This ResMed Autoset Feature Is SCARY BAD! Change it now.
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- Опубликовано: 10 фев 2025
- try.sleephq.com/ is my online cpap support community & cpap reporting platform. Master your therapy and improve your sleep with our powerful cloud-based platform.
Create a FREE account and download your detailed therapy report today!
Features Include -
1. High-resolution 'breath-by-breath' analysis - View every apnea and every breath in full detail.
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.
5. Support - Access to the SleepHQ Community Forum
6. Education - From CPAP novice to therapy PRO. Master your device and settings with the SleepHQ Academy course
7. Blood Oxygen, Heart Rate & Movement Data - Connect a SleepHQ O2 Ring to your account to view additional data sources and take your therapy to the next level.
8. Access to exclusive, member-only discounts on the latest and greatest CPAP gear
And much more!
SleepHQ O2 Ring - www.sleephq.co...
SleepHQ Magic Uploader - www.sleephq.co...
Thanks for all the love & support!
Uncle Nicko
#cpaptherapy #sleep #sleepapnea #snoring #cpapmachine #cpapmask #resmed
9:05 The auto is terrible....manual on 8 with some humidity...nasal pillows mask...on my back....no air leaks ( my air score 100 or close every night,) best sleep in years...wife says I am a new man to sleep with WHAT!!!! Lol
Thank you. My machine is set to 5-15, and it has been working well for me and my apnea condition.
Glad to hear it mate!
I feel like ResMed should send a Ferrari to you every 5 years for these videos. ♥️♥️♥️
All I know is; when I put on my mask and go to sleep and wake up the next morning....I'm not dozing off at stop signs/lights nor while driving down the road.
@Jay G. yeah no need to worry about all the heart attacks and strokes. As long as there's no car accidents all is well. Like saying to a diabetic, hey don't worry about your blood sugar levels. As long as your Kidneys don't pack up and fail eat as much Cake as you like. Ignorance is BLISS but personally i'd prefer an extra 5 years on earth especially considering it takes about 7 days to get the settings perfect. It also dramatically improves comfort, mask leaks and everything else.
@@CPAPReviews I tend to agree, my doctor is pretty straight with her responses, and the first thing she said when she read my sleep test results is "I'm very surprised you are not dead". Apparently my AHI was 65 and my O2 was at 70% for most of my sleeping hours. She then told me that I had to leave work right now and head to my local Resmed seller for a CPAP trial. It was an immediate success, but it did take nearly 6 months for me to not take masks off and get my settings right. Without looking at the charts and knowing what the results mean, as well as how to influence them in the right way I doubt I would have got there in the end. And I have this channel, along with other resources to thank for that. Knowing the behind the scenes stuff is crucial for you to make informed decisions instead of blindly changing settings.
@@CPAPReviews I signed up for sleephq and love it! I really wish I had someone to look at my results as my dr isn't very helpful. I've been on cpap for 5 years and never knew anything till I found your channel. When I had my study it was bad..157/hour. Just wish I could get my settings where they need to be.
Ok but how do I change that setting?
People reviewing and digging their machines will only benefit the masses. Not sure why the comments are so aggressive
I started therapy 2 weeks ago and last night tried switching to standard response from soft. My pulse rate and o2 saturation leveled out nicely and the o2 score on my ring went from in the 7’s to 9.9 outta 10!! And a AHI of 0.2. (Over 90 AHI prior to therapy) thanks for the info, this has been a hell of a ride!
Yeah, I have been struggling to breathe! I've been thinking about contacting the doctor again because it's difficult. Thank you for the video and information
You got this!
I’m really appreciating these videos. I’ve just been through the whirlwind of finding out I have OSA, license suspended and adjusting to therapy - all with very little information or education. You’re informative and honest, so thank you!
EPS is generally bad, it can pull CO2 out of your system which is the signal to breath. I did a pressure of 10.2 which wasn't doing it. I turned off EPS and O2 levels went up and events dropped to just shy of normal. The rest was accomplished by turning off ramp. Set the damn thing so that it doesn't leak and sleep, that ramp is just "free apnea event time" and then added a mild boost to the pressure range. As I lost weight, I periodically experiment with lower pressure and see the result and that allows me to step it down as the weight goes off.
I tried soft response and didn’t like it so I changed it back. Now I know why. Excellent explanation. Thanks Nick
Hey my name is layne I’m 22 years old and I have resmed air 11 I have it on auto start so when I breath in it it start up and before I got my Cpap I didn’t sleep as good until got my ressmed air 11 I feel so much better with my cpap
Finally! I’ve debated these “comfort” features with the Resmed reps and so called specialists for years. These settings are good when first starting on therapy but seems that nobody ever titrates them once you get used to wearing a cpap. Typical response is increase the pressure or change a mask. Can’t wait to see your breakdown of EPR.
Good on ya!
I have an airsense 10 and I've opted to alter several settings and I sleep quite wonderfully and never have an AHI during a "session" if you will higher than 5 (I've been instructed to use my cpap machine anytime I'm laying in bed out of high risk for falling asleep by my sleep medicine provider, neurologist and pain management provider).
Setting changes that I've made are as follows-
Change pressure range from 4 to 20 to 4 to 7.8. I can't go higher than 7.8 because the split second the machine hits a pressure of 8 I wake up with a MASSIVE jolt.
Changed EPR from 2 to 3.
Changed response from standard to soft as I'm easily woken by sudden changes in pressure wakes me up from a deep sleep.
Lastly, I purchased a non humidifier side plate to change out the humidifier chamber. This isn’t to say that I would never use a humidifier chamber but I have an in-line HME device for my humidification needs so use of a humidifier chamber is a bit of a moot point considering the HME device that is in-line on my tubing setup.
I have been using a machine for 23 years. My old resmed is 10 years old. It’s set on 10…the same that is has been all these years after several tests. I had a new test…new machine…this Resmed 11… it’s in the closet. I’m using my old machine. That new piece of junk keep using all the water in 6 hours…hard to open with bad hand. Yes…it says motor old…has for years ! I’ll use my old one and try to buy its mate on the internet.
Me too. Now that I have a new machine i appreciate my old one much more. Yes, I don't like it running out of water in the middle of the night either.
in this video you go over how the ResMed system is missing events and that the persons reported AHI of ~10 is actualy closer to ~20 AHI.. It is always good to call out these situations where the systems are not properly identifying AHI events but if that is such a common thing SleepHQ could develop your own analisys of data that you import and apply your own analyisis anf flags to the data that is imported OR allow manual flags to be added to the data by the end user to provide a more real view of AHI than the machine is just reporting.
That would be interesting. It could run an algorithm of its own upon import/upload, and have a section dedicated to SleepHQ-labelled flags that the user can toggle on and off.
You can add manual flags in Oscar fyi
Its all depending on the algorithm yes. I cannot run cpap, as pressure needs to be constantly to high, and affects sleep too much. I am thankful to have the Löwenstein Prisma Smart Max, which has an algorithm you can trust and makes small increases/decreases - depending on need, but also flow limitation (in dynamic mode). Therefore i run my APAP from 9-13, which is perfect as long my leaks are low and I sleep on right side (13 too high constantly). Thought the Resmed machines were better than the more “unknown” Löwenstein. I was wrong and still awaits uncle Nicko’s review on that matter 😍.
try.sleephq.com/ is my online cpap support community & cpap reporting platform. Master your therapy and improve your sleep with our powerful cloud-based platform.
Create a FREE account and download your detailed therapy report today!
Features Include -
1. High-resolution 'breath-by-breath' analysis - View every apnea and every breath in full detail.
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.
5. Support - Access to the SleepHQ Community Forum
6. Education - From CPAP novice to therapy PRO. Master your device and settings with the SleepHQ Academy course
7. Blood Oxygen, Heart Rate & Movement Data - Connect a SleepHQ O2 Ring to your account to view additional data sources and take your therapy to the next level.
8. Access to exclusive, member-only discounts on the latest and greatest CPAP gear
And much more!
SleepHQ O2 Ring - www.sleephq.com/o2-ring/
SleepHQ Magic Uploader - www.sleephq.com/magic-uploader/
Thanks for all the love & support!
Uncle Nicko
Excellent presentation and information. Thanks Nick. Videos really help in trying to understand the sleephq data.
??? what is good about this? He showed that in soft response, the pressure did not increase in response to a hypopnea. And then he recommended switching to regular response mode. But he never showed that regular response mode increases pressure in response to a hypopnea. So, he missed his own point by failing to make it. And you (and many others) failed to notice that he didn't actually make his point. This is like saying "if Albert isn't the murderer, then it must have been Benjamin" without any further evidence.
WOW I did not know a person could chang their own setings. I thought it had to be done by the place i got my machine from.
Yes you can but your insurance may have issues with the setting changes.
@@MR_DOMEoops well too late 😂
@@MR_DOME What insurance?
If you mimic that your air is blocked it increases pressure, it tries to match sleep cycle and do high pressure for rem sleep but i get up alot so it restarts to 6. if you hold both menu buttons it lets you change deep settings, i like it starting higher, but i hate the starting pressure at 6. I need like 8-9, and i hate when it pops between breaths when its too humid. I hate that if i swallow it pops my ears though, and my teeth feel wierd in morning from how tight it is against lower front teeth. I set it to CPAP instead kf auto and it started at pressure 18, pretty intense. Also, I hate when it smells like alcohol or if the dog farts in the room its freaking torture!
Thanks, trying EPR off and lower Max. Though comfort wise I seem to be one of the lucky ones, over about 10 years cpap has given me almost no issues except for one period of mask leaks that turned out to be may fault, over time the mask becoming to loose.
Thanks for this info! I just noticed today that my machine is configured to "soft" response mode. It worked well for me. I complained of swallowing too much air, so I assume my respiratory therapist changed this setting.
Yep they likely did. I’ve done a few vids on this topic of aerophagia and stomach pains so do a youtube search and you’ll probably find some from me 👋
thank you for all the informative videos you post. your dedication to all these topics is appreciated.
I turned up my lower pressure from 4 to 6 and keep my EPR on at 2 for comfort. Worked great, thanks uncle Nicko!
Nice work!
Thank you! You explain this so well! I have to see about my CPAP. I realized how some of these functions may not keep up. In the middle of the night I might go downstairs for some reason, coming back up the stairs, and going back to bed, my breathing was labored and my heart rate was up. I would put the CPAP back on to try and go back to sleep. The CPAP was so LOW that I take it off and let my body "normalize", then put it back on a bit later. God bless! AL in CT
I have that same problem and I too find it's best to lay in bed for a few moments and let my breathing normalize before putting my mask back on.
I am seeing the same issue with my ResMed missing flags, although I find it interesting that I had the same issue with my Philips machine. I believe that it is a programming design decision to make the use of the machines look better by appearing that they are lowering the number of times that the user encountered issues because of the machine use. Just my thoughts
Thank you! You are the most helpful on RUclips!
Glad you think so! Thanks for watching
This is so confusing. Since the machine has access to all this information, it's the one recording it after all, it seems like it should just handle this itself!
Oh my. Good examination.
Glad it was helpful!
I’ve only had it about three weeks and I’m constantly waking up and ripping my mask off in my sleep needing to take a deeper breath than my mask will allow
@@beardedguy8357same using at 19
Exactly the same… have it now for 2 weeks!
Same !
Ditto.
@@Maltese280zxupdate after a year switching from a full face mask to a nasal pillow was a game changer
I just got my Airsense11 after running my Airsense10 since 2015, missing only 6 nights over that period but have been getting "end of service life" message for about the last six months so decided to upgrade. As many others have shared, it was a life changer for me and although I could probably so without it now that I have lost over 100lbs, I'm like a crate trained dog and don't even want to think about sleeping without it. If you're on the fence, just stick with it for 2 weeks and I can't imagine it won't do the same for you.
Well.. maybe that is why his machine has it set to 20 max? 20-3 = 17 which is where you said the max should be (if EPR wasn't on).... eh?
Thank you for this interesting information, Nick. I'm going to discuss this with my sleep doctor. Maybe I will even give him a link to this video, or better yet, suggest that he subscribes to your channel! 🙂👍
I had my new machine n your right. My machine took over and pushed so much air into me i could breath out n mine is a bi pap where its should kill down. But it didnt. It was so high blowing that it blow air out of the machine it self also. My older machine worked better same brand
Informative as always great info love it
Thanks Ron, really appreciate the comment mate . Have a good one
Greta video... Thank you.
Hi Nick, this is really good. I had a question about those missed apnea detections (from the ResMed machine) and hence the effect on AHI. Couldn’t SleepHQ automagically flag those as the data exists? And then provide a ‘more likely’ AHI?
@CPAP Reviews my auto set has been set to the soft response since I got it. my pressure graph looks nothing like the one on here for the soft response mode. mine ramps up very very quickly and then drops off quickly as well. you might be interested in looking at my graph just to see the difference.
Thanks for keeping us up on all things Cpap and BiPAP.👍👍 My machine is set as a BiPAP and the pressure is high though I have no problem with that.🤩
Hi Nick, great job ! 😊 l just got in the world of apneas and everything that goes with…. Question: How do you obtain the detailed analytics you produce in this video ? Thanks
How do tou get to those charts? I'm using MyAir app and it does not show all of that info, only events per hour, mask seal, and air score.
Sleephq.com mate. It's my platform. Cheers
Great informative videos. I learn so much. Thank you.
Welcome!!!
Nick, this is great information. I will definitely check my settings as I always thought pressure was too high. THANKS Mate!!
Great info. Love it. Thanks 😊
Always welcome Craig. Thanks for your comment
Great explanation of the two settings.
Res med airsense 11. APAP. I have EPR on full time at level 3. Soft response. Range 7-13. Pillows. I have a perfect mask seal every night. AHI is usually less than or equal to 1. When I read the results in the morning, the pressure is usually 9-11. I'm afraid that if I switch to standard response, it will be too aggressive. It seems like because I'm a low pressure patient I can get away with the standard response. Should I still concidered changing it?
seems like your doing great, wouldnt change a thing
Good info on EPR. Thanks.
My doctor reviews this remotely and makes changes as needed. We meet quarterly and discuss my results and sleep quality.
Very interesting. I'm stuffed with my machine, the sleep specialist knows less than you and I feel like I have to accept an AHI between 9-15 everynite and waking with swollen eyes exhausted.
Im at the stage of giving up. With my AHI at those levels is it even worth continuing therapy?
Ok let me get this straight. I had a base of seven. I upped it to eight. I changed the easy pressure to three. So what your saying is since I set it to three I need to set my start from seven to ten.
Excelent video and informative content. I wonder how can I get this data points for my own comperison from CPAP?
Great video! What about ResMed 10 and the for her setting? My wife uses that and no EPR. AHI always looks good. Comments?
Amazing video thank you
Cheers Matt, appreciate the great comment mate. Cheers
Thank you, I had been fighting getting my Resmed to give me the responses that I was getting when I first got the machine. I had even gone in to the settings and set all to default but I'm guessing "Soft" response is the default. I have set mine back to "Standard" and I bet this fixes my issues. I also will play with the max pressures as I have always had 20 as a default and that's probably to high.
Hi Jimmy, here's a little vid i did which shows how to change the response - ruclips.net/user/shorts5xXrxxg8Pqk?feature=share . I recently dropped a video which shows how the AirSense delivers too much pressure - Here's the vid if you want to watch - ruclips.net/video/v6_NHkXgSRU/видео.html . All the best mate
G'day Mate, i'm loving these videos i have learned soooo much from your videos as to the people in ResMEd shop in Sydney .. They are a joke! I will be going pro next month and I'll have my o2 ring also.
btw do you have a feature that we can pay you for a consultation or for you to look at a person's graph and give recommendations or do you do that free on pro in sleepHQ?
YOU DEFO ARE TEH GODFATHER OF CPAP! LOL
Interestingly, I don’t recall when exactly I changed the setting to soft but I’ve had really bizarre gradual pressure increases when nothing was actually happening and since then switched to constant pressure with EPR at 3. I am excited to try standard with lower EPR
I turned autoset off and I woke up with nonstop headaches and sleep quality went way down. I had to go back. Really scared to mess with it now.
Increase min pressure for more support while you’re sleeping.
Air Sense 11. My 12 Month Average is__ Days Used 333/339 - AHI 2.1 - Obstructive AI 0.6 - Central AI 0.8 - Total AI 1.5 - Leak 5L/min - AHI 2.1 - Total AI 1.5. - Average time used is 7.2 hours - Pressure 9.8. I received my machine on October 5th 2023. I score mostly 100's about 28 days out of the month. It's set to Start with Auto Sense ON. I use it for at least 7 hours per night. I feel great. Without it, I scored 76 events per hour. I was a disaster, had severe headaches & I was super tired all the time... I'll take the results I'm getting with how the machine is set.
I have learnt so much from your videos thank you.
So nice of you
Thanks Legend
Great video except at the end when you were going to give your choice between the lowenstien prisma 20 A or the Fisher paykel Icon your video cut that out! So which one is your top pick? Thank you
I had to switch mode to cpap from automatic as it was always causing air leaks before and waking me at times....now just set at 8 I have no mask leaks and all is well with minimal ahi.
How would I upload data to SleepHQ if my machine doesn't have an SD card? I believe the data is uploaded via a modem to my provider.
On this one, it doesn't really help if you don't show how to change the settings!
So helpful! Thank you.
In the video, why did you cut out the Blood O2 level at the first big decline? 2:51
How do I find a knowledgeable person like you to monitor my patterns and dial me in.
Thanks for that uncle, just exactly what I wanted to know. I'm currently using an Airmini as my primary machine but looking to invest in the Lowenstein Prisma 20A re your recent vid. Is this machine compatible with SleepHQ? Or should I just go with an Airsense10, as I'm a FIFO worker and would just rather use the mini as a backup. Your thoughts?
I met with my sleep doctor today. I told him I'm keeping my ResMed s9. You have done videos about replacing the turbine motor. Where can I get one? Thanks
Hiw much ramp should i start out with?
Thanks mate
Cheers Trent
Thank you for your video. I am very new and recently purchased the AirSense 11. How do you generate and get those data as shown on your video? I do not seem to able to video those data on myAir app. I am a rookies and would appreciate to learn from you guys! Cheers
have a squizz at the inhale vs exhale rate. the machine may have noticed the inhale rate was higher than the exhale rate and reduced the pressure to him to exhale easier since the hyppnea is reduced breathing then once he hit OA it ramped up to overcome the blockage. i honestly have no idea, i have just gotten into the C-PAP world after trialing an airsense10 and awaiting arrival of my new airsense11
You’re my hero
I tried the soft response and though it was not better.
What is this portal, and how do I get access to it?
@cpapreviews Wondering if you are considering adding a CO2 monitor to your ring. I'm a CO2 retainer and have started BIPAP but they don't know if the pressures are right for me and their methods will take forever to figure that out. I'd like more info and more than spot checks every 6 months or so.
Same for me. I'm lucky to get a check once a year and last time I was retaining so much gas I looked like I was pregnant. I still do.
Has resmed confirmed of denied these settings? I just got the airsense 11.
Excellent advice Niko
I don't think my Dreamstation2 is auto adjusting. Had it set on 8 low and it never moved. First machine 2009 set on 11. So I set 10 as minimum.
thank you lots
Always welcome Mark. Cheers brother
What setting should I change? Thanks
I've been using the Airsense 11 for a little over 3 months and the pressure was way too high in my case. I have the limit at 12 and that seems to be the right spot.
Thanks for the advice.
I've been buggering around with my settings so much I'm thinking of setting it back to my initial specialists' settings and starting again. I've gotten the the stage it seems I cannot sleep longer that 2.5 hrs without waking all nite.
It's doing hell for my sleep and Im so exhausted. I often find myself slipping my mask off and getting an additional 5hrs sleep uninterrupted without the mask.
I'm at a loss...
I have exactly the same problem so I totally understand we’re your coming from need an expert to sort this out for me
Thank you so much for this. I'm a newbie and really want to get the airmini because i camp and travel and can't afford to buy two machines...i saw in your video that I don't get the data like you've just demonstrated with....am I essentially going to have to play a guessing game with levels/settings as a result?
I have a airsense 10 using the myair app on pc and phone... but how wud I go about using the sd card to get a fuller report like the one in the video? What programs can I use on Linux and windows. Thanks.
What would be considered the best for the ramp time on the resmed 10. It has the option from 5-45 also off and auto. And i moved the min air from 4 to 5 and the start pressure to 5 so it doesn't feel restricted.
What app do you use to interrogate the machine?
I am discouraged. HELP! Been trying to do CPAP for over 20 years and finally doing it nightly for 2 months, but am more tired than ever...but at least getting up to pee half as much as before...that's a plus. Still, watching these videos makes me feel like a dumbass, as there's so much going on that's confusing and I need a whole lot of basic videos to start understanding the basics of the data shown here. It's an advanced class and I just want to know where to start. If anybody can lead me a bit, I'd be thrilled. Thanks in advance.
But can we make those changes? I don’t see anything in the settings on my CPAP. 😢
So, if I had a SD card in my machine I would be able to see that data with some kind of app? I dont have a cell, but have PC. what do I need to do to be able to see that kind of data? I have the Airsense 11.
Thank you
I guess my question would be my events tend to be under 3 fairly consistent but I'm still always tired when I wake up. I believe my setting on the resmed 11 is 6 to 15. How can I improve on that? Also my oxygen levels are generally below 90. Typically around 85.
Hey mate, it's very hard to provide advice without seeing any data or breathing however you're likely tired because of those low O2 levels and normally increasing EPAP will improve oxygenation. I'd also work on your sleeping position. Do your best to stay off your back and sleeping on a slight angle will also help. Cheers
@@CPAPReviews yes I sleep on my right side
Yes the resmed app is pretty useless other than AHI number
Hi
Wow where can I get that software?
Has an Airses10 for 5 years. Now have a Fisher-Paykel sleepstyle and my sleep is so much better
These particular settings that you are discussing in this video do they change based on the firmware you’re using for the machine and if so, does the latest firmware address the issues? I think maybe it would be beneficial to know what firmware version you are on or maybe it doesn’t make a difference but I am curious.
I don't like that Sleep HQ is tied to the US dollar. In Australia it means we can't set a budget and stick to it. The exchange rate goes up and down like a yo yo. I'm on a disability support pension and I can't pay in Australian Dollars?! That's crazy, mate! It means I can't risk investing in the Magic uploader or the Ring Pro because if I run out of money for the Sleep HQ membership, I can't use these expensive devices. There should be an option to pay in AUD for Australians.
Is this software something patients have access to to monitor sleep and therapy throughout each night, or is this sleep lab software? I feel like my machine isn't working properly and I'd like to test it.
I have ResMed 10 that replace my Philips . . what I cant figure out is the setting after where it says how many hours of sleep .. the next setting I am not sure what is means ..
Its states events .. events of what ?
Any recommendation on Hoffrichter Point 3 CPAP?