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[CPAP] New to cpap - what do I need to know?
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Ghost1958 Offline

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Posts: 957
Joined: Aug 2014

Machine: PRS1 Series Sixty Auto Aflex
Mask Type: Nasal mask
Mask Make & Model: F&P Eson
Humidifier: PRS1 with Heated Hose
CPAP Pressure: 10.5 min 16 max
CPAP Software: SleepyHead EncoreBasic

Other Comments: Moderate to Severe SA Obstructive. Rapid O2 desat off the machine.

Sex: Male
Location: KY

Post: #11
RE: New to cpap - what do I need to know?
Wanted to toss this in also. Mask is half or more of the battle. Get one that works for you and its not hard to get used to this stuff. Get one that doenst and its nigh to impossible. Any cpap mask will work with cpap machines from FFM to pillows.

The DME likely wont have alot of masks to try but enough to get an idea if ffm or nasal mask or pillows works better for you. They can trial the mask in your first 90 days. So if one doesnt work take it back and tell them to get whatever it is that you think will work for you.

Knowledge is power in this cpap game and if you dont have it trust the DME will take advantage of the fact that you dont.
02-05-2015 02:39 AM
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kdmorris410 Offline

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Posts: 86
Joined: Aug 2014

Machine: Resmed Airsense 10 AutoSet for Her
Mask Type: Nasal mask
Mask Make & Model: Respironics Dream Wear
Humidifier: Built In
CPAP Pressure: 10-16
CPAP Software: SleepyHead

Other Comments: Started therapy 2/20/15

Sex: Female
Location:

Post: #12
RE: New to cpap - what do I need to know?
So, I called to see what kind of cpap it was and it was the regular one. They have to order the "for her" one for me, so it might be another week before I can get it. I figured it was worth waiting for the one that shows me the respiratory events that don't quality for the AHI. (I think that's what the RERA is, right?)
02-05-2015 01:27 PM
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Ghost1958 Offline

Advisory Members

Posts: 957
Joined: Aug 2014

Machine: PRS1 Series Sixty Auto Aflex
Mask Type: Nasal mask
Mask Make & Model: F&P Eson
Humidifier: PRS1 with Heated Hose
CPAP Pressure: 10.5 min 16 max
CPAP Software: SleepyHead EncoreBasic

Other Comments: Moderate to Severe SA Obstructive. Rapid O2 desat off the machine.

Sex: Male
Location: KY

Post: #13
RE: New to cpap - what do I need to know?
(02-05-2015 01:27 PM)kdmorris410 Wrote:  So, I called to see what kind of cpap it was and it was the regular one. They have to order the "for her" one for me, so it might be another week before I can get it. I figured it was worth waiting for the one that shows me the respiratory events that don't quality for the AHI. (I think that's what the RERA is, right?)

Yep reras, flow limitations that dont flag as hyponeas OAs or CAs are counted in the RHI.

Most sleep labs and Docs dont pay much if any attention to Flow Limitations or Reras. Most titration labs dont either until they become hypopneas. Once they have the hypops and actual apneas cleared out that is your pressure as far as they are concerned. Rightly or wrongly.

RERAs will pretty much take care of themselves once apenas, hypops and flow limitations are controlled.

The Resmed for her machine does flag them as does the PRS1 machines.
02-05-2015 03:35 PM
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quiescence at last Offline

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Posts: 753
Joined: Nov 2014

Machine: REMstar System One with Autoflex
Mask Type: Full face mask
Mask Make & Model: Quattro AirFit F10
Humidifier: yes typical setting = 4
CPAP Pressure: 5-13 Autotritrating CPAP
CPAP Software: SleepyHead EncoreBasic

Other Comments: CMS-50F Plus oximeter /w SPO2 Assistant software. Avowed mouth-breather switching to nose-breathing

Sex: Male
Location: US

Post: #14
RE: New to cpap - what do I need to know?
except in your case, and many on this board, that indicate how awfully horrible they feel, even though they have great numbers (AHI). 90% of these respondents have RedMed devices. I AM NOT BASHING RESMED DEVICES. But, many do not show RERA and I really think that is what is behind their feelings. So YES, please wait patiently for the "for Her" model. You will be glad you did.

By the way, I don't see much around that speaks to how to calm the RERAs. Just knowing you are being plagued by them in first step, then we can at least look for solutions.

QAL

Dedicated to QALity sleep.
You'll note I am listed as an Advisory Member. I am honored to be listed as such. See the fine print - Advisory Members as a group provide advice and suggestions to Apnea Board administrators and staff concerning Apnea Board operation and administrative policies. Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment.
02-05-2015 07:19 PM
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kdmorris410 Offline

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Posts: 86
Joined: Aug 2014

Machine: Resmed Airsense 10 AutoSet for Her
Mask Type: Nasal mask
Mask Make & Model: Respironics Dream Wear
Humidifier: Built In
CPAP Pressure: 10-16
CPAP Software: SleepyHead

Other Comments: Started therapy 2/20/15

Sex: Female
Location:

Post: #15
RE: New to cpap - what do I need to know?
(02-05-2015 07:19 PM)quiescence at last Wrote:  except in your case, and many on this board, that indicate how awfully horrible they feel, even though they have great numbers (AHI). 90% of these respondents have RedMed devices. I AM NOT BASHING RESMED DEVICES. But, many do not show RERA and I really think that is what is behind their feelings. So YES, please wait patiently for the "for Her" model. You will be glad you did.

By the way, I don't see much around that speaks to how to calm the RERAs. Just knowing you are being plagued by them in first step, then we can at least look for solutions.

QAL

Do you know what causes them? I'm pretty sure that they are why I feel horrible. My AHI was only 6... barely even diagnostic of sleep apnea, but my RDI was much higher... 15. If I understand my doctor correctly, that means that I'm waking up 21 times per hour from some "respiratory event", but only 6 of those times "count". However, I'm exhausted all the time and frequently fall asleep. My Epworth score was 13.

So, since I was symptomatic, my doctor said we should try the cpap... and here we are.
02-05-2015 10:25 PM
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quiescence at last Offline

Advisory Members

Posts: 753
Joined: Nov 2014

Machine: REMstar System One with Autoflex
Mask Type: Full face mask
Mask Make & Model: Quattro AirFit F10
Humidifier: yes typical setting = 4
CPAP Pressure: 5-13 Autotritrating CPAP
CPAP Software: SleepyHead EncoreBasic

Other Comments: CMS-50F Plus oximeter /w SPO2 Assistant software. Avowed mouth-breather switching to nose-breathing

Sex: Male
Location: US

Post: #16
RE: New to cpap - what do I need to know?
shamelessly copied from an internet search -

Quote:
A RERA (respiratory event related arousal) is an arousal associated with partial resistance to inspiratory breathing, but not enough to be called an apnea or hypopnea.


A Hypopnea usually affects the blood oxygen more, but does not need to actually wake you.

Therefore, quality of sleep is sometimes affected more by a RERA than by hypopnea. It, by nature, forcibly changes the sleep state.

It is the result of a flow restriction, caused by resistance (i.e. not a clear airway event.)

CPAP therapy is effective in treating resistance that is in flexible tissue. In theory, the airway is made up of flexible tissue.

Obviously resistance could come from marbles or peas in the nose. CPAP cannot fix that.

QAL

Dedicated to QALity sleep.
You'll note I am listed as an Advisory Member. I am honored to be listed as such. See the fine print - Advisory Members as a group provide advice and suggestions to Apnea Board administrators and staff concerning Apnea Board operation and administrative policies. Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment.
(This post was last modified: 02-06-2015 12:38 AM by quiescence at last.)
02-06-2015 12:36 AM
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quiescence at last Offline

Advisory Members

Posts: 753
Joined: Nov 2014

Machine: REMstar System One with Autoflex
Mask Type: Full face mask
Mask Make & Model: Quattro AirFit F10
Humidifier: yes typical setting = 4
CPAP Pressure: 5-13 Autotritrating CPAP
CPAP Software: SleepyHead EncoreBasic

Other Comments: CMS-50F Plus oximeter /w SPO2 Assistant software. Avowed mouth-breather switching to nose-breathing

Sex: Male
Location: US

Post: #17
RE: New to cpap - what do I need to know?
RDI is the addition of RERAs per hour and AHI. So, if your RDI is 15, and AHI is 6, then there are an average of 9 other events (RERAs).
02-06-2015 12:40 AM
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archangle Offline
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Posts: 3,159
Joined: Feb 2012

Machine: ResMed S9 AutoSet
Mask Type: Nasal pillows
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Humidifier: ResMed S9 H5i
CPAP Pressure: 16-20
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments: Happy PAPper

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Location: USA

Post: #18
RE: New to cpap - what do I need to know?
Insurance is usually rent for x months, then you own it. There may be a final payment. Varies with insurance plan.

Get the free SleepyHead software here.
Useful links.
Click here for information on the main alternative to CPAP.
If it's midnight and a DME tells you it's dark outside, go and check it yourself.
02-06-2015 01:40 AM
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kdmorris410 Offline

Preferred Members

Posts: 86
Joined: Aug 2014

Machine: Resmed Airsense 10 AutoSet for Her
Mask Type: Nasal mask
Mask Make & Model: Respironics Dream Wear
Humidifier: Built In
CPAP Pressure: 10-16
CPAP Software: SleepyHead

Other Comments: Started therapy 2/20/15

Sex: Female
Location:

Post: #19
RE: New to cpap - what do I need to know?
(02-06-2015 12:40 AM)quiescence at last Wrote:  RDI is the addition of RERAs per hour and AHI. So, if your RDI is 15, and AHI is 6, then there are an average of 9 other events (RERAs).

Oh, thanks! So that's not AS bad then.

archangle - yes, after I year, I will own the machine.
02-06-2015 06:25 AM
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