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Assistance getting sub 5 AHI on new machine
#41
RE: Assistance getting sub 5 AHI on new machine
Limiting Max out of caution to prevent a runaway to full machine pressure simply because you are on a fixed pressure. I like one night of 20 max in general just to see how one responds, followed by setting a better pressure, Personally I run with machine max and rarely doe it move more than 1cmw.
Fred Bonjour - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter 
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#42
RE: Assistance getting sub 5 AHI on new machine
Hello all,

ResMed AirSense™ 10 AutoSet™ rental on the way. This should help establish if this will be enough before making the BIPAP/VAUTO jump.

Suggested start settings? 8-15 EPR3 or something like that I presume.

Regards,
Damian.
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#43
RE: Assistance getting sub 5 AHI on new machine
Damian, no need to over-think this. It just works well for most people. Your settings sound fine, and we will see if there is anything else to do once we see results. Most people are just surprised how easy it is to adapt to Resmed when moving from Philips. I'm one of them.
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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#44
RE: Assistance getting sub 5 AHI on new machine
Thanks Sleeprider.
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#45
RE: Assistance getting sub 5 AHI on new machine
Hello Sandmen,

ResMed S10 Autoset rental sitting here.

Set with default 4-20 with EPR 3.

Sleep tight, sweet dreams and I'll report back tomorrow with some pretty picture.

Cheers,
D.
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#46
RE: Assistance getting sub 5 AHI on new machine
Well good news and bad news.

I'll start with the bad news. The picture is boring as it shows no events. NO EVENTS. NO EVENTS!!!

I guess I don't need any good news after that  Smile

AHI of 0.0. And looking at my flow graph my breathing is much smoother. 

   

Thanks for the patience of all trying to help me get the Philips setup right. As stated in the very earliest posts from bonjour, sleeprider and others "Can you swap it for a ResMed?" No surprise, they were right.

Still early days, only one night of data but I'll take it.

Thanks,
Damian.
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#47
RE: Assistance getting sub 5 AHI on new machine
First, I think a minimum pressure of 6.0 with EPR 2 would be more appropriate, and a minimum of 7 with EPR 3 is fine.  A minimum pressure of 4 is just too low and does not allow the EPR to do its magic.  Beyond that I think it's time for a before and after shot of Philips vs Resmed.  I sometimes feel guilty of being a Resmed fan, but this is why.  Apnea Board strikes again.


[Image: attachment.php?aid=20342]

[Image: attachment.php?aid=20922]
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

____________________________________________
Download OSCAR Software
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Optimizing Therapy
Organize your OSCAR Charts
Attaching Files
Mask Primer
How To Deal With Equipment Supplier


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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#48
RE: Assistance getting sub 5 AHI on new machine
FYI I use a formula for the min pressure setting

Min = 4 + EPR, note that 4 is the minimum pressure for the machine, higher values are fine but min should not be lower than Min = 4 + EPR without a very specific reason.
Fred Bonjour - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter 
OSCAR

Download OSCAR
New to Apnea? Helpful tips to ensure success
Soft Cervical Collar
Mask Primer
Dealing with a DME
Organize Charts
Attaching Charts

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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#49
RE: Assistance getting sub 5 AHI on new machine
Good morning,

Another good night. 

   

Few more artifacts this time around but the AHI & RDI are both excellent.

Cheers,
D>
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#50
RE: Assistance getting sub 5 AHI on new machine
Looks really good, but a few more hours would be better. Do you typically get up before 3:00 AM?
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

____________________________________________
Download OSCAR Software
Soft Cervical Collar
Optimizing Therapy
Organize your OSCAR Charts
Attaching Files
Mask Primer
How To Deal With Equipment Supplier


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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