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New user with Resmed S9 - how to start?
#1
New user with Resmed S9 - how to start?
Hi Folks,

I bought a secondhand Resmed S9 + Respironics DreamWear Full Face mask. I have the manual for the Resmed.

I've tried it during the day, just sitting down. I set min pressure to 4 and max to 8, and used SmartSet and EPR.

Currently, it pushes so much air that my ears clog up, as if on a plane.

What settings can folks suggest to start with? I have an SD card in it, for later data review.

Thanks,

NightOwl

(Background on me)


  • Male, age 42.
  • Physically fit, low body fat.
  • Blood pressure on the low side.
  • Have deviated septum, but not severe.
  • Have IBS, symptoms of which interfere with sleep (mainly pain/discomfort keeps me from falling asleep).
  • Wake at least once per night to pee, then remain awake for 30-60 minutes. Sometimes wake multiple times.
  • When I wake after 6, 7, or 8 hrs in bed, I feel the heavy weight of fatigue and just want to sleep more, but have trouble returning to sleep.
  • Regular daytime fatigue, can easily lie down for a nap and fall asleep during day or eve. Scored a 6 on the Epworth scale, which I understand is not very high.

I use blackout curtains, eye mask, earplugs. Home and neighborhood are very quiet.

I've not done a sleep study due to cost (high deductible insurance plan, opaque pricing).
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#2
RE: New user with Resmed S9 - how to start?
Nightowl which S9 machine did you get. It should be right above the start/stop button. We need to know this before we will know how to start. From you last thread I am glad you got a machine.

Gerry
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#3
RE: New user with Resmed S9 - how to start?
Most of us feel ait starved at 4 settings. It starts giong away about 6 or so. If you are usiing the epr depending on settings you might fell it shortly . What I mean is if you use 2 epr and you use 6 it drops to 4 for you exhale.
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#4
RE: New user with Resmed S9 - how to start?
Hi Gerry,

Sorry - Resmed S9 Autoset w/humidifier.
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#5
RE: New user with Resmed S9 - how to start?
Those settings are as good a place as any to start. Use it for a couple of days than post using sleepyhead charts. Sleepyhead is available on the link below.
Download SleepyHead
Organize your Sleepyhead Charts
Posting Charts
Beginner's Guide to SleepyHead
Mask Primer
5
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Membership in the Advisory Members group does not imply medical expertise or qualification for advising Sleep Apnea patients concerning their treatment.



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#6
RE: New user with Resmed S9 - how to start?
@Walla Walla:

Except those settings are very uncomfortable, as I've said - they plug up my ears right away.

Better to set a long ramp, so I don't get air until I'm asleep?

Ben
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#7
RE: New user with Resmed S9 - how to start?
nightowl
the ramp setting is a comfort setting. Set it for a long time if that helps you fall asleep.

Gerry
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#8
RE: New user with Resmed S9 - how to start?
I've been using the machine w/a 45 minute ramp. I still find it kind of hard to breathe with it on, and though I fall asleep eventually, when I wake up after one or more hours, it's uncomfortable and I remove it.

I'm thinking of trying a nose mask instead of full face, could that help?
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#9
RE: New user with Resmed S9 - how to start?
Your settings are actually quite low. Mine, for example, are 9-14. Please download sleepyhead and post some data so we can see what's going on. (See links below) It will also help if you fill out your profile with make and model of machine, mask, pressure settings, etc. I hope we can be of help to you.
Download OSCAR

Organize Charts
Attaching Charts

Mask Primer
Soft Cervical Collar

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.

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#10
RE: New user with Resmed S9 - how to start?
You've been given great advice thus far. I had similar feelings and reactions to CPAP when I started. I'm not sure of your AHI, but mine was very high (70+) so I kept using it as much as I could. I did require a change to BPAP for better exhale relief. Later I had to move on to ASV for central apnea treatment.

Having a hose and mask on while the machine pumps pressurized air down your throat isn't "normal" and it will take time to adjust. But adjust it will do.

Best to success Coffee
Dave

OSCAR
Standard OSCAR Chart Order
Mask Primer
Dealing With A DME
Soft Cervical Collar Wiki
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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