🏆The Best Auto CPAP - It's NOT ResMed! 🤷🏻♂️
ฝัง
- เผยแพร่เมื่อ 15 มี.ค. 2023
- The hard truth is most automatic cpap machines are shit. If you want to learn how to correctly adjust your automatic settings for the best comfort and therapy results then join me at thousands of friendly, helpful members over at community.sleephq.com
This video is based off ResMed funded research - cpap.review/resmed-research
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2. Sleep Journal - Track how changes to device settings influence your sleep & therapy results.
3. Custom PDF reports - Detailed therapy reports complete with journal entries.
4. Therapy Trends - Monitor changes to your apnea control over time.
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Thanks for all the love & support!
Uncle Nicko
#cpaptherapy #sleep #sleepapnea #snoring #cpapmachine #cpapmask #resmed - แนวปฏิบัติและการใช้ชีวิต
After watching this I am really happy that my CPAP trial had a fantastic sleep specialist that set the Resmed 10 at 4 - 10. Been 6 days now and I am shocked at how easy it has been to adjust to it, but a large part of that has been your fantastic videos.
Since being diagnosed with Sleep Apnoea a couple of months back, this channel has become one of my favourite on TH-cam. It is easily the best CPAP channel! After you mentioned in a recent video about lowering the max pressure, I lowered mine and I am consistently getting below 5 AHi every night. I was originally getting on average between 7-11 AHi every night, and for the last 7 days I've consistently managed to get below 5 AHi. Keep up the great work!
Hi Andy, really appreciate the great feedback mate. They do take me a long time to put together so it's great to know they make a difference in peoples lives. Congrats on the great results! Keep it up
You both may have saved a lot of lives just in this thread of conversation.
How do I mesure that ?
I am thankful that I discovered your videos a few weeks ago. My DME supplier did not educate me in any way on how to interpret my sleep data. My pulmonary guy didn't want to look at it (Do you feel better? Yes. That's all I care about!). I too had to lower my maximum pressure setting downward. It took me several weeks to learn what my data was telling me. My CPAP machine had to be replaced after a few months because of a burning smell and the bad taste it left in my mouth. It happened again after a few months to my number two machine, so I quit using it. Then came the Philips Respironics Dreamstation recall. Just over a year and a half later, I finally receiver my "used machine". Will be replacing the foam sound chamber with a non-foam part. I am not returning my recalled machine.
I am currently using a data program called OSCAR. Really enjoyed this presentation and hope you can show us the results for the Dreamstation per Mr. Robot. Thank you, thank you, thank you.
I am barely beginning cpap and I have become very well informed thanks to you. One of the many hurdles that has come with this is having my sleep doctor call me and get frustrated with the fact I was doing my own research and had set the machine to 7-9. He changed it himself to 7-20 and I gave him the benefit of the doubt with some reluctance. You just confirmed that I should have stayed at my settings. Thanks again
Hey Alex, keep learning mate! I certainly am
@CPAP Reviews Will do. Question for you, have you reviewed anyone's data that reports they deal with catathrenia?
Your videos really helped a lot when I first started my CPAP therapy. You helped me dodge a bullet when my clinic tried to set me up with a Philips machine at the height of the recall, and when my CPAP was blowing my mouth open and keeping me awake while my therapist modified seemingly random settings to no avail, you showed me how to limit my pressure while maintaining good results. Thanks so much!
Wow, thanks for the a great testimonial mate. Really appreciate it and glad i helped you dodge that landmine
My wife and I have Philips. The clinic had just moved her pressure to 21 due to her high AHI number. The first night was horrible. The pressure hurt and the noise kept me awake. I saw your video Resmed vs Philips. I turned the flex off and set the high to 15. The next night her AHI is 1.9. Thank you so much!
I’m so pleased I found this channel. After a recent diagnosis, it’s great that we have a James Hoffman for the CPAP world!
Nick, You said it RIGHT, I was sent home as a newbie with pressure set to 11.5 For a mild , issue snoring . Many weeks i gave up , Then went to your channel for info to get back to it. Today my personal settings set by myself NOT the so called Dr's, . My snoring is now gone , pressure max 7, 100% mask fit, Lo ahi always under 4 mostly 0, YES 0, And no morning headache or eye balls poping out of my head . Great job your doing . Thank you
Hey brother, really appreciate that testimonial. Much appreciated and great to hear you're doing well on your own. Good for you mate. Cheers
2:30 - Explaining the test model.
5:55 - ResMed AirSense 10
14:30 - ResMed AirSense 10 for Her
15:12 - Sefam Dreamstar Auto
16:18 - Fisher & Paykel Icon
18:05 - BMC Resmart
18:49 - Somnobalance
19:37 - Lowenstein Prisma20A
21:37 - Philips Respironics System One
22:41 - Apex iCH AUTO
Thank you!
Lowenstein prisma smart
I am so happy I found you! I literally got diagnosed today, with an event no. Of 50/hr. I’m going to binge your videos so that when I go in to choose a machine, I’m well educated. I’m finding all these numbers and terms very confusing. Is there a definition chart somewhere online that helps a noob learn all this stuff? Anyway, I feel a bit like I’ve been sent an Uncle Nick Angel 😂 I found you right at the right time
Great video. Now I know why I couldn’t tolerate the Resmed Airsense 10 and settled well when I changed to the Fisher and Paykel SleepStyle. I only have cpap though. My husband has SleepStyle APAP but had difficulty with the pressure at the start of the night when on APAP so resorted to CPAP mode. I’m now going to put it back to APAP for him and turn on ramp and see how he goes. Thanks Uncle Nicko!
This was a really helpful video. Caused me to change from APAP on the dreamstation 2 with a 6 to 10 range and instead try a fixed pressure of 8.5 - slightly above the 90% pressure it had shown of 8.2, but still comfortable. Immediate improvement to an AHI of 0.0 ! Thank you.
Wow! That's awesome John. Thanks for the great testimonial
Another great video thank you for your explanations as a new cpap user it's hard to understand what's really going on at night! Thank you!
Thanks for watching! Cheers
Highly informative! Other than the first few months, many years ago, that I started the CPAP therapy and I slept like a champ, I haven't been sleeping well since. Of course, using a CPAP is so much better than not using one. I'm going to research this more, establish a baseline for a month, and then try other settings. I am going to use SleepHQ for my analysis.
Wow! I didn't recognize you with your new hairstyle and fully clothed! LOL! I've tried the auto-pap with terrible results. I thought my neck was going to explode one night because it hit me so hard. And I did have a lot of sleep disturbances which is why I went back to CPAP and never looked back. It was a Resmed S9, now using an S10. I'm using your oxygen recording ring to see if I am getting sufficient oxygen during the night. I was very relieved to find that I am properly oxygen saturated all night long. Thanks, mate!
You are an amazingly effective presenter! Great chart/facts! Just starting into Apnea land…. Will get CPAP next week…I already feel educated on the machines… and hopefully my doctor will not recommend shyte. THANKS!
I would love to see this same comparison redone with the travel CPAP machines. I have the ResMed AirMini for when I travel and noticed the travel CPAPs seem to be gaining in popularity.
Very helpful. I have been using BMC apap machines since 2015 which always seemed inadequate in apap mode. I'm currently using the Luna 2 and get great control using a 30 minute ramp and fixed pressure. This study confirms my personal experience.
Hi Hilary, thanks for sharing your experience. I know the BMC machines well. One thing to note with the BMC is their algorithm has 5 sensitivity levels. Sometimes you just need to increase sensitivity to get better results and achieve higher pressures for breathing normalisation. I think the algorithm is solid overall. Cheers
Great video Nick! I’ve been working as a CPAP consultant/clinician for the past year and your videos have helped greatly with my knowledge of PAP treatment, and has come in very handy when trying to solving unusual treatment problems of some of my clients. It’s always great to help optimise treatment of clients who have been receiving poor CPAP treatment for many years. 👍
Hey Jansen, glad to hear it mate . Keep up the great work with your patients
@@CPAPReviews Nick, I am piggybacking on Jansen to ask you a question. I bought an Airsense 10 auto from Resmed UK in 2019. I bought it as a back up machine as I live in Thailand and Resmed prices are off the charts here. They cost about double the price in London or 2 and a half times the US price.
The machine was manufactured in Singapore. SN 23191101026 batch code 1354294 device no 444. They do not have a manufactured date on it like the australian model I am using now has. My brother purchased it for me in Oz.
The machine I purchased in London expired after 2933 hours of use. This is an expensive way to sleep. As I am on a UK pension that is the same as it was in 2016 when I became old enough to qualify for a pension at 65. If you live outside the UK, they will never raise your pension to take inflation or cost of living rises into account.
I opened the machine up to check why the compressor does not work. I expected that it could be too much dust clogging the compressor. It was as clean as a whistle. What could have caused this compressor to malfunction. I thought I might see a burn out or something like that but I am not very technical.
Would it be possible for me to claim warranty from ResMed. I use my machie every day so it lasted about a year and three months. That works out at 2 pounds 50 pence for every day without taking in the cost of any ancillaries.
Nick, Great job. Thank you 👍
This is EXACTLY what happened to my wife. They shipped her '10 to her autoset from 4 to 20. It was blowing her mask off nightly! I went in and set it from 6 to 14. Immediately, she kept her mask on, the score went up, and her AHI went down to 2...3...4. I'm a 15 year user, now on an '11 and loving it!
Nick, your comments about efficiency are so true! While you focused on new users and compliance (important issues to be sure!), you should also consider that a machine operating at a higher pressure and airflow than needed is likely to wear out or break down sooner. The algorithm is making the machine work harder than it needs to, and that is using up useful cycles for no reason. It will also clog your filter sooner. So for comfort, compliance, and longevity, efficiency it important! BTW, I've been traveling some lately, so open my gifts if you want to see where I've been. I've saved you a few.
Whats your username again mate?
@@CPAPReviews my user name is dunat0s. I am about to leave again! Keep an eye out for gifts from unusual places.😉
Good video! You’re funny too. Good personality. You make it more interesting.
The best thing I ever did with my CPAP, set the max pressure to 12 after a month of using it. I've also slowly moved up my starting pressure as I've got used to he therapy. Now I'm set for 9 to 12 and it's exactly what I need.
My experience too , many thanx to Uncle.
@@bradleyhalfacre7992 Lanky Lefty 27 is also great! th-cam.com/play/PLBotBASOllBZFObl-eX5IdkXW5NlDxvUW.html
I moved to a set pressure of 12 and I'm sleeping even better!!
My experience, as well.
Great video. I’ve used an F&P Sleepstyle for 2 yrs and I’ve been happy with it altho it’s not perfect. But I really wanted a machine I could take camping so recently purchased a AS10. My sleep & AHI has been far better with the Resmed. Same settings, different mask.
Will be great when SleepHQ can read F&P data, then I can properly compare my results. Cheers
Thank you for all the info as I’ve only recently been diagnosed with sleep apnea with AHI of 102, I’ve been trailing a air sense 10 machine for 2 weeks here in melb and have another 2 weeks of trial and going to swap to the lowensteine, hopefully I can tell and feel the difference between them before the purchase
This happened to me 16 years ago when I gave up on my CPAP machine. Too much pressure and the air hitting me in my eye when I’m trying to sleep. I took the mask off and never put it back on. I heard about the auto machines just recently and my uncle loves his and it work wonders for my cousin. I’m willing to give it another shot after watching your video. Thank you for this video.
so has it helped you? how are you dealing with your sleep apnea?
@@kevOzillaI haven’t went back to it 😅 I need to find another doctor since I moved out of town. I’ve been procrastinating 😩
Thank you, this is a very helpful video.
You're very welcome!
Your great work will surely compel cpap industries to put effort and improve their products and this results in better sleep for us customers! Thanks Nicko!
Hey legend, i appreciate the comment mate but i doubt it. You know how the saying goes "It's hard to teach an old dog new tricks!" This video will fall on deaf ears but hopefully a few consultants watch it and learn a few things. Cheers brother
@@CPAPReviews - I’m going to watch how to adjust my pressures to fine tune my machine. Looking forward to when ibreeze gets added to sleep hq and more videos. Thanks!
Nice one mate, here's a vid for you th-cam.com/video/hdIHzu-S6Ks/w-d-xo.html
My pressures are set to 9 - 12. 9 lower end, and 12 for max. But when I was first set up with my CPAP my pressures were 12 - 17. But I could not find a mask that would work for me. Finally after almost 20 years my pressures seem to be almost perfect, and I found a mask that works, plus I use my CPAP every night now. For a person who used to snore and raise the rafters and wake everyone in the house, to a quiet person that people have to really listen to make sure I am breathing.
Love your videos..Honestly I pretty much gave up on cpap until I watched you a couple years ago. I now use it regularly. I watched this video and found it interesting since I have the resmed for her, which seems to work ok but does have room for improvement.
I'm due for a new machine and will use this information on my next purchase. I was just wondering why you didn't use the resmed 11 in this test? Thanks again!!
Hey mate, the AirSense11 uses the same auto algorithm as the AS10 (and also S9). Cheers
Thanks, very helpful
My concern with the prism one is the size of oscillations. Sure it tracks the blue line but look at the amplitude of deviations on either side of the line. I have a resmed and changed to fixed pressure because it was breaking the seal by ramping up. I wasn't sure if I ahouod upgrade to a better machine to better capture my required normal breathing or if I ahouod stick with fixed pressure and tinker with it. Love the video as it helps me see that none are perfect and may not justify the upgrade just yet until they can refine the algorithms more.
Excellent presentation... Sadly i bought Resmed yesterday,... ha ha ... maybe i can find my mean pressure and set it as maximum....
Super appreciative of the information that you gather and share to educate and empower people. I have really bad OSA requiring a BIPAP. I endured a Philips System One for too long into this past October. Got a BMC Luna, which turned out to be erratic garbage that was wildly inconsistent and my OSA started going further and further out of control. Recently got a ResMed 10, and am grateful to have something that actually works at all. Maybe someday I can get a Lowenstein...
Hi Trevor, thanks for your comment . You're very welcome. Great to hear you're enjoying your ResMed mate. It's a quality device that's for sure
With all the twilight zone landscape across America over the 3 years or more I have followed your channel, not only have you generously educated our journey, you have also provided sanity and comic relief to my life. You and your family always take care and are appreciated . Thank you for this video in particular. Your invested time and hard work is very appreciated.
I have a Löwenstein Prisma Smart at home and an Airmini for travelling. The Prisma is outstanding in almost everything. As I know its motor is running on constant rpm and the pressure is adjusted by valves. I read a study about how cpap machines can keep the configured pressures while the leak rate is high and the Prisma 20a was the best. The problem is the price of the filters(both fine and foam) for the machine, there aren't any 3rd party filters. No SleepHQ and Oscar support, however the factory program, the PrismaTS is very detailed.
I have 5 minutes of ramp, but I never felt any pressure if I wasn't fall aspleep during that time.
I really love this machine.
No, the motor speed ramps up and down. About 5000-35,000 rpm. There are no valves in it at all.
@@damian2079 Thank you for the clarification! I don't remember where I was read, maybe I misunderstood something.
Love your videos
I had a trial at the start of this year and found the Resmed Airsense Autoset 10 pretty full-on and got maximum three hours sleep length and only in my fourth week. Did an extra week with the F&P SleepStyle and slept right through on the first night (and thereafter) - it was less aggressive. I do want to give the Lowenstein Prisma a go as I read, via the miniscule amounts of information out there, it is quieter than all the others and your overview indicates its similar to the F&P in its algorythm.
Hi. How much time did your Sleepstyle lasted you?
Hey Nicko -- as you know, your buddy Jason regularly says the only reason to use APAP is to self-titrate one's optimal CPAP pressure. After 5 years of APAP I switched last year to fixed IPAP (11.2) and EPAP (7.8) pressures and my therapy is dramatically more effective and comfortable.
Hi Andrew, my views are not as extreme as old mate but glad to hear you've found the sweet spot brother
I started with F&P Icon in 2014. Replaced in 2018 because it would not turn on. Upgraded to Sleepstyle. Now foolishly flooded the Sleepstyle while traveling because I did not empty water reservoir and it will not turn on. Currently have Resmed Airsense 10 hired and used for past two nights and impressed with how quite it is. Glad I've seen these reviews before changing to Resmed and will stay with F&P instead. Thanks.
Fantastic. It totally validated my own experiences with these machines and yes, I use F&P Sleepstyle because its great. It does have that excess pressure thing going on so I cap the max pressure so my mask doesnt blow off or need to be excessively tight. As an ex ICU RN, I look at the data closely. To my unsurprise, people made a religion out of CPAP and go into stores or their doctors and became unwitting converts. They would not be shifted away from their GOD (Philips, Resmed) etc and the believers also carried the superiority complex of exceptionalism in CPAP. Now the truth is out and the religions destroyed. If only F&P could make a sleepstyle that could be serviced. That way Id only need a new motor not a whole new machine right after my warranty expired.
Great comment Brett, 100% agree with all of it. Cheers
@Hamish Hay thanks legend 🤙
Surprising how bad many of the machines were. My sleep specialist has always set my Resmed 10 to manual CPAP mode 9 PSI. I was fitted with nasal mask as full face mask only made my apnea much worse (22 psi and lower did nothing). Save for occasional Cheyne stokes respiration it seems to work OK.
Hey Nick, I have just gotten my first machine, the Airsense 10, and am having lots of CA events I never had in my sleep study. I wonder if leaving it in apap, but limiting the range say from 8.5 low to 12 high may mitigate the algorythm's tendency to go higher than it needs to? My machine has been set from 5 to 15, and I did notice some improvement in AHI with one night of reducing the width of the range.
By the way, you are a Godsend to this community, and thank you so much for all your clear explanations and insights!
Hello my friend, that's the beautiful thing about CPAP therapy, once you learn the clinical settings you can very easily adjust them to suit your comfort and then monitor the therapeutic results (hopefully on SleepHQ.com ). EPR levels can also induce CSA and they have a big impact on treatment so it's worth experimenting with different levels and monitoring the results (comfort/control of course). Appreciate the kind words also. It does mean a lot and your gratitude is most appreciated. Thank you
@@CPAPReviews wait, EPR can do that? I've been assuming it's just a comfort thing so I set mine to 3. Was that wrong? Maybe you already addressed this in another video but all I can remember seeing is the one where you talk about how to adjust all the various settings
EPR is to the public as comfort setting but it makes a huge difference to your therapy results. I'm putting together a video on it now
I turned off my ramp up, and moved my minimum pressure from 7 to 10 (so 10-20 range) and my AHI dropped to .2 most nights, I also turned off the setting that lowers pressure on the exhale. I feels a little nicer, but it raises my AHI.
I have had 2 resmed, 2 F&P, and 1 Transcend over the last 16 years. Both F&P have provided me much better therapy, hands down. My only gripe is that as i travel a lot, the F&P is the least travel friendly due to size.
Thanks for sharing your experience brother
Nice info. Many thanks.
Glad it was helpful!
That is just great, fantastic, BUT we can not purchase the LOWENSTEIN prisma 20 A not available yet.. WHEN????
Where can I purchase the Prisma line of sleep apnea machines here in the U.S.? Great videos, keep up the great info. Finally, listened to my wife and had a sleep study. Well what do you know, she was right all these years. I have a Resmed Airsense11. Not happy with its performance. Thanks, Ric
Hi Nick I really like your videos. What about fixed pressure CPAPs. Mine is set to 9.0 and my last 3 month average AHI is 1.3 and I have great sleep. Is an automatic CPAP really better?
nice video Nick, can you tell on power failure alarm on different cpap devices
I started with an F&P Icon and I loved it. Then one day it simply died, so I got a second. They were a bit large of the night stand, but I slept well, which is what is important. Then that one died, but by then the Icon was discontinued so I got a F&P Sleepstyle. I loved the improvement that the Sleepstyle had compared to the Icon (much easier to clean the water chamber). It was also QUIET! I often had to remove my mask to make sure it was on. My only gripe with the Sleepstyle was no clock on the display. With a unit so large, there is less room for a clock on the nightstand. The Icon had one, but the Sleepstyle left it off. That was so annoying! You had to set the time, but you couldn't see it! Then after a few years my Sleepstyle died, right in the middle of the Philips recall. I couldn't get one! I had to "settle" for an Airsense 11. The Airsense is fine, but a few months after I got mine the Sleepstyle was back in stock. I always felt rested with the F&P. I will likely buy another F&P when the Airsense 11 dies, maybe even before.
Hey mate, thank you for sharing your experience with F&P and ResMed. I do feel the F&P reliability leaves a lot to be desired and i'm yet to address this in a video but i think i will. Appreciate the feedback. Cheers
Nicko
@@CPAPReviews , I agree about the reliability of F&P. Also, is the USA, they essentially have zero support. I was getting an error code on mine, and I could find nothing online and absolutely no way to communicate with anyone at the company. I love the product, but I wish they would be more involved.
@iamdunat0s795 Hi. How much time did your Sleepstyle lasted you?
@@felipenouzen I would say a bit over two years. Then one night it just wouldn't turn on. I tried power cycling and even waited with it off for a few days and tried it again, but it was just dead without warning.
Do you still recommend it over the Airsense 10 even with the lifespam of the Sleepstyle being like 2.5 years?@@iamdunat0s795
In addition to being happy with my ResMed Airsense 10, what I have been doing whilst going to sleep is to lie in bed listening to meditation apps for relaxation. Mostly getting my breathing calm and deep. I usually am asleep by the end of the session. More often than not, I will sleep my 7-8 hours straight.
That's awesome! Congrats
Hi, uncle Nico. I have the Lowenstein prisma smart max with the prisma aqua humidifier. It is a great unit but the only problem that I have is the mask. Each mask that they give me is too small. I have it set at 30 min soft start. It is on CPAP mode. I am having after a 7 hr sleep an AHI of 1-2 /hr and Leakage of between 5-10 l/hr. I am very pleased with this prisma smart max as I have the white machine. My only issue is the mask.
Nicko your just to funny, Thanks for making my Friday mate. Take care
Glad you enjoyed it brother. Cheers
The Lowenstein model covered is now discontinued and another is available. The K&F CPAP is available so I am going to purchase that one since I am due for a new machine! Thaks!
The Prisma20A is not discontinued at all.
That while series 20c/a, 25St, 30ST are the flagship devices.
The PrismaSmart are the 'new' units with.built in modem, but the 20a has some extra features, even though it uses an external clip on modem.
@@damian2079 I was reading on the K&F US site. If I am wrong I would be HAPPY. Cann you send me to any sites that sell to the US?
@Charles Richardson Im not in the US, but AirLiquide distribute in Camada. Not sure if that is only the PrismaSmart series though.
If you are buying yourself, Im sure you could get one from the EU... 😉
What is K&F by the way ?
@@damian2079 K & FIsher. It was the best CPAP covered. If I go through Medicare they want me to go with AS 11. I am willing to buy it myself and let medicare cover the mask and stuff.
When I first got my DS1 it was set for 5 to 20. I felt 5 was too low and 20 would blow me out. So after a couple of weeks, I found a way to limit the range and set it for 7.5 to 15.0 and so I get enough air when I'm going to sleep and I don't get blown out when I'm fully asleep.
Nice job on this.
Where can the original Resmed study be found? Is their a paper on the comparisons of the CPAP machines?
Uncle Nicko,
Do you have any recommendation where a mate would purchase a Lowenstein machine from the USA ?
Ive had F&P Icon plus auto for 7 years……
absolutely spot on machine and i still see them for about 900 bucks - overall if you’re price sensitive- that will be the decider….
Thanks! I always enjoy and learn from your videos. All THEY did was show me how it turns on and how to wear the mask. TH-cam University is the best.
Because of your videos I’ve had more success after adjusting pressure
I used an air sense 10 for several years three times in six months developed bronchitis had to go to er for treatment was cleaning machine per instructions pulled machine apart and blower assembly was coated with gray mold air filter very poor design dirt can be sucked in around edges of filter stopped using I was boarder line apnea have not had any bronchitis issues for around five years
I've been using the Prisma for over a year now, and I can only confirm it t'as super quiet - and is super comfortable too! And my maximum pressure is 8 - not bad for someone who had over 70 apneas per hour!
I thought my 38 apneas per hour was a record but you, 70 times, wow. Somehow it comforts me, no offence.
Great with only a pressure of 8! What settings are you using and standard or dynamic mode if apap?
@@rasmusstubert7523 yes, dynamic mode, and besides I use a setting they call "softpap" wich takes into account your breathing, and reduce by 2 or 3 levels the pressure while exhaling. It takes a few minutes to synchronize with my own breathing. It makes it a lot more comfortable, if I wake up in the middle of the night I can literally forget I'm using a CPAP device. I use a ramp-up of 20 minutes also.
@@orionshek 71 to be more precise! ;-) It was the highest score the doctor had seen...
@@brunorecchia9420 almost same here. AHI 66, 46 years old and only weighing max 10kg to much. So do you run it from a pressure apap of 4-20 or have you increased min pressure and lowered max pressure?
Hi Nicko, I've been living with the ResMed AS 10 Hurricane for 3 years. Bad mask seal, High AH indexes.Every full-face mask you can think of.(Air-Fit F-30 now) I really need a solution to this BlowHard. Whether it's adjustments in clinical mode, or a change-over to constant pressure, I'm sick of the clinician wanting to reset it to 12 & up to 20. I'd blow my brains out, but I think it's already blown my brains out.
Hey John, jump on www.sleephq.com, sign up for a free account. You get a 14 day free trial of the Pro version and you can head on over to community.sleephq.com and jump in the forum and say hi. I'm in there every day and there's so many other pro members that are always helping out. Cheers
@@CPAPReviews Thanks Nicko! I'm a little tardy pulling the trigger but I signed up, said hello and will get a 16-30 Gb / FAT 32 SD drive and upload data to you very soon. Thanks for all your guidance and fine music performances on TH-cam. All the Best to You and Yours.
@@johncostigan6160 nice one. The Free forever plan is pretty unreal anyway mate but there's a lot of extra features on the Pro. See how ya go buddy. Cheers
Hiya Nikko! Have you any experience with Luna? I have an older one, Luna 2. I think it's doing a good job with APAP, but I don't have access to detailed data.
F30i mask, bro have you done a review on this?
I have trouble with the nasal only and the top mount hose.
My nose has a constriction to one nostril and this poses an issue.
I’m using resmed 10 atm -and lying on one side poses a fighting for air problem.
Any suggestions before I head out and purchase.
Btw thanks for your channel and information given the options without your advice I would have opted for the spare room over fighting with the cpap machine.
Hi Nick, so how do we determine a good fixed pressure ? Thanks a have a good day.
Great video. The algorithm is obviously optimized to reduce type 1 errors (misses) at the cost of type 2 errors (false alarms). This gives them top scores in minimizing apnea episodes. Unfortunately at the expense of comfort. This is an example of poor sociotechnical research around an analytic that involves people. Resmed needs to improve its research. But, I bet that federal grading and conformance testing procedures need to reflect more than apnea minimization. There are many cases where analytics are optimized to insufficient metrics with suboptimal outcomes.
Great comment John
Thanks for great content! These data were published many years ago. Do you know that the different algorithms haven’t changed since then?
I mentioned this info in the vid 🍻
Hi Nick
Love your videos great work can you please do one showing you how to set up my BMC G3 to the sleepHQ app please I've got no idea how to do it
Hey mate, we're working on the BMC integration now and i'll do some videos when it's complete. Currently you can't use SleepHQ with BMC though.
Ok thanks can't wait until you can
In the sleep lab I had an AHI of 35 iirc... when I sense my resmed 10 to 9.4 i get about an AHI of 0-1 now... but when i set it to auto 9-11 it's up there at 11 almost all night with an avarege of 10.5... so I think i'll put it down to 9.4 again :)
I had a Lowenstein for my CPAP trial and it was very quiet, but I bought a BMC G3 and the motor is so loud compared to the Lowenstein, which I almost couldn't hear.
I'll have to check it out mate. Thanks for sharing that info. Cheers
If you had a choice between the Airstation 10 or the Fisher Paykel what would you choose?
Can f&p sleepstyle access sleep hq? I'm a newbie to CPAP therapy. Also I'm getting rainout, can I use a resmed hose cover on my f&p sleepstyle? Thanks in advance!
How does one get one of the top 2 CPAPs? Is it usually covered by insurance companies?
I am planning a trip out of the country and am concerned about obtaining distilled water for my Dreamstation 2 machine. Will it hurt the machine if I use regular water or bottled water for two weeks instead of the distilled water?
I can't see the F&P "Icon" for sale, only something called "SleepStyle". Does anyone know the difference?
I was automatic on my resmed 10 with constant red face on machine each morning showing mask leak...so I experimented by putting the machine on cpap mode and the pressure on 7....voila!!!....no more mask leaks....all ahi are under 3or even 2....and better sleep.....my therapist knew less about sleep apnea than anyone I have talked to.
enough said! Thanks for sharing your experience. Cheers
Hello, where can I buy the Lowenstein Prisma 20A in Canada? I've noticed that the vendors I've searched online usually do not sell a mask with it. Where can I buy the mask for it? Is it only compatible with its own brand of mask?
Did the testing account for central sleep apnea? I need a new machine, but have no idea how to find one that will work well for me, and as you point out at the beginning, most companies want to sell you all they can in the shortest time possible.
If you have the settings changed but resmed airsense 10 has someone else's hours.. isn't the machine going to already be adjusted to them and not work? Hired one and having all sorts of high pressure issues.
I can't find the answer to this question :
Are all machines the same in cpap mode? Do any of them adjust for leaks while in cpap mode? If so, a video on the subject would be awesome!
I took the Sleep Study available through Sleep Doctor, and they recommended ResMed Air Sense 11. You don't seem favorably impressed by the machine. No recommendations were made about settings. Is there someone who would look at the report and make recommendations?
Fantastic 👍 Video
Very nice of you to say . Glad you enjoyed it
G'day Uncle Nick. Good show , when are the researchers going to test more machines, Idisc and Resmed Air for example? I assume the Air has the same algo as the air sense 10 ? I am going trekking in Nepal next month and have bought an Air and two batteries. It will be interesting to see how it will perform above 3000 meters, if at all. Do you have any tips on squeezing a bit more pressure out of the Air higher up? I have searched the net for info on using cpap at altitude but not found anything useful , I guess I will be the guinea pig. I am hoping that use of Diamox the altitude sickness medicine will help but will just have to suck it and see. You are doing great work mate , I have been on cpap for twenty years but learned more from your channels than any other. I am hoping to work out a way to upload my data from my Air 10 but Apple seem to be conspiring with Resmed to stop me from doing that. 🤕
Hey mate, it's tricky in high alts as a lot of people get central apnea and throwing CPAP into the mix can make it even worse. The machine will adjust the fan speed higher automatically to account for the lower gas density at the higher altitudes. I shared a little video on it a while back but i can't remember if it was any good th-cam.com/video/lUsLITvaQos/w-d-xo.html
@@CPAPReviews Uncle U R a firkin legend. The fact that you are actively involved with the folk who comment on your vids is very impressive and highly appreciated. I watched the video and it has confirmed my decision to not fly into Lukla on the Everest trek. The Airmini has info on the machine saying "operating altitude limitation : 2591 m". What kind of performance I will get at or above that altitude is the unknown and will most likely be the deciding factor in how high I get on the Everest base camp trek. I will have to see how much CA is induced by altitude and deal with it. I have given myself lots of time to acclimatise and will be walking in on the old 1950's track , not flying into Lukla so I will be acclimatising very gradually. I have enough time to rest every second day on the ascent if needed.I am an old fossil , on the upside of seventy so I will be taking it easy and not committed to getting all the way to the top , I will take it as it comes and turn around when it gets too hard, no heroics. Have you had any cpap users comment on the effect of THC on their apneas? A big fat one will pretty much completely cure my apneas over the short term. With longer use of the herb the efficacy falls away. My obstruction is the collapsing of my soft pallet. This problem started very abruptly when I was living in Hawaii in the eighties and surfing big waves on a daily basis. I think that the tremendous water pressure blasts up through my sinuses in big wave wipeouts may have caused the onset of apnea, just a theory but it did start at that time. The THC must effect my nervous system some how and stops the collapse of the pallete, how bizzare! Your vids have really helped and I have been able to reduce my high pressure down to fourteen from seventeen and it is continuing to drop slowly , last night the average pressure was only twelve!.... most likely as I am off the grog in preparation for my trip. My AHI at present is 2.6 and central is 0.8 Thanx for your efforts to help us all who suffer the dreaded. I will let you know how it all pans out. Firstly I have to survive the two week motorcycle tour of Nepal before hitting the track. Thanx again.🙂
Can you get Lowenstein products in the US? I can’t find them at any US retailers.
What software can be used to read SD card data from ResMed Airsense 10 like shown in the video please?
Hello Nicko, in the video when you were discussing David's results @12.26 time of the video you show that he was using an Airsense 10 autoset, but when he changed his therapy to fixed pressure @13.11 it shows that the machine he is using is a Resmed Airsense 11, care to explain, or am i missing something here.... btw i noticed just before this you clicked an incorrect screen, is this another Ooops!
Yes he just purchased an Air11. He also has a DSGo and O2 ring. Most people have multiple devices in SleepHq 👍. You can see a list of his devices under his name when i first cross to SleepHQ and show his profile.
Have you tested the BMC Luna 3 which is the one My Insurance Covered here in the USA got me, Not to happy with it so far. I have talked with you about Up loading my Card to your system before. And Joining your Community, As soon as You and BMC get together.
My question would be: Why doesn't ResMed release a firmware update to the ResMed AirSense 10 to improve the Auto Function?
Hey mate, that's a really good question and i don't know the answer. I have been saying for a while now that ResMed & Philips don't innovate because they don't have to. Why spend money on R&D and improving your products when you have 90% market share and insurance pays for the equipment every 5 years? You're better off stripping out costs and increasing your margins. It might also have something to do with CE marks, device conformity or FDA approvals etc. I do know that it's very very rare that the companies change them. I honestly don't think Philips has changed it since they took over Respironics back in 2006
Dear Nick, for machines having a stepped line from 0 to 40 minutes, as lowenstein prisma 20a, you recommend to set a large ramp in that time. I tried a 45 minutes ramp from 4.5 to 5.5 in a smart max and pressured raised to 9 in that period....is a machine problem ?? Or the ramp can be surpassed if necessary ? I was relaxed but not sleeping.
Hey mate, i'm not super familiar with the SmartMax but it really shouldn't go above 5.5 in that 45 minutes because that's the whole point of a RAMP... to keep the pressure low and gradually build up over time. Some machines have what's called a smart ramp that will stay low until the cpap thinks your asleep but i don't think the SmartMax has that feature? All the best. Nicko
I have the Lowenstein but have been using the Dreamstation 2...time to switch back. I would be interested in more tests, in particular, the portable machines: HDM Breas Z2 is what I have. Thanks for the vid...any links to the study?
Why are you using the DS2? It is the worst machine I’ve ever used.
I’m a big fan of the F&P SleepStyle except for the fact that my water chamber runs out every night and I know you can buy the Cspring for the Resmed Airsense 10 and 11, any way to resolve this for the F&P SleepStyle?
Hi all I’ve been using a Devilbiss an American intellipap machine for more than 12 years on problems ever and works great
Hey Brian, i think you should watch this one mate - th-cam.com/video/lMrX6QEysJY/w-d-xo.html
I'm sure they have the same problem as Philips which is why they got out of cpap. Cheers
Wonderfull coverage of cpap variants . How much difference is a bipap machine.
@@CPAPReviewshi, mate thanks for the reply, sorry I took so long to reply, I am about to buy a new machine have you seen the Sefam Starck autoset, you do great honest reviews keep it up. Brian
So Fisher & Paykel is your favorite choice? Is that correct?
I might be willing to sacrifice some conveniences, for portability and smaller size. But I don't know how to intelligently compare based on that factor.
Hi there and thanks for your generous channel donation. It's not expected but greatly appreciated. When it comes to Automatic pressure delivery the stand out performers are F&P and Lowenstein. The ResMed is will often deliver too much which can cause issues however this can be managed by controlling the pressure max setting. Although the F&P is a good device, they have barely made any improvements on it's functionality since 2010 so i have a difficult time recommending it. It is also not DC compatible. The Lowenstein build quality and performance is exceptional however it has a larger size/weight compared with the ResMed Unit and is very expensive especially here in Australia. Personally i use the AirSense11 because it's compatible with SleepHQ which is my CPAP therapy analytics platform. It's also great for travel and works well on DC power. All the best
fella the W in lowenstein is pronoced V in german ,great video,s
hello Nick where can this study be found? do you have it in pdf format? your video is very useful to understand some treatment failures. it also demonstrates that the CPAP industry is identical to the mobile phone industry. if you have a good marketing department you are at the top of the bill, however I find it honest on the part of Resmed to have done this study which confirms what many people had observed in the field. Thanks for this very informative video.
1:25 - Do a web search on the research title.
Im suffering from UARS and i am thinking in buying a lowenstein machine now.... i was about to buy Resmed autoset 10
everyone else's graphs always show the massive Himalayas with the resmed, but my ones the saw tooths are much smaller like only a fraction of 1 cmh2o
*I wish my Dr and nurse would look into setting my Resmed 10 up right?. 3 months ago I did a comprehensive sleep test, My sats were 90% in the night and the AHI was around 60 so severe. I rang with my😂 concerns because on auto settings my AHI was still between 40 and 50. They reviewed my numbers remotely and told me auto settings were still the best for me and said my apnoea has changed to central apnoea which seems odd? I only sleep for a maximum of 6 hours but in 2x 3 hour sleeps because I've found that sleeping twice a day suits my chronic insomnia and have tried everything else failed over many years of trying to deal with my insomnia. They say because my mask seal is good, the machine goes up to 10 in response on auto and I reported feeling a little better that all was well and to ignore the AHI. They also told me not to change anything myself. I really can't see the point in being on it. They also said they'll see me in 6 months because I was doing well????? I used to be a critical care nurse and have set up many CPAP and BIPAP for lots of patients, admittedly the physio's will prescribe the pressures when needed, they don't know this and that's why it was easy for them to fob me off. I obviously shouldn't change anything myself because I'm not qualified but learning quickly. Also, I was warned the Airsense is an expensive machine and they monitor my stats remotely, I just don't seem right to me.*