Effort to improve treatment of OSA and IH

[staceyburke]

Check supplier 2 on the top ribbon shopping cart..  They sell excellent used machines.  Mine only had 250 hours (less than 1 month) VAUTO for 700 with 1 year warranty.  They also sell all of the used Resmed machines and they have excellent support and are a great company.  I think used airsense Auto is less than 400.

[QuietSign]

So talking with the seller who has the Autoset 10 For Her, it seems they have a bunch of these machines (both the regular and For Her versions), all new and in box. Is this sketchy at all? They provided photos of the units. Is there any anything to be looking out for in regards to counterfeit units, factory rejects, units that didn't meet quality control standards or anything like that?

[Sleeprider]

We frequently see listings like this, and they are typically a back-door operation of a legitimate distributor. They may or may not operate as a DME. These sales are a good way to get a highly discounted new machine, and the seller will normally tell you the terms of warranty or return...ask. Back-door sales are a way to increase volume of sales and make additional profit, especially today when sales are affected by the Covid pandemic. These sales are normally for equipment only. No support and no questions asked.

[staceyburke]

Supplier #2 on the ribbon suppliers ?

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[QuietSign]

Supplier #2 on the ribbon suppliers ?

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To maintain our status as an educational organization, the only commercial links allowed in this forum are to CPAP-related manufacturer websites.  This is stated in the Apnea Board Rules with details given in the Commercial Links Policy section.

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Oh, I didn't see your comment until now. It seems the second wind cpap store is selling a used Airsense 10 Auto for $389, at which point I'd rather get it from the local seller new for $400. But I see they are also selling the VAuto for $799, which makes the decision somewhat tricky again... I'm still thinking it makes sense to try the Airsense 10 Auto first and then try the VAuto as a backup

[QuietSign]

I'll be picking up the unit today. What should I be doing in terms of settings? 13-17 (same as what I have on Dreamstation) to start, EPR=3... Any other significant settings?

[Sleeprider]

That is a fair start, and at a minimum pressure of 13, your pressure will be 13/10 (IPAP/EPAP) with capability to increase up to 17/14 if needed. If appropriate we can help reverse titrate the pressure. At the very least, this is lower pressure than you have been using. I think we may end up reducing pressure, but you had good results at this range, we just need to see improved comfort and sleep.

[staceyburke]

Do check the hours on the machine. The clinician menu and go to the very bottom to “about”.  That will show the hours ran, they can NOT be reset and should be close to 0 if new.

[QuietSign]

So I got the unit, made sure it showed 0 hours, and slept a night with it. It might be placebo, but this felt like a pretty good night's sleep, despite being super late sleep with 6am- 1pm, which is why the sleep is on two separate charts - I'll see what it is after a more reasonable night's sleep. The EPR was pretty noticeable, and made my exhales feel a lot better, especially compared to the Philips. I'm not exactly sure how to get more Event Flags to show up in Oscar though - it doesn't seem to be displaying RERA's, flow limitations, snoring etc.


   
   

[Sleeprider]

Wow, what a difference! Flow limitations are gone, and obstructive events like flow limitation, snores, RERA and even hypopnea have disappeared. Your 95% pressure has dropped from over 16 to 14/11. You have added 80 to 100 mL tidal volume to each breath and nearly 1-L/min to minute vent.

I think we can even lower your pressure and get good results. Keeping all settings the same, just lower minimum pressure from 13.0 to 12.0. We will lower it until we see indications of obstruction trying to come back in. The big difference here is the EPR or "pressure support" of 3 which is helping you to breathe much easier. You have some mouth leaks and once those are better controlled, you should have even more restful sleep. If you can tolerate the idea, check out the Knightsbridge Dual Chin Strap from Supplier #37. This really exceeds my expectations, and points to why we push so hard for members to try the Resmed if they can get it.

Don't worry about more event flags, there aren't any. The Resmed charts flow limitations instead of marking them as events. There is a snore summary and it is charted, but they don't show in events. Want to remember the "bad old days"?