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Initial Settings On My ResMed AirSense 10 Autoset
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Hawker19 Offline

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Posts: 5
Joined: May 2016

Machine: ResMed AirSense 10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: ResMed AirFit P10
Humidifier: ResMed AirSense 10 Humidifier
CPAP Pressure: 8-10 (EPR 3)
CPAP Software: SleepyHead

Other Comments: Retired

Sex: Male
Location: Oklahoma

Post: #1
Initial Settings On My ResMed AirSense 10 Autoset
Hey fellow hoseheads!!! 8 years ago I was prescribed a BiPAP machine with an I=9.0 and an E=6.0. I now have a AirSense 10 Autoset APAP machine. I am considering setting the pressure range on my APAP at 6 - 9. Do you think this would this be a good place to start. Thanks
05-16-2016 11:30 PM
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justMongo Offline

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Posts: 3,841
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: Initial Settings On My ResMed AirSense 10 Autoset
If it were me, I'd open up the top range a bit -- perhaps 15 max and 6 min.
I also would turn ERP on to 3 which will emulate the previous bilevel split you had at I=9/E=6.

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05-16-2016 11:41 PM
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pholynyk Offline

Advisory Members

Posts: 306
Joined: Mar 2015

Machine: ResMed AirSense 10 APAP
Mask Type: Full face mask
Mask Make & Model: Amara View
Humidifier: included
CPAP Pressure: 11-17
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Ontario, Canada

Post: #3
RE: Initial Settings On My ResMed AirSense 10 Autoset
Your choice isn't bad, but doesn't allow for much variation from day to day. I think to be equivalent to your original prescription, I would bracket your old Ipap with perhaps 7.0 min and 11 max, and set the EPR to 3, which is more or less your old PS. Or you could make the max and min both 9; but you lose the advantage of the automatic range setting.
05-16-2016 11:43 PM
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palerider Online

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Posts: 440
Joined: Nov 2014

Machine: s9 vpap auto
Mask Type: Nasal pillows
Mask Make & Model: p10
Humidifier: none
CPAP Pressure: 18/13+
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Dallas(ish)

Post: #4
RE: Initial Settings On My ResMed AirSense 10 Autoset
(05-16-2016 11:41 PM)justMongo Wrote:  If it were me, I'd open up the top range a bit -- perhaps 15 max and 6 min.
I also would turn ERP on to 3 which will emulate the previous bilevel split you had at I=9/E=6.

if you're going to do that, then you need to set the min at 9, not 6.
05-17-2016 12:57 AM
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robysue Offline
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Advisory Members

Posts: 1,226
Joined: Oct 2013

Machine: PR Dreamstation BiPAP Auto
Mask Type: Nasal pillows
Mask Make & Model: Swift FX
Humidifier: PR Dreamstation humidfier
CPAP Pressure: min EPAP = 4; max IPAP = 9;
CPAP Software: SleepyHead EncoreBasic EncorePro

Other Comments: Papping since September 2010

Sex: Female
Location: Buffalo, NY

Post: #5
RE: Initial Settings On My ResMed AirSense 10 Autoset
(05-16-2016 11:30 PM)Hawker19 Wrote:  Hey fellow hoseheads!!! 8 years ago I was prescribed a BiPAP machine with an I=9.0 and an E=6.0. I now have a AirSense 10 Autoset APAP machine. I am considering setting the pressure range on my APAP at 6 - 9. Do you think this would this be a good place to start. Thanks
To mimic your current settings as close as possible, you would need to set the AutoSet in CPAP mode with the pressure at 9cm and the EPR = 3.

If you want to experiment with APAP mode, you need to keep in mind that the pressure settings correspond to the IPAP on your old BiPAP machine. The EPR = 3 drops the pressure by 3cm on each exhale. In other words, EPAP = IPAP - EPR on the AirSense 10 APAP as long as IPAP - EPR >=4. If IPAP - EPR < 4, then the machine only reduces the pressure to 4 cm on exhalation.

Setting the APAP pressure range for 6-9 effectively means that IPAP will range from 6 to 9cm and your EPAP will range from 4 to 6 cm. Since your old machine was set to IPAP = 9, EPAP = 6, chances are that 6-9 with EPR = 3 won't provide enough protection when the machine is running at it's lowest pressure setting. Or the machine will pretty much run at 9cm for most of the night in response to flow limitations or snoring that starts every time it starts to lower the pressure back down.

I would recommend using an APAP range that is centered at your old IPAP pressure of 9cm. As a start, I'd suggest using an tight APAP range of 8-10cm. That way your IPAP will range from 8-10cm and your EPAP will range from 5--7 cm. That gives the machine some leeway for adjusting the pressures, but you won't be dealing with wide swings of pressure. After a week or two the data will tell you if you can safely lower the min pressure some OR if you need to raise the max pressure some.

Questions about SleepyHead?
See my Guide to SleepyHead
05-17-2016 02:03 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: #6
RE: Initial Settings On My ResMed AirSense 10 Autoset
(05-16-2016 11:30 PM)Hawker19 Wrote:  Hey fellow hoseheads!!! 8 years ago I was prescribed a BiPAP machine with an I=9.0 and an E=6.0. I now have a AirSense 10 Autoset APAP machine. I am considering setting the pressure range on my APAP at 6 - 9. Do you think this would this be a good place to start. Thanks
Do you have any data from the old machine?
You're not going to get consensus on this one, do what feel right for you and be prepared to do some adjustment as you gather some data

If were me, I use 9-12, EPR off and see what pan out .... YMMV
05-17-2016 04:43 AM
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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
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: #7
RE: Initial Settings On My ResMed AirSense 10 Autoset
Hi Hawker19,
WELCOME! to the forum.!
Hang in there for more responses to your post and much success to you as you continue your CPAP therapy.

trish6hundred
05-17-2016 04:30 PM
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Hawker19 Offline

Members

Posts: 5
Joined: May 2016

Machine: ResMed AirSense 10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: ResMed AirFit P10
Humidifier: ResMed AirSense 10 Humidifier
CPAP Pressure: 8-10 (EPR 3)
CPAP Software: SleepyHead

Other Comments: Retired

Sex: Male
Location: Oklahoma

Post: #8
RE: Initial Settings On My ResMed AirSense 10 Autoset
Thank you all for your responses. They have been a big help. I will consider each one very carefully. Thanks
05-18-2016 11:58 AM
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Sleeprider Online
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Posts: 3,319
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: #9
RE: Initial Settings On My ResMed AirSense 10 Autoset
(05-16-2016 11:30 PM)Hawker19 Wrote:  Hey fellow hoseheads!!! 8 years ago I was prescribed a BiPAP machine with an I=9.0 and an E=6.0. I now have a AirSense 10 Autoset APAP machine. I am considering setting the pressure range on my APAP at 6 - 9. Do you think this would this be a good place to start. Thanks

You had a fixed bilevel with pressure support of 3.0 cm. To mimic that same setting, you can set the Autoset at CPAP with pressure at 9.0 and EPR at 3 to produce fixed 9.0/6.0 constant pressure.

The autoset is designed to respond to your needs to increase or decrease pressure in auto mode. If you want to continue to have the same pressure support, set EPR to 3, and use a range of pressure. Setting minimum pressure to 7.0 will give a minimum pressure of 7.0/4.0, which seems a bit on the low side. Setting maximum pressure to 12 will give you a pressure of 12/9. The machine will self-adjust within that range, and after about a week you will be able to fine-tune what works and feels best.

Be sure to download Sleepyhead software (free) from the link at the top of the forum. This will help you interpret the results and make decisions later.

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05-18-2016 12:19 PM
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merowland01 Offline

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Posts: 3
Joined: Apr 2016

Machine: ResMed Airsense10 Autoset
Mask Type: Nasal mask
Mask Make & Model: F&P Eson Medium
Humidifier: ResMed came with CPAP+ClimateLine Hose
CPAP Pressure: min 6, max 16 ERP=2
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Hot Springs, AR USA

Post: #10
Smile RE: Initial Settings On My ResMed AirSense 10 Autoset
Smile Hi all, this is my first posting and thanks for inputs so far.

My sleep study set my CPAP pressure at 16. My sleepyhead is:

The last time you used your ResMed AutoSet...
was last night (on Wednesday, June 29, 2016)
You had an AHI of 37.10, which is considered horrible, please consult your doctor
You machine was on for 7 hours, 15 minutes and 3 seconds.
Your mask is leaking way too much.. Talk to your CPAP advisor.
Your pressure was under 12.22cmH2O for 95% of the time.

I solved the leak problem and have set the machine to "Full Mask". My average pressure appears to be 13. My ERP is set to 3. My setting is on "Auto" meaning EPAP mode. I have set machine up at min 4 and max 16. First question is what are the best settings to go to considering the sleepyhead data (attached). Also, I'm having a problem where the machine escalates to the indicated pressure, but never de-escalates, meaning it stays at higher pressures and doesn't go down any after event. I have to reset by pressing "Off" button and then "On" button to get the pressure down after an event. Is this normal behavior for "Auto" mode?

Thanks in advance for suggestions...
06-30-2016 10:27 AM
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