Replies to This Discussion

Permalink Reply by Daniel on May 15, 2009 at 8:23pm

Remember, an AutoSet II can be set up to work exactly like an Elite II. If you wind up trying CPAP at a fixed pressure, there is no need to swap devices. Simply have the provider change the settings to disable the AutoSet feature.

• ▶ Reply

Permalink Reply by Butch Hernandez on May 15, 2009 at 8:52pm

I looked at your study and first of all I'd like to say that National Jewish is a fantastic outfit! I have actually been to that lab to visit too! The only plus I saw to changing from 11 to 9 was your sleep efficiency. I'm a bit short on time so forgive me if I missed the answer to my question, but was your study a full nite titration or a split nite study?

• ▶ Reply

Permalink Reply by Mike on May 15, 2009 at 10:38pm

very good idea to get the users manual for the S8 AutoSet II. as you see, we patients often know more about our machines than the DME. so rather than rely on them, just rely on yourself. i'm sure someone here has a users manual for the S8 AutoSet II.

BeeAsleep said:

Melinda, Thanks so much for your very helpful info. I am renting the machine so I will make sure that this machine fits the bill, if the Autotitrate unit doesn't work for me I will be asking the doc for a new prescription.

I would like to ask the forum users of the S 8 AutoSet II to send me a pdf of the users manual so when I get mine I will be prepared to ask questions.. :>D What do you think? I feel I need to get as much knowledge as I can to get the machine I need. bee
Melinda Hertel said:

Hi there....Sorry to hear you are having some difficulties. Regarding the machine: ResMed is one of the best brands out there. However, you do not necessarily need an autotitrate unit. I just had a patient in today that had an autotitrate and had to change it to CPAP mode in order to adjust to using it. The physician I work with is not a fan of autotitrates unless the sleep lab was unable to adequately titrate the patient during the study. Often a patient will try an autotitrate temporarily to desensitize. You should do just as well with the S8 Elite II--it has the same data capability and EPR (expiratory pressure release) as the auto. The EPR can be very helpful for those who do have trouble with the exhalation part. You want to make sure it is set at 3 to get the maximum benefit of EPR.

As far as your study numbers, which would you like to understand? I don't know what all of them mean, but I do know which ones are important for determining your therapy. I looked over your study pages, specifically the one that shows your titration numbers. What I notice is that the tech did not leave the pressure set long enough at some levels. It often takes the body more time to adjust to the pressure, so changing the pressure too rapidly does not give us adequate information. Also, I notice that they increase the pressure in increments of 2. Not sure why they did that. It looks like you could do well anywhere between 7 and 11 cm. I am on 8cm, but they didn't try any even numbers in your study! What the docs look at is at what pressure did you sleep the most time with the least amount of apneas/hypopneas. Sometimes not all apneas can be eliminated, so they choose the pressure that did the best. However, choosing a pressure also involves the doctor's experience. The doctor I work with would either have you repeat that titration or try different pressures and test your nocturnal oxygen saturation at each pressure at home. My guess is the doctor dropped your pressure to 9 to make it easier to exhale, knowing that you did fine at 9cm in the study anyway.

I hope that helps. I would be happy to answer other questions or explain myself better if you need more help!

• ▶ Reply

Permalink Reply by Mike on May 15, 2009 at 10:48pm

just took a quick look at the ResMed site, and over here you can download ResMed user manuals

Mike said:

very good idea to get the users manual for the S8 AutoSet II. as you see, we patients often know more about our machines than the DME. so rather than rely on them, just rely on yourself. i'm sure someone here has a users manual for the S8 AutoSet II.

BeeAsleep said:

Melinda, Thanks so much for your very helpful info. I am renting the machine so I will make sure that this machine fits the bill, if the Autotitrate unit doesn't work for me I will be asking the doc for a new prescription.

I would like to ask the forum users of the S 8 AutoSet II to send me a pdf of the users manual so when I get mine I will be prepared to ask questions.. :>D What do you think? I feel I need to get as much knowledge as I can to get the machine I need. bee
Melinda Hertel said:

Hi there....Sorry to hear you are having some difficulties. Regarding the machine: ResMed is one of the best brands out there. However, you do not necessarily need an autotitrate unit. I just had a patient in today that had an autotitrate and had to change it to CPAP mode in order to adjust to using it. The physician I work with is not a fan of autotitrates unless the sleep lab was unable to adequately titrate the patient during the study. Often a patient will try an autotitrate temporarily to desensitize. You should do just as well with the S8 Elite II--it has the same data capability and EPR (expiratory pressure release) as the auto. The EPR can be very helpful for those who do have trouble with the exhalation part. You want to make sure it is set at 3 to get the maximum benefit of EPR.

As far as your study numbers, which would you like to understand? I don't know what all of them mean, but I do know which ones are important for determining your therapy. I looked over your study pages, specifically the one that shows your titration numbers. What I notice is that the tech did not leave the pressure set long enough at some levels. It often takes the body more time to adjust to the pressure, so changing the pressure too rapidly does not give us adequate information. Also, I notice that they increase the pressure in increments of 2. Not sure why they did that. It looks like you could do well anywhere between 7 and 11 cm. I am on 8cm, but they didn't try any even numbers in your study! What the docs look at is at what pressure did you sleep the most time with the least amount of apneas/hypopneas. Sometimes not all apneas can be eliminated, so they choose the pressure that did the best. However, choosing a pressure also involves the doctor's experience. The doctor I work with would either have you repeat that titration or try different pressures and test your nocturnal oxygen saturation at each pressure at home. My guess is the doctor dropped your pressure to 9 to make it easier to exhale, knowing that you did fine at 9cm in the study anyway.

I hope that helps. I would be happy to answer other questions or explain myself better if you need more help!

• ▶ Reply

Permalink Reply by BeeAsleep on May 15, 2009 at 11:41pm

Butch, Thanks for your comment. I do like Ntl Jewish a lot, they helped me so much with my asthma and Sleep Apnea. The study I did was a split night study.

Butch Hernandez said:

I looked at your study and first of all I'd like to say that National Jewish is a fantastic outfit! I have actually been to that lab to visit too! The only plus I saw to changing from 11 to 9 was your sleep efficiency. I'm a bit short on time so forgive me if I missed the answer to my question, but was your study a full nite titration or a split nite study?

• ▶ Reply

Permalink Reply by BeeAsleep on May 15, 2009 at 11:44pm

Daniel, I didn't know that the AutoSet II could have the autoset feature disabled. More good info!

Mike said:

very good idea to get the users manual for the S8 AutoSet II. as you see, we patients often know more about our machines than the DME. so rather than rely on them, just rely on yourself. i'm sure someone here has a users manual for the S8 AutoSet II.

BeeAsleep said:

Melinda, Thanks so much for your very helpful info. I am renting the machine so I will make sure that this machine fits the bill, if the Autotitrate unit doesn't work for me I will be asking the doc for a new prescription.

I would like to ask the forum users of the S 8 AutoSet II to send me a pdf of the users manual so when I get mine I will be prepared to ask questions.. :>D What do you think? I feel I need to get as much knowledge as I can to get the machine I need. bee
Melinda Hertel said:

Hi there....Sorry to hear you are having some difficulties. Regarding the machine: ResMed is one of the best brands out there. However, you do not necessarily need an autotitrate unit. I just had a patient in today that had an autotitrate and had to change it to CPAP mode in order to adjust to using it. The physician I work with is not a fan of autotitrates unless the sleep lab was unable to adequately titrate the patient during the study. Often a patient will try an autotitrate temporarily to desensitize. You should do just as well with the S8 Elite II--it has the same data capability and EPR (expiratory pressure release) as the auto. The EPR can be very helpful for those who do have trouble with the exhalation part. You want to make sure it is set at 3 to get the maximum benefit of EPR.

As far as your study numbers, which would you like to understand? I don't know what all of them mean, but I do know which ones are important for determining your therapy. I looked over your study pages, specifically the one that shows your titration numbers. What I notice is that the tech did not leave the pressure set long enough at some levels. It often takes the body more time to adjust to the pressure, so changing the pressure too rapidly does not give us adequate information. Also, I notice that they increase the pressure in increments of 2. Not sure why they did that. It looks like you could do well anywhere between 7 and 11 cm. I am on 8cm, but they didn't try any even numbers in your study! What the docs look at is at what pressure did you sleep the most time with the least amount of apneas/hypopneas. Sometimes not all apneas can be eliminated, so they choose the pressure that did the best. However, choosing a pressure also involves the doctor's experience. The doctor I work with would either have you repeat that titration or try different pressures and test your nocturnal oxygen saturation at each pressure at home. My guess is the doctor dropped your pressure to 9 to make it easier to exhale, knowing that you did fine at 9cm in the study anyway.

I hope that helps. I would be happy to answer other questions or explain myself better if you need more help!

• ▶ Reply

Permalink Reply by BeeAsleep on May 15, 2009 at 11:47pm

Mike, I just downloaded the ResMed user manual for the S 8 AutoSet II CPAP. THANKS!!!! Good reading for the weekend! bee

Mike said:

just took a quick look at the ResMed site, and over here you can download ResMed user manuals

Mike said:

very good idea to get the users manual for the S8 AutoSet II. as you see, we patients often know more about our machines than the DME. so rather than rely on them, just rely on yourself. i'm sure someone here has a users manual for the S8 AutoSet II.

BeeAsleep said:

Melinda, Thanks so much for your very helpful info. I am renting the machine so I will make sure that this machine fits the bill, if the Autotitrate unit doesn't work for me I will be asking the doc for a new prescription.

I would like to ask the forum users of the S 8 AutoSet II to send me a pdf of the users manual so when I get mine I will be prepared to ask questions.. :>D What do you think? I feel I need to get as much knowledge as I can to get the machine I need. bee
Melinda Hertel said:

Hi there....Sorry to hear you are having some difficulties. Regarding the machine: ResMed is one of the best brands out there. However, you do not necessarily need an autotitrate unit. I just had a patient in today that had an autotitrate and had to change it to CPAP mode in order to adjust to using it. The physician I work with is not a fan of autotitrates unless the sleep lab was unable to adequately titrate the patient during the study. Often a patient will try an autotitrate temporarily to desensitize. You should do just as well with the S8 Elite II--it has the same data capability and EPR (expiratory pressure release) as the auto. The EPR can be very helpful for those who do have trouble with the exhalation part. You want to make sure it is set at 3 to get the maximum benefit of EPR.

As far as your study numbers, which would you like to understand? I don't know what all of them mean, but I do know which ones are important for determining your therapy. I looked over your study pages, specifically the one that shows your titration numbers. What I notice is that the tech did not leave the pressure set long enough at some levels. It often takes the body more time to adjust to the pressure, so changing the pressure too rapidly does not give us adequate information. Also, I notice that they increase the pressure in increments of 2. Not sure why they did that. It looks like you could do well anywhere between 7 and 11 cm. I am on 8cm, but they didn't try any even numbers in your study! What the docs look at is at what pressure did you sleep the most time with the least amount of apneas/hypopneas. Sometimes not all apneas can be eliminated, so they choose the pressure that did the best. However, choosing a pressure also involves the doctor's experience. The doctor I work with would either have you repeat that titration or try different pressures and test your nocturnal oxygen saturation at each pressure at home. My guess is the doctor dropped your pressure to 9 to make it easier to exhale, knowing that you did fine at 9cm in the study anyway.

I hope that helps. I would be happy to answer other questions or explain myself better if you need more help!

• ▶ Reply

Permalink Reply by Rock Conner RRT on May 16, 2009 at 12:24am

The user guide you requested is attached, but I don't think you necessarily NEED an APAP unit. They are nice to have, heck I have one, but in most cases are not necessary. Your DME may balk, also. And your Escape has some data capabilities, if it's an Escape II.

Attachments:

• 338523_s8-autoset-ii_user-guide_amer_eng[1].pdf, 333 KB

• ▶ Reply

Permalink Reply by Mike on May 17, 2009 at 4:02pm

how's that weekend reading going Bee-- learn anything that wasn't obvious to you before?

BeeAsleep said:

Mike, I just downloaded the ResMed user manual for the S 8 AutoSet II CPAP. THANKS!!!! Good reading for the weekend! bee

Mike said:

just took a quick look at the ResMed site, and over here you can download ResMed user manuals

Mike said:

very good idea to get the users manual for the S8 AutoSet II. as you see, we patients often know more about our machines than the DME. so rather than rely on them, just rely on yourself. i'm sure someone here has a users manual for the S8 AutoSet II.

BeeAsleep said:

Melinda, Thanks so much for your very helpful info. I am renting the machine so I will make sure that this machine fits the bill, if the Autotitrate unit doesn't work for me I will be asking the doc for a new prescription.

I would like to ask the forum users of the S 8 AutoSet II to send me a pdf of the users manual so when I get mine I will be prepared to ask questions.. :>D What do you think? I feel I need to get as much knowledge as I can to get the machine I need. bee
Melinda Hertel said:

Hi there....Sorry to hear you are having some difficulties. Regarding the machine: ResMed is one of the best brands out there. However, you do not necessarily need an autotitrate unit. I just had a patient in today that had an autotitrate and had to change it to CPAP mode in order to adjust to using it. The physician I work with is not a fan of autotitrates unless the sleep lab was unable to adequately titrate the patient during the study. Often a patient will try an autotitrate temporarily to desensitize. You should do just as well with the S8 Elite II--it has the same data capability and EPR (expiratory pressure release) as the auto. The EPR can be very helpful for those who do have trouble with the exhalation part. You want to make sure it is set at 3 to get the maximum benefit of EPR.

As far as your study numbers, which would you like to understand? I don't know what all of them mean, but I do know which ones are important for determining your therapy. I looked over your study pages, specifically the one that shows your titration numbers. What I notice is that the tech did not leave the pressure set long enough at some levels. It often takes the body more time to adjust to the pressure, so changing the pressure too rapidly does not give us adequate information. Also, I notice that they increase the pressure in increments of 2. Not sure why they did that. It looks like you could do well anywhere between 7 and 11 cm. I am on 8cm, but they didn't try any even numbers in your study! What the docs look at is at what pressure did you sleep the most time with the least amount of apneas/hypopneas. Sometimes not all apneas can be eliminated, so they choose the pressure that did the best. However, choosing a pressure also involves the doctor's experience. The doctor I work with would either have you repeat that titration or try different pressures and test your nocturnal oxygen saturation at each pressure at home. My guess is the doctor dropped your pressure to 9 to make it easier to exhale, knowing that you did fine at 9cm in the study anyway.

I hope that helps. I would be happy to answer other questions or explain myself better if you need more help!

• ▶ Reply

Permalink Reply by Judy on May 17, 2009 at 4:18pm

Yup, whilst I personally feel that full data capability is much more important than auto capabilities we should always keep in mind that an APAP can be run in CPAP mode - BUT - a CPAP can NOT be run in auto mode.

• ▶ Reply

▶ Reply to Discussion

• ‹ Previous
• 1
• 2
• Next ›
• Page