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Looks like I did everything wrong. I need help
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okrobie Offline

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Posts: 56
Joined: Nov 2015

Machine: ResMed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: Fisher & Paykel Opus 360
Humidifier: ResMed H5i
CPAP Pressure: 6 - 14 cmH2O
CPAP Software: ResScan SleepyHead

Other Comments: Grateful

Sex: Male
Location: Jacksonville FL USA

Post: #1
Looks like I did everything wrong. I need help
Hi, thanks for having this forum. I had two sleep studies. The first one went OK, the doctor said I had mild to moderate sleep apnea. The second one with a CPAP machine on, I didn't sleep all night. I have never had a more restless night in my life. The doctor said that the Tech fitted me with the wrong mask and that I needed another study, but my insurance wouldn't pay for another. I concluded that the doctor didn't know what he was doing and stopped seeing him. I did accept the fact that I needed a machine.

One day I saw a ResMed S9 AutoSet in a thrift shop and bought it. I didn't know anything about setup and just began using it. My wife say's I still snore and I am still very sleepy during the day.

Then I found this Forum and am anxious to get advice about setup etc.

I downloaded the software and found that I am having between 10 and 40 AI's and a very small number of AHI's. The way it was setup my pressure was staying solidly at 8 cmH2O.

What would be a good place to set it up? Auto?

Thanks for any help I can get. Jim
11-18-2015 04:18 PM
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cate1898 Offline

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Posts: 781
Joined: Aug 2015

Machine: PR System One 560BT Auto
Mask Type: Nasal pillows
Mask Make & Model: P10's/backup-DreamWear
Humidifier: PR attached
CPAP Pressure: 8.5 - 13. A-Flex 3
CPAP Software: SleepyHead

Other Comments: Began CPAP Therapy Sept. 11, 2015. Hx Hypertension, Post Graves Disease, chronic migraines.

Sex: Female
Location: Southern Ontario//SW Florida

Post: #2
RE: Looks like I did everything wrong. I need help
Welcome to ApneaBoard okrobie!

I'll let those more experienced tackle your question about settings.

Glad to hear you are pursuing getting your apnea treated and this is a great place to get help!

APNEABOARD - A great place to be if you're a hosehead!! Rolleyes

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EVERY ACCOMPLISHMENT BEGINS WITH THE DECISION TO TRY!
11-18-2015 04:23 PM
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Shastzi Offline

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Posts: 1,174
Joined: Dec 2012

Machine: ResMed S9 Autoset
Mask Type: Full face mask
Mask Make & Model: FitLife Total face mask
Humidifier: F&P HC150 with Hybernite heated hose.
CPAP Pressure: 15cm-20cm H2O (auto)
CPAP Software: SleepyHead Other Software

Other Comments: CMS50-F wearable Oximeter; Software: SPO2 Assistant

Sex: Undisclosed
Location: Florida, USA.

Post: #3
RE: Looks like I did everything wrong. I need help
I would try setting the low pressure at 7 and high at 11 for starters. (auto mode) No ramp.
You'll need to get SleepyHead software (free download) and start using that to tell where to go from here and
how well the therapy is working for you.

Cheers and good luck.

"With ordinary talent and extraordinary perseverance, all things are attainable." - Thomas Foxwell Buxton

Cool
11-18-2015 04:24 PM
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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: #4
RE: Looks like I did everything wrong. I need help
(11-18-2015 04:18 PM)okrobie Wrote:  One day I saw a ResMed S9 AutoSet in a thrift shop and bought it. I didn't know anything about setup and just began using it. My wife say's I still snore and I am still very sleepy during the day.

Then I found this Forum and am anxious to get advice about setup etc.

I downloaded the software and found that I am having between 10 and 40 AI's and a very small number of AHI's. The way it was setup my pressure was staying solidly at 8 cmH2O.

What would be a good place to set it up? Auto?

Thanks for any help I can get. Jim
Hi Jim and welcome aboard
Snoring may indicate the pressure setting is far from being optimal
"Auto" might the way to go, as the machine adjust the pressure throughout the night as needed to deal with events and does not increase pressure if central event detected

AI (Apnea Index) = obstructive + central
AHI (number of apnea and hypopnea per hour) = AI + Hypopnea Index
What is the AHI and the breakdown events of AI
11-18-2015 04:50 PM
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trish6hundred Offline

Advisory Members

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: #5
RE: Looks like I did everything wrong. I need help
Hi okrobie,
WELCOME! to the forum.!
Hang in there for more suggestions, it’s great to hear that you are starting to treat your sleep apnea, much success to you with your CPAP therapy and getting it dialed in to meet your needs.

trish6hundred
11-18-2015 07:03 PM
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okrobie Offline

Preferred Members

Posts: 56
Joined: Nov 2015

Machine: ResMed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: Fisher & Paykel Opus 360
Humidifier: ResMed H5i
CPAP Pressure: 6 - 14 cmH2O
CPAP Software: ResScan SleepyHead

Other Comments: Grateful

Sex: Male
Location: Jacksonville FL USA

Post: #6
RE: Looks like I did everything wrong. I need help
Hi all, thanks for all the encouragement. Here are my numbers.

AI: 12.8
HI: 1.2
AHI: 14

These are my averages over a 107 day period.

I'm trying to enter the new pressure settings using ResScan but they won't stay entered in my SD Card. I have tried using SleepyHead, but it keeps crashing when it's trying to read my SD card. Maybe I'll have to enter the new settings directly into the S9.

Any suggestions?
11-18-2015 07:33 PM
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OpalRose Offline

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Posts: 3,161
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: Looks like I did everything wrong. I need help
okrobie,
You should make the pressure changes on your S9. Order the Clinicians manual (see top of page, Cpap setup manuals). This will show you how to get into the providers menu where you can make changes.

OpalRose
11-18-2015 07:39 PM
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Tacoma Droner Offline

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Posts: 52
Joined: Sep 2015

Machine: PR System One autoSV BiPap
Mask Type: Nasal pillows
Mask Make & Model: Optilife
Humidifier: PR System One
CPAP Pressure: 9-18
CPAP Software: SleepyHead

Other Comments: Became a hosehead in 2004-still going strong!

Sex: Male
Location: TACOMA WA

Post: #8
RE: Looks like I did everything wrong. I need help
Jim--here's a direct link to the page that gives you instructions for changing the settings directly on the machine. Just click on it --

http://www.apneaboard.com/resmed-s9-cpap-setup

The video posted there gets into the Clinician's Menu stuff at around 11:30, if you want to skip past the simple stuff.

Once you get into the settings menu, make sure the machine mode is on AutoSet. Personally, I would turn the Ramp off during the initial stage of finding the right settings. If you want Ramp, you can add it later. I'd also set the EPR at the max for starters, which would be 3. Again, you can change that later when you get into the fine tuning.

Up above, Shastzi suggested you start out with max and min of 11 and 7. But since this is an auto-titrating machine, it's going to deliver the minimum pressure needed to get effective therapy. So I'm a proponent of using a wide range of max and min at the git-go, then later after analyzing your SleepyHead stats, you can dial in the max and min to a tighter range.

(For me, even after 10 years, my IPAP pressure can vary from 8 to 18 during different sleep periods all on the same night! So you can see why I think wide ranges are good.)

About the SleepyHead crashes, I'd suggest you start a new thread in the Software section of the forum with info about your computer and operating system, so the software geeks can have a go at it. It might be something as simple as reformatting your SD card (though you'll want to save the contents of the SD card to some other location first, because reformatting erases everything!) or updating the SleepyHead app.
11-18-2015 10:09 PM
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PaulaO2 Offline
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Moderators

Posts: 8,064
Joined: Feb 2012

Machine: S9 Autoset
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: H5i
CPAP Pressure: 14-20
CPAP Software: SleepyHead

Other Comments: Ehlers-Danlos Syndrome, Hypermobility Type; chronic sarcasm

Sex: Undisclosed
Location: western NC, USA

Post: #9
RE: Looks like I did everything wrong. I need help
- Take a little notebook and put by your machine. Write down the changes you make and when.

- Consider also starting a sleep journal. Write in it before you go to bed what kind of day you had and how you feel. In the morning, write down what kind of night you had. In both cases, note anything different about the day or anything noteworthy. Lots of meetings at work. Tired from grandkids. Beer out with friends. Etc.

- Changes are to be made slowly. Even with an autoPAP. Set a range and leave it alone. Let it stew for at least 10 days, preferably longer. Keep looking at the data (with the S9 you have to download it at least every 7 days anyway). Between the sleep diary and the data, you'll start seeing trends. Beer may equal higher AHI. Grandkids may equal lower.

- The numbers to watch are the median and the 95%. The median is where you will eventually set the minimum near. The 95% is to gauge the maximum.

- While you wait for the data to settle, head over to our wiki site and read up on all you can about what all the stuff means.

PaulaO2
Apnea Board Moderator
www.ApneaBoard.com


Breathe deeply and count to zen.

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.
11-18-2015 10:30 PM
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okrobie Offline

Preferred Members

Posts: 56
Joined: Nov 2015

Machine: ResMed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: Fisher & Paykel Opus 360
Humidifier: ResMed H5i
CPAP Pressure: 6 - 14 cmH2O
CPAP Software: ResScan SleepyHead

Other Comments: Grateful

Sex: Male
Location: Jacksonville FL USA

Post: #10
RE: Looks like I did everything wrong. I need help
Hi all, thanks for the information and encouragement. I was able to enter the new settings directly into the S9 as suggested. It was interesting to see that the pressure did change throughout the night. I set the min at 7 and the max at 13 and according to the chip, it varied between 7.2 and 12.8 mmH2O. I'll leave it there for a couple of weeks and let you all know how it works out. I didn't get a report on the snoring since my wife doesn't sleep with me anymore. Sad Hopefully that will change if I can demonstrate that I am no longer snoring.
But I can say that I am not drowsy this morning. That is the first in a long time.

Thanks again for the help. Jim
11-19-2015 08:26 AM
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