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Total Newbie - Help!!! Please...
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PaytonA Offline
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Posts: 3,013
Joined: Dec 2013

Machine: ResMed S9 VPAP Auto
Mask Type: Full face mask
Mask Make & Model: Resmed Mirage Quattro
Humidifier: H5i(distilled-top up)
CPAP Pressure: VAuto MinE14.0 MaxI 20.6 PS4.0
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Orange County,California

Post: #41
RE: Total Newbie - Help!!! Please...
I thought that trials were to try the auto mode. Why would a machine that has an auto mode also have an auto trial mode or is A trial something different?

Best Regards,

PaytonA
11-08-2015 09:55 PM
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Sleepster Offline
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Posts: 4,995
Joined: Feb 2012

Machine: ResMed AirCurve10 VAuto
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: HumidAir and SlimLine Hose
CPAP Pressure: MaxI 13.6 | MinE 5.2 | PS 4.4
CPAP Software: ResScan SleepyHead

Other Comments: Diagnosed Nov 2011. Conquered aerophagia.

Sex: Male
Location: Houston, Texas

Post: #42
RE: Total Newbie - Help!!! Please...
The trial mode is a marketing scheme. If you have an auto-adjusting CPAP machine like the PRS1 Model 550P you don't need, want, or have that trial mode.

Trial mode is on machines that won't run continuously in auto mode. It's a stupid rip off marketing scheme. Plus, they don't give you full data reporting.

Sleepster
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11-08-2015 10:01 PM
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OpalRose Offline

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Posts: 3,180
Joined: Nov 2014

Machine: PR System One REMstar Auto 560 with A Flex
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 For Her
Humidifier: REMStar heated humidifier with heated hose
CPAP Pressure: Auto Cpap 10-13 AFLEX 1
CPAP Software: SleepyHead EncoreBasic

Other Comments: Started CPAP Therapy October 23, 2014

Sex: Female
Location: Northeast Ohio, USA

Post: #43
RE: Total Newbie - Help!!! Please...
There is definetly an A-Trial Mode on my PR560 Auto CPAP. Never used it though.

I believe the OP has the PR550 that does not offer A-Trial.

OpalRose
11-08-2015 10:18 PM
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Josh Offline

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Posts: 24
Joined: Nov 2015

Machine: Respironics REMStar Auto A-Flex 551P
Mask Type: Nasal mask
Mask Make & Model: Respironics Easylife
Humidifier: built in
CPAP Pressure: Auto
CPAP Software: Not using software

Other Comments:

Sex: Male
Location: Toronto, ON

Post: #44
RE: Total Newbie - Help!!! Please...
This might also be a stupid question, but once you know your optimal setting, you turn off auto mode and leave it set there, yes?
I made it about 3 hours tonight. Getting better.
11-09-2015 07:57 AM
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OpalRose Offline

Monitors

Posts: 3,180
Joined: Nov 2014

Machine: PR System One REMstar Auto 560 with A Flex
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 For Her
Humidifier: REMStar heated humidifier with heated hose
CPAP Pressure: Auto Cpap 10-13 AFLEX 1
CPAP Software: SleepyHead EncoreBasic

Other Comments: Started CPAP Therapy October 23, 2014

Sex: Female
Location: Northeast Ohio, USA

Post: #45
RE: Total Newbie - Help!!! Please...
Josh,
If you are running this machine in auto mode, then you leave it on auto mode. If you are using a straight CPAP pressure, then leave it set on CPAP mode.

As far as knowing optimal setting, that takes time. You just started therapy, and as I stated prior,
You will have to download software, and look at your numbers and graphs to see what is going on.

What pressure range did you set?

Also, please update your profile with exact machine model. With water out of humidifier, turn unit upside down and look at the model number.

OpalRose
11-09-2015 08:35 AM
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Josh Offline

Preferred Members

Posts: 24
Joined: Nov 2015

Machine: Respironics REMStar Auto A-Flex 551P
Mask Type: Nasal mask
Mask Make & Model: Respironics Easylife
Humidifier: built in
CPAP Pressure: Auto
CPAP Software: Not using software

Other Comments:

Sex: Male
Location: Toronto, ON

Post: #46
RE: Total Newbie - Help!!! Please...
Machine updated.
It was set at 5-20 which is where I left it. I'm working on getting Sleepyhead and will look at the information as soon as I get it.
Hopefully I can make some sort of sense out of it.
Thanks
11-09-2015 09:32 AM
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OpalRose Offline

Monitors

Posts: 3,180
Joined: Nov 2014

Machine: PR System One REMstar Auto 560 with A Flex
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 For Her
Humidifier: REMStar heated humidifier with heated hose
CPAP Pressure: Auto Cpap 10-13 AFLEX 1
CPAP Software: SleepyHead EncoreBasic

Other Comments: Started CPAP Therapy October 23, 2014

Sex: Female
Location: Northeast Ohio, USA

Post: #47
RE: Total Newbie - Help!!! Please...
(11-09-2015 09:32 AM)Josh Wrote:  Machine updated.
It was set at 5-20 which is where I left it. I'm working on getting Sleepyhead and will look at the information as soon as I get it.
Hopefully I can make some sort of sense out of it.
Thanks


So, did you use it last night on that setting?
What was your AHi and you 90% pressure. Look on display under info, and scroll down.

OpalRose
11-09-2015 09:56 AM
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Josh Offline

Preferred Members

Posts: 24
Joined: Nov 2015

Machine: Respironics REMStar Auto A-Flex 551P
Mask Type: Nasal mask
Mask Make & Model: Respironics Easylife
Humidifier: built in
CPAP Pressure: Auto
CPAP Software: Not using software

Other Comments:

Sex: Male
Location: Toronto, ON

Post: #48
RE: Total Newbie - Help!!! Please...
Yes, 5-20 was the setting last night
AHI was 11.4
90% was 8
What does that mean?
11-09-2015 10:21 AM
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Sleeprider Online
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Advisory Members

Posts: 3,369
Joined: Dec 2014

Machine: Resmed Aircurve 10 Vauto
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed Climateline
CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: Where they make Respironics

Post: #49
RE: Total Newbie - Help!!! Please...
Josh, since you're still adjusting to the machine, it's not a good idea to use a single night of data to draw conclusions. Your AHI is unacceptably high based on the first night's stats, but we would need to look at the Sleepyhead data to see what the breakdown of AHI is between hypopnea, obstructive and clear-airway apneas, as well as your leak rates. A 90% pressure simply means you were at or below that pressure 90% of the time. The 90% pressure is often used as the therapeutic pressure in setting a fixed CPAP, however, your AHI still appears high, so there are other things to consider.

If you'd like to post Sleepyhead graphs, here is a good tutorial: https://sleep.tnet.com/reference/tips/imgur
We would be most interested in seeing daily details for Event Flags, Flow Rate, Pressure, and Leak Rate. Using the tutorial, it wold look something like this:

[Image: Mz9zhbEl.png]

______________________________________________
Organize your SleepyHead Data
Post your SleepyHead Data from Imgur
Robysue's Beginner's Guide to Sleepyhead
11-09-2015 11:02 AM
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OpalRose Offline

Monitors

Posts: 3,180
Joined: Nov 2014

Machine: PR System One REMstar Auto 560 with A Flex
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 For Her
Humidifier: REMStar heated humidifier with heated hose
CPAP Pressure: Auto Cpap 10-13 AFLEX 1
CPAP Software: SleepyHead EncoreBasic

Other Comments: Started CPAP Therapy October 23, 2014

Sex: Female
Location: Northeast Ohio, USA

Post: #50
RE: Total Newbie - Help!!! Please...
(11-09-2015 10:21 AM)Josh Wrote:  Yes, 5-20 was the setting last night
AHI was 11.4
90% was 8
What does that mean?


AHI of 11.4 means you had an average of over 11 events per hour. We don't know the breakdown of these events (meaning hypopneas, obstructive or clear airway)
until we can look at Sleepyhead.

A goal is to get your AHI below 5. A suggestion, bump your minimum pressure up to 6, and make sure ramp isn't on. The max pressure can be brought down too, but you can do that later.

You can also download Encore Basic Software. Not as detailed as Sleepyhead though. Here is a link:
http://www.apneaboard.com/forums/Thread-...hines-only


The 90% pressure means this: you were at a pressure of 8cm or lower for 90% of the night. Note the words (or lower). Doesn't mean you sat at a pressure of 8 for all that time. This is where it's important to look at your data to determine where your best pressure should be.

Anyway, how do you feel today? You only slept 3 hours.

OpalRose
11-09-2015 11:04 AM
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