Here are two studies that I highly recommend reading. 1. cpap.review/auto-algorithm 2. cpap.review/sleep-review-mag sleephq.com is available for ResMed & Philips Respironics CPAP users. Free to use, it's super easy to upload, review and share your cpap therapy data charts. We're adding new CPAP machines to the platform every month, so join our mailing list, and we will let you know when your CPAP is compatible cpap.review/sleephq-newsletter If you would like to order a RemSleep 02 ring - cpap.review/02-ring Coupon code - UNCLENICKO International DHL Express shipping available for $50 AUD - 5-10 days Free Shipping Australia Wide Prices are in AUD - At the current AUD/USD exchange rate the U.S price delivered is around $175 USD Join me & over 7000 cpap users on our Facebook group - facebook.com/groups/cpapreviews Shopping for CPAP Gear? My Channel Sponsors will take great care of you! U.S Sleeplay Channel Sponsor - cpap.review/shop Australia Channel Sponsor - cpap.review/cpap-direct
I concur, my Dr. Ordered the Resmed Airsence 10 to replace previous Philips Respironics SYSTEM ONE 2 days after the RECALL notice & havee never slept BETTER, now sleep interruptions minimal & usually result on necessary Bathroom breaks. 🤠
Hey I just want to say thanks for this channel, Nick. I started CPAP about a month ago (Resmed 11 with pillows) and in two nights dropped my AHI from 22 to
Do you go to chiropractor? I used to have similar problems to what you describe but an adjustment got rid of acid reflux and night time pees. probably still snore though.
Same machine, same results! 86AHI ,down to 1.7- 2.5 AHI . No more snoring at all!!! No more 3- 4 trips to the bathroom. I positively explode out of bed in the morning! Life changing for sure!!!
Thanks for this info. It is really aggravating to have paid $1,000 out of pocket for this machine and have so much go so wrong. One thing I don't get it why these machines don't get updates to improve the algorithm. I'm not specifically singling out Phillips. I mean most of these have SD lots and many have bluetooth, Wifi or cellular. These manufacturers could send over-the-air updates or post files online so we can make use of these things.
G'day Steve, very good comment mate! I've been asking myself the same thing for 5+ years. ResMed has just introduced 'over the air updates' on the AS11 device. Cheers
WOW! Thanks Nick. So glad I'm using Resmed Autosense 10. After my initial four week titration study with 2 weeks on Auto and then 2 weeks on fixed pressure, I preferred the Auto setting, which I've stuck with. Glad I did, because my diagnosed upper pressure requirement was initially 11.2 and stayed around that consistently, but it has steadily increased over the past six months to around 12.6 or 12.7, sometimes up to 13.5 now. When I talk lying down on my back (mask off) the sound is a bit strangled and nasal, and my throat feels like it has closed up a bit. This has worsened over the past year, so I wonder if that explains the need for my Auto pressure to increase too. Does anyone else experience this? The joys of getting older haha!
Hey, thanks for your great comment and membership I certainly think it's worth trying both therapy modes to find which one is most suitable. When it comes to CPAP therapy, it's certainly not a 'one size fits all' approach and you need to work out what therapy settings / mode works best for you and your sleep. Sound to me like you're doing great! Well done
Auto gets trashed a lot. What also matters is which machine one is using as algorithms and made equally, there is no standard and manufacturers are secretive about it. I like the auto on my resmed but i have also tried fixed pressure for a while to see which one is better for me. I feel like i get a better sleep on Auto then fixed even with the same AHI results. Maybe allowing the pressure to drop when it isn't needed allows the body to get a break from the higher pressure which is constant on fixed.
G'day brother, i think you nailed it with this comment. There are certain scenarios when auto is better than fixed and vice versa. Thanks for your 6 month membership
Nicko! What is the go with buying a Resmed Airsense 11 in Australia? Victoria. What’s the deal with them not having past their certification yet? Where is the best place to get my hands on one??
Thank you Nick, I'm a respiratory therapist and sleep technologist, I setup PAP equipment daily. I totally agree with you. The recalled DreamStation had superior reporting, wave forms etc., that's why I favored the pre-recalled machines, they also had a feature called Opti-start which moved the pressure gradient forward so that reaction to an event would take less time. I witnessed the effectiveness and it was remarkable. Those pt's that have the DreamStation 2, I'm sorry, it's a terrible machine both quality and algorithm efficacy. If you have these machines, instead of having a straight pressure, which might be uncomfortable for some pt's. I suggest shifting the pressure gradient, i.e. 5-15cwp, try 8-15cwp. Hope that helps.
Dreamstation1 after the recall also has Opti-start. But the new replaced machine behaves different and worse than the old one with the toxic foam. I think that they changed the algorithm somehow.
@@dimiterprenerov8683 You would have to look at your software version. I think the last version for the DreamStation 1 was 1.1.8. If its the same then i think the algorithm is probably the same I had to remind some of my patients when they got their replacement units is that the machine has to relearn their breathing. So it typically starts off at the lowest pressure of their prescription and work its way up. Each night after starting a bit closer to the pressure the machine used for most of the night before. Your old machine went through this exercise when you first got it. After a few days of use your new machine will start at the pressures your old unit did 😀
@@busigh Thanks for that comment. The DS1 says it's software version is 1.1.8. I have it since March 2022, so if it didn't learn my breathing so far, I doubt it will do any further. Maybe the old one was with older fw version, but I can't check this as I returned it to DME.
Fascinating. I’m using my first cpap and it’s resmed AS 11 auto. This video helped me understand how to interpret my data so much more than I was doing. I’m still adjusting pressure and trying to find a mask that’s tight for me, so my data looks erratic. I hope I can get it dialed in like you show. No one is helping me except for you. I’m so thankful for your great content
I am using ResMed AirSense10 and after watching this I’m glad that I am. When I first investigated therapy my test showed 52 events per hour and sleep quality wasn’t that great. Since going onto therapy I have got that down to somewhere between zero and one event per hour which is a vast improvement. My pressure is set to start at four and from what I understand it doesn’t move from that for the whole time so something must be going right. I’m feeling much better to all thanks to this device. Thanks for the great video Nick.
Auto setting of 5 - 20 cm is a real garbage range. Who prescribed this for him originally? They certainly ought to be able to dial in the range a bit closer than that. I have a DS GO I use for travel and it's set on a fixed pressure of 15 cm. I also determined the Auto mode on the machine is garbage. My original Rx was auto at 5 - 10 cm but I've packed on a few pounds since then and while my AHI numbers were good, my blood SPO2 was horrible. I used the DS Go to perform a test by increasing the pressure 0.5 cm at a time over multiple nights to see where the blood oxygen would settle down and it finally improved significantly at 15 cm. 16 didn't result in any significant improvement so I dialed it back to 15 cm. Periodically I'll go back and try running with a the lower pressure of 10 cm and every time so far my SPO2 goes right back in the dumper again.
Hi Phyllis, hmmm, i don't do many OSCAR tutorials as my platform is www.sleephq.com which you can access from any device! It won't be long until we have a smartphone app so perhaps just wait for that
Hi, Nick I have a dream station 2. The question I have is humidifier plate not heating up the water in the tank . We’re they having trouble with dream station 2 thank you nick
I have a problem I do not hear other people reporting. I have a resmed autosense 11. The machine shuts off as many as 20 times per night. Then I can’t breath and wake up to have to turn it back on. This does not seem any better than having apnea. This is maybe an issue of mask adjustment but the difference between adjustment which works and what does not is very fine. The latex ages so what works one day does not work a week later. The settings on my machine can only be changed by the doctor which means in practice that they are never changed because the doctor does not listen to me. They just tell me it is my fault. I would just like the machine to keep blowing. Then it would be fine. I think it is a bad design for the machine that it switches off.
I'm using the ResMed AirCurve 10 BIPAP. This little machine has been life changing for me. I went from 50+ events per hour to consistently under 5 per hour. I need to check out that O2 ring. Sounds interesting.
Nikko what is an o2 ring where can i get one and how do you track the readings during sleep? What is the recommended brand model for us low income types.
Hi Mate, it's a SleepHQ O2 Ring - www.sleephq.com/product/sleephq-o2-ring/ . This link ships from Melbourne. you can also buy them direct in the U.S - sleeplay.com/products/o2-ring-oxigen-ha . Cheers mate. Nicko
Thanks Nick for your consistently useful videos! I’m in the States and have been using a ResMed 11 for 7 months. I have good support from my Rx fortunately, but all I learn from your channel has made my transition more effective, smoother and increased my understanding 👍 Keep up the great work !
G'day Tom, request denied unfortunately. It doesn't work with my setup and it matters little. A t-shirt word back to front matters little to most. Cheers
This is probably my favorite video yet. :) Proud to have been a part of it. Awesome information as to what was happening with me while using that piece of garbage Dreamstation Go.
All good mate, i knew who made the comment haha. Glad you enjoyed it mate. Thanks for sharing all that great info with me. If you do want to continue using your Dreamstation Go i'd tighten up that auto range to perhaps 14cm min, 18cm max and a ramp from starting at 10cm for 20-30 min. Cheers legend. Nicko
@@NYEliteAlleycats-NAL Yes I did. You are looking at a LITE version of one manufacturer's machine against a FULL Blown version of another. is the algorithm used in the Resmed mobile version the same as their FULL blown CPAP machines? Is the performance the same? I have a database of over 300 patients using Dreamstation 1 and I've not seen the issues that are shown here. I have no axe to grind I've found both Resmed and Respironics offer excellent units and have meaningful though not perfect algorithms. Would be interesting to know if the algorithm and performance on the Resmed AirMini is the same as the AirSense 10 Autoset. Would also be interesting for patients who use a Dreamstation 1, 2 or GO to upload their data to sleephq and use sleepyhead to see if they are observing what is shown in this video for themselves.
Thanks, I am not surprised but I do know that the Dreamstation 1 algorithm does increase because the Dr set my pressure at 8 to 18 and when the pressure hit 16 my mask would leak like a sieve. I took some advice from our friend Lanky Lefty and narrowed my Auto CPAP 13.5 to 15 and it works great. So a narrow Auto range is another option for some people who are stuck with a Dreamstation. My average is usually around 13.8 with 90% at 14.5
Hi William, yes it will most definitely increase, it just takes a really long time to do so. That's also a great tip with the narrow auto cpap pressure which is pretty similar to changing to fixed pressure cpap mode. Cheers
Thank you Nick for the great channel. I've been on CPAP for 14 years. I started with the old Resmed, then bought a Phillips dreamstation in 2013, then it got recalled last July and I bought RESMED AirSense 10 in a panic after the recall (used my old 2008 Resmed while waiting for the new one to arrive). Now Phillips are fulfilling the recall and sending me a new Dreamstation... So, I have my original Resmed (circa 2008) that still works, I have my carcinogenic Dreamstation (circa 2012), my new'ish Resmed 10 and the new replacement dreamstation arriving monday. Unfortunately, the Phillips machines aren't quite heavy enough for a boat anchor! Will stick with my Resmed's. I really value your clear instructions and explanations of the data to help me with adjusting my settings. I just signed up to SleepHQ and have been looking at my data which appears to look pretty good. Going for the O2 ring as well just double check O2 levels. Keep up the great work!!
Did his doctor actually prescribe autoset? 9 min is still a long time and I suspect he was prescribed CPAP. Regardless, Resmed is clearly the better product. How do I get my money back for my multiple recalled Philips devices?
That is some awesome information. Yet another reason I am thankful to have a ResMed. I am a total advocate for fixed pressure vs APAP. Thanks mate!! Love to all.
Hi Kathy, although i love SleepHQ, unfortunately it's made some of my previous vids redundant and some of my popular ones that i will need to go back do again. I guess that's the thing about 'science' . It's based on the best information available at the time. I made the ASS-umption that the auto algorithms / AHI were accurate. A bad mistake on my part
@@CPAPReviews Uncle Nicko…you are only human and science is ever evolving. I’m loving fixed pressure a great deal. Auto algorithms really don’t work for me but am aware for others it is nirvana.
Fantastic video! This explains a lot about my intial experience with the Dream station one. Long story short my prescription is 17 and in order to use the auto settings I had to set it to 15-20 which works great. It's obvious that Phillips has a crap algorithm and I'll definitely be looking for a Resmed device in a couple months when money comes in. 👍👍
Hey brother, thanks for sharing your experience. Yeah that's the other option you could do, leave it on auto but set a tight range close the prescribed pressure level. Great stuff. ResMed far superior in many ways mate. Cheers
I had a Dreamstation One Bi-Pap for about five years before the recall happened. No serious complaints. Pressures of 13.0 and 8.0. Once I got the refurb replacement it wanted to use Auto Bi-Pap mode and kept the intake pressure at 10.0, which felt like I was suffocating. So I found the developer menu by holding the Ramp and Dial button together for about ten seconds, and switched that puppy to normal Bi-Pap mode with fixed pressures of 13.0 and 8.0. My AHI last night was 0.5. No, Dreamstation, you don't know what's best for me.
it’s now april 2023. once i found out about the recall, i stopped using as ordered. miserable exhausting sleep. i HAD TO START USING AGAIN this week, I hated having returned back to a lifetime of 24/7 exhaustion and poor life. Once on CPAP it changed my life for better. Once philips made crap machines with . cancer risk recall, they literally made my life horrible again... i don’t have a replacement two grand to get a similar new unit to avoid the foam issue. i literally am choosing foam illness over and sleep, that’s how bad my sleep life was all my life. NO WORD BACK from registering, that’s beenTOO LONG them not fix or replace. Class action lawsuit nothing to lose.
Great video, and since I was diagnosed with apnea in June, I binged your channel because you always have the best cpap reviews and advice on TH-cam. I finally received my Resmed Autosense 10 and P10 nose pillow mask at my fitting last week, and went from an AHI of 37 to 0.23 in a week. I haven't noticed much of a change in sleep quality, and am still tired a lot, but I have a clearer mind at work and feel more productive. The Resmed reports and myair app are very basic, but I get the details I want quickly and easily, my nightly scores are 99s and 100s. Thank you for all of the info you share with us!
So, If he set his pressure to about 14, he would be fine? I have a Dreamstation 1 that, I received because of an old System One Recall! LOL Don't know if, I need to check the foam! LOL I got it 6 months ago! LOL Take Care!
I will never buy Phillips again toxic foam two machines started smoking and Phillips did not care. Machines catching fire is a known issue yet they haven’t recalled them. Thanks for this post I’ll be buying a resmed this week
The lousy algorithm thinks its avoiding creating CA’s created by over pressure. My sleep specialist had me reduce the pressure max to try to knock out pressure created apneas. Like your contributor my OA’s increased my Hypopnias increased CA decreased slightly.
My experiences show the Respironics CPAP much better than Resmed airsense 11. Airsence 10 is the worst cpap machine I have. The Respironnics cpap machine is the best.
I need to get Phillips number because I had this machine for five years and I got cancer and I got sick. I lost blood I lost 100 pounds and it was a CPAP machine. I used for three years and I didn’t realize it was making me sick, but then I used another two years andI was sick and then I got better and then the cancer came on so I need to talk to someone about who is suing Phillips
I’m due for a new machine through my insurance. No more Phillips product for me. I decided a year ago to use my old Resmed after repeatedly waking up with my heart pounding with the Dreamstation. I would even pay out of pocket for a ResMed if I had to vs a Free Phillips.
Mine is also extremely high, I’m about to switch from Phillips to RESMED to see if that helps me more. I tried every mask and none worked for me so I think it’s the machine, and my doctor messed with the settings several times.
Come on Nick, for years of following Cpap groups it has never been a good choice to run the machine wide open for its entire range. You need an appropriate range reflecting an area of min and max to operate within, I think your commentary is unfair here. Also a 4.5ish AHI is nothing to write home about. As much as I am pissed at Respironics/Philips, if you look at their Bipap algorithm as opposed to their Apap algorithm its sophistication with a dynamic pressure support range is far more advanced them Resmeds fixed range pressure support, a pressure increase just raises epap and thus shifts Ipap up as well with Resmed while on Philips they are independent. I use Resmed as my daily driver now and wish in practice their vauto behaved like a dreamstaion in the pressure support part of the algorithm.
I have the regular dreamstaion thing was garbage my ahi was always 15 . I got a resmed 10 now my ahi is 2 crazy how better resmed it is controlled buy lower pressure which is crazy my dreamstaion ramp up to 18 still have apnea . dreamstaion is horrible
Would not dream of using the DreamStation..I am still waiting for the recalled machine to be replaced after so many deaths out there... sorry Philips, you are done with me..
get rid of the dream station and any other device and just get the resmed. "why cant I farking figger it out, im such a piece of shyttee." Awesum Nicko, just awesum.
Hi Donald, The 3B/BMC gear is great. You can also change the sensitivity on the algorithm which i really like. We're integrating BMC/3B with SleepHQ shortly so you can see for yourself
@@CPAPReviews Thanks for reply. Can you explain "change the sensitivity on the algorithm" meaning? If it has to do with response to apnea episodes I have seen it take some time to react to breathing problems.
@@CPAPReviews I also would like to download the data to my spreadsheet but can't figure that out. The iConnect creates good reports but I want to get the actual data details to do my own sorts, groupings, and graphs. Any comments?
I got the Dreamstation (more like a nightmare station) and then it was recalled a few months later. I still haven’t received the replacement, but I don’t want another Philips. Both due to their pathetic recall handling and after seeing the results of this video. I asked for a refund instead of a replacement but both Philips and the seller refused. Is there a way to resell them (assuming I ever get the replacement)? It would be new in box because I refuse to use another Philips device, ever.
Hey bro, yeah most clinics will buy them off you or let you trade them in at discounted prices. Can also go through the normal FB marketplace and FB groups channels etc. Cheers
Hi Nick another great Video. I have tried to make contact with you in regard to a Z2 travel machine as I would like to try one as I didn't like the air mini. have you a number I can call?
Just by way of a tip, I use a Resmed Quttro F/F mask and I often use wipes to clean it, but what I have found out, alcohol or spirit infused wipes, at the very least discolour the silicone in mask and I have a suspicion it lessens the lifetime of the rubber insert.(I have a ramp of eight and a pressure of seventeen)and this means my silicone insert only lasts 12-15 weeks, which is pretty expensive, but like a lot of sleep apnoeiacs I just cant do without my CPAP machine!
Uncle Nicolo, new name. We are so fortunate to have you and the knowledge of apneas. I am adjusting my resmed 10 to your advise and getting good results. Dr says my pressure should be 10. I am down to 8.2 with 4 apneas per hour . used to be in the 60's when i first started. Youve got to learn to be your own Doctor Thanks Nic
G'day Philbo, (new name ). Just be a bit careful putting all your trust in the all mighty AHI number. Here's a few good vids which explain why 1. th-cam.com/video/pCqyc4aWnuk/w-d-xo.html 2. th-cam.com/video/Ebg9-5lNMk4/w-d-xo.html Cheers legend. Nicko
I’ve always said that the two are different. The best way I can describe it is the Resmed is the sports car fast to react. And the Philips as a hippy surfer dude driving a VW Micro Bus looking for a taco stand. It gets there but gets lost a few times along the way. LOL. 🤣
Haha, great comment ED. The ResMed also has 2 x algorithm response modes! Soft and standard so basically you can get that sports car with a turbo if you like haha. Cheers
So glad I have the newest Resmed Autosense 11 and will never use my Philips Respironics DS 1 ever again, even after the new foam replacement. It's like night and day. My flow rate always looks perfect now and most nights my AHI is less than 1 and sometimes it's zero! It's far superior and your video was most interesting tonight.
No idea how someone can sleep through the hurricane airflow of 10 or 15! It would be very helpful to know his sleep study AHI before CPAP, because mine was 53, and with either of these machines (I have both identical), my AHI is slightly less than 1 per hour. Been using CPAP for 12 years, and my AHI have been as high as 3 but mostly 1 or less.
Hi Nick, thank you for your great videos! I have been following you channel for over a year now and have benefitted greatly! Can I ask you 2 questions? 1) I have the older resmed s10, is it's auto mode as good as the s11? 2) what is the O2 monitor that you been using? And where can I buy it? Is it on Amazon? Thank you!
G'day, thanks for the kind words. 1. Yes it's still the same auto algorithm. Nothing has changed 2. I use the RemSleep 02 ring which is the one we're integrating with sleephq.com - www.remsleep.com.au/02-ring/ . It's $229 AUD + $50 AUD international shipping. You get a good discount with coupon UNCLENICKO . Makes it about $175USD delivered. Cheers
Got a used ResMed after trying to go without my Dreamstation for a bit. I feel better than I did on the Dreamstation. Now I know why. I have a replacement Dreamstation now. I think I'll keep it, but reset off Auto if I ever have to use it. Thanks for the excellent info!!
My experience is totally different using the Resmed S10 Autoset I bought whilst waiting for the replacement Philips System One Auto, since received my replacement device a Dreamstation 1 Auto which I've been using for a month or so now. Using both machines set at 9 - 15 (my sleep Dr Nader Fayazi's recommendation) I'm always under 1.0 AHI usually 0.5 AHI or even lower yet with the Resmed S10 Autoset it was always between 3.0 AHI and 5.0 AHI. The kicker is the 90% pressure result with the Philips is always somewhere between 10 -11 but with the Resmed 95% pressure always between 13.5 and 15. Is it a case of different strokes for different folks or how do explain the difference in my case? Have to admit I also find the Philips device the more comfortable therapy?
Hi Howard, your results are exactly what i would expect. You've got a relatively tight pressure range so i imagine the much of your apnea is probably controlled above 9cm and you might just need a bit more during REM sleep or when you are on your back. The Philips will be more comfortable because it's so slow to react so the pressure changes are less noticeable. Cheers
Great information Nick, this prompted me to get signed on the SleepHQ. Do all the Phillips machines use the same algorithm as the Dream Station Go that you showed. I have the original dream station auto machine with toxic foam and the poor build quality Dream Station 2 they sent me. Couldn't you just set a higher low pressure on the auto machine, mine was 5 I believe originally and I changed it to 11.5 minimum.
G'day Rob, glad you enjoyed the vid and welcome to the sleephq family. Yes all Philips have the same algorithm and i don't think they've ever changed it since taking over Respironics in 2006. He could increase the min pressure yes however a good auto algorithm shouldn't need the user to come up with work around fixes. Cheers
Let me just say you are awesome! I now have had my machine for over a month it’s a resvent and my situation is like Dave. It went from 15 with out the machine up to 32 45 and even 55. I got a full face mask , it still was up to 55. I just went to the lung pulmonary doctor and the guy who sells the machines tried to read my card but he couldn’t get it right because the password wasn’t working. This has been a big headache. Sooo that being said, I haven’t been using it ! I tried calling the company they haven’t called me back. The company that charged my insurance 900 and charged me 108. Co pay. I got the machine not from my Dr. But from a company called Rotech they are in Florida! I’m so pissed off . The pulmonary Dr. Office gave me the nose mask which I am a mouth breather but I’m going to try the strips on the mouth. The pulmonary Dr offered the surgery where they put something under your skin and a wire connection and it triggers you to breathe but I’m scared of that whole wire thing. My Dr in California said he had a heart attack because he had apnea for so many years no cpap. I don’t know Nick. But I’m grateful for you!!
Hi Michelle, that's very kind of you. Sounds like you're having a tough time! Just keep at it mate and keep learning and i'm sure you will do well. Best wishes. Nicko
I found a huge difference between Respironics and Resmed. I have complex sleep apnea and had an initial AHI of 64. Hospital put me on respironices at first because it was cheaper, but it was not working properly. I am happy to say that after a lot of complaining I have been on the Resmed airsense ASV machine for years now and my apneas are less than 1 most days. So yes, there is a huge difference with Resmed
G'day, thanks for your awesome comment and for sharing your experience. The ResMed ASV is very impressive! I did a video on it not long ago if you would like to check it out - th-cam.com/video/0j6m6ZRf8Kw/w-d-xo.html
I seriously wish I had found this channel before buying my cpap I wanted a resmed and the woman in the shop said the Dreamstation 1 is the best on the market and didn’t even tell me about the recall she just said this has been upgraded with the latest version. I am going to send a strongly worded email to Phillips has the hose that came with the machine three months old looks to be flaking plastic inside which is dodgy in its self. I doubt I will get anywhere but we will see what happens. Won’t ever buy Phillips ever again that’s for sure
Hi Brian, that really sucks dude. I'd return it! The clinics can't even buy 'the upgraded version' . She's sold you someone else's machine who's traded it in a recall device. Not good! Take it back and make a stand brother. Never let anyone walk all over you like that. Good luck
I know this is purely anecdotal but I have noticed that if my Dreamstation and Airsense are set at the same pressure, for example 10cm, the Dreamstation feels quite a bit lower. Also Dave may have better results with his Dreamstation if the auto settings weren't so far apart. Because his ave. pressure is in the teens he might want to bracket it much closer to his average. Instead of 5 min 20 max he could try 13 min 18 max. Not sure if he could tolerate 13 at the start of his therapy though. Cheers.
How do you do those tests so you know what to do . i have the dreamstation that was replaced but bought a res med 10 waiting for that to be fixed . so much better , so is there something out there i tried Oscar when i was using dreamstation keep up the good work Nick
Hey mate, i just do it on www.sleephq.com which i developed with my best mate. It's free so give it a go. Just grab your SD card, insert it into a card reader and drag the files across into sleephq. DONE!
G'day Theo, i don't know if i will review it mate but i will certainly do some great tutorials on it shortly. Currently a lot of my time is being direct towards sleephq as it's a lot of work. Cheers brother
Hi there, with the Luna you can adjust the sensitivity of the algorithm between 1-5. The higher the number, the more sensitive it is to flow irregularities and the faster it will titrate the pressure. It's nice to have the additional control although it can be overwhelming for some. Cheers
Nick, great review mate. This brings to mind that if you get a bad reading (constantly) it MAY have a detrimental effect on someone's capacity to drive, which in turn may prevent them from earning a living as a professional driver or airline pilot or worse traffic controller??? Which really drives home, having the correct machine is paramount!
Hi Rob, i doubt they have even looked at it since they took over respironics back in 2006. I don't think they've even tried to improve it. No one apart from yours truely is looking close enough. Cheers mate. Nicko
Hi Ben, if you read the articles in the description (the sleep mag one) you will see the F&P algorithm is very good. We are integrating the sleepstyle with sleephq very soon
My partner keeps trying to get me to get a CPAP for my apnea, but then I watch stuff like this and I wonder if a CPAP would even be useful. I don't have ANY trouble breathing IN, my apnea is caused by getting stuck breathing OUT. Wouldn't putting high pressure on my lungs make that problem worse?
Get a sleep study to be sure. I believe maintaining Positive Air Pressure (the PAP in CPAP and APAP), i helps keep airways open, andhelp you breathe out too.
Here are two studies that I highly recommend reading.
1. cpap.review/auto-algorithm
2. cpap.review/sleep-review-mag
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I concur, my Dr. Ordered the Resmed Airsence 10 to replace previous Philips Respironics SYSTEM ONE 2 days after the RECALL notice & havee never slept BETTER, now sleep interruptions minimal & usually result on necessary Bathroom breaks. 🤠
G'day brother, thanks for sharing your experience and feedback. Best wishes. Nicko
Hey I just want to say thanks for this channel, Nick. I started CPAP about a month ago (Resmed 11 with pillows) and in two nights dropped my AHI from 22 to
Just started CPAP and went from 75AHI...to around 4 during these first two weeks...oxygen was also dropping to high 70s!
Do you go to chiropractor? I used to have similar problems to what you describe but an adjustment got rid of acid reflux and night time pees. probably still snore though.
G'day Matt, thanks for the wonderful comment mate. Glad to hear you're on the road to recovery! Cheers
Same machine, same results! 86AHI ,down to 1.7- 2.5 AHI . No more snoring at all!!! No more 3- 4 trips to the bathroom. I positively explode out of bed in the morning! Life changing for sure!!!
Wellvue O2 ring to track sleep spo2.
Thanks for this info. It is really aggravating to have paid $1,000 out of pocket for this machine and have so much go so wrong. One thing I don't get it why these machines don't get updates to improve the algorithm. I'm not specifically singling out Phillips. I mean most of these have SD lots and many have bluetooth, Wifi or cellular. These manufacturers could send over-the-air updates or post files online so we can make use of these things.
G'day Steve, very good comment mate! I've been asking myself the same thing for 5+ years. ResMed has just introduced 'over the air updates' on the AS11 device. Cheers
WOW! Thanks Nick. So glad I'm using Resmed Autosense 10. After my initial four week titration study with 2 weeks on Auto and then 2 weeks on fixed pressure, I preferred the Auto setting, which I've stuck with. Glad I did, because my diagnosed upper pressure requirement was initially 11.2 and stayed around that consistently, but it has steadily increased over the past six months to around 12.6 or 12.7, sometimes up to 13.5 now. When I talk lying down on my back (mask off) the sound is a bit strangled and nasal, and my throat feels like it has closed up a bit. This has worsened over the past year, so I wonder if that explains the need for my Auto pressure to increase too. Does anyone else experience this? The joys of getting older haha!
Hey, thanks for your great comment and membership I certainly think it's worth trying both therapy modes to find which one is most suitable. When it comes to CPAP therapy, it's certainly not a 'one size fits all' approach and you need to work out what therapy settings / mode works best for you and your sleep. Sound to me like you're doing great! Well done
The Phillips machine has bad filters and the Airsense 11 has a problem with the heating tube they are covering up.
Now what do we do?
G'day mate, i'd love to hear about this heated tube problem. Can you expand a little? Cheers
Auto gets trashed a lot. What also matters is which machine one is using as algorithms and made equally, there is no standard and manufacturers are secretive about it. I like the auto on my resmed but i have also tried fixed pressure for a while to see which one is better for me. I feel like i get a better sleep on Auto then fixed even with the same AHI results. Maybe allowing the pressure to drop when it isn't needed allows the body to get a break from the higher pressure which is constant on fixed.
G'day brother, i think you nailed it with this comment. There are certain scenarios when auto is better than fixed and vice versa. Thanks for your 6 month membership
He should try straight CPAP at 14cm, I believe the DSGO can be set for that.
Nicko! What is the go with buying a Resmed Airsense 11 in Australia? Victoria. What’s the deal with them not having past their certification yet? Where is the best place to get my hands on one??
Holy shit Phillips is fucking up really really bad
Thank you Nick, I'm a respiratory therapist and sleep technologist, I setup PAP equipment daily. I totally agree with you. The recalled DreamStation had superior reporting, wave forms etc., that's why I favored the pre-recalled machines, they also had a feature called Opti-start which moved the pressure gradient forward so that reaction to an event would take less time. I witnessed the effectiveness and it was remarkable. Those pt's that have the DreamStation 2, I'm sorry, it's a terrible machine both quality and algorithm efficacy. If you have these machines, instead of having a straight pressure, which might be uncomfortable for some pt's. I suggest shifting the pressure gradient, i.e. 5-15cwp, try 8-15cwp. Hope that helps.
Thanks for the great comment mate. Appreciate you sharing your experience and expertise. Cheers
Dreamstation1 after the recall also has Opti-start. But the new replaced machine behaves different and worse than the old one with the toxic foam. I think that they changed the algorithm somehow.
@@dimiterprenerov8683 You would have to look at your software version. I think the last version for the DreamStation 1 was 1.1.8. If its the same then i think the algorithm is probably the same I had to remind some of my patients when they got their replacement units is that the machine has to relearn their breathing. So it typically starts off at the lowest pressure of their prescription and work its way up. Each night after starting a bit closer to the pressure the machine used for most of the night before. Your old machine went through this exercise when you first got it. After a few days of use your new machine will start at the pressures your old unit did 😀
@@busigh Thanks for that comment. The DS1 says it's software version is 1.1.8. I have it since March 2022, so if it didn't learn my breathing so far, I doubt it will do any further. Maybe the old one was with older fw version, but I can't check this as I returned it to DME.
Fascinating. I’m using my first cpap and it’s resmed AS 11 auto. This video helped me understand how to interpret my data so much more than I was doing. I’m still adjusting pressure and trying to find a mask that’s tight for me, so my data looks erratic. I hope I can get it dialed in like you show. No one is helping me except for you. I’m so thankful for your great content
Does your heating tube warm up?
Hi Tammy, keep on trying mate! You'll get there
I am using ResMed AirSense10 and after watching this I’m glad that I am. When I first investigated therapy my test showed 52 events per hour and sleep quality wasn’t that great. Since going onto therapy I have got that down to somewhere between zero and one event per hour which is a vast improvement. My pressure is set to start at four and from what I understand it doesn’t move from that for the whole time so something must be going right. I’m feeling much better to all thanks to this device. Thanks for the great video Nick.
Hi Rod, sounds like you're doing great brother. keep it up!
Auto setting of 5 - 20 cm is a real garbage range. Who prescribed this for him originally? They certainly ought to be able to dial in the range a bit closer than that.
I have a DS GO I use for travel and it's set on a fixed pressure of 15 cm. I also determined the Auto mode on the machine is garbage. My original Rx was auto at 5 - 10 cm but I've packed on a few pounds since then and while my AHI numbers were good, my blood SPO2 was horrible. I used the DS Go to perform a test by increasing the pressure 0.5 cm at a time over multiple nights to see where the blood oxygen would settle down and it finally improved significantly at 15 cm. 16 didn't result in any significant improvement so I dialed it back to 15 cm. Periodically I'll go back and try running with a the lower pressure of 10 cm and every time so far my SPO2 goes right back in the dumper again.
Well played sir!
How to set up Oscar for dummies. Can I use Oscar on different computers? I have to go to Library for computer… thanks for all your info Nick!!
Hi Phyllis, hmmm, i don't do many OSCAR tutorials as my platform is www.sleephq.com which you can access from any device! It won't be long until we have a smartphone app so perhaps just wait for that
Hi, Nick I have a dream station 2. The question I have is humidifier plate not heating up the water in the tank . We’re they having trouble with dream station 2 thank you nick
G'day Chas, it's a common problem mate, you'll just have lodge a warranty repair unfortunately
I have a problem I do not hear other people reporting. I have a resmed autosense 11. The machine shuts off as many as 20 times per night. Then I can’t breath and wake up to have to turn it back on. This does not seem any better than having apnea. This is maybe an issue of mask adjustment but the difference between adjustment which works and what does not is very fine. The latex ages so what works one day does not work a week later. The settings on my machine can only be changed by the doctor which means in practice that they are never changed because the doctor does not listen to me. They just tell me it is my fault. I would just like the machine to keep blowing. Then it would be fine. I think it is a bad design for the machine that it switches off.
Hi Stephen, it sounds faulty mate! The machine should never turn off unless you take your mask off etc. Cheers
it really is amazing how literate and "on the ball", the comments are, below--some very useful info, I notice most of them are from guys
We've built a great cpap community here mate
I'm using the ResMed AirCurve 10 BIPAP. This little machine has been life changing for me. I went from 50+ events per hour to consistently under 5 per hour. I need to check out that O2 ring. Sounds interesting.
Great to hear it brother! Congrats
This probably the most informative video I've watched for CPAP. This is more information than I received from my doctor LOL 😆😂
Haha, i get this a lot! Cheers
I went from an AHI in the mid 20's to less than 1 by switching from Philips to Resmed
Thanks for the info mate. You just validated my vid
Nikko what is an o2 ring where can i get one and how do you track the readings during sleep? What is the recommended brand model for us low income types.
Hi Mate, it's a SleepHQ O2 Ring - www.sleephq.com/product/sleephq-o2-ring/ . This link ships from Melbourne. you can also buy them direct in the U.S - sleeplay.com/products/o2-ring-oxigen-ha . Cheers mate. Nicko
Thanks Nick for your consistently useful videos! I’m in the States and have been using a ResMed 11 for 7 months. I have good support from my Rx fortunately, but all I learn from your channel has made my transition more effective, smoother and increased my understanding 👍 Keep up the great work !
Hey buddy, great to hear it! Thanks for the love
Just one quick request please. Please film in proper perspective, not reversed.
G'day Tom, request denied unfortunately. It doesn't work with my setup and it matters little. A t-shirt word back to front matters little to most. Cheers
SO glad I got a resmed
Nice work, congrats
This is probably my favorite video yet. :) Proud to have been a part of it. Awesome information as to what was happening with me while using that piece of garbage Dreamstation Go.
Just realized that I was signed into a different account for my comment above. 😂
All good mate, i knew who made the comment haha. Glad you enjoyed it mate. Thanks for sharing all that great info with me. If you do want to continue using your Dreamstation Go i'd tighten up that auto range to perhaps 14cm min, 18cm max and a ramp from starting at 10cm for 20-30 min. Cheers legend. Nicko
Why are you comparing the DS Go to the Resmed 11?
@@busigh did you watch the video?
@@NYEliteAlleycats-NAL Yes I did. You are looking at a LITE version of one manufacturer's machine against a FULL Blown version of another. is the algorithm used in the Resmed mobile version the same as their FULL blown CPAP machines? Is the performance the same? I have a database of over 300 patients using Dreamstation 1 and I've not seen the issues that are shown here. I have no axe to grind I've found both Resmed and Respironics offer excellent units and have meaningful though not perfect algorithms. Would be interesting to know if the algorithm and performance on the Resmed AirMini is the same as the AirSense 10 Autoset. Would also be interesting for patients who use a Dreamstation 1, 2 or GO to upload their data to sleephq and use sleepyhead to see if they are observing what is shown in this video for themselves.
Nick can you supply an arsense 11. If so how much are they.
G'day mate, if you're in Australia i could get you one but would be very expensive. Around $2.5k cheers
Thanks, I am not surprised but I do know that the Dreamstation 1 algorithm does increase because the Dr set my pressure at 8 to 18 and when the pressure hit 16 my mask would leak like a sieve. I took some advice from our friend Lanky Lefty and narrowed my Auto CPAP 13.5 to 15 and it works great. So a narrow Auto range is another option for some people who are stuck with a Dreamstation. My average is usually around 13.8 with 90% at 14.5
Hi William, yes it will most definitely increase, it just takes a really long time to do so. That's also a great tip with the narrow auto cpap pressure which is pretty similar to changing to fixed pressure cpap mode. Cheers
I had sam issues switched to resmed now my ahi is 2
Holy crap. I'm getting a resmed machine
Wise decision my friend
Thank you Nick for the great channel. I've been on CPAP for 14 years. I started with the old Resmed, then bought a Phillips dreamstation in 2013, then it got recalled last July and I bought RESMED AirSense 10 in a panic after the recall (used my old 2008 Resmed while waiting for the new one to arrive). Now Phillips are fulfilling the recall and sending me a new Dreamstation... So, I have my original Resmed (circa 2008) that still works, I have my carcinogenic Dreamstation (circa 2012), my new'ish Resmed 10 and the new replacement dreamstation arriving monday. Unfortunately, the Phillips machines aren't quite heavy enough for a boat anchor! Will stick with my Resmed's. I really value your clear instructions and explanations of the data to help me with adjusting my settings. I just signed up to SleepHQ and have been looking at my data which appears to look pretty good. Going for the O2 ring as well just double check O2 levels.
Keep up the great work!!
Hey brother, thanks for the great comment! You're on the right track mate. Nicko
Did his doctor actually prescribe autoset? 9 min is still a long time and I suspect he was prescribed CPAP. Regardless, Resmed is clearly the better product. How do I get my money back for my multiple recalled Philips devices?
Why wait for apnea to occur to adjust. This algorithm allows ongoing apnea. CPAP should PREVENT apnea events. Great video, thanks,
That is some awesome information. Yet another reason I am thankful to have a ResMed. I am a total advocate for fixed pressure vs APAP. Thanks mate!! Love to all.
Hi Kathy, although i love SleepHQ, unfortunately it's made some of my previous vids redundant and some of my popular ones that i will need to go back do again. I guess that's the thing about 'science' . It's based on the best information available at the time. I made the ASS-umption that the auto algorithms / AHI were accurate. A bad mistake on my part
@@CPAPReviews Uncle Nicko…you are only human and science is ever evolving. I’m loving fixed pressure a great deal. Auto algorithms really don’t work for me but am aware for others it is nirvana.
Fantastic video! This explains a lot about my intial experience with the Dream station one. Long story short my prescription is 17 and in order to use the auto settings I had to set it to 15-20 which works great. It's obvious that Phillips has a crap algorithm and I'll definitely be looking for a Resmed device in a couple months when money comes in. 👍👍
Hey brother, thanks for sharing your experience. Yeah that's the other option you could do, leave it on auto but set a tight range close the prescribed pressure level. Great stuff. ResMed far superior in many ways mate. Cheers
This is the GO model, the algo is fine on the full machines, it's actually better than the resmed machines.
I had a Dreamstation One Bi-Pap for about five years before the recall happened. No serious complaints. Pressures of 13.0 and 8.0. Once I got the refurb replacement it wanted to use Auto Bi-Pap mode and kept the intake pressure at 10.0, which felt like I was suffocating. So I found the developer menu by holding the Ramp and Dial button together for about ten seconds, and switched that puppy to normal Bi-Pap mode with fixed pressures of 13.0 and 8.0. My AHI last night was 0.5. No, Dreamstation, you don't know what's best for me.
it’s now april 2023. once i found out about the recall, i stopped using as ordered. miserable exhausting sleep. i HAD TO START USING AGAIN this week, I hated having returned back to a lifetime of 24/7 exhaustion and poor life.
Once on CPAP it changed my life for better. Once philips made crap machines with . cancer risk recall, they literally made my life horrible again... i don’t have a replacement two grand to get a similar new unit to avoid the foam issue.
i literally am choosing foam illness over and sleep, that’s how bad my sleep life was all my life.
NO WORD BACK from registering, that’s beenTOO LONG them not fix or replace. Class action
lawsuit nothing to lose.
Great video, and since I was diagnosed with apnea in June, I binged your channel because you always have the best cpap reviews and advice on TH-cam. I finally received my Resmed Autosense 10 and P10 nose pillow mask at my fitting last week, and went from an AHI of 37 to 0.23 in a week. I haven't noticed much of a change in sleep quality, and am still tired a lot, but I have a clearer mind at work and feel more productive. The Resmed reports and myair app are very basic, but I get the details I want quickly and easily, my nightly scores are 99s and 100s. Thank you for all of the info you share with us!
Nice one mate. Thanks for the great feedback. Overtime you will start to notice improvements in those daytime energy levels and sleep quality
Hello nick where can I get that ring thanks
Here's the link mate - www.sleephq.com/o2-ring/
So, If he set his pressure to about 14, he would be fine? I have a Dreamstation 1 that, I received because of an old System One Recall! LOL Don't know if, I need to check the foam! LOL I got it 6 months ago! LOL Take Care!
At first I thought you held your CPAP upsidedown until I realized your shirt words are backwards too. Ah okay. I get it now :D
I will never buy Phillips again toxic foam two machines started smoking and Phillips did not care. Machines catching fire is a known issue yet they haven’t recalled them. Thanks for this post I’ll be buying a resmed this week
After 2 years using my CPAP off and on, mostly on, my AHI doesn’t go above 7 and I have severe.
The lousy algorithm thinks its avoiding creating CA’s created by over pressure. My sleep specialist had me reduce the pressure max to try to knock out pressure created apneas. Like your contributor my OA’s increased my Hypopnias increased CA decreased slightly.
I am glad in Canada I was given Redmed. Still having issues though and learning from you about my chart. Wonder what my O2 is at
My experiences show the Respironics CPAP much better than Resmed airsense 11. Airsence 10 is the worst cpap machine I have. The Respironnics cpap machine is the best.
Seriously Nick, mirrored video! Time you learned how to use your phone, or wear clothing without text on it.
Good work otherwise. 👍
Who gives a shit! one little word backwards? Who cares. I mirror it because it's my only option with my setup space. Get over it.
No need to be rude.
Can you review the for her machine?
G'day Kevin, it's just the same thing with an extra algorithm mate. - th-cam.com/video/_RdD9WmSgA8/w-d-xo.html
I need to get Phillips number because I had this machine for five years and I got cancer and I got sick. I lost blood I lost 100 pounds and it was a CPAP machine. I used for three years and I didn’t realize it was making me sick, but then I used another two years andI was sick and then I got better and then the cancer came on so I need to talk to someone about who is suing Phillips
I’m due for a new machine through my insurance. No more Phillips product for me. I decided a year ago to use my old Resmed after repeatedly waking up with my heart pounding with the Dreamstation. I would even pay out of pocket for a ResMed if I had to vs a Free Phillips.
Mine is also extremely high, I’m about to switch from Phillips to RESMED to see if that helps me more. I tried every mask and none worked for me so I think it’s the machine, and my doctor messed with the settings several times.
Come on Nick, for years of following Cpap groups it has never been a good choice to run the machine wide open for its entire range. You need an appropriate range reflecting an area of min and max to operate within, I think your commentary is unfair here. Also a 4.5ish AHI is nothing to write home about. As much as I am pissed at Respironics/Philips, if you look at their Bipap algorithm as opposed to their Apap algorithm its sophistication with a dynamic pressure support range is far more advanced them Resmeds fixed range pressure support, a pressure increase just raises epap and thus shifts Ipap up as well with Resmed while on Philips they are independent. I use Resmed as my daily driver now and wish in practice their vauto behaved like a dreamstaion in the pressure support part of the algorithm.
I have the regular dreamstaion thing was garbage my ahi was always 15 . I got a resmed 10 now my ahi is 2 crazy how better resmed it is controlled buy lower pressure which is crazy my dreamstaion ramp up to 18 still have apnea . dreamstaion is horrible
Would not dream of using the DreamStation..I am still waiting for the recalled machine to be replaced after so many deaths out there... sorry Philips, you are done with me..
I need a new Cpap going to buy a ResMed 9 like my old one I don’t like the Idea sleeping with Big Brother monitoring every breath!
Another good reason to stay well clear of Phillips breathing products.
Absolutely mate
Educational? Yes.
Super Fun? Uhhhh...
get rid of the dream station and any other device and just get the resmed. "why cant I farking figger it out, im such a piece of shyttee." Awesum Nicko, just awesum.
Hahaha, Thanks mate
Do you have any opinions or data corresponding to the 3B Products Luna II?
Hi Donald, The 3B/BMC gear is great. You can also change the sensitivity on the algorithm which i really like. We're integrating BMC/3B with SleepHQ shortly so you can see for yourself
@@CPAPReviews Thanks for reply. Can you explain "change the sensitivity on the algorithm" meaning? If it has to do with response to apnea episodes I have seen it take some time to react to breathing problems.
@@CPAPReviews I also would like to download the data to my spreadsheet but can't figure that out. The iConnect creates good reports but I want to get the actual data details to do my own sorts, groupings, and graphs. Any comments?
Is this the type of data my doctor is looking at to make recommendations? Or do I need to manage this for myself?
It seems like 5 is way too low for someone with such high needs.
I got the Dreamstation (more like a nightmare station) and then it was recalled a few months later. I still haven’t received the replacement, but I don’t want another Philips. Both due to their pathetic recall handling and after seeing the results of this video. I asked for a refund instead of a replacement but both Philips and the seller refused. Is there a way to resell them (assuming I ever get the replacement)? It would be new in box because I refuse to use another Philips device, ever.
Hey bro, yeah most clinics will buy them off you or let you trade them in at discounted prices. Can also go through the normal FB marketplace and FB groups channels etc. Cheers
Niko Thanks to following you I managed to score 100 on my Resmed and stay well into the high 90s ! Thanks for the help !
That's awesome
Great video
Hi Nick another great Video. I have tried to make contact with you in regard to a Z2 travel machine as I would like to try one as I didn't like the air mini. have you a number I can call?
G'day mate, if you don't like the airmini you probably won't have any success with the Z2 either. Cheers
Based on your advice, I have changed my Philips Dreamstation2 to constant pressure. It seems to have helped.
Happy to help Jeff. Cheers
Just by way of a tip, I use a Resmed Quttro F/F mask and I often use wipes to clean it, but what I have found out, alcohol or spirit infused wipes, at the very least discolour the silicone in mask and I have a suspicion it lessens the lifetime of the rubber insert.(I have a ramp of eight and a pressure of seventeen)and this means my silicone insert only lasts 12-15 weeks, which is pretty expensive, but like a lot of sleep apnoeiacs I just cant do without my CPAP machine!
Thanks for the tip Alex. Cheers
Lol, my apnea hypopnea is at 77 yikes. My Dr said it's the highest he has ever seen.
Uncle Nicolo, new name. We are so fortunate to have you and the knowledge of apneas. I am adjusting my resmed 10 to your advise and getting good results. Dr says my pressure should be 10. I am down to 8.2 with 4 apneas per hour . used to be in the 60's when i first started. Youve got to learn to be your own Doctor Thanks Nic
G'day Philbo, (new name ). Just be a bit careful putting all your trust in the all mighty AHI number. Here's a few good vids which explain why
1. th-cam.com/video/pCqyc4aWnuk/w-d-xo.html
2. th-cam.com/video/Ebg9-5lNMk4/w-d-xo.html
Cheers legend. Nicko
Still getting emails from Phillips saying they are working on it …….. what a joke.
A very bad joke!
I’ve always said that the two are different. The best way I can describe it is the Resmed is the sports car fast to react. And the Philips as a hippy surfer dude driving a VW Micro Bus looking for a taco stand. It gets there but gets lost a few times along the way. LOL. 🤣
Haha, great comment ED. The ResMed also has 2 x algorithm response modes! Soft and standard so basically you can get that sports car with a turbo if you like haha. Cheers
So glad I have the newest Resmed Autosense 11 and will never use my Philips Respironics DS 1 ever again, even after the new foam replacement. It's like night and day. My flow rate always looks perfect now and most nights my AHI is less than 1 and sometimes it's zero! It's far superior and your video was most interesting tonight.
G'day, thanks for sharing your experience! Glad the AS11 is working well for you
No idea how someone can sleep through the hurricane airflow of 10 or 15! It would be very helpful to know his sleep study AHI before CPAP, because mine was 53, and with either of these machines (I have both identical), my AHI is slightly less than 1 per hour. Been using CPAP for 12 years, and my AHI have been as high as 3 but mostly 1 or less.
It puts the pressure up to 10. There should be a hurricane unless you have a leak or your mouth is open with a nasal mask or with nasal pillows.
Hi Nick, thank you for your great videos! I have been following you channel for over a year now and have benefitted greatly!
Can I ask you 2 questions?
1) I have the older resmed s10, is it's auto mode as good as the s11?
2) what is the O2 monitor that you been using? And where can I buy it? Is it on Amazon?
Thank you!
G'day, thanks for the kind words.
1. Yes it's still the same auto algorithm. Nothing has changed
2. I use the RemSleep 02 ring which is the one we're integrating with sleephq.com - www.remsleep.com.au/02-ring/ . It's $229 AUD +
$50 AUD international shipping. You get a good discount with coupon UNCLENICKO . Makes it about $175USD delivered. Cheers
i think ol' dave should get his pressures tightened up from 5-20 to like 11-15 and we'd see a lot better results. great vid man
Good advice brother! Cheers
Got a used ResMed after trying to go without my Dreamstation for a bit. I feel better than I did on the Dreamstation. Now I know why. I have a replacement Dreamstation now. I think I'll keep it, but reset off Auto if I ever have to use it. Thanks for the excellent info!!
You're welcome Susan. Glad you enjoyed the vid. Best wishes Nick
Hi awesome info. Been a resmed user since 2006. I was wondering, is anyone able to access your graph detail from their machine, if so how please ?
Hey mate, if you're using a ResMed then you should be able to use my www.sleephq.com platform
My experience is totally different using the Resmed S10 Autoset I bought whilst waiting for the replacement Philips System One Auto, since received my replacement device a Dreamstation 1 Auto which I've been using for a month or so now. Using both machines set at 9 - 15 (my sleep Dr Nader Fayazi's recommendation) I'm always under 1.0 AHI usually 0.5 AHI or even lower yet with the Resmed S10 Autoset it was always between 3.0 AHI and 5.0 AHI. The kicker is the 90% pressure result with the Philips is always somewhere between 10 -11 but with the Resmed 95% pressure always between 13.5 and 15. Is it a case of different strokes for different folks or how do explain the difference in my case? Have to admit I also find the Philips device the more comfortable therapy?
Hi Howard, your results are exactly what i would expect. You've got a relatively tight pressure range so i imagine the much of your apnea is probably controlled above 9cm and you might just need a bit more during REM sleep or when you are on your back. The Philips will be more comfortable because it's so slow to react so the pressure changes are less noticeable. Cheers
Great information Nick, this prompted me to get signed on the SleepHQ. Do all the Phillips machines use the same algorithm as the Dream Station Go that you showed. I have the original dream station auto machine with toxic foam and the poor build quality Dream Station 2 they sent me. Couldn't you just set a higher low pressure on the auto machine, mine was 5 I believe originally and I changed it to 11.5 minimum.
G'day Rob, glad you enjoyed the vid and welcome to the sleephq family. Yes all Philips have the same algorithm and i don't think they've ever changed it since taking over Respironics in 2006. He could increase the min pressure yes however a good auto algorithm shouldn't need the user to come up with work around fixes. Cheers
Let me just say you are awesome!
I now have had my machine for over a month it’s a resvent and my situation is like Dave.
It went from 15 with out the machine up to 32 45 and even 55. I got a full face mask , it still was up to 55.
I just went to the lung pulmonary doctor and the guy who sells the machines tried to read my card but he couldn’t get it right because the password wasn’t working. This has been a big headache. Sooo that being said, I haven’t been using it !
I tried calling the company they haven’t called me back. The company that charged my insurance 900 and charged me 108. Co pay. I got the machine not from my Dr. But from a company called Rotech they are in Florida! I’m so pissed off . The pulmonary Dr. Office gave me the nose mask which I am a mouth breather but I’m going to try the strips on the mouth.
The pulmonary Dr offered the surgery where they put something under your skin and a wire connection and it triggers you to breathe but I’m scared of that whole wire thing.
My Dr in California said he had a heart attack because he had apnea for so many years no cpap.
I don’t know Nick. But I’m grateful for you!!
Hi Michelle, that's very kind of you. Sounds like you're having a tough time! Just keep at it mate and keep learning and i'm sure you will do well. Best wishes. Nicko
Any opinion about OURA ring? Oh, and thank you very much for this channel!!
G'day, i like it but it's overpriced and the app subscription is a bit of a joke - th-cam.com/video/bufWgtWXwug/w-d-xo.html
I found a huge difference between Respironics and Resmed. I have complex sleep apnea and had an initial AHI of 64. Hospital put me on respironices at first because it was cheaper, but it was not working properly. I am happy to say that after a lot of complaining I have been on the Resmed airsense ASV machine for years now and my apneas are less than 1 most days. So yes, there is a huge difference with Resmed
G'day, thanks for your awesome comment and for sharing your experience. The ResMed ASV is very impressive! I did a video on it not long ago if you would like to check it out - th-cam.com/video/0j6m6ZRf8Kw/w-d-xo.html
I seriously wish I had found this channel before buying my cpap I wanted a resmed and the woman in the shop said the Dreamstation 1 is the best on the market and didn’t even tell me about the recall she just said this has been upgraded with the latest version.
I am going to send a strongly worded email to Phillips has the hose that came with the machine three months old looks to be flaking plastic inside which is dodgy in its self. I doubt I will get anywhere but we will see what happens. Won’t ever buy Phillips ever again that’s for sure
Hi Brian, that really sucks dude. I'd return it! The clinics can't even buy 'the upgraded version' . She's sold you someone else's machine who's traded it in a recall device. Not good! Take it back and make a stand brother. Never let anyone walk all over you like that. Good luck
Yeah I still haven't heard back after registering that ,my device had that fire recall - so i have an expensive machine I can't use
Apparently they have sent out about 3 million devices so around 2.5 million to go. Good luck mate
Uncle Nikko, one of the best channels on TH-cam!! Great information keep up the great work!
My Man! That's for the great comment and feedback. Much love
Your enhancing the intrigue and suspense kept my attention captivated while I learned something so vital & valuable & lifesaving about oxygen levels.
Hi Chuck, really appreciate the great comment mate. Glad you enjoyed the show
I know this is purely anecdotal but I have noticed that if my Dreamstation and Airsense are set at the same pressure, for example 10cm, the Dreamstation feels quite a bit lower. Also Dave may have better results with his Dreamstation if the auto settings weren't so far apart. Because his ave. pressure is in the teens he might want to bracket it much closer to his average. Instead of 5 min 20 max he could try 13 min 18 max. Not sure if he could tolerate 13 at the start of his therapy though. Cheers.
Great comment mate. Cheers
Amazing , thank you for the breakdown… was considering the Philips for travel unit …. But definitely sticking with Resmed air mini
I think that's a very wise decision my friend
Thankyou Nicko your channel is brilliant, thanks for you 🤗❤️🎼
Hi Cheryl, thanks for your lovely comment! Cheers
Shake my head...
How do you do those tests so you know what to do . i have the dreamstation that was replaced but bought a res med 10 waiting for that to be fixed . so much better , so is there something out there i tried Oscar when i was using dreamstation keep up the good work Nick
Hey mate, i just do it on www.sleephq.com which i developed with my best mate. It's free so give it a go. Just grab your SD card, insert it into a card reader and drag the files across into sleephq. DONE!
Hi Nick, will you be doing a review on the Prisma 20a anytime soon?
G'day Theo, i don't know if i will review it mate but i will certainly do some great tutorials on it shortly. Currently a lot of my time is being direct towards sleephq as it's a lot of work. Cheers brother
In your opinion is the Luna more like the dreamstation or the resmed compared to the staying ahead of the curve?
Hi there, with the Luna you can adjust the sensitivity of the algorithm between 1-5. The higher the number, the more sensitive it is to flow irregularities and the faster it will titrate the pressure. It's nice to have the additional control although it can be overwhelming for some. Cheers
Wow thanks
Welcome
This is so informative! waiting for my ResMed AirMini to arrive next week. I'll nerd out more on auto algorithm
Glad you enjoyed it Tammy. Thank you
Thanks Nick. Your great 👍
Nick, great review mate. This brings to mind that if you get a bad reading (constantly) it MAY have a detrimental effect on someone's capacity to drive, which in turn may prevent them from earning a living as a professional driver or airline pilot or worse traffic controller??? Which really drives home, having the correct machine is paramount!
Great comment mate! Very true
His sleep clinic needs to up the lower pressure setting.
Fascinating information. Have to wonder if anyone at Philips has any idea or even cares.
Hi Rob, i doubt they have even looked at it since they took over respironics back in 2006. I don't think they've even tried to improve it. No one apart from yours truely is looking close enough. Cheers mate. Nicko
Hi Nick, this was a very informative video and I would like to see the Airsense 10 v Sleepstyle
Hi Ben, if you read the articles in the description (the sleep mag one) you will see the F&P algorithm is very good. We are integrating the sleepstyle with sleephq very soon
Is there some good information available on central apnea... causes and treatment needs?
Hi Beth, here's a video i did on this recently - th-cam.com/video/0j6m6ZRf8Kw/w-d-xo.html. Best wishes
My partner keeps trying to get me to get a CPAP for my apnea, but then I watch stuff like this and I wonder if a CPAP would even be useful. I don't have ANY trouble breathing IN, my apnea is caused by getting stuck breathing OUT. Wouldn't putting high pressure on my lungs make that problem worse?
Get a sleep study to be sure. I believe maintaining Positive Air Pressure (the PAP in CPAP and APAP), i helps keep airways open, andhelp you breathe out too.