Since being diagnosed with Sleep Apnoea a couple of months back, this channel has become one of my favourite on UA-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
What’s a ramp? For fixing the awake stage with the Lowestein? Also, how do I lower the pressure or is that something I need to ask the specialist to do for me? Am I allowed to see my own charts, this video is so helpful thank you!
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
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!
What machines did you have? What model? As as far as I remember most if not all CPAP and Auto CPAP machines do not go above 20cmH2O. Glad the change worked.
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
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.
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.
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.
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. 👍
@@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.
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!
@@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.
@@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?
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!
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
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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.
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.
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!
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.
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!
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.
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.
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 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
I like my ResMed AirSense 11. It works well and adjusts up or down on auto mode, based on my breathing. My Dr. Prescribed the max pressure for me at 14. Took me about 5 days to get used to it when I got it two weeks ago and now I LOVE my CPAP!
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.
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...
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.
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.
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.
@@GreedWitchOficial 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.
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.
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
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.
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!
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.
Just recently learned i may have sleep apnea. My girlfriend is starting to go nuts with my snoring , something I never even knew I had. Thank you for your video I'm researching which cpap would be best for me.
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!
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.
All I know is I've been using my Airsense 11 for 1 year and it has worked beautifully. Not only is my sleep apnea and snoring GONE but my blood pressure has gone from high to normal and my acid reflux has virtually disappeared. So, interesting that some other machine is theoretically better but I for one will continue to vouch for my AS 11.
Nice one Doug, lots of people getting great results with ResMed. The results of the ResMed funded research are not theories though. It's real results. Cheers
@@CPAPReviews Thanks Nick. I'm not suggesting the data isn't valid. I just wanted to offer the feedback that it doesn't automatically mean ResMed units are inferior for everyone. If people are struggling with their therapy perhaps one of the machines you mentioned could help but I suspect many people are like me and doing very well with what they have, this data notwithstanding.
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.
A very narrow pressure range (12.4/13.0) works great for me. It took me a lot of trial and error to dial things in, but I find that it basically acts like a regular CPAP (not auto) with just enough variance in case I need it.
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
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.
@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.
I went for my sleep study around the middle of April, saw my sleep specialist at the end of April and he said that he was scripting my pressure range for the full range (4-20). Once I got delivery of my machine (airsense 10) near the beginning of May, the first thing I did was to go in the clinical settings and changed my pressure range to 4 to 7.8 and adjusted the response to soft. I average a high pressure of 7 every night and a AHI of about 2.5 every night.
If only the F&P lasted more than a year before breaking it would win hands down for me. And I would still own one. Now I have an ultra reliable res med.
@@anner9998 Before going on a holiday unplug your unit for a few hours and plug it back in to make sure it will turn back on. Mine only failed me when I was not able to receive support. If they ever fix the reliability it is the best machine hands down.
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
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
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….
I’m very new to CPAP- fresh meat. I’ve been watching your videos and learning a ton. So far I’m treating my apnea well but not getting any quality sleep. Hopefully it gets better. Also, insurance will only get me an Ibreeze 20 so I have no choice what machine I use. I don’t have $800 dollars to purchase a machine. I’m experiencing big surges with APAP. I hate it! Been on this thing for a month and haven’t slept for shit since being on it. My sleep doctor has prescribed 5-20 cm. I don’t think my machine is supported by Oscar or sleep HQ.
Hi Donald, I don't have a lot of experience with the iBreeze auto algorithm. As far as usability and build quality goes i think it's pretty good but until we can see how the pressure responds to sleep disordered breathing in either SleepHQ or OSCAR i think we'd be just guessing based on the AHI numbers etc. Don't worry about buying a new machine if you can't afford it and the truth is, you might not need to anyway as it might be pretty good. If it's not good, there's always things you can do to work around the flaws. Cheers brother
I have had my airsense 10 for 6 weeks. Getting used to it has been difficult. I think only a few times I was able to actually sleep with it. I have adjusted my pressures down. My AHI is only 1-2 so not sure if I really need the machine at all especially if I am unable to sleep
Like i said mate, It's exactly the same algorithm. They haven't changed it about 20 years. The results would be no different with DS2, AirSense 11 and SleepStyle etc
@@CPAPReviews Okay thank you for the explanation. I was wondering why you were using the System One. BTW the Prisma 20a is not sold in the USA. Too bad for us. Looks like a great machine.
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 UA-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
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.
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.
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
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.
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 understand these results might be a little hard to swallow for my ResMed mates but don't stress. The AirSense 10 & 11 are both incredible devices, but the information provided is important, especially for those who may be struggling with therapy comfort . If you are new to the world of cpap then join the pros and me over at community.sleephq.com and we can help you along the way. 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
ive been using the airsense 10 for a few years. High pressure has never really bothered me. Personally, I would rather the spikes from the resmed than some of the other machines that clearly aren't giving good therapy at all.
I'm actually on my second AirSense 10 (1st replaced due to age) with a F&P Eson 2 nasal mask and have found the combination to work quite well for me. I've never had a problem falling asleep (and my wife hates me for it 😆), but I found the automatic ramp felt like I wasn't getting enough air to relax and fall asleep. I turned off the ramp and have the unit set to reduce pressure on exhalation. I sleep soundly through the night and wake up refreshed. I can't sleep without the CPAP and my pulumonologist seems surprised that I use it without fail every night. I can't comprehend how folks with apnea can sleep without CPAP. Maybe I'm just an unusually easy case to treat? 🤔
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.
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!!
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.
Hey Brian, i think you should watch this one mate - ua-cam.com/video/lMrX6QEysJY/v-deo.html I'm sure they have the same problem as Philips which is why they got out of cpap. Cheers
@@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
Love the video as it provides great info on the actual therapy algorithm. I have used a CPAP machine for several years with no issues until recently switching to the AirSense 11 which I cannot tolerate as the pressure wakes me up multiple times. Now I know why. The only other machine I can get is the Luna G3. Do you have any data on how closely the Luna G3 therapy algorithm follows the blue line? Thanks for all the great videos.
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
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.
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, 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.
Great video. I am running the Löwenstein Prisma Smart Max, very similar to the Prisma 20a. You are right, it is so quiet and wonderfull small size. Even brought it on a long haul flight, with a battery attached. My question is, for this test - did the Löwenstein run in standard or dynamic APAP mode?
@@CPAPReviews looking so much forward to see your videos on this device, as I have been looking all over the internet, for reviews and stuff like this. I never trusted the APAP mode on this, therefore I have been playing a lot around on CPAP and APAP mode. I have used the PrismaTS software, for looking into my data and it helped me understand the APAP mode, which IMO looked pretty decent, and your video supported that. I always try and run for the most in CPAP mode, but now I am again back to APAP - min pressure 9 and max 14 (dynamic setting). As I look into my data last night, max pressure had only been 12, so it certainly does not rocket the pressure to the sky and I had a descent sleep. From AHI 66 to 1! Cheers 🤩. Finally i would say a BIG thanks to YOU. You are the reason I started to play around with all settings, understood the data and recieved a new life, as my doctor, here at the hospital, in Denmark, only focus on the AHI, and just sat speechless on yesterdays meeting, where I told him about my own experience and learning, after diagnose 3-4 months ago 🤩🤣🥂🙌. Normally they would never let patients run CPAP and play around, but he could see I understood about it, and let me continue. What a shame for patients, here in Denmark, as goverment pays for our CPAP equipment, and we therefore are under their responsability and treatment.
@@rasmusstubert7523 That's great, keep reviewing that data and learning! Enjoy the benefits of a top-notch auto algorithm and well-refined pressure range! Per your original q, the study used defaults of 4 to 20 and it would have been standard 'std' algorithm, because that's default out of the box for Löwenstein. That's because most beginners don't want to be hit for every little flow limitation from day one... Std is purposely designed to leave mild flow limitations alone once the pressure gets up a bit, specifically for comfort. Dynamic 'dyn' algorithm was developed to provide additional gentle responses to flow limitations even at mid to high pressure to be more proactive. If dyn had been used in the study, it would have absolutely nailed control with no noticeable compromise to comfort/pressure levels. That is if control is the main goal, it is great to have the 2 algorithms in one device.
@@jack3190 thanks for the comment on dynamic and standard, I will keep it on dynamic as I have adapted quite well to higher pressure, no ramp and no EPR. Do you know if there is a newer firmware than ver. 3.13.0006 for the Smart Max and how to get it?
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!
Hey mate, the short answer is yes. That is, all cpap machines on fixed pressure will 'try' and deliver the predetermined pressure delivery. If there is high leak then many cpap machines have trouble providing that set pressure. That is, if the set pressure is 10cm they might only provide 9cm. Once again, the Prisma20A is top of the charts in this regard. Cheers
Hey mate, the short answer is yes. That is, all cpap machines on fixed pressure will 'try' and deliver the predetermined pressure delivery. If there is high leak then many cpap machines have trouble providing that set pressure. That is, if the set pressure is 10cm they might only provide 9cm. Once again, the Prisma20A is top of the charts in this regard. Cheers
Great video. If I am not mistaken however on one of your videos you did say that the algorithm of the Resmed Airsense 11 was different to the Resmed Airsense 10. So I am a bit confused that you said both are the same here. And I am pretty sure that the Respironics System One algorithm is different from the Respironics Dreamstation algorithm. Clarification would be appreciated. Would also be great if this study could be updated and include more manufacturers and never models. Maybe SleepHQ could sponsor a new more comprehensive non-bias study.
My doctor hates auto mode. And told me why. I had an Icon for a very short time. It's a stinky machine. The heat of the water tank was switched on, on standby. If I forgot to disinfect one day, the water was rotten. My best machine was the Hoffrichter Trend II. It sensors the pressure in the mask.
@@af1966 I don't know. I have now a S10 . I can chose a provider who has a few models to choose for by my healthcare . The Hoffrichter cheap model was bad and the good models are to expensive. The air filters are the size of a package cigarettes and filtering bad odor as well. In EU the machines are still used and sold. The S10 is very loud comparing to the trend II
Unrelated I just started CPAP therapy and was prescribed a p10 nasal from my sleep study with chin strap. When I got my machine based on photo was given a full mask with foam on seal. I have facial hair (mustache/chin hair. This mask leaked like a submarine with the window open. I changed to the nasal pillow w changed to nasal pillow with chin strap. Much better performance as far as I can tell no leaks AT ALL, but resmed 11 app continually states leaks 10 or less below 20. What the HELL is going on???
Great video! However, I wander why not paying attention to the fact that the Lowenstein did fail to overcome flow limitation. It clearly says so in the conclusion at the bottom of the results, and the pressure seems below the blue kine mist if the time. Looks like a big bias in favor of this particular model.
@CPAP Reviews, Nicko, I'm really surprised that resmed funded this study and their own machine failed, just goes to show, even though they paid for it there was no bias which is a good thing. My question is, can I assume that even though none of these were the F&P Sleep Style, can I assume that it would be the same as the Icon. I'm 2 months late on a comment so I'm guessing my question will go unanswered
How do you feel about the AirSense 11? That is the machine I have. If you have any videos about the AirSense 11, please let me know and I will be sure to watch those. Thank you!
Hey mate, AirSense 11 has the same algorithm as the 10 (and the 9). It's a pretty good machine. I think i gave it a 7/10 in my review overall. It's compatible with www.sleephq.com . Cheers
(Written before watching video) I posted quit a lengthy post on the OSCAR forum. I never got a good response. Your last-ish words are correct..."they are #(*(**). To me, that algorithm for an APAP should produce a Zero (0) AHI...always. That is the purpose for auto correction, isn't it? But the three ACAPs I've used don't do that. And if you talk to a sleep dr. or therapist, they are happy if the AHI is under 5. And when I started using a CPAP in 1995, that value was important for effectiveness of the setting of the CPAP. But with the Auto? AHI should always be 0. Feel free to argue the point, which is MY opinion, which you can't say is wrong. :)
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?
I am one of those beginners jsut starting out and getting blasted in the face by the himalayas !!! :D Not liking it especially when it gets stuck on a pressure too high when its woken me up and I'm lying there for a while waiting for the pressure to drop while I'm breathing normally and eventually have to turn it off. When I mentioned that to my resmed rep, they said I was doing the right thing by just turning it off !! :(
Hey mate! Great Review. I've noticed that since review, the F&P Icon and even the Sleepstyle has been superceded by the F&P SleepStyle+ Auto. You suggested that the Sleepstyle has the same algorithm so I assum ethe Sleepstyle+ also has the same algorithm. Are the F&P and the Lowenstein still your top two picks, considering it is July 2024?
@@CPAPReviews G'day and thankyou for sharing your knowledge. I only wish I found this channel sooner. Quick summary: I've had 2 rounds of surgeries - Uvulo palato-plasty with tonsillectomy and laser tightening: failed. Then another palletoplasty with laser tongue tightening, also failed. Then another two rounds of laser snore treatments, also failed. Hospital sleep study diagnosis of severe OSA and at-home study diagnosis of same. Chronic insomnia and tried hired machines (AirSense 10) and failed both times. Tried nasal and full face. I've just bought a Sefam S.Box because after my insurance rebate I'll be out of pocket only 500 and that's with a f&p hybrid mask. Now I feel like I've made the wrong choice. All these numbers and settings are freaking me out and I haven't even received the machine yet. The Sefam seemed a good choice based on European reviews, cost, inclusions etc. But there's been no mention of settings or ongoing monitoring. I guess I'm asking if I've fkd up?
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 ua-cam.com/video/lUsLITvaQos/v-deo.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.🙂
I went to the P&K site for the US and they say the ones in the review are discontinued. I can get the Fisher & Paykel SleepStyle Auto CPAP now. I have looked at 12 sites and this is consistent here. You mentioned that you thought the outcomes or pressure control model would be consistent across the same maker. If this is true I am going to purchase the machine above. I know you don't endorse, but I am looking for a best guess.
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
Since being diagnosed with Sleep Apnoea a couple of months back, this channel has become one of my favourite on UA-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 ?
What’s a ramp? For fixing the awake stage with the Lowestein? Also, how do I lower the pressure or is that something I need to ask the specialist to do for me? Am I allowed to see my own charts, this video is so helpful thank you!
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
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!
What machines did you have? What model? As as far as I remember most if not all CPAP and Auto CPAP machines do not go above 20cmH2O. Glad the change worked.
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?
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.
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.
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! ua-cam.com/play/PLBotBASOllBZFObl-eX5IdkXW5NlDxvUW.html
I moved to a set pressure of 12 and I'm sleeping even better!!
My experience, as well.
I'm getting my first CPAP in a few days. I will try this setting.
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.
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?
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!
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
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
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.
Hey mate, we now have support on SleepHQ for all Lowenstein devices. It's our best integration yet! Cheers
Oscar 1.5.2 now supports the Löwenstein Prisma Smart machine as well.
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.
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 ua-cam.com/video/hdIHzu-S6Ks/v-deo.html
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 🤙
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!
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
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
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!
Best of luck!
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
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
Welcome to the channel :)
I like my ResMed AirSense 11. It works well and adjusts up or down on auto mode, based on my breathing. My Dr. Prescribed the max pressure for me at 14. Took me about 5 days to get used to it when I got it two weeks ago and now I LOVE my CPAP!
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.😉
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.
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 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?
@@GreedWitchOficial 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
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.
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
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
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!
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
Just recently learned i may have sleep apnea. My girlfriend is starting to go nuts with my snoring , something I never even knew I had. Thank you for your video I'm researching which cpap would be best for me.
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!
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.
All I know is I've been using my Airsense 11 for 1 year and it has worked beautifully. Not only is my sleep apnea and snoring GONE but my blood pressure has gone from high to normal and my acid reflux has virtually disappeared. So, interesting that some other machine is theoretically better but I for one will continue to vouch for my AS 11.
Nice one Doug, lots of people getting great results with ResMed. The results of the ResMed funded research are not theories though. It's real results. Cheers
@@CPAPReviews Thanks Nick. I'm not suggesting the data isn't valid. I just wanted to offer the feedback that it doesn't automatically mean ResMed units are inferior for everyone. If people are struggling with their therapy perhaps one of the machines you mentioned could help but I suspect many people are like me and doing very well with what they have, this data notwithstanding.
Does ResMed make software updates? When this is discovered
What AHI scores are you getting Doug?
@@petekadenz9465 Average is .5 or less. Almost never above 1.
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.
A very narrow pressure range (12.4/13.0) works great for me. It took me a lot of trial and error to dial things in, but I find that it basically acts like a regular CPAP (not auto) with just enough variance in case I need it.
That's the trick mate. Well played. Cheers
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
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.
I went for my sleep study around the middle of April, saw my sleep specialist at the end of April and he said that he was scripting my pressure range for the full range (4-20). Once I got delivery of my machine (airsense 10) near the beginning of May, the first thing I did was to go in the clinical settings and changed my pressure range to 4 to 7.8 and adjusted the response to soft. I average a high pressure of 7 every night and a AHI of about 2.5 every night.
Well played!
If only the F&P lasted more than a year before breaking it would win hands down for me. And I would still own one. Now I have an ultra reliable res med.
A few people have made this comment mate. Reliability is certainly important
@@anner9998 Before going on a holiday unplug your unit for a few hours and plug it back in to make sure it will turn back on. Mine only failed me when I was not able to receive support. If they ever fix the reliability it is the best machine hands down.
@hermaninc Hi man. How much time did your Sleepstyle lasted you? I was unluck and bought one already broke. The pressure wouldn't go upper than 4.
mine lasted just over a year each time before they broke.
@@GreedWitchOficial
This really is one of the best videos on PAP therapy on the internet
Glad you enjoyed it brother
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. UA-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
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
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
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….
I’m very new to CPAP- fresh meat. I’ve been watching your videos and learning a ton. So far I’m treating my apnea well but not getting any quality sleep. Hopefully it gets better. Also, insurance will only get me an Ibreeze 20 so I have no choice what machine I use. I don’t have $800 dollars to purchase a machine. I’m experiencing big surges with APAP. I hate it! Been on this thing for a month and haven’t slept for shit since being on it. My sleep doctor has prescribed 5-20 cm. I don’t think my machine is supported by Oscar or sleep HQ.
Hi Donald, I don't have a lot of experience with the iBreeze auto algorithm. As far as usability and build quality goes i think it's pretty good but until we can see how the pressure responds to sleep disordered breathing in either SleepHQ or OSCAR i think we'd be just guessing based on the AHI numbers etc. Don't worry about buying a new machine if you can't afford it and the truth is, you might not need to anyway as it might be pretty good. If it's not good, there's always things you can do to work around the flaws. Cheers brother
I have had my airsense 10 for 6 weeks. Getting used to it has been difficult. I think only a few times I was able to actually sleep with it. I have adjusted my pressures down. My AHI is only 1-2 so not sure if I really need the machine at all especially if I am unable to sleep
Wish you had done the Dreamstation 2 for this video. Would have liked to see how that performed.
Like i said mate, It's exactly the same algorithm. They haven't changed it about 20 years. The results would be no different with DS2, AirSense 11 and SleepStyle etc
@@CPAPReviews Okay thank you for the explanation. I was wondering why you were using the System One. BTW the Prisma 20a is not sold in the USA. Too bad for us. Looks like a great machine.
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 UA-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
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
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 😩
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
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?
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 understand these results might be a little hard to swallow for my ResMed mates but don't stress. The AirSense 10 & 11 are both incredible devices, but the information provided is important, especially for those who may be struggling with therapy comfort . If you are new to the world of cpap then join the pros and me over at community.sleephq.com and we can help you along the way.
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
ive been using the airsense 10 for a few years. High pressure has never really bothered me. Personally, I would rather the spikes from the resmed than some of the other machines that clearly aren't giving good therapy at all.
I'm actually on my second AirSense 10 (1st replaced due to age) with a F&P Eson 2 nasal mask and have found the combination to work quite well for me. I've never had a problem falling asleep (and my wife hates me for it 😆), but I found the automatic ramp felt like I wasn't getting enough air to relax and fall asleep. I turned off the ramp and have the unit set to reduce pressure on exhalation. I sleep soundly through the night and wake up refreshed. I can't sleep without the CPAP and my pulumonologist seems surprised that I use it without fail every night. I can't comprehend how folks with apnea can sleep without CPAP. Maybe I'm just an unusually easy case to treat? 🤔
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.
Nicko your just to funny, Thanks for making my Friday mate. Take care
Glad you enjoyed it brother. Cheers
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
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.
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 - ua-cam.com/video/lMrX6QEysJY/v-deo.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
Love the video as it provides great info on the actual therapy algorithm. I have used a CPAP machine for several years with no issues until recently switching to the AirSense 11 which I cannot tolerate as the pressure wakes me up multiple times. Now I know why.
The only other machine I can get is the Luna G3. Do you have any data on how closely the Luna G3 therapy algorithm follows the blue line? Thanks for all the great videos.
Excellent presentation... Sadly i bought Resmed yesterday,... ha ha ... maybe i can find my mean pressure and set it as maximum....
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
Good video! You’re funny too. Good personality. You make it more interesting.
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.
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
Late to the party I have set to Cpap and I have turned my down to max of 15 and start at 6 will see how it goes
Fashionably late!
Must be nice to be able to try out multiple machines or pick and choose which one you want. Apnea is not poor people friendly.
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.
Great video. I am running the Löwenstein Prisma Smart Max, very similar to the Prisma 20a. You are right, it is so quiet and wonderfull small size. Even brought it on a long haul flight, with a battery attached.
My question is, for this test - did the Löwenstein run in standard or dynamic APAP mode?
I'm not sure to be honest but i'll certainly be doing some vids on this device in the future. Looking forward to learning more about it. Cheers
@@CPAPReviews looking so much forward to see your videos on this device, as I have been looking all over the internet, for reviews and stuff like this. I never trusted the APAP mode on this, therefore I have been playing a lot around on CPAP and APAP mode. I have used the PrismaTS software, for looking into my data and it helped me understand the APAP mode, which IMO looked pretty decent, and your video supported that. I always try and run for the most in CPAP mode, but now I am again back to APAP - min pressure 9 and max 14 (dynamic setting). As I look into my data last night, max pressure had only been 12, so it certainly does not rocket the pressure to the sky and I had a descent sleep. From AHI 66 to 1! Cheers 🤩. Finally i would say a BIG thanks to YOU. You are the reason I started to play around with all settings, understood the data and recieved a new life, as my doctor, here at the hospital, in Denmark, only focus on the AHI, and just sat speechless on yesterdays meeting, where I told him about my own experience and learning, after diagnose 3-4 months ago 🤩🤣🥂🙌. Normally they would never let patients run CPAP and play around, but he could see I understood about it, and let me continue. What a shame for patients, here in Denmark, as goverment pays for our CPAP equipment, and we therefore are under their responsability and treatment.
@@rasmusstubert7523 That's great, keep reviewing that data and learning! Enjoy the benefits of a top-notch auto algorithm and well-refined pressure range! Per your original q, the study used defaults of 4 to 20 and it would have been standard 'std' algorithm, because that's default out of the box for Löwenstein. That's because most beginners don't want to be hit for every little flow limitation from day one... Std is purposely designed to leave mild flow limitations alone once the pressure gets up a bit, specifically for comfort. Dynamic 'dyn' algorithm was developed to provide additional gentle responses to flow limitations even at mid to high pressure to be more proactive. If dyn had been used in the study, it would have absolutely nailed control with no noticeable compromise to comfort/pressure levels. That is if control is the main goal, it is great to have the 2 algorithms in one device.
@@jack3190 thanks for the comment on dynamic and standard, I will keep it on dynamic as I have adapted quite well to higher pressure, no ramp and no EPR.
Do you know if there is a newer firmware than ver. 3.13.0006 for the Smart Max and how to get it?
@@rasmusstubert7523 You're welcome. That's the latest firmware you've got.
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!
Hey mate, the short answer is yes. That is, all cpap machines on fixed pressure will 'try' and deliver the predetermined pressure delivery. If there is high leak then many cpap machines have trouble providing that set pressure. That is, if the set pressure is 10cm they might only provide 9cm. Once again, the Prisma20A is top of the charts in this regard. Cheers
Hey mate, the short answer is yes. That is, all cpap machines on fixed pressure will 'try' and deliver the predetermined pressure delivery. If there is high leak then many cpap machines have trouble providing that set pressure. That is, if the set pressure is 10cm they might only provide 9cm. Once again, the Prisma20A is top of the charts in this regard. Cheers
Great video. If I am not mistaken however on one of your videos you did say that the algorithm of the Resmed Airsense 11 was different to the Resmed Airsense 10. So I am a bit confused that you said both are the same here. And I am pretty sure that the Respironics System One algorithm is different from the Respironics Dreamstation algorithm. Clarification would be appreciated. Would also be great if this study could be updated and include more manufacturers and never models. Maybe SleepHQ could sponsor a new more comprehensive non-bias study.
I'm surprised the BMC Luna G2 or G3 are not on the list, I have heard a lot of positives about them.
That is just great, fantastic, BUT we can not purchase the LOWENSTEIN prisma 20 A not available yet.. WHEN????
My doctor hates auto mode. And told me why.
I had an Icon for a very short time. It's a stinky machine. The heat of the water tank was switched on, on standby.
If I forgot to disinfect one day, the water was rotten.
My best machine was the Hoffrichter Trend II. It sensors the pressure in the mask.
@@af1966 I don't know. I have now a S10 . I can chose a provider who has a few models to choose for by my healthcare . The Hoffrichter cheap model was bad and the good models are to expensive. The air filters are the size of a package cigarettes and filtering bad odor as well. In EU the machines are still used and sold. The S10 is very loud comparing to the trend II
Fantastic 👍 Video
Very nice of you to say . Glad you enjoyed it
Where can the original Resmed study be found? Is their a paper on the comparisons of the CPAP machines?
Unrelated
I just started CPAP therapy and was prescribed a p10 nasal from my sleep study with chin strap. When I got my machine based on photo was given a full mask with foam on seal. I have facial hair (mustache/chin hair. This mask leaked like a submarine with the window open. I changed to the nasal pillow w changed to nasal pillow with chin strap. Much better performance as far as I can tell no leaks AT ALL, but resmed 11 app continually states leaks 10 or less below 20. What the HELL is going on???
Hey Steven, if you have an AirSense 11, start using www.sleephq.com . You can sign up for a free plan that gives you 30 days of rolling data
It makes me so mad that all the NHS seems to do is Phillips CPAP. No BiPAP or ASV. No other brands. Nada.
Great video! However, I wander why not paying attention to the fact that the Lowenstein did fail to overcome flow limitation. It clearly says so in the conclusion at the bottom of the results, and the pressure seems below the blue kine mist if the time. Looks like a big bias in favor of this particular model.
I noticed it too.
Why why why are you not here in the U.S. nearby....sigh. Love your videos
@CPAP Reviews, Nicko, I'm really surprised that resmed funded this study and their own machine failed, just goes to show, even though they paid for it there was no bias which is a good thing. My question is, can I assume that even though none of these were the F&P Sleep Style, can I assume that it would be the same as the Icon. I'm 2 months late on a comment so I'm guessing my question will go unanswered
How do you feel about the AirSense 11? That is the machine I have. If you have any videos about the AirSense 11, please let me know and I will be sure to watch those.
Thank you!
Hey mate, AirSense 11 has the same algorithm as the 10 (and the 9). It's a pretty good machine. I think i gave it a 7/10 in my review overall. It's compatible with www.sleephq.com . Cheers
fella the W in lowenstein is pronoced V in german ,great video,s
(Written before watching video)
I posted quit a lengthy post on the OSCAR forum. I never got a good response. Your last-ish words are correct..."they are #(*(**). To me, that algorithm for an APAP should produce a Zero (0) AHI...always. That is the purpose for auto correction, isn't it? But the three ACAPs I've used don't do that. And if you talk to a sleep dr. or therapist, they are happy if the AHI is under 5. And when I started using a CPAP in 1995, that value was important for effectiveness of the setting of the CPAP. But with the Auto? AHI should always be 0.
Feel free to argue the point, which is MY opinion, which you can't say is wrong. :)
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?
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 🍻
I am one of those beginners jsut starting out and getting blasted in the face by the himalayas !!! :D
Not liking it especially when it gets stuck on a pressure too high when its woken me up and I'm lying there for a while waiting for the pressure to drop while I'm breathing normally and eventually have to turn it off.
When I mentioned that to my resmed rep, they said I was doing the right thing by just turning it off !! :(
Nick, Great job. Thank you 👍
Legend!
Mate you're absolutely smashing it! It's inspirational
Hey mate! Great Review. I've noticed that since review, the F&P Icon and even the Sleepstyle has been superceded by the F&P SleepStyle+ Auto. You suggested that the Sleepstyle has the same algorithm so I assum ethe Sleepstyle+ also has the same algorithm. Are the F&P and the Lowenstein still your top two picks, considering it is July 2024?
Correct, the SleepStyle + is pretty much the exact same device (The marketing team added a +) Cheers
@@CPAPReviews G'day and thankyou for sharing your knowledge. I only wish I found this channel sooner. Quick summary: I've had 2 rounds of surgeries - Uvulo palato-plasty with tonsillectomy and laser tightening: failed. Then another palletoplasty with laser tongue tightening, also failed. Then another two rounds of laser snore treatments, also failed. Hospital sleep study diagnosis of severe OSA and at-home study diagnosis of same. Chronic insomnia and tried hired machines (AirSense 10) and failed both times. Tried nasal and full face.
I've just bought a Sefam S.Box because after my insurance rebate I'll be out of pocket only 500 and that's with a f&p hybrid mask. Now I feel like I've made the wrong choice. All these numbers and settings are freaking me out and I haven't even received the machine yet. The Sefam seemed a good choice based on European reviews, cost, inclusions etc. But there's been no mention of settings or ongoing monitoring. I guess I'm asking if I've fkd up?
Why did this get edited when the winner was said?
He bailed - didn't pick a winner.
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 ua-cam.com/video/lUsLITvaQos/v-deo.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.🙂
I went to the P&K site for the US and they say the ones in the review are discontinued. I can get the Fisher & Paykel SleepStyle Auto CPAP now. I have looked at 12 sites and this is consistent here. You mentioned that you thought the outcomes or pressure control model would be consistent across the same maker. If this is true I am going to purchase the machine above. I know you don't endorse, but I am looking for a best guess.
You are doing better than I am, I can't find one to order. Maybe I need to sleep...ah the cycle of doom.
@@genuineimpulse9134 If you are in the US I can send you the link.
nice video Nick, can you tell on power failure alarm on different cpap devices
So thankful for 2x speed increase on youtube videos lol
have a link to the original source by any chance or what I can search for to find the original report?
Yes mate, i put it in the vid description
Saw the report but dont see the comparison data@@CPAPReviews