I spoke with a rep from my DME yesterday, when I ordered my usual supplies.  She contacted an RT in her are with my DME, and she states that my machine automatically adjusts!?  Is that the same as an autopap?  I am confused about some of the different machines.  If it automatically adjusts, is that based on the original pressure setting?  Would my machine need to be retitrated and then it adjusts to the correct pressure?  

What are some reasons I would still be having apneas, as my smart card showed last week, and several times the past few months?  

Why would I be desaturating?  My suspicion was correct-my sats are in the 70s/80s-I borrowed a hand-held pulse ox from a friend who's father has sleep apnea and pulse ox.  

I have no means of accessing my data myself.  I have no idea what the card says each night.  

Any ideas?  

I would think it is good that I have an auto adjust, and maybe it is still simply a pressure adjustment that is required.

I am scheduled for a titration study 8/21.  I am waking up every 1-2 hours, voiding 3-4 times a night, wake up with burning throat from GERD, and I feel exhausted every day!  Lantern

It certainly sounds like an autopap and most people think that is a good thing. Sometimes titrations don't do a great job, some people need very different pressures on different nights.


_________________
Arthur
Sleeping with a curvaceous blonde autoPAP (Resmed autoset). Hope springs eternal.....

What is the name of your machine? I'm sure someone here could give you some good info on it, but we need to know the make and model. If it's an autopap, you may be able to avoid a lab titration, the doctor could have it set for a wide range, then download the card to find your optimum pressure.  Then you could have it set in straight cpap mode if that works better for you. I did an inhome titration a few months ago,  my previous pressure was at 20, so the doctor ordered an auto machine for me to borrow for 2 weeks, and had it set at 15-20.  We found  that 17 works well, so that's where I am today.  Virginia


_________________
Resmed elite , 17, mirage quattro ff . 25 + years of untreated OSA

lantern4life wrote:

I spoke with a rep from my DME yesterday, when I ordered my usual supplies.  She contacted an RT in her are with my DME, and she states that my machine automatically adjusts!?  Is that the same as an autopap?  I am confused about some of the different machines.  If it automatically adjusts, is that based on the original pressure setting?  Would my machine need to be retitrated and then it adjusts to the correct pressure?  

What are some reasons I would still be having apneas, as my smart card showed last week, and several times the past few months?  

Why would I be desaturating?  My suspicion was correct-my sats are in the 70s/80s-I borrowed a hand-held pulse ox from a friend who's father has sleep apnea and pulse ox.  

I have no means of accessing my data myself.  I have no idea what the card says each night.  

Any ideas?  

I would think it is good that I have an auto adjust, and maybe it is still simply a pressure adjustment that is required.

I am scheduled for a titration study 8/21.  I am waking up every 1-2 hours, voiding 3-4 times a night, wake up with burning throat from GERD, and I feel exhausted every day!  Lantern

Hi Lantern,

No it is 2 different kinds of adjustments.

You have a CPAP machine with a fixed pressure at 12 cmH20. Now you know that this machine have an automatically adjustment for altitudes. This means, that your machine gives you the same actual pressure (at 12 cmH2O) at all altitudes. If your machine not has had this feature, you would be given a less pressure at a higher altitude, and a higher pressure at a lower altitude.

But the APAP (AUTO CPAP) gives you an automatically titration all the time, so you always will be given the correct pressure for your apneas and hypopneas. That means if you one night only need a pressure at 5 cmH2O then the machine only give you 5cmH2O, and if you another night need a pressure at 8 cmH2O the machine automatically give you this pressure. In my case my average pressure varies a lot from night to night. Thats why I suggested you to loan/rent an APAP for some days.

Good luck with your new titration study

Henning

Virginia 57-it so comforting to me TRULY for you to ask me the same question several times!  My friends and family always tell me I repeat myself and ask the same question over and over again! My adult son tells me this annoys him, but I try to explain to him that this is part of the apnea talking through me!  This may make you chuckle, but sometimes the silliest things like this can bring comfort.  Just knowing I am just like others.

I have a Remstar Pro M Series CPAP (V 5.52).  As far as I know, I spoke with 2 people from DME, and there is no way to titrate this machine.  I would LOVE to skip a study and more trips-so tiring and expensive.  I am guessing that my pressure should be between 8-10 (Maybe my 5.44 + some variables thrown in like humidity, hydration, neurological stress?  Maybe Iam right, maybe my hypothesis is toast-who knows? It never hurts to ponder)


Henning-You are really a unique person-I really enjoy your posts.  You are too cool!  Thank you for the information.  I think that possibly I may need a titration to 8-10, and THEN IT WOULD AJUST CORRECTLY!?  Sounds like APAP may be the way to go.  That is what the new sleep doctor had mentioned over the phone Sunday night when he was so nice to talk with me, even though he had not seen me yet.  I wound up needing to see one of his partners though.  Lantern

Just a quick confirmation...no your machine is not an APAP.  Auto adjusting and auto titration (APAP) are 2 different things.


_________________

CLICK HERE FOR MORE INFO~ http://tinyurl.com/69q52a

BiPAP Auto M 13/8 Mirage Nasal Swift. 20 years+ undx'd. RLS/PLMD, Hypersomnia & more.

Sorry about that, I forget things easily. You could always rent an auto-pap for a week or two, if you don't want to go back to the lab for a titration.  The doctor would download the info, and come up with a good pressure for you.  Virginia


_________________
Resmed elite , 17, mirage quattro ff . 25 + years of untreated OSA

lantern4life wrote:

Sounds like APAP may be the way to go.  That is what the new sleep doctor had mentioned over the phone Sunday night when he was so nice to talk with me, even though he had not seen me yet.  I wound up needing to see one of his partners though.  Lantern

Hi Lantern,

My description of the APAP (The autotitration system) in my last post was the very short version.

If you want to read more about these autotitration devices here is a link to RESMED.

http://www.resmed.com/en-en/patients/therapy/autotitration.html?menu=patients

If you want to discuss it with your new sleep doctor maybe it’s a good idea to learn something more about these systems.

These APAP machines also have an automatically adjustment for altitudes, although if you are using it in AUTO mode it isn’t so important.

Good luck.

Henning