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autoset cpap machine
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me50 Offline

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Posts: 2,559
Joined: Aug 2013

Machine: resmed S9 VPAP Auto
Mask Type: Nasal mask
Mask Make & Model: Wisp and Silicone Head gear
Humidifier: resmed H5i
CPAP Pressure: 18/8
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location: USA

Post: #1
autoset cpap machine
I have approval for the auto set Resmed S9 now. Go to DME next Tuesday to pick it up. Since my initial prescription from my sleep study was one setting as I did not have an auto set cpap, my doctor didn't know what to do so put 4 to 20 on the prescription. Any thoughts on this?

Thanks.
09-05-2013 09:48 PM
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Tez62 Offline

Monitors

Posts: 837
Joined: Feb 2013

Machine: Resmed S9 Autoset
Mask Type: Full face mask
Mask Make & Model: Resmed Mirage Quattro
Humidifier: Resmed
CPAP Pressure: 5-15
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Melbourne, Australia

Post: #2
RE: autoset cpap machine
me50, when you get it, download the sleepyheads software and then monitor your pressures over a few weeks you should be able to at least lower the high pressure, you can post your results on here, good luck
09-05-2013 09:57 PM
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me50 Offline

Advisory Members

Posts: 2,559
Joined: Aug 2013

Machine: resmed S9 VPAP Auto
Mask Type: Nasal mask
Mask Make & Model: Wisp and Silicone Head gear
Humidifier: resmed H5i
CPAP Pressure: 18/8
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location: USA

Post: #3
RE: autoset cpap machine
(09-05-2013 09:57 PM)Tez62 Wrote:  me50, when you get it, download the sleepyheads software and then monitor your pressures over a few weeks you should be able to at least lower the high pressure, you can post your results on here, good luck

I have both res scan and sleepy head downloaded. I will make a note to ask how to adjust the settings when I go next week. Thanks!!
09-05-2013 10:05 PM
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jgjones1972 Offline

Preferred Members-2

Posts: 516
Joined: Nov 2012

Machine: ResMed S9 AutoSet
Mask Type: Full face mask
Mask Make & Model: ResMed Quattro FX
Humidifier: ResMed H5i
CPAP Pressure: 18 - 20
CPAP Software: ResScan SleepyHead

Other Comments: CMS50I PulseOx

Sex: Male
Location: Ohio - USA

Post: #4
RE: autoset cpap machine
You could leave it at 4 - 20 for a while to see what it does, then start tightening up the range...or, if you were titrated at 12 constant, you could set it to something like 9 - 20 to see what shakes out. It's generally a good idea to give the machine a lot of room to run and only tighten the range up once you get a good look at a couple weeks worth of data.

The biggest problem with wide open range is that it will be hard to prevent leaks. Adjust the mask to be leak free at higher pressure before setting the pressure back and going to sleep. After the first night you will be able to use "mask fit" to adjust the pressure at 95% pressure from previous night, but I'm not sure what mask fit will do if there is no previous night to go off of. If it just pushes 4 and you adjust your mask at 4, then you'll get bad leaks if it runs up to 12.

Sleep-well
09-05-2013 10:07 PM
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trish6hundred Offline

Advisory Members

Posts: 6,451
Joined: May 2012

Machine: Resmed S9 AutoSet for Her
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: H5i Heated Humidifier
CPAP Pressure: 10 - 7-20 Cm H2O
CPAP Software: Not using software

Other Comments: I started CPAP in 2008. Totally blind since birth.

Sex: Female
Location: Missouri, USA

Post: #5
RE: autoset cpap machine
Hi me50,
What jgjones1972 said.
That's GREAT to hear that you will be getting an S9AutoSet.
Best of luck with the new machine and keep us posted.

trish6hundred
09-05-2013 10:20 PM
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me50 Offline

Advisory Members

Posts: 2,559
Joined: Aug 2013

Machine: resmed S9 VPAP Auto
Mask Type: Nasal mask
Mask Make & Model: Wisp and Silicone Head gear
Humidifier: resmed H5i
CPAP Pressure: 18/8
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location: USA

Post: #6
RE: autoset cpap machine
(09-05-2013 10:07 PM)jgjones1972 Wrote:  You could leave it at 4 - 20 for a while to see what it does, then start tightening up the range...or, if you were titrated at 12 constant, you could set it to something like 9 - 20 to see what shakes out. It's generally a good idea to give the machine a lot of room to run and only tighten the range up once you get a good look at a couple weeks worth of data.

The biggest problem with wide open range is that it will be hard to prevent leaks. Adjust the mask to be leak free at higher pressure before setting the pressure back and going to sleep. After the first night you will be able to use "mask fit" to adjust the pressure at 95% pressure from previous night, but I'm not sure what mask fit will do if there is no previous night to go off of. If it just pushes 4 and you adjust your mask at 4, then you'll get bad leaks if it runs up to 12.

Sleep-well
thanks. my previous DME never gave me much instructions on how to adjust settings, use mask fit, etc. as a matter of fact, they insisted that I come in for them to check my SD or to mail my SD in and then they would send me another one which I was totally against mailing it in. A previous DME wanted to charge $25 to read the SD and that is partly why I changed to a new DME but they only had one person that would do the SD card and half the time, the print out I got was a mess so here is hoping this new one is much better (the previous 2 are not on my new insurance). I am making a list of questions based on what I am seeing in this forum.

If anyone can think of questions that I should ask about the auto set while I am there, please let me know as this is my first auto set. I am happy about it b/c it means I will be able to take medication that is prescribed for me that I was afraid to take just in case it affected my breathing and my machine wouldn't adjust for it. Yay!!
09-05-2013 10:20 PM
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STL Mark Offline

Preferred Members

Posts: 44
Joined: Jul 2013

Machine: Resmed S9 VPAP Adapt 36037
Mask Type: Full face mask
Mask Make & Model: Resmed Quattro Air
Humidifier: Resmed H5i
CPAP Pressure: Original Titration: 18 cm H2O
CPAP Software: ResScan SleepyHead

Other Comments: Mode: ASVAuto, Min EPAP: 4, Max EPAP: 15, Min PS: 3, Max PS: 15, Ramp: Off

Sex: Male
Location: Saint Louis, MO USA

Post: #7
RE: autoset cpap machine
(09-05-2013 09:48 PM)me50 Wrote:  I have approval for the auto set Resmed S9 now. Go to DME next Tuesday to pick it up.
Many DMEs especially the national chains will try to stick you with a S9 Escape Auto. If you question it they will tell you it is newer or is a replacement for the Autoset. Don't take it home just walk out if they can't give you an S9 Autoset.
09-06-2013 01:54 AM
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me50 Offline

Advisory Members

Posts: 2,559
Joined: Aug 2013

Machine: resmed S9 VPAP Auto
Mask Type: Nasal mask
Mask Make & Model: Wisp and Silicone Head gear
Humidifier: resmed H5i
CPAP Pressure: 18/8
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location: USA

Post: #8
RE: autoset cpap machine
I was reading about the auto set and some of the information said that it is possible to miss some events, especially a sudden onset. I am concerned about the range being set far below my setting (12). Guess I should talk with the respiratory therapist and see if they can set the range from 12 to 20 rather than 4 to 20. Thank you for the heads up about the S9 Escape!!
09-06-2013 08:03 AM
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RonWessels Offline

Preferred Members-2

Posts: 465
Joined: Jun 2013

Machine: REMstar Auto AFlex DS560TS
Mask Type: Nasal mask
Mask Make & Model: ComfortGel Blue
Humidifier: REMstar Heated Tube DS6T
CPAP Pressure: 11 - 20
CPAP Software: SleepyHead

Other Comments: CMS50F Pulse Oximeter

Sex: Male
Location: Ontario, Canada

Post: #9
RE: autoset cpap machine
If your titrated CPAP pressure was 12, I'd recommend starting your Auto pressure settings at 10-20. At 10, you are close enough to your "nominal" treatment pressure that there isn't much of an issue being too low. However, being below your original pressure, if for some reason that pressure was too high, the machine can provide a lower pressure if sufficient.
09-06-2013 10:07 AM
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PsychoMike Offline

Advisory Members

Posts: 551
Joined: Aug 2013

Machine: ResMed S9 AutoSet
Mask Type: Other
Mask Make & Model: Varies with mood, ResMed F10 is my primary
Humidifier: ResMed H5i
CPAP Pressure: 12-17
CPAP Software: SleepyHead

Other Comments: asthma, cyclist upgraditis, just a little crazy (honest :D )

Sex: Male
Location: Alberta, Canada

Post: #10
RE: autoset cpap machine
(09-05-2013 10:07 PM)jgjones1972 Wrote:  The biggest problem with wide open range is that it will be hard to prevent leaks. Adjust the mask to be leak free at higher pressure before setting the pressure back and going to sleep. After the first night you will be able to use "mask fit" to adjust the pressure at 95% pressure from previous night, but I'm not sure what mask fit will do if there is no previous night to go off of. If it just pushes 4 and you adjust your mask at 4, then you'll get bad leaks if it runs up to 12.

Sleep-well

AFAIK, the ResMed S9 uses a consistent mask fit pressure close to the 20 cmH20 max the unit puts out. I find if I use the Mask fit I tend to have the headgear a little tighter than it needs to be for the pressure I run (6.6 - 16 right now, generally averaging in the low 7's)
(This post was last modified: 09-06-2013 12:48 PM by PsychoMike.)
09-06-2013 12:48 PM
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