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RE: Help Changing from CPAP (fixed pressure) to Resmed AutoSense 10 for Her
Don, this machine is going to be great for your wife. Its not just the autoset pressure, but the ability to use EPR which drops the pressure during exhale from 1 to 3 cm from the inhale CPAP pressure. This is actually a bilevel machine, limited to 3-cm of pressure support, and that means it will finally treat the flow limitations that lead to her hypopnea with her current machine, and the Autoset is also capable of preventing obstructive apnea by raising the pressure as needed.
I recommend starting with a minimum pressure of 7.0 and maximum pressure of 12.0 in Autoset or Autoset For her mode. Be sure to go to the comfort settings in the clinical menu and turn on EPR, Full Time, and use a setting of 2. This will make her actual starting pressure 7.0/5.0 (inhale/exhale) which should be very comfortable. The machine will be able to rise to 12.0/10.0 as needed. In addition to setting pressure and EPR, go to Essentials and change the setting from On to Plus. This won't change therapy, but will give more on-screen information in the Autoset sleep report. This machine is worlds apart from the PRS1 Auto CPAP in terms of comfort and ability to treat her sleep disordered breathing. Give it a few nights, but I'm sure she will not want to go back.
If you don't already have it, get the clinician setup manual from the forum (see link at top of page). There is really good information there on how the Autoset For Her works and especially how EPR works to improve comfort and results.
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.
RE: Help Changing from CPAP (fixed pressure) to Resmed AutoSense 10 for Her
Thank you for the detailed explanation and advice on initial settings.
Have two week delay. Out of the box the first machine had a low frequency oscillating tone on inhale/exhale with a noticeably higher level of vibration at the air filter end of the machine. (We both received identical machines at the same time as Medicare replacements). This was the ResMed Autoset. I wan't aware of the Resmed AutoSet for Her until I read about it on this board
DME Service Representative, at time of pickup, had mentioned they've had a few of these machines returned for this problem.
After the first night of use (keeping both of us awake), I measured the sound of each machine (mask on) with an Octave Band Analyzer for Ipad. Your could see a noticeable difference in her machine in a low frequency band and the dB level was higher than mine.
DME was very cooperative when I reported this and ordered her a new machine. At my request they ordered the AutoSet for Her. Waiting now for the new machine to begin the effort. Back to the old machine in the meantime.
I've got local events and my post out of sequence but any rate it was (1) get ResMed AutoSet machines for both of us (2) join this board (3) first night trial (4) post for hep on settings (5) return her ResMed Autoset for noise issues (6) waiting new machine
I will try your recommendations for her machine as soon as it arrives. In the meantime, I'll try them on myself first.
After a week trial of the settings on the Resmed Autoset for Her, I'll post info and ask for opinions on what things look like.
Machine: Needing iVAPS but QUACKS refusing to help but they love testing Mask Type: Not using mask Mask Make & Model: F&P Vitera on shelf Humidifier: None/nada CPAP Pressure: 0-0 pressure set CPAP Software: Not using software
Other Comments: SCS PVC K9D** Untreated CA Asthma Dr. Donothings
05-02-2020, 09:22 PM (This post was last modified: 05-02-2020, 09:22 PM by SarcasticDave94.
Edit Reason: edit
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RE: Help Changing from CPAP (fixed pressure) to Resmed AutoSense 10 for Her
If you're having any issues, post a question or describe the issue with a standard look on the OSCAR chart to give a visual of the data. Even if things are going well, you need not wait a week. Post up in a day or so and we can offer guidance as needed. Best to you. And welcome to Apnea Board.
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.
RE: Help Changing from CPAP (fixed pressure) to Resmed AutoSense 10 for Her
How is comfort? Based on this one chart there is a minor improvement from previous therapy. OA keeps sneaking in so maybe flow limit is not preceding events. Please include the flow limit cart in future posts. It looks like we might increase minimum pressure, but I’d like more feedback.
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.
RE: Help Changing from CPAP (fixed pressure) to Resmed AutoSense 10 for Her
Thanks for the feedback
I've included a chart from May 16th the first night she had the new machine. It was set at Fixed 8.0 for that night by the DME per sleep study recommendation of 12 years ago.
I've also included a chart from last night May 23rd and moved the flow limit graph up '
Overall comfort level is good. She does comment that at times she feels like there is too much pressure. She says that she wakes up seeming to gasp for breath when it's too low and also wakes up at times with a sensation that the pressure is too high.
Perhaps a contributing factor.......she was in a near fatal car wreck in the late 90's and has a plate in her neck that fuses all vertebrae but the top two. She has much difficulty finding a comfortable position at night and usually wakes in the AM with a very stiff neck
Advice very helpful....thanks for the interest and time