10 might help. Again, higher pressures don't seem to have much value to your therapy.
Sleeprider
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____________________________________________
Download OSCAR Software
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Attaching Files
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INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#10
RE: Advice - First night with new machine
Sleeprider, you had asked about central events from a sleep study.  It took a while, but I found this one.  It is my most recent one.  It was done while I was wearing a mandibular advancement device.  I hope it helps.  Brian
       
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