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Couple of Questions - Resmed S10
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Legcramp Offline

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Posts: 7
Joined: Mar 2015

Machine: Resmed S10 - Auto running fixed mode
Mask Type: Full face mask
Mask Make & Model: Mirage quatttro
Humidifier: Built in humidAir
CPAP Pressure: 12
CPAP Software: ResScan

Other Comments: Using a SoClean2

Sex: Male
Location:

Post: #1
Couple of Questions - Resmed S10
First, I'd like to sincerely thank the board for my early education.
Because of you..
I was knowledgable enough to ask for the machine & mask I researched and wanted.
Was lucky enough to get an auto machine even though I am currently fixed pressure.
Was wise enough to ask for EPR to be turned on, the RT looked surprised said they don't normally turn that on and it wasn't on my script, but she would have to take machine in back and "make that change", and would make an exception, just for me, since I asked. Lol.
I had the guts to argue for and get a copy of my prescription when the DME lady at the doctors office said we don't normally give them to patients. I mumbled about it being a patient right and Hippa laws and got it right away.


My question is this...
Can someone explain the EPR levels on the Resmed S10 auto?
Currently set at level 2, is level 1 higher pressure or lower?
Are the EPR levels fixed or calculated pressures?

I am a week in, and I am having terrible sealing problems on my mask, and 99.9% sure I am doing everything right. I think my pressure is just too high (12). Have watched almost every video there is on youtube about the mirage quattro twice. My mask feels like it's trying to blow off my face. I have EPR set on full time, During ramp up no problems, but after an hour and a half in, my mask wakes me with so much pressure and farting noises, it's like I can't keep up. Tonight I'm going to move it to auto and set the min/max to 8/12.

They told me at the sleep center they start you at 5 and just increase the pressure until all your apneas go away. Which is how they got to 12.

My events per hour AHI have gone from 37 to 3, but only logging 4-5 hrs a night, so I figure I can give up a point or two of pressure in exchange for a good nights sleep right? Currently restarting machine to restart ramp in order to go back to sleep.



Thanks in advance,
Legcramp
03-15-2015 12:53 AM
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player Offline

Advisory Members

Posts: 412
Joined: Feb 2015

Machine: Resmed A10 Autoset For Her
Mask Type: Nasal pillows
Mask Make & Model: Resmed A10
Humidifier: Resmed A10 Autosset
CPAP Pressure: 11-16
CPAP Software: SleepyHead

Other Comments: It's a... mad world...

Sex: Male
Location: Canada

Post: #2
RE: Couple of Questions - Resmed S10
Why that mask?

Have you tried any others?

Have you tried any nasal pillows?

Are you a mouth breather when you sleep?

I really like the Pilairo nasal pillow mask. It is very comfortable and
comes with 2 different headstraps.

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03-15-2015 02:14 AM
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Legcramp Offline

Members

Posts: 7
Joined: Mar 2015

Machine: Resmed S10 - Auto running fixed mode
Mask Type: Full face mask
Mask Make & Model: Mirage quatttro
Humidifier: Built in humidAir
CPAP Pressure: 12
CPAP Software: ResScan

Other Comments: Using a SoClean2

Sex: Male
Location:

Post: #3
RE: Couple of Questions - Resmed S10
Yup, I am a mouth breather.
Haven't tried any otherS.

Sleep center had me try that one the night of my study.
Since you only get one every 6 months, figured I should go with that one first.
(This post was last modified: 03-15-2015 02:20 AM by Legcramp.)
03-15-2015 02:17 AM
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DeepBreathing Offline
Wiki Editor
Moderators

Posts: 2,296
Joined: Sep 2013

Machine: Resmed S9 VPAP Adapt
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Resmed H5i
CPAP Pressure: EPAP: 9 - 15 PS: 3 - 10
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Perth, Western Australia

Post: #4
RE: Couple of Questions - Resmed S10
G'day Legcramp, welcome to Apnea Board. Well done on getting the DME under control from the outset!

Here's an (old) link to Resmed's own description of EPR: http://resmedfoundation.org.au/us/assets...c=patients

DeepBreathing
Apnea Board Moderator
www.ApneaBoard.com


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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.
03-15-2015 02:59 AM
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Legcramp Offline

Members

Posts: 7
Joined: Mar 2015

Machine: Resmed S10 - Auto running fixed mode
Mask Type: Full face mask
Mask Make & Model: Mirage quatttro
Humidifier: Built in humidAir
CPAP Pressure: 12
CPAP Software: ResScan

Other Comments: Using a SoClean2

Sex: Male
Location:

Post: #5
RE: Couple of Questions - Resmed S10
Thanks so much!!!

That helps a lot!!!!
03-15-2015 03:36 AM
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trish6hundred Offline

Advisory Members

Posts: 6,452
Joined: May 2012

Machine: Resmed S9 AutoSet for Her
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: H5i Heated Humidifier
CPAP Pressure: 10 - 7-20 Cm H2O
CPAP Software: Not using software

Other Comments: I started CPAP in 2008. Totally blind since birth.

Sex: Female
Location: Missouri, USA

Post: #6
RE: Couple of Questions - Resmed S10
Hi Legcramp,
WELCOME! to the forum.!
Don't be shy about asking to try different masks if the one you are using now doesn't work for you. Some people have to try many different ones 'til they find what works.
You could set your pressure within a range, for example, 8 to 13 CMH2o, and see how you do with that but hang in there, others will have suggestions for you.
Much success to you with your CPAP therapy.

trish6hundred
03-15-2015 07:42 AM
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OMyMyOHellYes Offline

Advisory Members

Posts: 915
Joined: Mar 2013

Machine: Respironics 560 Auto
Mask Type: Nasal mask
Mask Make & Model: Resmed Mirage FX
Humidifier: Respironics System One (no heated hose)
CPAP Pressure: 08.0-15.0 cm/H2O
CPAP Software: EncoreBasic

Other Comments:

Sex: Male
Location: Texas

Post: #7
RE: Couple of Questions - Resmed S10
(03-15-2015 12:53 AM)Legcramp Wrote:  My question is this...
Can someone explain the EPR levels on the Resmed S10 auto?
Currently set at level 2, is level 1 higher pressure or lower?
Are the EPR levels fixed or calculated pressures?

On the Resmed machines the EPR levels correspond to:

  1. = one CM H2O reduction in pressure on exhale
  2. = two CM H2O reduction in pressure on exhale
  3. = three CM H2O reduction in pressure on exhale


OMM
03-15-2015 08:32 AM
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Sleeprider Online
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Advisory Members

Posts: 3,390
Joined: Dec 2014

Machine: Resmed Aircurve 10 Vauto
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed Climateline
CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: Where they make Respironics

Post: #8
RE: Couple of Questions - Resmed S10
Since you are having problems with the mask sealing, and that is severely disrupting your sleep, I encourage you to talk to the DME about trying some alternative masks. Many new users suffer through this problem, unaware that mask exchanges are free and expected in the first month. If you have not succeeded with the Quattro, then try the Fisher & Paykel Simplus or another mask. Solving the leaks can resolve the AHI and fatigue. It is much more important that you get a good mask fit, than mess with the machine settings. Different masks and sizes will perform differently...try them.

Your AHI is less than 5 and in an acceptable range. Now the challenge is to get comfortable so you can tolerate, even enjoy, a full night of therapy.

______________________________________________
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03-15-2015 10:02 AM
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player Offline

Advisory Members

Posts: 412
Joined: Feb 2015

Machine: Resmed A10 Autoset For Her
Mask Type: Nasal pillows
Mask Make & Model: Resmed A10
Humidifier: Resmed A10 Autosset
CPAP Pressure: 11-16
CPAP Software: SleepyHead

Other Comments: It's a... mad world...

Sex: Male
Location: Canada

Post: #9
RE: Couple of Questions - Resmed S10
Sites like Supplier #1 will charge a small fee as a mask fit return insurance... So if you buy a mask and don't like it you can get your money back minus return shipping...
03-15-2015 10:08 AM
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trailrider Offline

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Posts: 304
Joined: Feb 2015

Machine: A10 Autoset for Her
Mask Type: Nasal mask
Mask Make & Model: Eson or P10
Humidifier: autoset
CPAP Pressure: 6-12 DME, 7-13 me
CPAP Software: SleepyHead

Other Comments: engineer. EPR at 3, unheated hose, humidity at 2. Routine hose entanglement.

Sex: Female
Location: Ontario

Post: #10
RE: Couple of Questions - Resmed S10
Legcramp, be patient with yourself and getting used to therapy. It can take awhile to find your personal Goldilocks zone.
I don't bother with ramp, and my EPR is set to 3. Here is what I would do. I am not an RT, disclaimer, etc.:

Push the home and knob buttons simultaneously for 3-5 seconds to enter the clinic menu. Turn off auto and put the lower pressure at about say 5 or 6 or 7. Run the mask test function. Get in bed with a book and put your mask on. Read and forget the mask. Relax. If you feel panicky or air hungry, turn up the minimum pressure. When you feel relaxed, and your air is coming in without bothering you, this is a good minimum start point. I'd say 15 minutes being able to forget the mask is a good indicator the pressure is good.

If they put your top pressure at 12, go with that. Later you can check if you might want to bump it up a notch. The sleepyhead data will let you decide that.

Now turn off the mask fit function, set the minimum to your new number, exit the clinical menu, and run the machine normally, while reading. Confirm you feel fine at this setting, and then turn out your light and go to sleep.

You want to feel relaxed and not like you are in a battle with this mask/machine hydra. The mask itself can take getting used to as you adjust straps a millimeter here or there. Give yourself a week and look at the data. Others here are very good at walking through the data info. Just keep at it and take your time.
03-15-2015 10:10 AM
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