Brand New Diagnosis--Sleep Dr & staff NOT helpful

[Ron AKA]

Thank you! Start pressure  says 4.0, & I set Ramp time to 20 (sounded good),  AB filter no, Mode Autoset.  Any thoughts?

I understand you bought a used ResMed AirSense 10 Autoset. That is a very good machine. The first thing I would do since it is used is go into the Clinical menu and towards the bottom in the Configuration section there will be an option to Erase Data. Make sure the SD card is in place, and then Erase Data. You don't want the previous user's data mixed up with yours. I would also use the Restore Defaults to set the machine back to the factory default configuration. You don't want to be surprised by some odd setting it may have in it from the previous user. Next check and reset date and time if not correct.

After that there are a few options to set up. Sleeprider has suggested an initial minimum pressure of 7 cm and a maximum of 16 cm. Go back up to the top of the Clinical menu. Check to ensure the Mode is set to AutoSet, if it is a standard machine. Or if you have the For Her version, then I would set it to "AutoSet For Her". Next set the Minimum Pressure at 7, and Maximum Pressure at 16. You can change those later if necessary, but that is a good starting point. 

Next set the Mask to the type you have. It sounds like you have a nasal pillows mask, so select Pillows from the option. An example would be the AirFit P10. Post exactly what mask you have, and we can help you get the mask setting right.

Under the Comfort section I prefer to set the Ramp Time to Auto. In this mode it will keep the pressure at the start pressure and ramp it up only after you go to sleep. This will allow you to select a Ramp Start pressure. I would suggest setting that at 6 cm. Most find that comfortable. The next settings should be:

EPR - On
EPR Type - Full Time
EPR Level - 2 (as suggested by Sleeprider that is a good starting point)

The rest of your setting should be ok at default. Do you have the heated climate hose? If you do and it is connected, the Humidity etc should default to Auto setting, and be fine. 

Hope that helps you get started,

Ron

[Sleeprider]

So you have your sleep study report and the best machine in the world. Hopefully you have a mask. What's next?  Are you ready to start?  

Here is a quick tutorial on accessing the settings: https://www.apneaboard.com/resmed-airsen...setup-info
You can get a complete clinician manual by requesting one for the Resmed Airsense 10 Autoset at this link: https://www.apneaboard.com/adjust-cpap-p...nual#THREE
Now, just go to the clinical menu, set the minimum pressure to 7.0, Maximum pressure to 16.0 and set EPR to Full Time at 2.  
Pop in a SD card to record the data
Install and use [url=http://OSCAR Official Download Page ----> CLICK HERE ./]SleepyHead[/url]
Post your data and we can go from there.

Thank you! Start pressure  says 4.0, & I set Ramp time to 20 (sounded good),  AB filter no, Mode Autoset.  Any thoughts?

---

So you have your sleep study report and the best machine in the world. Hopefully you have a mask. What's next?  Are you ready to start?  

Here is a quick tutorial on accessing the settings: https://www.apneaboard.com/resmed-airsen...setup-info
You can get a complete clinician manual by requesting one for the Resmed Airsense 10 Autoset at this link: https://www.apneaboard.com/adjust-cpap-p...nual#THREE
Now, just go to the clinical menu, set the minimum pressure to 7.0, Maximum pressure to 16.0 and set EPR to Full Time at 2.  
Pop in a SD card to record the data
Install and use [url=http://OSCAR Official Download Page ----> CLICK HERE ./]SleepyHead[/url]
Post your data and we can go from there.

Thank you! Start pressure  says 4.0, & I set Ramp time to 20 (sounded good),  AB filter no, Mode Autoset.  Any thoughts?

With many years of experience here coaching hundreds of users in the initial use of their machines, I can promise you a starting pressure of 4.0 is nearly worthless.  For starters, with a minimum pressure of 4 (the minimum pressure the machine can deliver), EPR does not work. With EPR at 2, you need to be at a minimum pressure of 6 before EPAP moves above 4 cm, so you start off at 4/4, 5/4, 6/4, 7/5, etc. This change in EPR as you are starting will mess with you in a number of way, the most serious being, it will take too long to prevent an obstructive event. Use my suggested starting pressure, and that won't be a problem.

In addition, you will be turning off the ramp sooner than later.  It simply delays the time to reach therapy pressure, and unless you have a comfort issue, it is far better to do without ramp.  For now, I would suggest Auto Ramp which detects likely sleep onset and moves to therapy.  By using ramp together with a starting pressure of 4.0, you will likely feel air-starved at the beginning, and may give obstructive events quite a head start.

That's my opinion, and you will eventually agree...DAMHIK  

[PerChancetoDream]

THANK YOU ALL!

There is Essentials (defaulted to On) & SmartStart (defaulted to Off), AB Filter (no) but otherwise all set up as Ron suggested.

My pillow tubing says "Airfit P10 Nasal Pillows System.

It has a humifier, & I think is heated.

So far, so good.

[jaswilliams]

THANK YOU ALL!  

There is Essentials (defaulted to On) & SmartStart (defaulted to Off), AB Filter (no) but otherwise all set up as Ron suggested.

My pillow tubing says "Airfit P10 Nasal Pillows System.

It has a humifier,  & I think is heated.

So far, so good.

Set essentials to plus it will give you a more detailed sleep report on the machine screen with a breakdown of the AHI in the morning

[Ron AKA]

THANK YOU ALL!  

There is Essentials (defaulted to On) & SmartStart (defaulted to Off), AB Filter (no) but otherwise all set up as Ron suggested.

My pillow tubing says "Airfit P10 Nasal Pillows System.

It has a humifier,  & I think is heated.

So far, so good.

I would set the Essentials to Plus - That will give you a bit more access to the setup controls without going into the Clinical Menu.

SmartStart - Is a personal preference. I have it On. What it will do is start the machine when you put the mask on. It senses the air flow. It will turn the machine off when you physically remove the mask. Some can find that feature annoying and set it to off. Then you have to use the start stop button on the top of the machine to start it and stop it.

AB Filter - I believe refers to an optional anti bacterial filter that fits between the machine and the mask. It probably corrects for the extra pressure drop in the filter. Suspect you do not have it, and it should be set to No. 

Mask - Yes, with that mask set the mask type to Pillows.

They all have a humidifier, but there are two hose types. One will be a fairly clear plastic type, likely with the name "SlimLine" on the gray ends. It is not heated. The heated climate hose will be darker, and there is wire in it that heats the hose. If you have it connected the machine should default to Auto Climate Control, and Auto Temp control. 

Good Luck!

[PerChancetoDream]

Thanks, everyone. The tubing says "ClimateLine Air", and has a grey (wire?) coiled inside it...so. I think heated! It does not have a "for Her" setting.

I called the clinic about what they would work with me on for free, and all it was was that they would set up the machine for me. (*wat wah*). The girl was rude and nasty when I called. Wow. So, I am going to use our settings here, and may not bother to go back to this place. I am (or maybe was) their patient, and seriously? If they had been one step kinder & waived the second $50 copay, I probably would have gotten their rip off equipment.

So, on to continue my education!

My right nostril kept feeling full as I was falling asleep last night...sometimes my sinuses are bothersome, but I don't know if it had to do with the pillows.

[Sleeprider]

ClimateLine is a heated tube, and the machine automatically recognizes it.

[PerChancetoDream]

ClimateLine is a heated tube, and the machine automatically recognizes it.

Oh, that sounds good.  Except for not having the  "for her" setting, I seem to have obtained a great machine.  I am finding myself liking it, and it fairly easy to use.

I have gone in the User Control Panel to update my profile several times, but I don't see any option to change anything. Is it because I am on my phone?

I am hopeful for sleeping tonight, tho with my migraine today, I did nod off for a short nap earlier.  I hope that doesn't mess anything up.

[DeepBreathing]

I have gone in the User Control Panel to update my profile several times, but I don't see any option to change anything. Is it because I am on my phone?

You probably need to do this on a real computer. When you go into the control panel, there is a menu column on the left. Half way down is a heading "Your Profile" and the option in that section is "Edit Profile". Click on that, make the changes you want, then click on "Update Profile" at the bottom of the screen.

[DeepBreathing]

I am hopeful for sleeping tonight, tho with my migraine today, I did nod off for a short nap earlier. I hope that doesn't mess anything up.

It's not unusual for people to take a little while to adapt to the machine. After all you're learning a whole new way to breathe, with a plastic alien strapped to your face blowing air up your nose from a compressor! Some people get instant results, but for most of us it's a journey, one step forwards and two steps back, until we arrive at a new level of health. The important thing now is to realise that even if it's a bit hard at first, things will get better with perseverance. We've all been through it, and we're all here to help.