(10-19-2014, 06:30 AM)JimZZZ Wrote: I'm curious to know your pressure setting because it may be related to the success of your therapy. Your profile indicates an autoset pressure range of 6 -20 but your post indicates you are using straight CPAP settings of first 14, then 9.5. In my opinion, your sleep doc (or you) should set up an autoset range so the device can provide the pressure/s appropriate to your need.
Like JimZZZ, I also suggest you would learn more by being on a range during the trial, not on a set pressure.
Our pressure needs change hourly and nightly and weekly and monthly and seasonally and yearly.
You are paying for this, so I suggest you might want to consider asking that the machine be placed back in in AutoSet mode with a higher Max Pressure setting, to allow the machine to raise the pressure higher when it senses you need higher pressure.
Unless you felt any problems (aerophagia, lung or breathing muscle problems, hearing/balance problems or eye problems) from the high pressure?
Generally the machine does not go higher in pressure than needed; however, if it seemed to raise the pressure too aggressively, I suggest changing to the AutoSet For Her model for the rest of the trial and trying the AutoSet For Her therapy mode. The A10 AutoSet For Her (when in AutoSet For Her mode) raises the pressure less aggressively.
If I were to get an APAP machine, I would get the A10 AutoSet For Her model, even though I am a guy. Makes sense to me that it would be a good thing to have more therapy options. The A10 AutoSet For Her has the regular CPAP (fixed pressure) therapy mode as an option, plus the regular A10 AutoSet therapy mode as an option, plus the A10 AutoSet For Her therapy mode as an option. Three machines in one.
Everything below is from the A10 AutoSet clinician set-up manual:
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The AutoSet for Her is similar to ResMed’s AutoSet algorithm with the following modifications:
Reduced rate of pressure increments designed to help prevent arousals.
Slower pressure decays.
Treats apneas up to 12 cm H2O and continues to respond to flow limitation and snore up to 20 cm H2O.
Minimum pressure (Min. Pressure) that adjusts according to the frequency of apneas:
If two apneas occur within a minute, the pressure reached in response to the second apnea will become the new minimum treatment pressure until the next treatment session.
Respiratory effort related arousals reporting:
Respiratory Effort Related Arousals (RERA) reporting is available on the AirSense 10 AutoSet for Her in all modes.
RERAs are periods of increasing respiratory effort which are terminated by an arousal. Increasing respiratory effort will be seen as airflow limitation.These flow-based RERA events are logged and stored as summary and/or detailed data and can then be viewed in one of ResMed's patient management systems.
Apnea or hypopnea events
RERA (AirSense 10 AutoSet for Her only)
Flow limitation (flat to round)
Minute ventilation (L/min)
Pressure (cm H2O / hPa)
Snore (quiet to loud)
Pulse rate (beats/min)—if an oximeter adapter is attached
Oxygen saturation (SpO2)—if an oximeter adapter is attached