Hello Guest, Welcome to Apnea Board !
As a guest, you are limited to certain areas of the board and there are some features you can't use.
To post a message, you must create a free account using a valid email address.

or Create an Account


New Posts   Today's Posts

Resmed sleep therapist adjustements
#11
Resmed sleep therapist adjustements
Good morning everyone.  Coffee

Before increasing the minimum pressure from 5 to 7-9 on my resmed the sleep therapist did 2 things to try to improve my sleep therapy
She removed the EPR and changed auto set for her to regular autoset

It did destroy my OA but now i have large leaks

Mode: APAP
   


What are those leaks? Is it because my mouth is open? Is related with EPR removed or regular autoset. I have rarely seen this much leak.
Maybe it's just a random nigth.

Here are the data from the previous nigth with autoset for her and EPR at 3.
   

What do you guys think?
Post Reply Post Reply






Donate to Apnea Board  
#12
RE: Resmed sleep therapist adjustements
Ghandi,
The two charts you posted are identical, same day, both say Apap mode, EPR set to 3 (ramp only).

Please repost. Here are the graphs we need to see: Events, Pressure (not mask pressure), Flow Rate, Flow Limitations and Leak Graph.

Always include left side bar, minus pie chart and calendar.


Use the link in my signature line for guidance in organizing the chart.
OpalRose
Apnea Board Administrator
www.ApneaBoard.com

OSCAR Chart Organization


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.
Post Reply Post Reply
#13
RE: Resmed sleep therapist adjustements
(05-29-2020, 06:42 AM)OpalRose Wrote: Ghandi,
The two charts you posted are identical, same day, both say Apap mode, EPR set to 3 (ramp only).

Please repost. Here are the graphs we need to see:  Events, Pressure (not mask pressure), Flow Rate, Flow Limitations and Leak Graph.

Always include left side bar, minus pie chart and calendar.


Use the link in my signature line for guidance in organizing the chart.

It is fixed now. Thanks for helping me with this.
Post Reply Post Reply
#14
RE: Resmed sleep therapist adjustements
The only setting change I saw was EPR is now Ramp Only. This should not affect leak rates. It's possible this was a difference between nights, because each night is going to be different. If leaks are a concern to you, you need to address whether or not the mask cushion is the right size and that it's adjusted properly. I can't see how the proposed setting changes should affect leaks.

The secondary thing is for you to edit your UserCP to reflect the correct machine on your user profile so that those looking at your posts know the machine and settings you are on.
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.
Post Reply Post Reply






Donate to Apnea Board  
#15
RE: Resmed sleep therapist adjustements
(05-29-2020, 08:24 AM)SarcasticDave94 Wrote: The only setting change I saw was EPR is now Ramp Only. This should not affect leak rates. It's possible this was a difference between nights, because each night is going to be different. If leaks are a concern to you, you need to address whether or not the mask cushion is the right size and that it's adjusted properly. I can't see how the proposed setting changes should affect leaks.

The secondary thing is for you to edit your UserCP to reflect the correct machine on your user profile so that those looking at your posts know the machine and settings you are on.

About the user CP I will do. Currently it's a trial from the CPAP vendor. I own a dreamstation fixed.

About the leak. I have been using that mask for 6 years now with the dreamstation and previous respironnics machine. It's the third night with the resmed machine and I never had leaks in that range before yesterday.  I find it really odd. Could be coincidential. 

Also it was set on autoset instead of autoset for her and I had 1 rera compared to the previous nights
Post Reply Post Reply
#16
RE: First result from the resmed autoset
The follow up is on this thread: http://www.apneaboard.com/forums/Thread-...justements
Post Reply Post Reply
#17
RE: Resmed sleep therapist adjustements
I appreciate that you posted the chart from before the RT changes, however we like members to stick to one therapy thread if possible in order to help us keep the history together. As I recall, we previously demonstrated that you tolerate a higher fixed pressure with better results than auto pressure in a wide range. While OA was lower without EPR using the same pressure of 5-15, it simply shows that EPR was undercutting the needed EPAP pressure to keep OA controlled. We were working on increasing minimum pressure, but maintaining EPR. I think that is still your best course for comfort and effectiveness. I'm pretty sure we could match the performance of 5-15 without EPR, by using auto pressure at 9-15 wtih EPR at 2 or 3, and your comfort would increase, and pressure changes would be fewer. If you want to keep EPR off, then you still need to raise the minimum pressure to near the median of 7.0.

I'm not a big fan of the Autoset For Her mode, and usually get better results with Autoset Standard. I think that probably has more to do with better control of OA than the other changes.
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

____________________________________________
Download OSCAR Software
Soft Cervical Collar
Optimizing Therapy
Organize your OSCAR Charts
Attaching Files
Mask Primer
How To Deal With Equipment Supplier


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.
Post Reply Post Reply






Donate to Apnea Board  
#18
RE: Resmed sleep therapist adjustements
(05-29-2020, 11:17 AM)Sleeprider Wrote: I appreciate that you posted the chart from before the RT changes, however we like members to stick to one therapy thread if possible in order to help us keep the history together.   As I recall, we previously demonstrated that you tolerate a higher fixed pressure with better results than auto pressure in a wide range.  While OA was lower without EPR using the same pressure of 5-15, it simply shows that EPR was undercutting the needed EPAP pressure to keep OA controlled.  We were working on increasing minimum pressure, but maintaining EPR. I think that is still your best course for comfort and effectiveness.  I'm pretty sure we could match the performance of 5-15 without EPR, by using auto pressure at 9-15 wtih EPR at 2 or 3, and your comfort would increase, and pressure changes would be fewer.  If you want to keep EPR off, then you still need to raise the minimum pressure to near the median of 7.0.  

I'm not a big fan of the Autoset For Her mode,  and usually get better results with Autoset Standard.  I think that probably has more to do with better control of OA than the other changes.
It all makes sense. I will post in the other thread when I get new data. Is there anyway to merge my original post from this thread to the other one?

What about the leaks? Do you think it's coincidential as well?

Thanks
Post Reply Post Reply
#19
RE: Resmed sleep therapist adjustements
Ghandi,
Your two threads have been merged.
OpalRose
Apnea Board Administrator
www.ApneaBoard.com

OSCAR Chart Organization


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.
Post Reply Post Reply
#20
RE: Resmed sleep therapist adjustements
(05-29-2020, 01:03 PM)OpalRose Wrote: Ghandi,
Your two threads have been merged.

Awesome  Thanks
Post Reply Post Reply






Donate to Apnea Board  


Possibly Related Threads...
Thread Author Replies Views Last Post
  Do sleep aids effect sleep study results wking 10 180 Yesterday, 10:17 AM
Last Post: Rich66
  [Equipment] Sleep Report on ResMed AirCurve 10 S appiusforum 4 357 01-25-2020, 05:44 PM
Last Post: appiusforum
  Lingering fatigue: trust Resmed sleep report? gcritchley 178 7,829 10-23-2019, 05:41 AM
Last Post: mper6794
  Resmed apnealink home sleep test issues greywyvern 5 732 08-12-2019, 02:21 PM
Last Post: Mogy
  Did in-home sleep study, seeking referral to remote sleep medicine doc (telemedicine) NightOwl42 11 1,525 02-04-2019, 02:35 PM
Last Post: Stom
Gross [Health] 2 yrs w/ Resmed S9 8h/nite great sleep --> since very 1st nite w/ R10, broken sleep dumbfounded 3 536 11-30-2018, 03:47 PM
Last Post: dumbfounded
Exclaimation Here is what a Sleep Tech Supervisor told me about my recent sleep study MyronH 29 3,245 11-04-2018, 01:28 PM
Last Post: zzzlessinMS


New Posts   Today's Posts






About Apnea Board

Apnea Board is an educational web site designed to empower Sleep Apnea patients.