I acquired a new Resmed Airsense 10 autoset about 3 months ago after using an Elite S8 for about 7 years. I am using a full mask Resmed AirfitF10 and I am very comfortable with the machine and the mask. I am currently set at 11.0 constant pressure and I use the humidified air option.
About 2 months ago I started having nightly problems with the mask seal but my events were low and averaging 1 to 2 events per hour. Last week, I saw my sleep doctor and learned how to properly seal the mask. I am now achieving 100% maskseal numbers throughout the night but my events per hour have shot up to 15 or so per hour. I am definitely not feeling as well as after a night's sleep. I have changed the setting on the machine from continuous pressure to autoset. I will see how that goes tonight. My logic for this approach is that I was getting functionality more like autoset when I had a very poor mask seal and constant pressure because of the leakage.
Does my approach seem reasonable? Is there anything else I should consider? I am scheduled for a sleep test in late July. Also, I get my numbers through my account at myair.resmed.com
Thanks in advance for any insights you can offer,
large leaks do interfere with the machine's ability to characterize the flow, and is responsible for not counting apneas that are occurring.
I would have expected you not to have much change in how well you feel, if the same issues were happening with or without leaks. That leave the potential that, since you have good seal, you are getting solid pressure and with that some pressure induced apneas.
Please attempt to find out what type of apneas you have, and whether there are significant numbers of hypopneas.
Past posters that were getting worse feeling once treated were suffering from high hypopneas and clear airway events. That would suggest a different solution than if you were still getting obstructive apneas. One might lower the pressure in the first case, but raise in the second.
Dedicated to QALity sleep.
You'll note I am listed as an Advisory Member. I am honored to be listed as such. See the fine print - Advisory Members as a group provide advice and suggestions to Apnea Board administrators and staff concerning Apnea Board operation and administrative policies. Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment.