I'm helping a friend who has a brand new PR-System-One-60-Series-REMstar-Auto-A-Flex. Her Doc's prescription is for straight CPAP at 11, so we pretty much have to stay there until her "compliance" thingy is done. I'm a Resmed guy, so this machine is new to me.
But I do think we're going to have to increase her pressure a little bit because 11 isn't quite doing the thing, so "compliance" or not, we'll probably do that.
In reviewing the manual for this thing, I see a feature called "Split Session," or some such thing. What it does is start the night CPAP at a specific pressure, then sometime during the night switch to APAP at a range of pressure.
That sounds intriguingly interesting to me. So my question is: Is anyone using this feature? What do you think about it?
Nobody seems to use split night much. I think it's mainly intended for some sort of minimal sleep test type of function.
Do you have the provider manual? Split night IS a CPAP then APAP mode.
To insurance, "compliance" usually seems to be 4 hours a night, and they don't care about pressure. The chances of the doctor or DME actually looking at the data enough to notice the change is small, but it is possible. Most of them seem to only bother checking to see if you're getting your 4 hours so they can ring the cash resgister.
You might want to leave it alone in order to give the doctor a chance to do his job right.
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for information on the main alternative to CPAP.
If it's midnight and a DME tells you it's dark outside, go and check it yourself.
Thanks Archangle. I would prefer to leave the pressure alone, but her ahi for the last 3 nights is averaging about 14. Her doctor doesn't want to see her for 90 days. Right now I'm just waiting to make sure the CA's go away, then I think we'll increase the pressure a little.