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Help with Airsense 10 Autoset settings
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lavamanz Offline

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Posts: 4
Joined: Sep 2015

Machine: Resmed Airsense 10 Autoset
Mask Type: Nasal mask
Mask Make & Model: Resmed Airfit N10
Humidifier: none
CPAP Pressure: 8-13
CPAP Software: ResScan

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Sex: Male
Location:

Post: #1
Help with Airsense 10 Autoset settings
So first the doctor prescribed the ResMed Airsense 10 Elite with a setting of 11. I was able to get him to prescribe the Airsense 10 Autoset & he gave settings of 8-13. I have used machine about 10 days & downloaded data to ResScan. I notice pressures were bumping up to the max of 13 after about 4 nights. I have now adjusted max to 14 for several nights & the pressures got close to 14, then I adjusted max again to 15. Last night on the essentials plus it indicated 14.8 so I am now getting up to the max again. Should I bump it again? It seems odd since I did a sleep study & 11 fixed was what was prescribed.
10-11-2015 06:40 AM
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ramblingasian Offline

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Posts: 56
Joined: Aug 2015

Machine: Resmed Aircurve10 VPAP Auto
Mask Type: Nasal mask
Mask Make & Model: F&P Eson
Humidifier: Integrated
CPAP Pressure: IPAP 16, EPAP 12
CPAP Software: SleepyHead

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Sex: Male
Location: Toronto, Ontario, CANADA

Post: #2
RE: Help with Airsense 10 Autoset settings
I would say that the pressure indication means little without you telling us what the accompanying AHI score is on the varying pressures that you've adjusted on. Is the AHI score still high?

There could be many reasons why the pressure continues to bump up to the top - some which may be unrelated to you not getting less than adequate treatment.

What was your original titration? There's got to be a reason why he prescribed a pressure of 11.

EDIT: I think you probably are adjusting your pressures too quickly - I started at 8 to 20, and at first, my pressure was hitting 20, but over the past two months of treatment, it's lowered to under 18 for most nights now. Perhaps you should hold off on making the changes so quickly.
(This post was last modified: 10-11-2015 07:15 AM by ramblingasian.)
10-11-2015 07:04 AM
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OpalRose Offline

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Posts: 3,159
Joined: Nov 2014

Machine: PR System One REMstar Auto 560 with A Flex
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 For Her
Humidifier: REMStar heated humidifier with heated hose
CPAP Pressure: Auto Cpap 10-13 AFLEX 1
CPAP Software: SleepyHead EncoreBasic

Other Comments: Started CPAP Therapy October 23, 2014

Sex: Female
Location: Northeast Ohio, USA

Post: #3
RE: Help with Airsense 10 Autoset settings
Welcome to the forum lavamanz,
Pressure can rise for different reasons. The machine can respond to snoring, and flow limitations, etc.

Without data to look at, you may be making your situation worse by raising the max pressure without having a reason to do so.

Download Sleepyhead software (link at top of page), and start looking at your numbers before making changes. The graphs will tell you what is happening at any given time.

Also, you haven't said what your AHI readings have been.

OpalRose
10-11-2015 07:19 AM
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AlanE Offline

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Posts: 1,491
Joined: Mar 2015

Machine: ResMed AirSense 10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: P10 & Mirage Liberty backup
Humidifier: Built-in
CPAP Pressure: 10-14
CPAP Software: ResScan SleepyHead

Other Comments: ʕ•ᴥ•ʔ So Long, and Thanks for All the Fish

Sex: Male
Location: Southwest Florida

Post: #4
RE: Help with Airsense 10 Autoset settings
Welcome

To expand on what ramblingasian said, you will need time to adjust to the machine let alone the pressure settings. Run with what you have now for awhile. I would say for at least two weeks. I also have seen a decrease in my Max pressure. I had 15 as a max pressure and I rarely hit 14 now. The autoset will only go that high if it needs to so the max settings isn't as crucial unless you start getting pressure-induced events.



Using FlashAir W-03 SD card in machine. Access through wifi with FlashPAP or Sleep Master utilities.

I wanted to learn Binary so I enrolled in Binary 101. I seemed to have missed the first four courses. Big Grinnie
10-11-2015 08:18 AM
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lavamanz Offline

Members

Posts: 4
Joined: Sep 2015

Machine: Resmed Airsense 10 Autoset
Mask Type: Nasal mask
Mask Make & Model: Resmed Airfit N10
Humidifier: none
CPAP Pressure: 8-13
CPAP Software: ResScan

Other Comments:

Sex: Male
Location:

Post: #5
RE: Help with Airsense 10 Autoset settings
AHI readings
9/25 1.5
9/26 2.6
9/27 2.5
9/28 1.2
9/29 0.7
9/30 3.2
10/1 2.5
10/6 2.5
10/7 1.0
10/8 0.9
10/9 1.1
10/10 1.5
10-11-2015 08:44 AM
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ramblingasian Offline

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Posts: 56
Joined: Aug 2015

Machine: Resmed Aircurve10 VPAP Auto
Mask Type: Nasal mask
Mask Make & Model: F&P Eson
Humidifier: Integrated
CPAP Pressure: IPAP 16, EPAP 12
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Toronto, Ontario, CANADA

Post: #6
RE: Help with Airsense 10 Autoset settings
(10-11-2015 08:44 AM)lavamanz Wrote:  AHI readings
9/25 1.5
9/26 2.6
9/27 2.5
9/28 1.2
9/29 0.7
9/30 3.2
10/1 2.5
10/6 2.5
10/7 1.0
10/8 0.9
10/9 1.1
10/10 1.5

If your AHI readings are so low as you state above originally, there is absolutely no reason at all why you needed to increase your pressure at all to begin with as your results indicate that your treatment is working properly as previously prescribed.

In fact, you're probably better off not touching the settings.

The only reason why you should have increased the top end is if your AHI were still high (above 5), but your scores do not indicate that at all.
(This post was last modified: 10-11-2015 08:50 AM by ramblingasian.)
10-11-2015 08:46 AM
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OpalRose Offline

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Posts: 3,159
Joined: Nov 2014

Machine: PR System One REMstar Auto 560 with A Flex
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 For Her
Humidifier: REMStar heated humidifier with heated hose
CPAP Pressure: Auto Cpap 10-13 AFLEX 1
CPAP Software: SleepyHead EncoreBasic

Other Comments: Started CPAP Therapy October 23, 2014

Sex: Female
Location: Northeast Ohio, USA

Post: #7
RE: Help with Airsense 10 Autoset settings
lavamanz,
Yes, your AHI readings are within the "treated" range of <5, but the question is: How do you feel?

Some folk feel great with those numbers, and some don't. Everyone is different.

Your original question is why your pressure rises when you changed your max setting, and I can only repeat what I stated above. Download software and start to track your therapy, then you will start to understand why pressure rises and falls during the night.
Your pressure could rise for many reasons, sometimes just turning over in bed and holding your breath for a short time.

Also, when you do make a pressure change, you should leave it alone for a week to 10 days minimum.

Added note: Look to see what your 90% pressure reading is. This gives us a better idea as to where your starting/minimum pressure should be.

Just an example: if your 90% pressure reading says it was at 10, this means that your pressure was at 10 or under for 90% of the night.

OpalRose
(This post was last modified: 10-11-2015 09:44 AM by OpalRose.)
10-11-2015 09:29 AM
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zonk Offline

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Posts: 7,908
Joined: Feb 2012

Machine: A10 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Activa LT
Humidifier: Integrated /ClimateLineAir
CPAP Pressure: 9/13
CPAP Software: ResScan

Other Comments: CPAP since Nov 2010

Sex: Male
Location: Australia

Post: #8
RE: Help with Airsense 10 Autoset settings
(10-11-2015 06:40 AM)lavamanz Wrote:  So first the doctor prescribed the ResMed Airsense 10 Elite with a setting of 11. I was able to get him to prescribe the Airsense 10 Autoset & he gave settings of 8-13. I have used machine about 10 days & downloaded data to ResScan. I notice pressures were bumping up to the max of 13 after about 4 nights. I have now adjusted max to 14 for several nights & the pressures got close to 14, then I adjusted max again to 15. Last night on the essentials plus it indicated 14.8 so I am now getting up to the max again. Should I bump it again? It seems odd since I did a sleep study & 11 fixed was what was prescribed.
My experience with A10 Autoset is the same as yours, the machine tend to respond to flow limitation aggressively. I set the maximum at 13 and the machine can only go to 13, seem to me a good compromise .... YMMV. Ask your doctor
How is the leak rate and any dry mouth or stuffy nose?
(This post was last modified: 10-11-2015 10:50 AM by zonk.)
10-11-2015 10:49 AM
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lavamanz Offline

Members

Posts: 4
Joined: Sep 2015

Machine: Resmed Airsense 10 Autoset
Mask Type: Nasal mask
Mask Make & Model: Resmed Airfit N10
Humidifier: none
CPAP Pressure: 8-13
CPAP Software: ResScan

Other Comments:

Sex: Male
Location:

Post: #9
RE: Help with Airsense 10 Autoset settings
(10-11-2015 10:49 AM)zonk Wrote:  
(10-11-2015 06:40 AM)lavamanz Wrote:  So first the doctor prescribed the ResMed Airsense 10 Elite with a setting of 11. I was able to get him to prescribe the Airsense 10 Autoset & he gave settings of 8-13. I have used machine about 10 days & downloaded data to ResScan. I notice pressures were bumping up to the max of 13 after about 4 nights. I have now adjusted max to 14 for several nights & the pressures got close to 14, then I adjusted max again to 15. Last night on the essentials plus it indicated 14.8 so I am now getting up to the max again. Should I bump it again? It seems odd since I did a sleep study & 11 fixed was what was prescribed.
My experience with A10 Autoset is the same as yours, the machine tend to respond to flow limitation aggressively. I set the maximum at 13 and the machine can only go to 13, seem to me a good compromise .... YMMV. Ask your doctor
How is the leak rate and any dry mouth or stuffy nose?

Leak rate (95th percentile) varies from 4.8L/min to 15.6L/min. No dry mouth or runny nose, I do not use the humidifier
10-11-2015 12:38 PM
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trish6hundred Offline

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Posts: 6,430
Joined: May 2012

Machine: Resmed S9 AutoSet for Her
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
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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: #10
RE: Help with Airsense 10 Autoset settings
Hi lavamanz,
WELCOME! to the forum.!
Much success to you with your CPAP therapy.

trish6hundred
10-11-2015 03:11 PM
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