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Home Sleep Test results
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Inky1 Offline

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Posts: 57
Joined: Jan 2016

Machine: ResMed Airsense 10 Autoset
Mask Type: Full face mask
Mask Make & Model: Phillips Respironics Amara View
Humidifier: HumidAir Heated Humidifier
CPAP Pressure: 6-15cm
CPAP Software: Not using software

Other Comments:

Sex: Male
Location: NC

Post: #1
Home Sleep Test results
So, I have my results in from the HST. I am now officially diagnosed with having OSA. It's a relief to know the results even though I may not like them.

They determined that I have moderate OSA. MY AHI is: 21.9 per hour. Total recording time was 477.3 minutes. My lowest oxygen desaturation was at 82%.

They are recommending that I go on APAP therapy with a pressure range of 6 cm to 15 cm. I am awaiting further instruction from the sleep doctor on what to do next.

I am going to ask to do a self titration versus doing an in lab titration. I think that would be better since he wants me to do APAP instead of CPAP.

Does anyone have any good suggestions on what machine to use? I'm leaning towards the ResMed S10 or S9 model. Thanks for your help and advice so far.


Jamie
02-01-2016 09:39 AM
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justMongo Offline

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Posts: 3,840
Joined: Sep 2013

Machine: ResMed VPAP Auto (S9)
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quattro
Humidifier: ResMed H5i
CPAP Pressure: 18 IPAPmax - 11 EPAPmin, PS=5
CPAP Software: Other Software

Other Comments: μολὼν λαβέ

Sex: Male
Location: Калифорния

Post: #2
RE: Home Sleep Test results
The Autoset in either the 9 or 10 series should serve you well.
I have a personal bias toward ResMed machines; PR also makes fine machines.
Since the doc is recommending APAP, and you have a pressure range, I see no reason why you would need a lab titration.

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.
02-01-2016 10:01 AM
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GPSMapNut Offline

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Posts: 175
Joined: Nov 2015

Machine: DreamStation Auto
Mask Type: Nasal pillows
Mask Make & Model: Resmed AirFit P10 and PR DreamWear
Humidifier: DreamStation + heated hose
CPAP Pressure: 9-16
CPAP Software: SleepyHead EncorePro Other Software

Other Comments: Used Respironics REMstar Pro with C-Flex for 11 years and ResMed S9 Elite loaner for 3 months

Sex: Male
Location: Mississauga, ON, Canada

Post: #3
RE: Home Sleep Test results
I have a bias towards Philips machines. and I think that System One Auto or DreamStation Auto would serve you well.
Having said that; I'd like to suggest that you talk to a DME and find out if they let you try ResMed for a week and Philips for a week. Compare how you slept with each one of these and how well you felt in the morning than make your own decision.

Everything I post on this board is nothing more than an opinion expressed by an apneak. Normally, it's based on facts and experience but sometimes, I may get things wrong or not have all the facts.
I reserve the right to change my mind. Why? Because tomorrow I may know better.
02-01-2016 02:35 PM
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Inky1 Offline

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Posts: 57
Joined: Jan 2016

Machine: ResMed Airsense 10 Autoset
Mask Type: Full face mask
Mask Make & Model: Phillips Respironics Amara View
Humidifier: HumidAir Heated Humidifier
CPAP Pressure: 6-15cm
CPAP Software: Not using software

Other Comments:

Sex: Male
Location: NC

Post: #4
RE: Home Sleep Test results
I found out that I will not need a titration study. My sleep dr. already made a prescription for me and they need to verify my insurance.

I hope that when I go to figure out what equipment I want to get, that they will let me test out something instead of throwing me in cold turkey. I would like to get used to the treatment before I actually get my own.

Thank you for the replies.
02-01-2016 02:59 PM
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GPSMapNut Offline

Advisory Members

Posts: 175
Joined: Nov 2015

Machine: DreamStation Auto
Mask Type: Nasal pillows
Mask Make & Model: Resmed AirFit P10 and PR DreamWear
Humidifier: DreamStation + heated hose
CPAP Pressure: 9-16
CPAP Software: SleepyHead EncorePro Other Software

Other Comments: Used Respironics REMstar Pro with C-Flex for 11 years and ResMed S9 Elite loaner for 3 months

Sex: Male
Location: Mississauga, ON, Canada

Post: #5
RE: Home Sleep Test results
Inky, beside the machine, you will have to choose a mask. If you are not a mouth breather, I suggest nasal pillows type as it is, for most, the easiest one to get a good seal and the head harnesses seem to be the least annoying. ResMed AirFit P10 seems to get be liked by most but not all who tried it. If you are back sleeper or during sleep don't roll much from side to side. Respironics DreamWear is a good one to try. If you are a mouth breather, I've no clue what to suggest.
Your DME may let you try several different masks.
To properly compare the machines, you have to use the same mask on both.
As for getting used to the treatment, DreamStation has a built in program for that. OTOH, you may not need much getting used to since your prescribed low limit pressure is fairly low. In fact, I'd suggest that you start with the ramp feature turned off and turn it on only if your 95% pressure gets to 9 or higher. 95% is the pressure that your APAP was at or below 95% of the time. If activated, the machine starts at that pressure.

Everything I post on this board is nothing more than an opinion expressed by an apneak. Normally, it's based on facts and experience but sometimes, I may get things wrong or not have all the facts.
I reserve the right to change my mind. Why? Because tomorrow I may know better.
02-01-2016 04:08 PM
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Inky1 Offline

Preferred Members

Posts: 57
Joined: Jan 2016

Machine: ResMed Airsense 10 Autoset
Mask Type: Full face mask
Mask Make & Model: Phillips Respironics Amara View
Humidifier: HumidAir Heated Humidifier
CPAP Pressure: 6-15cm
CPAP Software: Not using software

Other Comments:

Sex: Male
Location: NC

Post: #6
RE: Home Sleep Test results
I have a question about the settings that the doctor put me at. That is 6-15 cm. I have read that APAP machines have a low and high setting. What would I be classified at, high or low?

What is the highest point for low setting and vice versus for the high setting?

Also, I have been looking at masks a lot to see what would best suit me. I sleep on my side during the night but not the whole night through and then sleep on my back. As far as I know I am not a mouth breather but it does flap open sometimes during the night. Any suggestions on masks? I like the look of the Philips ComfortGel Blue mask but then of course I haven't tried any on yet. Thanks!

Jamie
02-02-2016 11:50 AM
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OpalRose Offline

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Posts: 3,163
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: Home Sleep Test results
(02-02-2016 11:50 AM)Inky1 Wrote:  I have a question about the settings that the doctor put me at. That is 6-15 cm. I have read that APAP machines have a low and high setting. What would I be classified at, high or low?

What is the highest point for low setting and vice versus for the high setting?

Also, I have been looking at masks a lot to see what would best suit me. I sleep on my side during the night but not the whole night through and then sleep on my back. As far as I know I am not a mouth breather but it does flap open sometimes during the night. Any suggestions on masks? I like the look of the Philips ComfortGel Blue mask but then of course I haven't tried any on yet. Thanks!

Jamie


Hi Jamie,
APAP machines can be set at a low of 4 to a high of 20.
With that said, 4 is too low to start. Most say they feel starved for air.

If you are going to self titrate, their suggestion of 6-15 is fine to start.
You will need to download Sleepyhead software to keep tract of your apneas and pressure range.
http://www.sleepfiles.com/SH2/

Here is a link of good Machine Choices, and which to avoid:
http://www.apneaboard.com/wiki/index.php...ne_Choices

As far as mask goes, it's trial and error. Be sure to ask for a 30 trial on mask, then you can return if it isn't working out and try another.

OpalRose
(This post was last modified: 02-02-2016 12:21 PM by OpalRose.)
02-02-2016 12:19 PM
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GPSMapNut Offline

Advisory Members

Posts: 175
Joined: Nov 2015

Machine: DreamStation Auto
Mask Type: Nasal pillows
Mask Make & Model: Resmed AirFit P10 and PR DreamWear
Humidifier: DreamStation + heated hose
CPAP Pressure: 9-16
CPAP Software: SleepyHead EncorePro Other Software

Other Comments: Used Respironics REMstar Pro with C-Flex for 11 years and ResMed S9 Elite loaner for 3 months

Sex: Male
Location: Mississauga, ON, Canada

Post: #8
RE: Home Sleep Test results
CPAP and APAP machines can be set anywhere between 4 and 20 cmH2O
APAP automatically adjusts the titration pressure within the limits set. In your case, the doctor set you up with 6 as a the low limit and 15 as the high limit. That means that the machine will start at 6. If it senses that you are about to have an apnea or the apnea is happening, it will increase the pressure. After that, if it senses that another event may be happening, it will increase the pressure again. If not, it may decrease the pressure. However, it will not change the pressure to be outside of the preset limits. If your machine has a 90% function that is activated, next and each following session, the machine will not start at minimum preset pressure but at the top end of the pressure at which it was previously running for 90% of the time.
(the above is a simplified version)
HTH

Everything I post on this board is nothing more than an opinion expressed by an apneak. Normally, it's based on facts and experience but sometimes, I may get things wrong or not have all the facts.
I reserve the right to change my mind. Why? Because tomorrow I may know better.
(This post was last modified: 02-02-2016 12:56 PM by GPSMapNut.)
02-02-2016 12:54 PM
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rhodesengr Offline

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Posts: 24
Joined: Jan 2016

Machine: PR 560
Mask Type: Nasal pillows
Mask Make & Model: P10
Humidifier: PR DS6HFLG
CPAP Pressure: 6-20
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: NorCal

Post: #9
RE: Home Sleep Test results
An auto machine sort of titrates for you. If after a while you find you spend most of the night at say 8cm, then you can bump up your minimum pressure setting. I am finding the mask is a much bigger issue than the machine if you get a decent one. Currently using a P10 but I am not convinced it is the best one out there for me. At first they gave me a decent machine but a crummy humidifier. If you are getting a humidifier, make sure you also get a version with a heated tube.
02-02-2016 05:39 PM
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Mosquitobait Online

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Posts: 746
Joined: Apr 2015

Machine: Resmed AirSense 10 For Her
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10
Humidifier: integrated, Climate line tube
CPAP Pressure: 9-12
CPAP Software: ResScan SleepyHead

Other Comments: RLS and Bradycardia

Sex: Female
Location: Minneapolis

Post: #10
RE: Home Sleep Test results
Unless you have another health issue, there is no reason for a lab titration since a current Resmed or Respironics machines can provide the needed information. Make sure your insurance will COVER the lab titration. Chances are, they won't after a home test unless your overall 02 rate was very low.
02-02-2016 06:43 PM
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