Post Reply 
Number Settings on my new Auto Set?
Author Message
ShelaghDB Offline

Members-b

Posts: 267
Joined: Sep 2013

Machine: S9 Auto-Set +Resmed H5i
Mask Type: Full face mask
Mask Make & Model: Quattro Air FF Mask
Humidifier: resmed H5i
CPAP Pressure: 13
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Female
Location: Toronto, Ontario, Canada

Post: #1
Number Settings on my new Auto Set?
Here is my sleep study report. I was told I had SEVERE sleep apnea
No need to tell me what it means as that has already been done in a much older thread but when I had the S9 Escape so we were not looking at the numbers the machine needed to be set for.

After reading below, it seems that 14 might be my best number? Or so I thought until I looked at the machine and see its set at 13.

Therefore, what range should I be setting the Auto-Set for, 11-15? Or is that too high?

Thank you!!!



Quote:STUDY INDICATION: The patient underwent a CPAP titration at pressures of 5 through 14cm H20. Initially a face Forme full face mask was used but because of air leakage this was switched to a Mirage medium face mask.

SNORING: The patient was noted to snore at a moderate intensity until a pressure of 14cm H20 was achieved

SLEEP ARCHITECTURE:

First sleep onset latency was immediate.
Sleep efficiency was mildly reduced.
The sleep stage breakdown was normal except for a marked decrease in the frequency of REM
REM Latency was
There were 2 REM episode (s) with normal distribution.
Sleep Fragmentation:
The frequency of persistent arousals was severely increased with almost
⅔ due to respiratory events.
The frequency of sleep stage shifts was severely increased.
Alpha intrusions were frequent.

Respitory Analysis:
The frequency of persistent respiratory events was severely increased at 40/hr.
The oxygen saturation was well maintained.

Movement Analysis:
Restless legs during wakefulness were not seen. The patient displayed no unusual behaviours during sleep. Periodic limb movements during sleep were not seen.

Additional Comments:
Cardiac rate and rhythm were normal

Impression:
An optimal CPAP titration study at a pressure of 14cm H20. Other than the persistence of snoring and a few respiratory events, the patient also did well at pressures of 11 to 12cm H20
(This post was last modified: 05-31-2014 10:28 AM by ShelaghDB.)
05-31-2014 10:26 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
retired_guy Offline

Preferred Members-2

Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #2
RE: Number Settings on my new Auto Set?
11-15 should be fine. I think I'd be more inclined to go 10-14, and see what my Sleepyhead reports show. Then make minor adjustments as needed after a few days.
05-31-2014 12:19 PM
Find all posts by this user Post Reply Quote this message in a reply
gjw Offline

Preferred Members

Posts: 60
Joined: Dec 2012

Machine: ResMed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: ResMed AirFit P10
Humidifier: Hi5 with ClimateLine Hose
CPAP Pressure: 8-15
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Switzerland

Post: #3
RE: Number Settings on my new Auto Set?
Hi ShelaghDB
I would go for a low 10 & high 18 setting on APAP, & then analyze in either Sleepy Head or ResMed SW to fine tune afer one week or so.

gjw
05-31-2014 12:41 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
herbm Offline

Preferred Members-2

Posts: 852
Joined: Jan 2014

Machine: ResMed AutoSet S9
Mask Type: Oral
Mask Make & Model: ResMed Airfit P10 Nasal Pillow
Humidifier: ResMed H5i
CPAP Pressure: 11-16
CPAP Software: ResScan SleepyHead

Other Comments: Backup Mask: Innomed Hybrid FFM -- Oral+Nasal Pillows

Sex: Male
Location: Austin, TX

Post: #4
RE: Number Settings on my new Auto Set?
I would likely choose something approximately like Retired_guy (10-14), but there is nothing particularly 'wrong' with gjw's max of 18 to start.

Here's the deal: If the machine never needs to get past 14 the 18 setting will be irrelevant; if it does NEED to get up above 14 then the higher setting will be useful.

The only strong counter arguments against 18 (or any number above the 12 from the titration study) are IF you are getting a lot of CAs or can't control the leads at the higher pressures.

Just be prepared to monitor and change it after a few days to a week or so.

If it never goes above 12, it really doesn't matter what the max is as long as it is at least 12.

If you are maxing out ever night at 12, be prepared to CONSIDER upping it a little IF your AHI isn't optimal.

It's not rocket science -- just pick a range that works "Ok" and adjust from there.

Sweet Dreams,

HerbM
Sleep study AHI: 49 RDI: 60 -- APAP 10-11 w/AHI: 1.5 avg for 7-days (up due likely to hip replacement recovery)

"We can all breathe together or we will all suffocate alone."
05-31-2014 12:58 PM
Find all posts by this user Post Reply Quote this message in a reply
zonk Offline

Advisory Members

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: #5
RE: Number Settings on my new Auto Set?
If were me, have to start somewhere, as a starting point, I would set the machine in CPAP mode as the the old machine at 13 and monitor the results for a while
Keep an eye on leak rates, AHI and type of events, snoring, flow limitation and of course 'how you feel'

Keep in mind 'Rome was not built in a day'
Things cannot be done instantly ... require time and patience
05-31-2014 04:36 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
ShelaghDB Offline

Members-b

Posts: 267
Joined: Sep 2013

Machine: S9 Auto-Set +Resmed H5i
Mask Type: Full face mask
Mask Make & Model: Quattro Air FF Mask
Humidifier: resmed H5i
CPAP Pressure: 13
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Female
Location: Toronto, Ontario, Canada

Post: #6
RE: Number Settings on my new Auto Set?
First, I see I was wrong. I don't know where i got the idea my machine was set at 13, but that's a minor point.

Quote: I think I'd be more inclined to go 10-14

Ok, that sounds about right to me so I think I shall try that. Thank you.


Quote: low 10 & high 18 setting on APAP

After a bit of thought, I think I will go with the 10-14 if for no other reason than there is a much higher difference in your numbers and I may have a harder time as a *noob* trying to figure out which way to go and to what if I have to change it again at all.
Up until now, I was using the S9 ESCAPE at, I guess it must have been 14 but I shall double check that once I learn how to get in and read it but whatever it was at, was perfect for me. I did not suffer claustrophobia as many do. The ONLY time I had difficulty was the first 2 nights of switching from a FF to a nasal mask as a mouth breather and at first felt that it was too powerful, the air, coming in but i quickly got past that. Now, more often than not if I watch TV or read before sleeping, as I had the ramp set for about 5 minutes, after some time I would have to pull the mask away from my nose just to double check it was actually working. Hence, I don't even know if the variance in numbers will be needed by me but worth a try of course as that was one of the reasons I was told to get the Auto set.
Thanks for your help ;-)



Quote: If were me, have to start somewhere, as a starting point, I would set the machine in CPAP mode as the the old machine at 13 and monitor the results for a while
Keep an eye on leak rates, AHI and type of events, snoring, flow limitation and of course 'how you feel'

Reading what I wrote above to gjw as you will see, as far as I know I haven't been having any problems. I don't think I have had any leak rates since I moved to the nasal mask as i no longer open my mouth when wearing it. Only on the FF do I do that therefore I was looking forward to seeing how it will feel having the range everyone has talked about so I am going to make a small one, rather than leave it at 13, if indeed 13 was the right number....impatient perhaps but I feel as if i have been wasting time for several months waiting to get the Auto-Set.........it may turn out after a while that i wont notice much difference and will will wonder why I bothered to go after the Auto-Set if I didn't have any problems with compliance once I got the right mask. Time will tell ;-)

Unfortunately I am not one of these ones that was tired before I was diagnosed nor am I one that has noticed any changes since I wasn't tired before, at least as far as I know I wasn't....so time will tell on that as well ;-)

Ok, thanks for the input...........now if only i could concentrate long enough to read the instructions and stop getting distracted elsewhere I may actually get this working for tonight

/fingers crossed + off she goes to finally figure out how to do this
(This post was last modified: 05-31-2014 05:40 PM by ShelaghDB.)
05-31-2014 05:39 PM
Find all posts by this user Post Reply Quote this message in a reply
zonk Offline

Advisory Members

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: #7
RE: Number Settings on my new Auto Set?
(05-31-2014 05:39 PM)ShelaghDB Wrote:  I don't think I have had any leak rates since I moved to the nasal mask as i no longer open my mouth when wearing it.
Yes, might be the case but was no leak data to validate it (now, there is), the old machine does not report any leak data or AHI

As for why the AutoSet, beside being full data capable machine, the Autoset can also be used either as straight CPAP or auto-PAP (two machines in one)
05-31-2014 06:28 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
ShelaghDB Offline

Members-b

Posts: 267
Joined: Sep 2013

Machine: S9 Auto-Set +Resmed H5i
Mask Type: Full face mask
Mask Make & Model: Quattro Air FF Mask
Humidifier: resmed H5i
CPAP Pressure: 13
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Female
Location: Toronto, Ontario, Canada

Post: #8
RE: Number Settings on my new Auto Set?
Quote: As for why the AutoSet, beside being full data capable machine, the Autoset can also be used either as straight CPAP or auto-PAP (two machines in one)

That confuses me each time I hear it.
So let me get this straight.......I am now setting it up as a auto-Pap, correct?
If so WHY on earth would someone want it to be a straight CPAP? Isn't that what the Escape was?



Here is what i set up on the Auto-Set. I hope i didnt leave anything out or make any mistakes??!!

Max Pressure: 15
Min Pressure: 11

Max Ramp: 20 min I may lower that in a while but I like to read for about 15-20 min. before falling asleep

Start Pressure: 4.0 it was already set at this number, albeit a brand new machine so I figured it knew something I didn't but if that is wrong, do let me know

EPR: OFF
EPR Level: OFF

For tubing, it only offered standard or slimline, although i have 2 of the clear plastic ones plus 3 of those humidifier type ones--the grey ones that are supposedly better so I was thinking I would use one of them so I think I left it at standard?

Climate Control: Auto no idea what this was?
Sleep Quality: Usage
Smart Starts: Off
Access: Full
Date: Right Date Changed Time

It asked me about everything and being reminded in 6 months for new masks etc but even for SD Cards, it needs a new one every 6 months? Can that be right? SD cards can last for months upon months


SERVICE-OFF this was if i wanted to set up a date for service but I didn't so I left it off

PRESS UNITS: cmH20
Temp Unit: F

Left those two alone, Press Units and Temp Unit
(This post was last modified: 05-31-2014 08:14 PM by ShelaghDB.)
05-31-2014 08:12 PM
Find all posts by this user Post Reply Quote this message in a reply
retired_guy Offline

Preferred Members-2

Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #9
RE: Number Settings on my new Auto Set?
(05-31-2014 08:12 PM)ShelaghDB Wrote:  Max Pressure: 15
Min Pressure: 11

Max Ramp: 20 min I may lower that in a while but I like to read for about 15-20 min. before falling asleep

Start Pressure: 4.0 it was already set at this number, albeit a brand new machine so I figured it knew something I didn't but if that is wrong, do let me know

I think you're going to want to shorten the ramp time. If not tonight, then soon. I kept shortening mine because it was a pain in the neck until I finally just turned it off.

Start pressure of 4 made me think I was going to immediately suffocate. I had to gut through it until it got up to 9 or so.
4 is the factory default, so give it a try if you like and see what happens.

The rest of this stuff? I'm not remembering most of what my settings are so I'll defer to someone with a brain. As far as the tubing is concerned I have always just used the Slimline tube and done fine, so no desire to understand the Climateline.

I do have the EPR turned on my machine and set to 3. Lots of differences of opinion on this, so probably best to start with it off. If you end up with aerophagia or whatever the heck it's called, then maybe turn it on.
05-31-2014 08:30 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
SleepyDreamCatcher Offline

Preferred Members

Posts: 63
Joined: May 2014

Machine: ResMed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: Pillairo Q
Humidifier: ResMed H5i
CPAP Pressure: 11-14
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Female
Location: U.S.A.

Post: #10
RE: Number Settings on my new Auto Set?
(05-31-2014 08:12 PM)ShelaghDB Wrote:  
Quote: As for why the AutoSet, beside being full data capable machine, the Autoset can also be used either as straight CPAP or auto-PAP (two machines in one)

That confuses me each time I hear it.
So let me get this straight.......I am now setting it up as a auto-Pap, correct?
If so WHY on earth would someone want it to be a straight CPAP? Isn't that what the Escape was?



Here is what i set up on the Auto-Set. I hope i didnt leave anything out or make any mistakes??!!

Max Pressure: 15
Min Pressure: 11

Max Ramp: 20 min I may lower that in a while but I like to read for about 15-20 min. before falling asleep

Start Pressure: 4.0 it was already set at this number, albeit a brand new machine so I figured it knew something I didn't but if that is wrong, do let me know

EPR: OFF
EPR Level: OFF

For tubing, it only offered standard or slimline, although i have 2 of the clear plastic ones plus 3 of those humidifier type ones--the grey ones that are supposedly better so I was thinking I would use one of them so I think I left it at standard?

Climate Control: Auto no idea what this was?
Sleep Quality: Usage
Smart Starts: Off
Access: Full
Date: Right Date Changed Time

It asked me about everything and being reminded in 6 months for new masks etc but even for SD Cards, it needs a new one every 6 months? Can that be right? SD cards can last for months upon months


SERVICE-OFF this was if i wanted to set up a date for service but I didn't so I left it off

PRESS UNITS: cmH20
Temp Unit: F

Left those two alone, Press Units and Temp Unit

If you want to collect the efficiency data you need to change the "Sleep Quality" setting to "ON". Otherwise you are only going to get the hours used reported.

For the hose settings, "Standard" is used for the wider diameter hoses, climate line for the thinner hoses.


When Climate control set to auto is going to automatically deliver a set level of humidity. I think it's 80% but someone who has been doing this longer than I can tell you for sure. When set to manual you can determine your own level of humidity.

When set to AutoSet ramp always starts at a pressure of 4. I think that's poorly designed, but no one asked me about it when they were designing this modelWink

With EPR set to "OFF," the air pressure when you exhale will be the same as when you inhale.

I hope you have a great night's sleep with your new machine and settings.Sleep-well
05-31-2014 08:54 PM
Find all posts by this user Post Reply Quote this message in a reply
Post Reply 


Possibly Related Threads...
Thread: Author Replies: Views: Last Post
  Newbie - need advice on settings and machine tmc712 18 376 12-06-2016 09:04 PM
Last Post: tmc712
  Dream Station Ramp and Pressure Settings knowoneuno 21 467 12-06-2016 11:00 AM
Last Post: Sleeprider
  Acceptable nightly AHI number KCap 12 556 12-06-2016 08:46 AM
Last Post: robysue
  Dream Station Settings Autumnseer 15 544 11-26-2016 07:01 AM
Last Post: Weird Tolkienish Figure
  Can't Find Device Number (DN) on Back of Machine gamegrrl 5 185 11-14-2016 05:32 PM
Last Post: gamegrrl
  Who generally is in charge of your CPAP settings? Mezzrow 9 481 11-12-2016 01:47 AM
Last Post: blueelement2016
  do I have the right machine (and settings) JaminV 4 380 10-31-2016 10:05 PM
Last Post: trish6hundred

Forum Jump:

Who's Online (Complete List)