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ResMed S8 AutoSet™ II - Does it have full data capability?

Hi All!

This is my first post here!

I had a sleep study done over a month ago, and was found to have "moderate" OSA. I had one REM cycle all night, and was just starting the second when I woke up for the day.

I won't be able to have my titration study and results back for almost two months, and I need to sleep!
So I suggested to my doc that he prescribe an auto-titrating device so that I could at least start with something, then keep my appointment for the in-hospital titration study. After the study we could have another appointment, and he could review the titration study, and then I could switch the machine to straight CPAP with the pressure he determined after the study. He agreed to this plan.

I just received word today from the DME provider (that the doctor chose without my input) that they plan on providing me with a ResMed S8 AutoSet™ II, which is an auto-adjusting device.

Can anyone tell me if this is a good choice? Does this device provide more than just the minimumm compliance data?

I have a few other questions, but I'll just start out with this one right now!

Right now it's late and time for me to go to bed and, um, not sleep.... :)

Thanks!

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Yep, the Resmed S8 II AutoSet w/EPR (expiratory pressure relief) is fully data capable and is an excellent choice.
Yes, the Resmed S8 AutoSet II w/EPR is fully data capable. Resmeds excel in ease of access to and amount of data available via the LCD screen. After using it one week ask the local DME provider to download the data and give you a printout. They might be able to narrow the pressure range w/that data. The data will quite likely be discouraging at first for 3 reasons: 1] Unless your doctor specified a narrower pressure range the DME provider will probably set it wide-open at 4 cms to 20 cms, 2] Very few of us accliimate to sleeping a mask easily and 3] You will probably struggle with mask leaks and mouth leaks until you get acclimated.

You are getting one heck of a good device!!! I am particularly partial to the Resmeds.
Thanks Mike and Judy for your response!

I feel better now, knowing I'm getting a good one!

Doc said he instructed them to start with a setting of 8, but he didn't mention a range.

I'm a bit concerned about the mask, though. I have allergies, and one side or the other of my nose is usually a bit stuffy,

I suppose this might be a good time to see an ENT or allergist to address that..,

Still, I'm hoping that the CPAP will help, and that I can stop falling asleep at my desk!
Hi, This is the machine I've used for ten months. I use it as straight CPAP with EPR of three (don't know what EPR of three means). I like it. I don't know if the DME enabled everything I could access by way of data (now I know to ask them to enable anything I can use). I am able to get the time during the night I used the machine, AI, HI, AHI, and mask leakage. There is other data I'm not interested in such as the cumulative time using the machine.
When I see my Doc the techs are able to download all the data he needs to tweak my pressure. I'm currently at 15 and waiting for a BiPAP machine to increase pressure to 18. I just started to check my data and I'm having numbers like this- on 10/13 AHI 14.6, AI 3.4,HI 11.2, 7.34 hours, leak .26L/s; 10/14 AHI 23.8, AI 6.1, HI 17.7, 9.10 hours, leak .02L/s; 10/16 AHI 24.5 AI 7.2, HI 17.3, 7:46 hours, leak 0.12L/s.
You see the numbers can be very enlightening and do encourage compliance.
Tell your DME tech to enable all the user data he/she can for you.

Good luck, keep us posted,

Mary Zimlich
Hi Mary,

Thanks for the info!

I'm looking forward to picking up the machine in a few days, and I'm hoping I can get good results.

I'm fascinated with all of the information that's available, and encouraged by reading all of the posts here.

And to think that just a month ago I had no idea about any of this! Actually, I knew apnea existed, but it really didn't occur to me tha I might have it, nor that it could explain why I'm so tired all of the time.
Hi again, Mary,

Here's what I found about EPR (Google is my friend!)

[found at http://www.resmed.com/au/patients_and_families/improving_therapy/ex... ]

-------------------------------------------
What is EPR?

EPR™ (expiratory pressure relief) is an effective alternative to standard CPAP therapy. It is a device feature set that enables reliable and predictable therapy control while delivering a higher level of comfort. EPR is a special inclusion only available on our newer S8™ flow generators.

How does EPR work?
When you breathe out (exhale), the S8 flow generator device (if EPR is integrated) detects the beginning of exhalation and reduces motor speed to drop treatment pressure. The patient or clinician chooses one of three comfort levels to determine the degree by which pressure will drop.

Setting 1 = mild comfort (1 cm H20)
Setting 2 = medium comfort (2 cm H20)
Setting 3 = maximum comfort (3 cm H20)
Thanks Andy for the explanation of EPR. I don't really see the difference between a BiPap machine and a machine with EPR.
Would you mind explaining that, too?
Thanks,
Mary Zimlich

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