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Please! Help me set up my machine...
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Abhorthesnore Offline

New Members

Posts: 3
Joined: Aug 2015

Machine: Respironics Remstar Auto M SERIES a-Flex
Mask Type: Full face mask
Mask Make & Model: Unsure
Humidifier: Unsure
CPAP Pressure: Unsure
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #1
Please! Help me set up my machine...
I pray I am asking this in the right area and the correct people are looking at the right time. I have been dealing with horrible sleep issues for over 8 years and have finally decided that a sleep study is extremely necessary. I am currently waiting for my next appointment but in the meantime I was able to score a CPAP machine while I wait. I know it's probably not recommended but at this point I am begging you all to help as I am so tired of being tired I'm almost ready to throw in the towel. Hence why I've done this on my own.

I have a Respironics REMstar Auto M Series A-Flex and simply want someone to give me the basics of what to set Min/Max etc. on it to try it out tonight. Could someone PLEASE just write back and tell me what a somewhat common initial set up would be STAT wise to go off of? Not sure if this matters but I'm 6' and 345. I am very thick overall and carry a large amount of muscle along with fat on my frame. I am praying someone sees this and writes back tonight. It is 12:10am EST CURRENTLY. Thank you, thank you, thank you!!!
08-27-2015 11:11 PM
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kaiasgram Offline

Advisory Members

Posts: 242
Joined: Aug 2013

Machine: S9 VPAP Auto
Mask Type: Nasal pillows
Mask Make & Model: Aloha
Humidifier: H5i
CPAP Pressure: 8-10
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Northern California

Post: #2
RE: Please! Help me set up my machine...
DIY titration with an APAP machine usually means setting the pressures wide open, which would be minimum pressure 4 and maximum pressure 20. Click the "CPAP Setup Manuals" link above for directions to set up the pressures (in Section 1).

That said, the M series APAP is not the best choice for DIY titration. The idea in starting with wide open pressures is to allow the pressure to auto-adjust and then over time narrow the pressure range based on the therapy data recorded by the machine. You would need Encore software and a Smart card reader. The machine's display shows very limited data -- enough perhaps once your therapy is dialed in, but not great for close examination and titration.

Any chance you could get hold of a PR 550 or 560, or a ResMed S9 Autoset? With those models you can use SleepyHead software and if your computer doesn't have a built-in SD card reader you can get one easily and cheaply.
(This post was last modified: 08-27-2015 11:31 PM by kaiasgram.)
08-27-2015 11:27 PM
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Ghost1958 Offline

Advisory Members

Posts: 957
Joined: Aug 2014

Machine: PRS1 Series Sixty Auto Aflex
Mask Type: Nasal mask
Mask Make & Model: F&P Eson
Humidifier: PRS1 with Heated Hose
CPAP Pressure: 10.5 min 16 max
CPAP Software: SleepyHead EncoreBasic

Other Comments: Moderate to Severe SA Obstructive. Rapid O2 desat off the machine.

Sex: Male
Location: KY

Post: #3
RE: Please! Help me set up my machine...
Take this as advise from a pap user not a doctor. But.
Set the min pressure so you feel you arent smothered and getting enough air flow.
Probably six to eight.
Id ceiling the max at 16 if it were me until i got a titration since you cant see data.
08-27-2015 11:59 PM
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trish6hundred Offline

Advisory Members

Posts: 6,452
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: #4
RE: Please! Help me set up my machine...
Hi Abhorthesnore,
WELCOME! to the forum.!
Hang in there for more suggestions.
I wish you much success with getting this set up so you can use it.

trish6hundred
08-28-2015 12:10 AM
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Abhorthesnore Offline

New Members

Posts: 3
Joined: Aug 2015

Machine: Respironics Remstar Auto M SERIES a-Flex
Mask Type: Full face mask
Mask Make & Model: Unsure
Humidifier: Unsure
CPAP Pressure: Unsure
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #5
RE: Please! Help me set up my machine...
Thanks Ghost, like I said its late here and telling me what I should get, etc.does me no good in the now. Your answer of at least giving me min and max helps greatly. I've set it up and am going to try and try and give it a shot. I'm usually a very detailed, but the right model kind of guy. Due to the situation I've had to give it the old,"wing and a prayer routine," for now. Prob will learn the hard way but I'm at least being proactive while the VA schedules the schedule for scheduling my schedule. For $75 this, like new, machine at least will give me hope and keep me occupied for now. Wish me luck, I'm going in...
08-28-2015 12:42 AM
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kaiasgram Offline

Advisory Members

Posts: 242
Joined: Aug 2013

Machine: S9 VPAP Auto
Mask Type: Nasal pillows
Mask Make & Model: Aloha
Humidifier: H5i
CPAP Pressure: 8-10
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Northern California

Post: #6
RE: Please! Help me set up my machine...
(08-28-2015 12:42 AM)Abhorthesnore Wrote:  ... telling me what I should get, etc.does me no good in the now.

But it could help you tomorow and in the coming days and weeks if you have a long wait for your VA appointment.

Having access to good data is very important when you haven't had a diagnostic sleep study. While most folks with sleep apnea do have garden-variety obstructive sleep apnea that can be treated with CPAP (or APAP), sometimes it's more complicated than that. I'm glad you have a machine to try out for the time being but also wanted you to be aware of its limits and some possible ways to deal with it.

We support people taking therapy into their own hands and we want them to do it as safely as possible. That's why we sometimes go beyond the "right this minute" question and provide additional relevant information. And most folks actually appreciate it. Smile
(This post was last modified: 08-28-2015 01:58 AM by kaiasgram.)
08-28-2015 01:48 AM
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OpalRose Offline

Monitors

Posts: 3,181
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: Please! Help me set up my machine...
(08-28-2015 12:42 AM)Abhorthesnore Wrote:  Thanks Ghost, like I said its late here and telling me what I should get, etc.does me no good in the now. Your answer of at least giving me min and max helps greatly. I've set it up and am going to try and try and give it a shot. I'm usually a very detailed, but the right model kind of guy. Due to the situation I've had to give it the old,"wing and a prayer routine," for now. Prob will learn the hard way but I'm at least being proactive while the VA schedules the schedule for scheduling my schedule. For $75 this, like new, machine at least will give me hope and keep me occupied for now. Wish me luck, I'm going in...


Abhorthesnore,
I understand completely the waiting game, and don't see anything wrong with trying out this used machine until your sleep study. But please check back here and let us know how your night went.

I would have suggested pressure range similar to what Ghost did. I am curious though....what mask did you use? That could be more problematic than the machine itself.

Hope you had a restful night, and let us know when you have your sleep study.

Don't want to get too far ahead of the game, but be sure to read a lot here, and start checking on the various machines available.

OpalRose
(This post was last modified: 08-28-2015 07:24 AM by OpalRose.)
08-28-2015 07:24 AM
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Sleeprider Online
Wiki Editor
Advisory Members

Posts: 3,390
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: #8
RE: Please! Help me set up my machine...
The M-Series Auto does produce data, but you need a Smartcard Reader like the Mako DT-3500. Not many available unfortunately.

Hope the first night went well. You will be able to read the display to at least get your AHI for the night. For self-titration, Ghost's advise was very good. Find a comfortable minimum pressure and let the machine work from there. The most challenging thing in the long run will be to find a comfortable mask interface that does not leak.

Good luck.

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08-28-2015 08:42 AM
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Abhorthesnore Offline

New Members

Posts: 3
Joined: Aug 2015

Machine: Respironics Remstar Auto M SERIES a-Flex
Mask Type: Full face mask
Mask Make & Model: Unsure
Humidifier: Unsure
CPAP Pressure: Unsure
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #9
RE: Please! Help me set up my machine...
So last night was not as successful as I had hoped. I still woke up about every two hours and am quite tired today. Girlfriend noticed less snoring but far from the sometimes amazing stories I've heard and hoped for thus far. Trying night #2 now...
08-28-2015 11:14 PM
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DeepBreathing Offline
Wiki Editor
Moderators

Posts: 2,296
Joined: Sep 2013

Machine: Resmed S9 VPAP Adapt
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Resmed H5i
CPAP Pressure: EPAP: 9 - 15 PS: 3 - 10
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Perth, Western Australia

Post: #10
RE: Please! Help me set up my machine...
G'day Abhorthesnore, welcome to Apnea Board.

(08-28-2015 11:14 PM)Abhorthesnore Wrote:  So last night was not as successful as I had hoped. I still woke up about every two hours and am quite tired today. Girlfriend noticed less snoring but far from the sometimes amazing stories I've heard and hoped for thus far. Trying night #2 now...

Expectations need to be realistic. Even under the best circumstances, CPAP isn't an instant fix for most people. If I can draw an analogy - if you went to a pharmacist and got some random antibiotic without knowing the precise type or dosage then it wouldn't be surprising if your infection wasn't suddenly cured. Likewise with sleep apnea.

The fact that you had less snoring is an indication that the machine is starting to do you some good, but you really need to get the diagnosis, prescription and dosage all sorted before you can expect a real improvement. Once you have your sleep test and prescription (and as others have said - get a data capable machine) then you are much more likely to experience a big change in your condition.

DeepBreathing
Apnea Board Moderator
www.ApneaBoard.com


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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.
08-29-2015 12:03 AM
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