Dreamstation II -> AirSense 11 AutoSet

[todivefor]

I have been using CPAP for over 20 years. Dreamstation I in 2018 and then Dreamstation II for past 2 years. My machine prior to DS was another recalled Respironics CPAP. I am over all the Respironics drama over breathing foam particles / formaldehyde and have switched to Resmed Airsense 11 Autoset Elite. Hopefully, my last night on Respironics. I need help setting up the Resmed machine. I have gotten into clinician mode and see that it is setup for pressure 9-20. There were not many settings on the DS, but seems like many more on the Resmed. I would initially like to start with what I have on my DS and then go from there. What settings should I set on the Resmed to mimic the DS? See DS settings attached.

Thank you.

[OpalRose]

Also, realize that the ResMed will be more responsive to apnea events than the DreamStation.

To start with similar settings:

Minimum- 9cm
Maximum- 20cm (This can be narrowed down after)
EPR - set at 2 to start.  (Full time)

Set Response to Standard.

[SarcasticDave94]

I may be wrong, but I don't think ResMed 11 series has a device called both AutoSet and Elite. They're 2 separate models, with AutoSet being much better with the auto adjusting pressure.

Please check to find out exactly what you're getting.

[OpalRose]

The Elite model is a straight pressure Cpap. I don't remember anyone here using the
Airsense 11 Elite model.

Let me know exactly which model you will be using and I will edit your thread title to reflect the correct machine.

[Crimson Nape]

As Dave pointed out, there are several versions of the AirSense10 CPAP series.  They are, CPAP, Elite, Autoset, and Autoset for Her.

• CPAP - Basic model - Static pressure only and no detailed data reporting, summary only.
  
• Elite - Static pressure only - Detailed data reporting capability.
  
• Autoset - Static and Variable pressure options - Detailed data reporting
  
• Autoset for Her - Same as the Autoset, but with additional algorithms designed primarily for women (men can use them too!).
  

Note: The last two, listed above, are the pick of the litter.


[should say "CPAP, Elite, AutoSet, or AutoSet for Her"]

- Red

[todivefor]

Also, realize that the ResMed will be more responsive to apnea events than the DreamStation.

To start with similar settings:

Minimum- 9cm
Maximum- 20cm (This can be narrowed down after)
EPR - set at 2 to start.  (Full time)

Set Response to Standard.

My machine is an Airsense 11 Autoset. The manual confused me. It says Airsense 11 with Autoset, CPAP, and Elite on separate lines. I guess those are 3 separate configs (ie Airsense 11 Autoset, Airsense 11 CPAP, and Airsense 11 Elite). 

I'll give these a shot tonight. I'm real curious to see what difference this machine makes. I only played with the "flex level" and "flex mode" on my DS. I don't even remember what they do I changed them so long ago. Is there an equivalent with the Airsense 11?

[OpalRose]

No, Flex (Respironics) and EPR (ResMed) are not comparable, and don't work in the same way.

Flex settings 1, 2, and 3. for PR machines:
You can receive up to 2cm pressure relief, (regardless of which setting is used), which is flow based.  
• C-Flex – Provides pressure relief upon exhalation.
• A-Flex/C-Flex+ – Provides pressure relief taking place at the end of inhalation and at the start of exhalation.

EPR (ResMed) reduces the pressure during exhale from 1 to 3 cm-H2O corresponding to the setting.

[SarcasticDave94]

My opinion, EPR will be definitely better than flex in operation and in feel. EPR will turn your CPAP based AutoSet into a limited Pressure Support (PS) BPAP. It's advertised as comfort, however it's definitely a therapy item. Glad you didn't get stuck with a basic PAP.

[todivefor]

OpalRose thank you.

SarcasticDave94 I knew enough not to get a basic PAP. I have had an autoset for almost 25 years. My DME did try to set me up with a Luna CPAP.

[SarcasticDave94]

So helpful of them.

Once you get the ResMed tuned up for you, you'll be doing well with it.