Sleep Test Results - APAP starting settings?

[Quarky68]

So here is the result of my sleep test - worse that I thought!!! pAHI = 36.1 - severe!

So I have a few questions...


1. Want to snag myself a Airsense 10 and probs a F30i mask (they're out of stock just now ?). Is this ALL I will need? The A10 comes with a heated hose.
DME link to ResMed's online shop-UK removed.

I'll need to purchase the mask as well of course (I'm  a mouth breather).

2. what settings would you recommend for the A10 as I begin this fascinating OSA journey!?

I will no doubt be back to ask more newbie questions...

If you need more info, happy to provide!

Appreciate your thoughts

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[Gideon]

First and foremost what you want is a ResMed Airsense 10 (A10) AutoSet as the A10 is a model line which includes at least 1 device that you do NOT want. The keyword is AutoSet, NOT AirSense.

Masks are very personal, I'm willing to bet that your face is considerably different than mine. Masks MUST be tried on, under pressure and in sleeping position.
The obvious choice would be one of the FFM (Full Face Masks, or hybrid Masks which come under the nose and not over it. You should note that CPAP pressure will often (not always) shut the oral breathing path allowing a so called "Mouth Breather" to utilize a nasal or pillow mask which are nose olly. Read the Mask Primer.

Initial settings assuming nothing but an uncomplicated Obstructive Sleep Apnea, no Central/mixed/complex apnea, no other cardiac, pulmonary, , CNS or Neuromuscular conditions present and without knowledge of a titration study.

Device ResMed AirSense 10 AutoSet (other the A10 or A11)
IF a used device ALWAYS start with a factory rest to ensure all settings are in default position.
Mode: Auto
Min Pressure = 7 to allor EPR to fully function
Max Pressure = 15 to provide room for the algorithm to work. The high pressure matters little since hopefully the events that increase pressure will be managed suffu=iciently that actual pressure will never reach this level
EPR =2, Fulltime, NOT Ramp Only) EPR will make it easier for you to exhale and will also treat hypopneas, flow limitations, and RERAs.

After your First night post your results, a screenshot (use F12 as it performs some temp formatting for the screenshot) of your Daily charts including Events, Flow Rate, Pressure, Flow Limits, and Leak Rate.

EXPECT the need to change you settings. It is a myth that auto CPAPs automatically find and set your optimal settings.

After this it is an iterative process as we narrow in on your optimum settings and resolve any issues you may be experiencing.
Ramp = OFF

[Quarky68]

thanks for this - and apologies for the naughty link!