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Choosing the best PAP machine for my hyperreactive nose--Resmed 10 For Her?
#1
Choosing the best PAP machine for my hyperreactive nose--Resmed 10 For Her?
I want to upgrade my Remstar 460 to a new machine and I am hoping you can give me some reasoned recommendations.

 
I know a lot of you are advocates for the Resmed and I'm considering a Resmed 10 in the "For Her’ version.  I wonder if you think it would suit my particular issues. 
 
My key issue is my hyperreactive nose, which may be related to my large turbinates and deviated septum.  I'm usually fine, but occasionally I respond to higher cpap pressures, temperature, and/or humidity that make me sneeze uncontrollably and make it impossible for me to sleep or continue using the CPAP.  There is no set pattern for my nose sensitivity and I don't think it's the filters, because I change them regularly.
 
I use a low CPAP setting (6) so as not to irritate my sensitive nose and this works most of the time, i.e., my AHI's are usually <5 if I sleep on my side.  This is not always true however, and once or twice a week I have bad nights with AHI spikes to around 9 or so.  
This nose issue is also why I wear a full face mask to avoid direct pressure in my nose, although I’m a nosebreather and easily can sleep with a nasal mask (Resmed N30i for days when conditions are good)
 
I like to sleep cold, but at times it is at odds with the nose to breathe the cold air, so it is important for me to be able to control the CPAP temperature and humidity better than I do now. 
 
My hope for a new machine is to improve my sleep overall and tolerate the CPAP without irritating my nose.
 
Please share your thoughts about: 
 
1.     The Resmed 10 versus other machines (Respironics) available on the market. 
2.     I read that the "For Her" algorithm is more aligned with a woman's breathing patterns and I wonder if it may be better for my mucous membranes. Does anyone have experience with this and what are your thoughts?  
3.     What peripherals for humidity control, air filtration, or other features should I request?
 
Thanks and sweet dreams!  
 
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#2
RE: Choosing the best PAP machine for my hyperreactive nose--Resmed 10 For Her?
I looked at your OSCAR graphs. That night your pressure was all over the place and you had a lot of pressure pulses.

I think you would like the Resmed because they don't have the pressure pulses. They use FOT which is, IMO, less disturbing. In my experience, I was able to be better treated with the Resmed at lower pressures and no sleep disruptions from the pressure pulses.

When your pressure is going up and down numerous times during the night, two things happen ... one it is a bit disruptive to your sleep and possibly to your sensitive nose and two the mask fit needs to adjust for the varying pressures. Your leaks aren't bad, but you mentioned them, so perhaps they bother you.

I like the Resmed better and you will find a lot of people here agree. The for her model is a no-brainer because you get everything the black machine has plus an extra bonus of the for her algorithm.
Sleep-well
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#3
RE: Choosing the best PAP machine for my hyperreactive nose--Resmed 10 For Her?
The Resmed Airsense 10 Autoset For Her has 3-modes of auto CPAP therapy and one fixed CPAP mode. It has the capability to provide up to 3 cm difference between inhale and exhale, and is a far more flexible, superior choice for your therapy than the Philips 460. Once you get the new machine, you can set it up with your same CPAP pressure, or use a range of pressure that suits your comfort and needs. I would suggest starting at a minimum pressure of 5.0 and maximum pressure of 11.0 with EPR 1 in Autoset For Her mode, and we can review results and help you to optimize to far better than the <5 AHI you are currently getting.
Sleeprider
Apnea Board Moderator
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#4
RE: Choosing the best PAP machine for my hyperreactive nose--Resmed 10 For Her?
Thanks so much for your inputs and elaborations.
You both confirmed my intuition about the Resmed For Her.
I'l let you know how this plays out...
Thanks again, I appreciate your help!
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#5
RE: Choosing the best PAP machine for my hyperreactive nose--Resmed 10 For Her?
(10-15-2020, 10:44 PM)Sanne Wrote: I want to upgrade my Remstar 460 to a new machine and I am hoping you can give me some reasoned recommendations.
. . .
Please share your thoughts about: 
 1.     The Resmed 10 versus other machines (Respironics) available on the market. 
2.     I read that the "For Her" algorithm is more aligned with a woman's breathing patterns and I wonder if it may be better for my mucous membranes. Does anyone have experience with this and what are your thoughts?  
3.     What peripherals for humidity control, air filtration, or other features should I request?

Hi Sanne,
I recently upgraded machines to a Resmed Autoset For Her, and the experience has been outstanding.  I was doing reasonably well with my old machine (Resmed S9 Autoset), but I am subject to Aerophagia (air swallowing).  For such people, less pressure is better.  So after I got a baseline with the new machine, I tested the other Auto modes, and it seems that the Autoset/Soft response setting works best for me.  My 95% pressure dropped from about 14.6 to just over 11 in the tests.  This has been great for an Aerophagiac.

Re #3:  The machine comes with a humidifier built-in.  I ordered the new machine with a Climateline tubing, and added a hose cover (cheap on Amazon).  This has improved my drymouth issues significantly.  The heated tubing will give you more control over delivered humidification.

Re FFM:  I have used a Fisher&Paykel Simplus for years now.  It is roomy and seals well for me.  I like it much better that the Mirage Quattro I started with.  I wouldn't add such a change to other changes at the same time, but it might be worth your while to try out the Simplus or its successor, the Vitera.  A number of members have reported good results with both.  Supplier#26 has a great mask return policy, which makes it simple for such tryouts.


Good luck on your quest.
A.Becker
PAPing in NE Ohio, with a pack of Cairn terriers
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#6
RE: Choosing the best PAP machine for my hyperreactive nose--Resmed 10 For Her?
Thanks much for yet another “Resmed For Her” recommendation from a satisfied user.
I have now ordered my machine and I can hardly wait to get it (a couple of weeks or so)!

Great idea to get the climateline hose as you say, the heated tubing will give more control over humidity, which will be helpful I’m sure, at least part of the year where I am. I think it will be a challenge to figure out the balance between temperature and humidity because the conditions change a lot here in my area. On the one hand moisture is very important for our breathing comfort, but on the other hand, for me too much can trigger my nose. So yes, a delicate balance to understand and maintain, that I hope this intelligent machine can help me figure out.
Thank you for the recommendation also about the hose cover and mask!
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