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Switch ResMed S9 to AutoSet?
#1
Hello, I just thought I'd seek out a little advice regarding my CPAP therapy. I just started the therapy about two weeks ago using a resmed s9 autoset with H5i humidifier. As per the prescription, the machine was setup in CPAP mode at a pressure of 10.

So far, I've had a couple of minor issues. First, taking off the mask in the middle of the night--the times that I remember doing it was because I was finding it difficult to exhale against the pressure. Second, a couple of mornings I've had some pretty uncomfortable stomach pain. From what I've read here, I'm thinking I must be swallowing air at times.

Using the excellent resources on this site, I now know how to access the clinician setup functions. I'm not sure whether or not it was a bad idea, but I put the machine into AutoSet mode using a pressure range of 4-10 and also enabled EPR. The therapy is now noticeably more tolerable than it was, but, like I said, I'm unsure of whether I should do this or not and am looking for thoughts from the community. Thanks!
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#2
Hi, grin0048,

Welcome to the forum! Sounds like you've done some "tweaking" of your prescription and are feeling like your therapy is more tolerable. I'm wondering if you might have a discussion with your sleep doctor about the problems you were having with a "set pressure" of 10 and what you've done to find relief. You might also want to start using SleepyHead or the ResMed software in order to see how your therapy (and "tweaking") are working. Include that in your discussion with your sleep doctor.

Good luck!!

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#3
(07-07-2014, 11:24 PM)grin0048 Wrote: I'm not sure whether or not it was a bad idea, but I put the machine into AutoSet mode using a pressure range of 4-10 and also enabled EPR. The therapy is now noticeably more tolerable than it was, but, like I said, I'm unsure of whether I should do this or not and am looking for thoughts from the community. Thanks!
anything makes the therapy more tolerable cannot be a bad idea but rather a good idea
whats the data on the screen sleep report report, ahi, leak, pressure? software graph charts are more revealing of whats going on

resscan and sleepyhead download link http://www.apneaboard.com/forums/Forum-P...-and-Links

Welcome
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#4
grin0048, welcome, you are doing everything fine, those pressures seem ok, and the EPR is fine as well, you can set the EPR at 0,1,2 or 3, I prefere 3 but it is a bit of trial and error.
I'd suggest the next thing is to down load the free software from here, either Sleepyhead or Res Scan and start analysising the data more throughly.
You want your AHI to be as low as possible but below 5 and your leaks as low as possible but below 24l, hope this helps and please keep asking questions and good luck.
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#5
(07-07-2014, 11:24 PM)grin0048 Wrote: Hello, I just thought I'd seek out a little advice regarding my CPAP therapy. I just started the therapy about two weeks ago using a resmed s9 autoset with H5i humidifier. As per the prescription, the machine was setup in CPAP mode at a pressure of 10.

So far, I've had a couple of minor issues. First, taking off the mask in the middle of the night--the times that I remember doing it was because I was finding it difficult to exhale against the pressure. Second, a couple of mornings I've had some pretty uncomfortable stomach pain. From what I've read here, I'm thinking I must be swallowing air at times.

Using the excellent resources on this site, I now know how to access the clinician setup functions. I'm not sure whether or not it was a bad idea, but I put the machine into AutoSet mode using a pressure range of 4-10 and also enabled EPR. The therapy is now noticeably more tolerable than it was, but, like I said, I'm unsure of whether I should do this or not and am looking for thoughts from the community. Thanks!
Hi grin0048,
WELCOME! to the forum.!
You might try to set up and wear your mask and use your machine during the evening as you read or watch tv. This helps your body get use to this new way of sleeping.
Hang in there for more suggestions and best of luck to you with your CPAP therapy.
trish6hundred
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#6
Thank you everyone for your input and for pointing me to the software--that's very nice having access to the data. It looks like my AHI and Leak numbers have improved in the nights since tweaking the therapy/

Now I just have to hope my sleep doctor doesn't give me trouble at my first follow up appt for messing with my therapy Wink
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#7
(07-09-2014, 12:31 AM)grin0048 Wrote: Now I just have to hope my sleep doctor doesn't give me trouble at my first follow up appt for messing with my therapy Wink

I doubt it'll be an issue. He'll be most interested in hours used and AHI and may not even notice that you changed your pressure.

On the other hand he may be happy that you did. Big Grin
Sleepster
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