in this video you go over how the ResMed system is missing events and that the persons reported AHI of ~10 is actualy closer to ~20 AHI.. It is always good to call out these situations where the systems are not properly identifying AHI events but if that is such a common thing SleepHQ could develop your own analisys of data that you import and apply your own analyisis anf flags to the data that is imported OR allow manual flags to be added to the data by the end user to provide a more real view of AHI than the machine is just reporting.
That would be interesting. It could run an algorithm of its own upon import/upload, and have a section dedicated to SleepHQ-labelled flags that the user can toggle on and off.
Its all depending on the algorithm yes. I cannot run cpap, as pressure needs to be constantly to high, and affects sleep too much. I am thankful to have the Löwenstein Prisma Smart Max, which has an algorithm you can trust and makes small increases/decreases - depending on need, but also flow limitation (in dynamic mode). Therefore i run my APAP from 9-13, which is perfect as long my leaks are low and I sleep on right side (13 too high constantly). Thought the Resmed machines were better than the more “unknown” Löwenstein. I was wrong and still awaits uncle Nicko’s review on that matter 😍.
EPS is generally bad, it can pull CO2 out of your system which is the signal to breath. I did a pressure of 10.2 which wasn't doing it. I turned off EPS and O2 levels went up and events dropped to just shy of normal. The rest was accomplished by turning off ramp. Set the damn thing so that it doesn't leak and sleep, that ramp is just "free apnea event time" and then added a mild boost to the pressure range. As I lost weight, I periodically experiment with lower pressure and see the result and that allows me to step it down as the weight goes off.
I set mine to autoset a few days ago to try it out. I woke up with headaches again and was exhausted all day. Set it back to the my standard pressure of 12, and I'm back to normal. It may have been a glitch, but i don't think autoset is for everyone. A little experimentation goes a long way.
All I know is; when I put on my mask and go to sleep and wake up the next morning....I'm not dozing off at stop signs/lights nor while driving down the road.
@Jay G. yeah no need to worry about all the heart attacks and strokes. As long as there's no car accidents all is well. Like saying to a diabetic, hey don't worry about your blood sugar levels. As long as your Kidneys don't pack up and fail eat as much Cake as you like. Ignorance is BLISS but personally i'd prefer an extra 5 years on earth especially considering it takes about 7 days to get the settings perfect. It also dramatically improves comfort, mask leaks and everything else.
@@CPAPReviews I tend to agree, my doctor is pretty straight with her responses, and the first thing she said when she read my sleep test results is "I'm very surprised you are not dead". Apparently my AHI was 65 and my O2 was at 70% for most of my sleeping hours. She then told me that I had to leave work right now and head to my local Resmed seller for a CPAP trial. It was an immediate success, but it did take nearly 6 months for me to not take masks off and get my settings right. Without looking at the charts and knowing what the results mean, as well as how to influence them in the right way I doubt I would have got there in the end. And I have this channel, along with other resources to thank for that. Knowing the behind the scenes stuff is crucial for you to make informed decisions instead of blindly changing settings.
@@CPAPReviews I signed up for sleephq and love it! I really wish I had someone to look at my results as my dr isn't very helpful. I've been on cpap for 5 years and never knew anything till I found your channel. When I had my study it was bad..157/hour. Just wish I could get my settings where they need to be.
Hi Nick, great job ! 😊 l just got in the world of apneas and everything that goes with…. Question: How do you obtain the detailed analytics you produce in this video ? Thanks
@CPAP Reviews my auto set has been set to the soft response since I got it. my pressure graph looks nothing like the one on here for the soft response mode. mine ramps up very very quickly and then drops off quickly as well. you might be interested in looking at my graph just to see the difference.
Thanks for the advice. I've been buggering around with my settings so much I'm thinking of setting it back to my initial specialists' settings and starting again. I've gotten the the stage it seems I cannot sleep longer that 2.5 hrs without waking all nite. It's doing hell for my sleep and Im so exhausted. I often find myself slipping my mask off and getting an additional 5hrs sleep uninterrupted without the mask. I'm at a loss...
Interestingly, I don’t recall when exactly I changed the setting to soft but I’ve had really bizarre gradual pressure increases when nothing was actually happening and since then switched to constant pressure with EPR at 3. I am excited to try standard with lower EPR
Very interesting. I'm stuffed with my machine, the sleep specialist knows less than you and I feel like I have to accept an AHI between 9-15 everynite and waking with swollen eyes exhausted. Im at the stage of giving up. With my AHI at those levels is it even worth continuing therapy?
I turned off auto and made it fixed pressure. Changed my life!!! And my machine is a BMC and none of the 3rd party apps work so it was lots of trial and error. I have a airsense 10 so will see if my pressure os set right.
Why don't they use machine learning to flag the OA marks? Something, that is clearly visible for the naked human eye, should be detectable by a AI algorithm as well.
Thanks for that uncle, just exactly what I wanted to know. I'm currently using an Airmini as my primary machine but looking to invest in the Lowenstein Prisma 20A re your recent vid. Is this machine compatible with SleepHQ? Or should I just go with an Airsense10, as I'm a FIFO worker and would just rather use the mini as a backup. Your thoughts?
Thank you for all the great videos. Soft seems to be okay for me right now. I'm slowly adjusting settings trying to get the best results, but my last few days AHI has been between 0.1 and 0.73.
Thank you so much for this. I'm a newbie and really want to get the airmini because i camp and travel and can't afford to buy two machines...i saw in your video that I don't get the data like you've just demonstrated with....am I essentially going to have to play a guessing game with levels/settings as a result?
What would be considered the best for the ramp time on the resmed 10. It has the option from 5-45 also off and auto. And i moved the min air from 4 to 5 and the start pressure to 5 so it doesn't feel restricted.
I've been using the Airsense 11 for a little over 3 months and the pressure was way too high in my case. I have the limit at 12 and that seems to be the right spot.
This is not related, but for some reason, if my airway is obstructed even slightly, it causes me to hold my breath when I sleep, even when breathing through my nose. I wear a device for canker sore, it goes in the mouth, similar to that of a pacifier by design. I like the big one, but I can;t have it in my mouth when I sleep, even though I'm getting adequate air flow, my brain has a very restricted setting that is like, airflow below 5% (joke) stop breathing. Someone else suggested that because something is around my mouth and is even slightly obstructing my breathing, that my brain registers it as the same thing as when you're in water and up to your chin in water and is trying to save you from 'drowning', like an anti-drowning defence to keep you awake or make you hold you breath. Another suggested that I somehow set my self up psychologically for it, but it's automatic.
So, if I had a SD card in my machine I would be able to see that data with some kind of app? I dont have a cell, but have PC. what do I need to do to be able to see that kind of data? I have the Airsense 11.
How can I find out if my machine is set to regular or soft. Do I call my Dr or my Cpap supplier? I have the airsense 10. Does it even have those setting choices?
If you want to take a good look at your cpap charts join SleepHQ.com it's free to use and you simply upload your CPAP SD card data. If you don't have an SD card you will need to order one and insert it into your CPAP. Cheers
@@wasatchwizard4770 I agree it will be the next big change, but I disagree about it being ready to go now. Yes, they COULD, but they shouldn't. That kind of thing needs to be evaluated and studied A LOT before being used in a medical setting. AI is still in its infancy. And given the demonstrated responsibility level of these device manufacturers, I think a go-slow approach is warranted.
@@BLenz-114 I get what you're saying. I'm actually an engineer that's worked in developing medical devices, and I'm familiar with what level of detail they take. AI is not new however. This would technically be machine learning - a branch of AI that has been around for decades, and is a lot easier than something like ChatGPT. What makes it feesable now is the processing power it would take has become cheap enough to use in something like this.
@@wasatchwizard4770 Ah. OK. I see where you're coming from now. So, then, with your background, what would you guess is the "origin" of the current algorithms in use in these devices? Are they just "if/then" code that someone wrote, or are they already maybe based on some machine learning? I'm probably not asking the question well, but do you take my meaning? Do you have some insight into how they are developed? Thanks.
Okay so there control algorithm on the fast response is over shooting, the slow response is under shooting, What I suggest that they do is datalog the users sleep patterns average them out in a nightly manor over time the more date you have the better, average the pressure out over time and adjust using the data points, or use a Kalman it averages in real time the more it is used the more accurate it becomes, the kalman filter takes the sensors data and adjusts its output based on the errors over time at first start up it approximates where it thinks the output should be. not sure if there current algorithm is using PID loops what ever it is it’s not tuned properly, if it’s over and under shooting. I don’t understand why these control companies try to reinvent the wheel, stick to basics that work… kalman filter is used to approximate a drones position in a 3d space it can also be used with a single input…. NASA used it in there space craft sensors to make there sensors more accurate…. It’s pretty easy to implement for a single sensor…
This is so confusing. Since the machine has access to all this information, it's the one recording it after all, it seems like it should just handle this itself!
9:05 The auto is terrible....manual on 8 with some humidity...nasal pillows mask...on my back....no air leaks ( my air score 100 or close every night,) best sleep in years...wife says I am a new man to sleep with WHAT!!!! Lol
Hi Nick, this is really good. I had a question about those missed apnea detections (from the ResMed machine) and hence the effect on AHI. Couldn’t SleepHQ automagically flag those as the data exists? And then provide a ‘more likely’ AHI?
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
Res med airsense 11. APAP. I have EPR on full time at level 3. Soft response. Range 7-13. Pillows. I have a perfect mask seal every night. AHI is usually less than or equal to 1. When I read the results in the morning, the pressure is usually 9-11. I'm afraid that if I switch to standard response, it will be too aggressive. It seems like because I'm a low pressure patient I can get away with the standard response. Should I still concidered changing it?
If you mimic that your air is blocked it increases pressure, it tries to match sleep cycle and do high pressure for rem sleep but i get up alot so it restarts to 6. if you hold both menu buttons it lets you change deep settings, i like it starting higher, but i hate the starting pressure at 6. I need like 8-9, and i hate when it pops between breaths when its too humid. I hate that if i swallow it pops my ears though, and my teeth feel wierd in morning from how tight it is against lower front teeth. I set it to CPAP instead kf auto and it started at pressure 18, pretty intense. Also, I hate when it smells like alcohol or if the dog farts in the room its freaking torture!
I’m really appreciating these videos. I’ve just been through the whirlwind of finding out I have OSA, license suspended and adjusting to therapy - all with very little information or education. You’re informative and honest, so thank you!
I’ve only had it about three weeks and I’m constantly waking up and ripping my mask off in my sleep needing to take a deeper breath than my mask will allow
I am seeing the same issue with my ResMed missing flags, although I find it interesting that I had the same issue with my Philips machine. I believe that it is a programming design decision to make the use of the machines look better by appearing that they are lowering the number of times that the user encountered issues because of the machine use. Just my thoughts
??? what is good about this? He showed that in soft response, the pressure did not increase in response to a hypopnea. And then he recommended switching to regular response mode. But he never showed that regular response mode increases pressure in response to a hypopnea. So, he missed his own point by failing to make it. And you (and many others) failed to notice that he didn't actually make his point. This is like saying "if Albert isn't the murderer, then it must have been Benjamin" without any further evidence.
I have an airsense 10 and I've opted to alter several settings and I sleep quite wonderfully and never have an AHI during a "session" if you will higher than 5 (I've been instructed to use my cpap machine anytime I'm laying in bed out of high risk for falling asleep by my sleep medicine provider, neurologist and pain management provider). Setting changes that I've made are as follows- Change pressure range from 4 to 20 to 4 to 7.8. I can't go higher than 7.8 because the split second the machine hits a pressure of 8 I wake up with a MASSIVE jolt. Changed EPR from 2 to 3. Changed response from standard to soft as I'm easily woken by sudden changes in pressure wakes me up from a deep sleep. Lastly, I purchased a non humidifier side plate to change out the humidifier chamber. This isn’t to say that I would never use a humidifier chamber but I have an in-line HME device for my humidification needs so use of a humidifier chamber is a bit of a moot point considering the HME device that is in-line on my tubing setup.
Thanks, trying EPR off and lower Max. Though comfort wise I seem to be one of the lucky ones, over about 10 years cpap has given me almost no issues except for one period of mask leaks that turned out to be may fault, over time the mask becoming to loose.
I have been using a machine for 23 years. My old resmed is 10 years old. It’s set on 10…the same that is has been all these years after several tests. I had a new test…new machine…this Resmed 11… it’s in the closet. I’m using my old machine. That new piece of junk keep using all the water in 6 hours…hard to open with bad hand. Yes…it says motor old…has for years ! I’ll use my old one and try to buy its mate on the internet.
I met with my sleep doctor today. I told him I'm keeping my ResMed s9. You have done videos about replacing the turbine motor. Where can I get one? Thanks
I had my new machine n your right. My machine took over and pushed so much air into me i could breath out n mine is a bi pap where its should kill down. But it didnt. It was so high blowing that it blow air out of the machine it self also. My older machine worked better same brand
Yeah, I have been struggling to breathe! I've been thinking about contacting the doctor again because it's difficult. Thank you for the video and information
@cpapreviews Wondering if you are considering adding a CO2 monitor to your ring. I'm a CO2 retainer and have started BIPAP but they don't know if the pressures are right for me and their methods will take forever to figure that out. I'd like more info and more than spot checks every 6 months or so.
Ok let me get this straight. I had a base of seven. I upped it to eight. I changed the easy pressure to three. So what your saying is since I set it to three I need to set my start from seven to ten.
Hey my name is layne I’m 22 years old and I have resmed air 11 I have it on auto start so when I breath in it it start up and before I got my Cpap I didn’t sleep as good until got my ressmed air 11 I feel so much better with my cpap
Thank you! You explain this so well! I have to see about my CPAP. I realized how some of these functions may not keep up. In the middle of the night I might go downstairs for some reason, coming back up the stairs, and going back to bed, my breathing was labored and my heart rate was up. I would put the CPAP back on to try and go back to sleep. The CPAP was so LOW that I take it off and let my body "normalize", then put it back on a bit later. God bless! AL in CT
I had to switch mode to cpap from automatic as it was always causing air leaks before and waking me at times....now just set at 8 I have no mask leaks and all is well with minimal ahi.
have a squizz at the inhale vs exhale rate. the machine may have noticed the inhale rate was higher than the exhale rate and reduced the pressure to him to exhale easier since the hyppnea is reduced breathing then once he hit OA it ramped up to overcome the blockage. i honestly have no idea, i have just gotten into the C-PAP world after trialing an airsense10 and awaiting arrival of my new airsense11
Is this software something patients have access to to monitor sleep and therapy throughout each night, or is this sleep lab software? I feel like my machine isn't working properly and I'd like to test it.
Thank you for this interesting information, Nick. I'm going to discuss this with my sleep doctor. Maybe I will even give him a link to this video, or better yet, suggest that he subscribes to your channel! 🙂👍
Air Sense 11. My 12 Month Average is__ Days Used 333/339 - AHI 2.1 - Obstructive AI 0.6 - Central AI 0.8 - Total AI 1.5 - Leak 5L/min - AHI 2.1 - Total AI 1.5. - Average time used is 7.2 hours - Pressure 9.8. I received my machine on October 5th 2023. I score mostly 100's about 28 days out of the month. It's set to Start with Auto Sense ON. I use it for at least 7 hours per night. I feel great. Without it, I scored 76 events per hour. I was a disaster, had severe headaches & I was super tired all the time... I'll take the results I'm getting with how the machine is set.
I just got my Airsense11 after running my Airsense10 since 2015, missing only 6 nights over that period but have been getting "end of service life" message for about the last six months so decided to upgrade. As many others have shared, it was a life changer for me and although I could probably so without it now that I have lost over 100lbs, I'm like a crate trained dog and don't even want to think about sleeping without it. If you're on the fence, just stick with it for 2 weeks and I can't imagine it won't do the same for you.
With fixed pressure, you either settle for a pressure that gives you less than 100% control, or you pick a higher pressure that gives you 100% control but is more than you need for most of the night and may be uncomfortable. I suspect APAP with an intelligently chosen range would be the best, but most patients don't get the quality of care for that and have to seek it on their own.
For example, I sometimes wake up with very high pressure. I reset the machine and go back to sleep. Would it be better to set a lower max so I don't wake up all the way, but at the price of having a few uncontrolled events? I don't know. I may think about experimenting on myself.
@@StrongDreamsWaitHere Hey, I'm not a sleep tech, but just with my own experience . . . Yes, you should reduce your max pressure. If it's waking you up, then it's counter-productive. Your goal should NOT be 0 events, it should be a low AHI (below 5 for sure and ideally below 2 or so, I'd say) and a restful night's sleep. Most folks have good control of apnea at about 10cm, and the machine will go to 20cm. My advice, without knowing anything about you or seeing your sleep data, would be to set your max pressure at 15cm as a trial and watch your AHI numbers every day. As long as your numbers are below 5 for a few days, drop the pressure by 1cm and watch for a few days again. If your AHI increases, then go back up a cm or two. Ideally you will find the lowest top pressure that will keep you apnea controlled. And DO give each setting a few days to a week. A single night's AHI is not a good indicator, it can bounce around a bit. Again, I'm not any kind of expert, If anyone here thinks I'm giving bad advice, please share.
Thank you, I had been fighting getting my Resmed to give me the responses that I was getting when I first got the machine. I had even gone in to the settings and set all to default but I'm guessing "Soft" response is the default. I have set mine back to "Standard" and I bet this fixes my issues. I also will play with the max pressures as I have always had 20 as a default and that's probably to high.
Hi Jimmy, here's a little vid i did which shows how to change the response - ua-cam.com/users/shorts5xXrxxg8Pqk?feature=share . I recently dropped a video which shows how the AirSense delivers too much pressure - Here's the vid if you want to watch - ua-cam.com/video/v6_NHkXgSRU/v-deo.html . All the best mate
I guess my question would be my events tend to be under 3 fairly consistent but I'm still always tired when I wake up. I believe my setting on the resmed 11 is 6 to 15. How can I improve on that? Also my oxygen levels are generally below 90. Typically around 85.
Hey mate, it's very hard to provide advice without seeing any data or breathing however you're likely tired because of those low O2 levels and normally increasing EPAP will improve oxygenation. I'd also work on your sleeping position. Do your best to stay off your back and sleeping on a slight angle will also help. Cheers
in this video you go over how the ResMed system is missing events and that the persons reported AHI of ~10 is actualy closer to ~20 AHI.. It is always good to call out these situations where the systems are not properly identifying AHI events but if that is such a common thing SleepHQ could develop your own analisys of data that you import and apply your own analyisis anf flags to the data that is imported OR allow manual flags to be added to the data by the end user to provide a more real view of AHI than the machine is just reporting.
That would be interesting. It could run an algorithm of its own upon import/upload, and have a section dedicated to SleepHQ-labelled flags that the user can toggle on and off.
Its all depending on the algorithm yes. I cannot run cpap, as pressure needs to be constantly to high, and affects sleep too much. I am thankful to have the Löwenstein Prisma Smart Max, which has an algorithm you can trust and makes small increases/decreases - depending on need, but also flow limitation (in dynamic mode). Therefore i run my APAP from 9-13, which is perfect as long my leaks are low and I sleep on right side (13 too high constantly). Thought the Resmed machines were better than the more “unknown” Löwenstein. I was wrong and still awaits uncle Nicko’s review on that matter 😍.
I tried soft response and didn’t like it so I changed it back. Now I know why. Excellent explanation. Thanks Nick
EPS is generally bad, it can pull CO2 out of your system which is the signal to breath. I did a pressure of 10.2 which wasn't doing it. I turned off EPS and O2 levels went up and events dropped to just shy of normal. The rest was accomplished by turning off ramp. Set the damn thing so that it doesn't leak and sleep, that ramp is just "free apnea event time" and then added a mild boost to the pressure range. As I lost weight, I periodically experiment with lower pressure and see the result and that allows me to step it down as the weight goes off.
I set mine to autoset a few days ago to try it out. I woke up with headaches again and was exhausted all day.
Set it back to the my standard pressure of 12, and I'm back to normal.
It may have been a glitch, but i don't think autoset is for everyone. A little experimentation goes a long way.
All I know is; when I put on my mask and go to sleep and wake up the next morning....I'm not dozing off at stop signs/lights nor while driving down the road.
@Jay G. yeah no need to worry about all the heart attacks and strokes. As long as there's no car accidents all is well. Like saying to a diabetic, hey don't worry about your blood sugar levels. As long as your Kidneys don't pack up and fail eat as much Cake as you like. Ignorance is BLISS but personally i'd prefer an extra 5 years on earth especially considering it takes about 7 days to get the settings perfect. It also dramatically improves comfort, mask leaks and everything else.
@@CPAPReviews I tend to agree, my doctor is pretty straight with her responses, and the first thing she said when she read my sleep test results is "I'm very surprised you are not dead". Apparently my AHI was 65 and my O2 was at 70% for most of my sleeping hours. She then told me that I had to leave work right now and head to my local Resmed seller for a CPAP trial. It was an immediate success, but it did take nearly 6 months for me to not take masks off and get my settings right. Without looking at the charts and knowing what the results mean, as well as how to influence them in the right way I doubt I would have got there in the end. And I have this channel, along with other resources to thank for that. Knowing the behind the scenes stuff is crucial for you to make informed decisions instead of blindly changing settings.
@@CPAPReviews I signed up for sleephq and love it! I really wish I had someone to look at my results as my dr isn't very helpful. I've been on cpap for 5 years and never knew anything till I found your channel. When I had my study it was bad..157/hour. Just wish I could get my settings where they need to be.
Ok but how do I change that setting?
People reviewing and digging their machines will only benefit the masses. Not sure why the comments are so aggressive
Well.. maybe that is why his machine has it set to 20 max? 20-3 = 17 which is where you said the max should be (if EPR wasn't on).... eh?
Hi Nick, great job ! 😊 l just got in the world of apneas and everything that goes with…. Question: How do you obtain the detailed analytics you produce in this video ? Thanks
@CPAP Reviews my auto set has been set to the soft response since I got it. my pressure graph looks nothing like the one on here for the soft response mode. mine ramps up very very quickly and then drops off quickly as well. you might be interested in looking at my graph just to see the difference.
Thanks for the advice.
I've been buggering around with my settings so much I'm thinking of setting it back to my initial specialists' settings and starting again. I've gotten the the stage it seems I cannot sleep longer that 2.5 hrs without waking all nite.
It's doing hell for my sleep and Im so exhausted. I often find myself slipping my mask off and getting an additional 5hrs sleep uninterrupted without the mask.
I'm at a loss...
I have exactly the same problem so I totally understand we’re your coming from need an expert to sort this out for me
Greta video... Thank you.
Interestingly, I don’t recall when exactly I changed the setting to soft but I’ve had really bizarre gradual pressure increases when nothing was actually happening and since then switched to constant pressure with EPR at 3. I am excited to try standard with lower EPR
Very interesting. I'm stuffed with my machine, the sleep specialist knows less than you and I feel like I have to accept an AHI between 9-15 everynite and waking with swollen eyes exhausted.
Im at the stage of giving up. With my AHI at those levels is it even worth continuing therapy?
I turned off auto and made it fixed pressure. Changed my life!!! And my machine is a BMC and none of the 3rd party apps work so it was lots of trial and error. I have a airsense 10 so will see if my pressure os set right.
Has an Airses10 for 5 years. Now have a Fisher-Paykel sleepstyle and my sleep is so much better
Why don't they use machine learning to flag the OA marks? Something, that is clearly visible for the naked human eye, should be detectable by a AI algorithm as well.
Great video! What about ResMed 10 and the for her setting? My wife uses that and no EPR. AHI always looks good. Comments?
I tried the soft response and though it was not better.
Has resmed confirmed of denied these settings? I just got the airsense 11.
Thanks for that uncle, just exactly what I wanted to know. I'm currently using an Airmini as my primary machine but looking to invest in the Lowenstein Prisma 20A re your recent vid. Is this machine compatible with SleepHQ? Or should I just go with an Airsense10, as I'm a FIFO worker and would just rather use the mini as a backup. Your thoughts?
Excellent advice Niko
Thank you for all the great videos. Soft seems to be okay for me right now. I'm slowly adjusting settings trying to get the best results, but my last few days AHI has been between 0.1 and 0.73.
Hi
Wow where can I get that software?
thank you lots
Always welcome Mark. Cheers brother
I have the Resmed I see on the video, bottom right corner. How do I get the charts you are showing in the video?
Thank you so much for this. I'm a newbie and really want to get the airmini because i camp and travel and can't afford to buy two machines...i saw in your video that I don't get the data like you've just demonstrated with....am I essentially going to have to play a guessing game with levels/settings as a result?
Thanks!
G'day Johnny, thanks for the channel donation mate. Much appreciated. All the best
What would be considered the best for the ramp time on the resmed 10. It has the option from 5-45 also off and auto. And i moved the min air from 4 to 5 and the start pressure to 5 so it doesn't feel restricted.
I've been using the Airsense 11 for a little over 3 months and the pressure was way too high in my case. I have the limit at 12 and that seems to be the right spot.
This is not related, but for some reason, if my airway is obstructed even slightly, it causes me to hold my breath when I sleep, even when breathing through my nose. I wear a device for canker sore, it goes in the mouth, similar to that of a pacifier by design. I like the big one, but I can;t have it in my mouth when I sleep, even though I'm getting adequate air flow, my brain has a very restricted setting that is like, airflow below 5% (joke) stop breathing.
Someone else suggested that because something is around my mouth and is even slightly obstructing my breathing, that my brain registers it as the same thing as when you're in water and up to your chin in water and is trying to save you from 'drowning', like an anti-drowning defence to keep you awake or make you hold you breath.
Another suggested that I somehow set my self up psychologically for it, but it's automatic.
So, if I had a SD card in my machine I would be able to see that data with some kind of app? I dont have a cell, but have PC. what do I need to do to be able to see that kind of data? I have the Airsense 11.
How do I print out a free report from the data from my CPAP machine?
Nick, how do I adjust my machine?
How can I find out if my machine is set to regular or soft. Do I call my Dr or my Cpap supplier? I have the airsense 10. Does it even have those setting choices?
Very simple, enter the doctors menu, hold home button and hold the round button at the same time
If you have trouble finding it, I think you will find this is the one setting that is different between the "him" and the "her"
Very helpful! I have the air sense 10, does this apply to it as well or just a problem with the air sense 11
@@thomasfraga1639 I know nothing about the 11. I thought we were talking about 10's?
@@stusue9733 That makes sense Thanks
How do we get that graph?
If you want to take a good look at your cpap charts join SleepHQ.com it's free to use and you simply upload your CPAP SD card data. If you don't have an SD card you will need to order one and insert it into your CPAP. Cheers
People that have UARS is fine to leave it on soft?
ResMed should add a machine learning / AI algorithm
AI was built for this shit! Would be incredible
That's got to be the next evolution in CPAPs. There's really no reason they couldn't do it now.
@@wasatchwizard4770
I agree it will be the next big change, but I disagree about it being ready to go now. Yes, they COULD, but they shouldn't. That kind of thing needs to be evaluated and studied A LOT before being used in a medical setting. AI is still in its infancy. And given the demonstrated responsibility level of these device manufacturers, I think a go-slow approach is warranted.
@@BLenz-114 I get what you're saying. I'm actually an engineer that's worked in developing medical devices, and I'm familiar with what level of detail they take. AI is not new however. This would technically be machine learning - a branch of AI that has been around for decades, and is a lot easier than something like ChatGPT. What makes it feesable now is the processing power it would take has become cheap enough to use in something like this.
@@wasatchwizard4770
Ah. OK. I see where you're coming from now.
So, then, with your background, what would you guess is the "origin" of the current algorithms in use in these devices? Are they just "if/then" code that someone wrote, or are they already maybe based on some machine learning? I'm probably not asking the question well, but do you take my meaning? Do you have some insight into how they are developed? Thanks.
I have a ResMed S9. Could you PLEASE tell my where I can get the turbine motor?????????? Thanks
It's like Greek to me😮
I hear ya mate, it's certainly more advanced info
Okay so there control algorithm on the fast response is over shooting, the slow response is under shooting, What I suggest that they do is datalog the users sleep patterns average them out in a nightly manor over time the more date you have the better, average the pressure out over time and adjust using the data points, or use a Kalman it averages in real time the more it is used the more accurate it becomes, the kalman filter takes the sensors data and adjusts its output based on the errors over time at first start up it approximates where it thinks the output should be.
not sure if there current algorithm is using PID loops what ever it is it’s not tuned properly, if it’s over and under shooting. I don’t understand why these control companies try to reinvent the wheel, stick to basics that work… kalman filter is used to approximate a drones position in a 3d space it can also be used with a single input…. NASA used it in there space craft sensors to make there sensors more accurate…. It’s pretty easy to implement for a single sensor…
😍
Ima go ahead and listen to my doctor instead of this guy
I'm not taking advice from a guy with a Peter Dinklage face. The machine works well
This feels unnecessarily mean.
This is so confusing. Since the machine has access to all this information, it's the one recording it after all, it seems like it should just handle this itself!
Thank you
9:05 The auto is terrible....manual on 8 with some humidity...nasal pillows mask...on my back....no air leaks ( my air score 100 or close every night,) best sleep in years...wife says I am a new man to sleep with WHAT!!!! Lol
Hi Nick, this is really good. I had a question about those missed apnea detections (from the ResMed machine) and hence the effect on AHI. Couldn’t SleepHQ automagically flag those as the data exists? And then provide a ‘more likely’ AHI?
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Uncle Nicko
OMG why do you speak so slowly and drag this shit out with unneeded commentary? I wanted to be dead by minute 3.
Res med airsense 11. APAP. I have EPR on full time at level 3. Soft response. Range 7-13. Pillows. I have a perfect mask seal every night. AHI is usually less than or equal to 1. When I read the results in the morning, the pressure is usually 9-11. I'm afraid that if I switch to standard response, it will be too aggressive. It seems like because I'm a low pressure patient I can get away with the standard response. Should I still concidered changing it?
seems like your doing great, wouldnt change a thing
If you mimic that your air is blocked it increases pressure, it tries to match sleep cycle and do high pressure for rem sleep but i get up alot so it restarts to 6. if you hold both menu buttons it lets you change deep settings, i like it starting higher, but i hate the starting pressure at 6. I need like 8-9, and i hate when it pops between breaths when its too humid. I hate that if i swallow it pops my ears though, and my teeth feel wierd in morning from how tight it is against lower front teeth. I set it to CPAP instead kf auto and it started at pressure 18, pretty intense. Also, I hate when it smells like alcohol or if the dog farts in the room its freaking torture!
I’m really appreciating these videos. I’ve just been through the whirlwind of finding out I have OSA, license suspended and adjusting to therapy - all with very little information or education. You’re informative and honest, so thank you!
I’ve only had it about three weeks and I’m constantly waking up and ripping my mask off in my sleep needing to take a deeper breath than my mask will allow
@@beardedguy8357same using at 19
Exactly the same… have it now for 2 weeks!
Same !
Ditto.
@@Maltese280zxupdate after a year switching from a full face mask to a nasal pillow was a game changer
Thank you. My machine is set to 5-15, and it has been working well for me and my apnea condition.
Glad to hear it mate!
WOW I did not know a person could chang their own setings. I thought it had to be done by the place i got my machine from.
Yes you can but your insurance may have issues with the setting changes.
@@MR_DOMEoops well too late 😂
I am seeing the same issue with my ResMed missing flags, although I find it interesting that I had the same issue with my Philips machine. I believe that it is a programming design decision to make the use of the machines look better by appearing that they are lowering the number of times that the user encountered issues because of the machine use. Just my thoughts
Excellent presentation and information. Thanks Nick. Videos really help in trying to understand the sleephq data.
??? what is good about this? He showed that in soft response, the pressure did not increase in response to a hypopnea. And then he recommended switching to regular response mode. But he never showed that regular response mode increases pressure in response to a hypopnea. So, he missed his own point by failing to make it. And you (and many others) failed to notice that he didn't actually make his point. This is like saying "if Albert isn't the murderer, then it must have been Benjamin" without any further evidence.
I have an airsense 10 and I've opted to alter several settings and I sleep quite wonderfully and never have an AHI during a "session" if you will higher than 5 (I've been instructed to use my cpap machine anytime I'm laying in bed out of high risk for falling asleep by my sleep medicine provider, neurologist and pain management provider).
Setting changes that I've made are as follows-
Change pressure range from 4 to 20 to 4 to 7.8. I can't go higher than 7.8 because the split second the machine hits a pressure of 8 I wake up with a MASSIVE jolt.
Changed EPR from 2 to 3.
Changed response from standard to soft as I'm easily woken by sudden changes in pressure wakes me up from a deep sleep.
Lastly, I purchased a non humidifier side plate to change out the humidifier chamber. This isn’t to say that I would never use a humidifier chamber but I have an in-line HME device for my humidification needs so use of a humidifier chamber is a bit of a moot point considering the HME device that is in-line on my tubing setup.
Thanks, trying EPR off and lower Max. Though comfort wise I seem to be one of the lucky ones, over about 10 years cpap has given me almost no issues except for one period of mask leaks that turned out to be may fault, over time the mask becoming to loose.
How would I upload data to SleepHQ if my machine doesn't have an SD card? I believe the data is uploaded via a modem to my provider.
I have been using a machine for 23 years. My old resmed is 10 years old. It’s set on 10…the same that is has been all these years after several tests. I had a new test…new machine…this Resmed 11… it’s in the closet. I’m using my old machine. That new piece of junk keep using all the water in 6 hours…hard to open with bad hand. Yes…it says motor old…has for years ! I’ll use my old one and try to buy its mate on the internet.
Me too. Now that I have a new machine i appreciate my old one much more. Yes, I don't like it running out of water in the middle of the night either.
Amazing video thank you
Cheers Matt, appreciate the great comment mate. Cheers
I met with my sleep doctor today. I told him I'm keeping my ResMed s9. You have done videos about replacing the turbine motor. Where can I get one? Thanks
I had my new machine n your right. My machine took over and pushed so much air into me i could breath out n mine is a bi pap where its should kill down. But it didnt. It was so high blowing that it blow air out of the machine it self also. My older machine worked better same brand
Chris clearly needs more sleep!!! 5 hours and 30 mins isn't enough each night
Yeah, I have been struggling to breathe! I've been thinking about contacting the doctor again because it's difficult. Thank you for the video and information
You got this!
How do tou get to those charts? I'm using MyAir app and it does not show all of that info, only events per hour, mask seal, and air score.
Sleephq.com mate. It's my platform. Cheers
Informative as always great info love it
Thanks Ron, really appreciate the comment mate . Have a good one
@cpapreviews Wondering if you are considering adding a CO2 monitor to your ring. I'm a CO2 retainer and have started BIPAP but they don't know if the pressures are right for me and their methods will take forever to figure that out. I'd like more info and more than spot checks every 6 months or so.
Same for me. I'm lucky to get a check once a year and last time I was retaining so much gas I looked like I was pregnant. I still do.
Ok let me get this straight. I had a base of seven. I upped it to eight. I changed the easy pressure to three. So what your saying is since I set it to three I need to set my start from seven to ten.
My doctor reviews this remotely and makes changes as needed. We meet quarterly and discuss my results and sleep quality.
Hey my name is layne I’m 22 years old and I have resmed air 11 I have it on auto start so when I breath in it it start up and before I got my Cpap I didn’t sleep as good until got my ressmed air 11 I feel so much better with my cpap
Are you a clinician or medical professional of any kind?
Thank you! You explain this so well! I have to see about my CPAP. I realized how some of these functions may not keep up. In the middle of the night I might go downstairs for some reason, coming back up the stairs, and going back to bed, my breathing was labored and my heart rate was up. I would put the CPAP back on to try and go back to sleep. The CPAP was so LOW that I take it off and let my body "normalize", then put it back on a bit later. God bless! AL in CT
I have that same problem and I too find it's best to lay in bed for a few moments and let my breathing normalize before putting my mask back on.
Your comparing two different users and different settings. That's not a good comparison. If the one user has worse apnea otherwise good video.
Yes he didnt isolate all variables. In fact countless different variables. Should be data compared with 1 patient with no other changes.
I had to switch mode to cpap from automatic as it was always causing air leaks before and waking me at times....now just set at 8 I have no mask leaks and all is well with minimal ahi.
Sounds like 20 year old source code running those simple machines.
have a squizz at the inhale vs exhale rate. the machine may have noticed the inhale rate was higher than the exhale rate and reduced the pressure to him to exhale easier since the hyppnea is reduced breathing then once he hit OA it ramped up to overcome the blockage. i honestly have no idea, i have just gotten into the C-PAP world after trialing an airsense10 and awaiting arrival of my new airsense11
What app do you use to interrogate the machine?
In the video, why did you cut out the Blood O2 level at the first big decline? 2:51
Oh my. Good examination.
Glad it was helpful!
How do I find a knowledgeable person like you to monitor my patterns and dial me in.
Is this software something patients have access to to monitor sleep and therapy throughout each night, or is this sleep lab software? I feel like my machine isn't working properly and I'd like to test it.
Great info. Love it. Thanks 😊
Always welcome Craig. Thanks for your comment
Maybe the pressure increase because you stopped breathing😊
on standard i get 1.7 on soft i get .2 so for me soft is better
Thank you for this interesting information, Nick. I'm going to discuss this with my sleep doctor. Maybe I will even give him a link to this video, or better yet, suggest that he subscribes to your channel! 🙂👍
Thanks mate
Cheers Trent
How do I find this chart
I turned up my lower pressure from 4 to 6 and keep my EPR on at 2 for comfort. Worked great, thanks uncle Nicko!
Nice work!
Looks like the soft mode responds to OA flags but not H flags.
Why it would not respond to Hypops is beyond me. I would love to see the research this based on
@@CPAPReviews At this point I feel like EPR and soft mode should be used like training wheels, once you are used to therapy they should be turned off.
@@StrongDreamsWaitHere
I think LankyLefty would agree with you.
Air Sense 11. My 12 Month Average is__ Days Used 333/339 - AHI 2.1 - Obstructive AI 0.6 - Central AI 0.8 - Total AI 1.5 - Leak 5L/min - AHI 2.1 - Total AI 1.5. - Average time used is 7.2 hours - Pressure 9.8. I received my machine on October 5th 2023. I score mostly 100's about 28 days out of the month. It's set to Start with Auto Sense ON. I use it for at least 7 hours per night. I feel great. Without it, I scored 76 events per hour. I was a disaster, had severe headaches & I was super tired all the time... I'll take the results I'm getting with how the machine is set.
Good info on EPR. Thanks.
I just got my Airsense11 after running my Airsense10 since 2015, missing only 6 nights over that period but have been getting "end of service life" message for about the last six months so decided to upgrade. As many others have shared, it was a life changer for me and although I could probably so without it now that I have lost over 100lbs, I'm like a crate trained dog and don't even want to think about sleeping without it. If you're on the fence, just stick with it for 2 weeks and I can't imagine it won't do the same for you.
thank you for all the informative videos you post. your dedication to all these topics is appreciated.
Ok how do I get all of this data? Are there other devices I need besides my CPAP?
But can we make those changes? I don’t see anything in the settings on my CPAP. 😢
Is it better to refine it down to just 1 CPAP pressure, or to just have a narrow APAP pressure range?
With fixed pressure, you either settle for a pressure that gives you less than 100% control, or you pick a higher pressure that gives you 100% control but is more than you need for most of the night and may be uncomfortable. I suspect APAP with an intelligently chosen range would be the best, but most patients don't get the quality of care for that and have to seek it on their own.
For example, I sometimes wake up with very high pressure. I reset the machine and go back to sleep. Would it be better to set a lower max so I don't wake up all the way, but at the price of having a few uncontrolled events? I don't know. I may think about experimenting on myself.
@@StrongDreamsWaitHere
Hey, I'm not a sleep tech, but just with my own experience . . .
Yes, you should reduce your max pressure. If it's waking you up, then it's counter-productive. Your goal should NOT be 0 events, it should be a low AHI (below 5 for sure and ideally below 2 or so, I'd say) and a restful night's sleep.
Most folks have good control of apnea at about 10cm, and the machine will go to 20cm. My advice, without knowing anything about you or seeing your sleep data, would be to set your max pressure at 15cm as a trial and watch your AHI numbers every day. As long as your numbers are below 5 for a few days, drop the pressure by 1cm and watch for a few days again. If your AHI increases, then go back up a cm or two. Ideally you will find the lowest top pressure that will keep you apnea controlled. And DO give each setting a few days to a week. A single night's AHI is not a good indicator, it can bounce around a bit.
Again, I'm not any kind of expert, If anyone here thinks I'm giving bad advice, please share.
Thank you, I had been fighting getting my Resmed to give me the responses that I was getting when I first got the machine. I had even gone in to the settings and set all to default but I'm guessing "Soft" response is the default. I have set mine back to "Standard" and I bet this fixes my issues. I also will play with the max pressures as I have always had 20 as a default and that's probably to high.
Hi Jimmy, here's a little vid i did which shows how to change the response - ua-cam.com/users/shorts5xXrxxg8Pqk?feature=share . I recently dropped a video which shows how the AirSense delivers too much pressure - Here's the vid if you want to watch - ua-cam.com/video/v6_NHkXgSRU/v-deo.html . All the best mate
I guess my question would be my events tend to be under 3 fairly consistent but I'm still always tired when I wake up. I believe my setting on the resmed 11 is 6 to 15. How can I improve on that? Also my oxygen levels are generally below 90. Typically around 85.
Hey mate, it's very hard to provide advice without seeing any data or breathing however you're likely tired because of those low O2 levels and normally increasing EPAP will improve oxygenation. I'd also work on your sleeping position. Do your best to stay off your back and sleeping on a slight angle will also help. Cheers
@@CPAPReviews yes I sleep on my right side
Yes the resmed app is pretty useless other than AHI number
Ok - How can I get all these graphs on my machine???
The platform is called SleepHQ.com and it's free to use. You just need to make sure you have a SD card in your CPAP. Cheers