CPAP vs AUTO CPAP

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  • čas přidán 11. 09. 2024
  • Nick from www.supercheapcpap.com.au has a look at the difference between fixed and variable PAP therapy

Komentáře • 99

  • @ridernthasun
    @ridernthasun Před 3 lety +9

    I love listening to you as a nurse although I am familiar with the CPAP you always give me more insight and learning more about the air pressures, type of machines, etc. You are a really good teacher Nick thank you.

  • @orflanch
    @orflanch Před 5 lety +25

    Auto Cpap machines automatically adjust the pressure as you need it throughout the night. Different sleep stages require different pressure. Using one (high) pressure the whole night increases non-compliance due to dried out nasal and sinus passages. It also increases the chances of air leakage around the mask. Simply set at 4 and 20, the auto cpap is way better than one high pressure all night long. You only need a higher pressure during the REM sleep stage. The rest of the night the auto cpap will lower the pressure according to your individual needs
    1

  • @janellebrandon9757
    @janellebrandon9757 Před 5 lety +3

    Thankyou very much. I have just found out I have sleep apnea. Your video was very good but I found it , than watched it after I purchased the auto sleep machine designed for a woman and I am waiting for it’s delivery. So it looks like I have purchased the right machine .The more knowledge I can learn about cpap the better. This is going to save my life so I am keeping a positive attitude. I’ve watch a few of your videos , lots of good information and I can actually understand what your saying . So have a great day from Nelly.🙂

  • @srm8866
    @srm8866 Před 6 lety +3

    My doctor said that I have some of the worst sleep apnea he's ever seen. I use a _"3B Medical RESmart BPAP with Heated Humidifier"_ and just wouldn't be the same without it. A bit costly ($1,000.00) but a great machine for anyone needing an auto machine! Awesome video, great info!

    • @CPAPReviews
      @CPAPReviews  Před 6 lety +1

      Best of luck. $1000 is cheap in the cpap world

  • @emmgeevideo
    @emmgeevideo Před 3 lety +4

    My experience from less than a half a year on this journey: I’m 67 years old and was told that CPAP is now a lifetime requirement. It seems to me that it is worth purchasing the best and most flexible device. I realize everyone has a budget and can’t necessarily afford “the best”, but I think a sacrifice must be considered given how long the machine will be in use and how a person’s situation is likely to change over time. I can’t see buying a continuous device because it is so limited. A person might do well with continuous today but in five years a variable setting could be better. A variable device can be set to be continuous but not vice-versa.
    The downside of variable (or worse, “automatic”) is that I don’t think you should give up control to a machine. I think a person on CPAP therapy needs to learn how to read the data from their sleep and take charge of how the machine is set to achieve optimal results. I have learned how to set the clinical settings and view the impact of various settings via the resulting machine data. Not everyone can do this. That means finding a registered sleep technician to work with. One way or the other, this is not a “set it and forget it” therapy.
    My experience, sadly, is that my sleep doctor pretty much said “You’ve got sleep apnea, use this machine and mask” and threw me to the wolves. My clinic does not have registered sleep technicians. The CPAP supply company he handed me off to only wants to sell me replacement supplies. They have no consultant on staff. That’s why I’ve found CZcams channels such as this excellent channel to be so helpful. Via CZcams I found a licensed “sleep tech” and got personal help - something that has been crucial to my education, learning to read the machine data, and getting my settings right.
    In summary, my humble advice is to 1) get a very capable and high quality CPAP machine that will last over the years and can flexibly change to meet changing needs, 2) learn how to interpret your machine’s data and be an active participant in your therapy (no “set it and forget it”), and find a practitioner who is willing and able to spend time with you to help you learn your sleep patterns and set your machine properly for the best results.

    • @CPAPReviews
      @CPAPReviews  Před 3 lety

      Thanks for sharing your experience and recommendations. Nick

    • @markhawthorne8558
      @markhawthorne8558 Před 3 lety

      Great advise champ

    • @CPAPReviews
      @CPAPReviews  Před 3 lety

      Hi guys, ResMed is trying to take down the CPAP Reviews channel. I think we might have 12 hours left. Here's a Facebook Group i started! Please join for support - facebook.com/groups/138127984943408 . If you have any free time please copy this and post it on the comments. Thank you so much! Nick

    • @charliemontholon
      @charliemontholon Před 2 lety

      I completely agree with your commentary, however I would like to add that today many of the CPAP machines have the option for you to look at the data in your mobile or telephone , and you can learn the data and use it to make the adjustment that you need , however some of this data does not explain some of the results like the different kind of apneas, for this we will need a tech, a doctor or hopefully somebody on this channel can do it.

  • @pompeylad69
    @pompeylad69 Před 7 lety +1

    Great information presented in easy to understand format , only been on auto machine for 2 weeks now and still getting used to it , thanks mate

    • @CPAPReviews
      @CPAPReviews  Před 7 lety

      Thanks for the kind words. Hope all is going well with your therapy

  • @TdotRob
    @TdotRob Před 7 lety +6

    This was very helpful Nick. Thanks!

  • @tomschug4757
    @tomschug4757 Před 5 lety +2

    Prices in Australia are much cheaper than USA. I’m getting a variable machine in a coupe days. It’s $8000

    • @michaelsmith697
      @michaelsmith697 Před 3 lety

      Thats far too much $!!! Resmed Airsense Auto 10 is around $1799 and the Elite is $1399

  • @Karentexas1999
    @Karentexas1999 Před rokem +1

    Thank you, I appreciate your work so much!

    • @CPAPReviews
      @CPAPReviews  Před rokem +1

      Welcome. That's an old video now but lots of people still enjoy it so i left it up. Cheers

  • @w.7194
    @w.7194 Před rokem +1

    I am new to all this and by watching this amazing guy on here and reading all the great comments people share I seem to be falling in love with my new resmed 10(wife is not jealous)....my therapist only has known a small portion of what I have learned from onhere....thanks.

  • @tmanqz
    @tmanqz Před 3 lety +2

    Good information... always thought you set them and hope you don't need to change any time soon. Auto seems way better, and to be able to access sleep data is incredible. IM STILL USING A S8 ELITE(2008) even though I have an S9 elite(2016), my original ResMed(2001) was a clunky noisy piece of krap I haven't seen the sleep Doctor since 2001 ..... upgrading to a ResMed Airsense 10 autoset today, don't care how much it cost.

    • @CPAPReviews
      @CPAPReviews  Před 3 lety +1

      Nice one mate, good machine the Airsense10. You can still fine tune the pressure even when they're auto machines. Check out my vid- czcams.com/video/pL4egwDrvbg/video.html . Let me know how you get on. Cheers

    • @CPAPReviews
      @CPAPReviews  Před 3 lety

      Hi guys, ResMed is trying to take down the CPAP Reviews channel. I think we might have 12 hours left. Here's a Facebook Group i started! Please join for support - facebook.com/groups/138127984943408 . If you have any free time please copy this and post it on the comments. Thank you so much! Nick

    • @karenzimmer7607
      @karenzimmer7607 Před 9 měsíci

      Wow, you explained this so well. I'm only 6 months in and still trying to learn and figure out my best settings. Thanks Niko

  • @vikasgupta1828
    @vikasgupta1828 Před 2 lety +1

    Thanks

  • @michaelsmith697
    @michaelsmith697 Před 3 lety +2

    Very interesting video mate! I bought a fixed pressure machine as I was unaware of what it was - only found out after I bought it. I would prefer the Auto one! I would like the option to use Auto or Fixed...the lady told me that the Auto is not needed in my case. However, I would like to have the option....

    • @CPAPReviews
      @CPAPReviews  Před 3 lety +2

      Hi Michael, There are many benefits to owning an auto vs a fixed pressure. For one, the auto will change the pressure over time as your condition changes without the need for constant follow up appointments. 2. The auto works on an average pressure which normally works out to be about 30% less than fixed pressure cpap machines and less pressure means less noise, less mask leaks and more comfort. I don't recommend cpap machines to anyone these days. Definitely go for an auto the next time you upgrade your gear. have a good one. Nick

    • @michaelsmith697
      @michaelsmith697 Před 3 lety

      @@CPAPReviews thank you Nick. I knew I should have got that one. The prescriber told me to get the fixed one... grrr

    • @CPAPReviews
      @CPAPReviews  Před 3 lety +1

      Hi guys, ResMed is trying to take down the CPAP Reviews channel. I think we might have 12 hours left. Here's a Facebook Group i started! Please join for support - facebook.com/groups/138127984943408 . If you have any free time please copy this and post it on the comments. Thank you so much! Nick

  • @sssaaabbb888
    @sssaaabbb888 Před 8 lety +1

    Great info on different machines. Info will help in my choices in CPAP!

    • @CPAPReviews
      @CPAPReviews  Před 8 lety +1

      +SAB8 Thank you! Yes if you need any help in choosing a CPAP please let me know and i can provide some great advice

  • @martiadams1534
    @martiadams1534 Před 3 lety +2

    ty

  • @farzadhosseiny
    @farzadhosseiny Před 6 lety +2

    Thanks for your help , that was great help.

    • @CPAPReviews
      @CPAPReviews  Před 6 lety

      Thanks very much, it's one of my older vides but i'm glad it helped

  • @kiwibonza
    @kiwibonza Před 6 lety +1

    you say that you can adjust the "ramp" time. ie, the time it takes for the pressure to reach its maximum. how do you do this?

  • @akaski777
    @akaski777 Před 3 lety +1

    First time user my nose bridge sore red this morning

  • @Annette941
    @Annette941 Před 2 lety +1

    Thank you so much. This is very helpful.

    • @CPAPReviews
      @CPAPReviews  Před 2 lety

      Hi there, it's one of my older vids but i'm glad you liked it. Best wishes. Nicko

  • @megazone128
    @megazone128 Před 3 lety +3

    thank you very well explained . I purchased a Resmed auto set 10 and have been using it for about 4 weeks. I am currently using CPAP mode at 10.4 My specialist is advising less than 1 event per night I am very happy with that. She also told me eventually this treatment will assist in not waking up in the night to go to the toilet as a result of your heart not having to work so hard. Does this sound right ?

    • @CPAPReviews
      @CPAPReviews  Před 3 lety +4

      Hi There, thanks for that. It's a bit of an older video that one but people seem to like it so I keep it up :-). Yes your specialist is probably right but some people still need to get up but perhaps not as often. When you have sleep apnea, and your blood oxygen levels drop, the heart rate has to increase to circulate more blood around the body as there's less oxygen in it and this coupled with the increase in stress hormones due to the shock of sleep apnea increases the blood flowing through the kidneys which ultimately results in more urine production etc. There's some other reasons also. There's many benefits that you will start to notice over the coming months :-). Have a great day and welcome to the channel.

    • @CPAPReviews
      @CPAPReviews  Před 3 lety

      Hi guys, ResMed is trying to take down the CPAP Reviews channel. I think we might have 12 hours left. Here's a Facebook Group i started! Please join for support - facebook.com/groups/138127984943408 . If you have any free time please copy this and post it on the comments. Thank you so much! Nick

  • @timandmel777
    @timandmel777 Před 7 lety +2

    Great info, thanks for putting it out there. You mentioned that you have some videos on how to use the data to fine tune the limits on an APAP, where can I find that?

    • @marykeely736
      @marykeely736 Před 2 lety

      I have been on therapy since Sept 21 . Now with ResMed . I have/had was given with my machine that is on hire . a full face medium sized mask . last week I asked how they were sized no real answere , except they would send me out a small sized one . I Have used for 2 nights so far . I feel it is better . Will keep you posted. I am 69yr young and female . I also bought a travel machine . I thought that when you bought an item machine in this case it should come with all parts needed for purposes of using it while away .I was informed no mask included in price €1495.00 I likened it to buying a cooker and having to pay extra for control knobs , in order to use it . This meant that I would have to remember to take mask with me all of the time . I may às well pack machine not bother with travel version. They agreed to send me a sample mask . Which I am very grateful for . Thank the Staff for all the help they give . My (ire) P.S. I am also very grateful to Nick for this site . Have learned/understand more about condition and products.

  • @donaldjeansonne8667
    @donaldjeansonne8667 Před 2 lety +1

    I have a 3B Luna II machine and having some issues with my AHI increasing in the past week or 2. I can see the data using their iConnect software and have just realized that the reports have AHI is being calculated as (#apneas + #hyponeas + # CA) / usage hrs. This gives me some high numbers when I have more CA events. Is this correct or should it be done differently? Any input?

  • @Juliopaints
    @Juliopaints Před 6 lety +4

    Dam good info. Thank you

    • @CPAPReviews
      @CPAPReviews  Před 6 lety

      Thanks Jay, Glad you found it helpful

  • @GameWinner85
    @GameWinner85 Před 2 lety +1

    My O2 saturation still drops to 84% using Auto CPAP BMC G3, using full mask F20, no leaks. Pressure auto 8.5-13.5.... On machine report I see AHI 0.3 , each day I feel tired. I dont have any others lungs or heart issues, I'm 36.

    • @elladar2
      @elladar2 Před 2 lety

      Im having a similar issue, i´m 36 as well. I use a Resmed 10 CPAP. Now my doctor says i might need the Auto version... damn, my pockets are crying right now.

  • @tony.bickert
    @tony.bickert Před 3 lety +2

    Nick, you now have more subscribers than you have views for this older video! BTW, it took you longer than 5 minutes to finish the video! That's what you promised your kiddo when you got interrupted :)

    • @CPAPReviews
      @CPAPReviews  Před 3 lety

      HAHAHAHAHA, thanks Tony, one of my earlier vids mate but still kind of relevant. I've thought about taking it down but when i get comments like these i just keep it running. All the best bro. Nick

    • @CPAPReviews
      @CPAPReviews  Před 3 lety

      Hi guys, ResMed is trying to take down the CPAP Reviews channel. I think we might have 12 hours left. Here's a Facebook Group i started! Please join for support - facebook.com/groups/138127984943408 . If you have any free time please copy this and post it on the comments. Thank you so much! Nick

    • @tony.bickert
      @tony.bickert Před 3 lety

      @@CPAPReviews I'm sorry, Nick. I gave money to ResMed more than once due to your reviews of ResMed. Your channel is one of the few I seek out on CZcams. I don't do FB, so this is bad news for me. What is ResMed thinking?

  • @rockstarmax
    @rockstarmax Před 6 lety

    Great video of the difference between CPAPs thanks

  • @musicopedia239
    @musicopedia239 Před 4 lety +2

    Brilliant!!! Thanks

    • @CPAPReviews
      @CPAPReviews  Před 4 lety

      Hi Cris, thanks for the kind words. Nick

  • @DonnyOsmondFan4Ever
    @DonnyOsmondFan4Ever Před 3 lety

    @CPAPReviews Will you do a video showing how a BIPAP Machine works and what it is specifically made for Please?

  • @ericwright3382
    @ericwright3382 Před 2 lety +1

    I'm the oddball. 50,000 hours on PAP... probably 49,000 [of those] hours on CPAP. I dont care for ramp or changing pressure... even EPR is off. Sensation of the mask "tightening and loosening" even with a few cm of pressure change.. I would rather use CPAP. Whatever you do... stick with it.

    • @CPAPReviews
      @CPAPReviews  Před 2 lety

      That's totally fine mate. What ever works! Cheers

  • @peggyodell2623
    @peggyodell2623 Před 3 lety +1

    Very helpful. Thank you.

    • @CPAPReviews
      @CPAPReviews  Před 3 lety

      You're welcome!

    • @CPAPReviews
      @CPAPReviews  Před 3 lety

      Hi guys, ResMed is trying to take down my channel. Here's a Facebook Group i started! Please join for support - facebook.com/groups/138127984943408 .

  • @davidsimpson4000
    @davidsimpson4000 Před 2 lety

    With a auto machine and use auto ,do you start with setting as low as possible,and as high as possible , and over time reset the upper and lower settings

  • @dgale1023
    @dgale1023 Před rokem

    my machine can go cpap or auto. It is blowing it off my face. Its set at 10 cpap. Should I go down to 8 or6 or just go to Auto and leave the numbers alone? Alson I am using a dreamwear nasal, i've tried full face but no go. Thank you. Appreciate the help mate!

  • @LGM4
    @LGM4 Před 3 lety +1

    thumbs up! btw, do you have apnea?

    • @CPAPReviews
      @CPAPReviews  Před 3 lety

      Thanks mate, nah not really but i use one most Friday and Saturday nights when i have a few beers as it stops me snoring and keeps the old lady off my back. Cheers for the thumbs up. Nicko

  • @hasantaskin3270
    @hasantaskin3270 Před 7 lety

    Thank you. Really helpful.

  • @harinadh733
    @harinadh733 Před 6 lety +1

    very helpful

  • @tmko1985
    @tmko1985 Před 3 lety +1

    Great video.

    • @CPAPReviews
      @CPAPReviews  Před 3 lety

      Hi Mike, glad you enjoyed it. A bit of an older :-)

    • @CPAPReviews
      @CPAPReviews  Před 3 lety

      Hi guys, ResMed is trying to take down the CPAP Reviews channel. I think we might have 12 hours left. Here's a Facebook Group i started! Please join for support - facebook.com/groups/138127984943408 . If you have any free time please copy this and post it on the comments. Thank you so much! Nick

  • @ml-ed4sc
    @ml-ed4sc Před 5 lety +1

    lol, the therapy is never enjoyable to use but a necessity.

    • @michaelsmith697
      @michaelsmith697 Před 3 lety

      I love it! I really enjoy the extra air during the night, as I was always complaining that there's "not enough air to breathe in my room"

  • @pambromley7481
    @pambromley7481 Před 4 lety

    Hi Nick, I've been swapped from a cpap to an apap. Same mask. My apnoeas are really down, but I get woken up periodically during the night by air rushing out of the mask, causing the mask to make a lot of noise and waking me up. I have adjusted the straps numerous times without effect. Just as disturbing as my waking up was before I had anything. As the machine supposedly calculates how much pressure I need this does not make an awful lot of sense. Have you any idea why this might be?

    • @CPAPReviews
      @CPAPReviews  Před 4 lety +8

      Hi Pam, thanks for your comment! Yes i have a fair idea of what this could be. Even though the machines calculate the pressure based on how much apnea you are having it's not always perfect and you sometimes find during some periods of the night (normally REMSleep when you lose a lot of muscle tone) the auto will deliver higher rates than you might normally be use to which can cause mask leaks etc. The problem then is, the more mask leaks you have, the less pressure there actually is for the therapy which can cause the machine to try and deliver even more pressure which creates more leaks and so the cycle continues. Here's the solution..,.,
      So i want you to have a look at the therapy data on the machine. Make sure you choose like a week or month average of the data. There are two values you want to look at, 1. The P90 or P95 depending on your machine. This value will show you a level of pressure that controlled 90% of your sleep apnea and then 2. Your Average pressure - this is the all the auto pressure levels averaged out over the night.
      From these two values we can get an idea of where we need to set the Max Auto level of your machine.. To stop it going to high and disturbing your sleep.
      So for example. If we look at our P95 over a 7 day average and it's coming in at a pressure of 10, it means that the therapy pressure was only higher than 10cm for 5% of the night and for 95% of the night it was at or lower than 10cm.
      If we set our Auto Max Level at 10cm, we can feel pretty confident that 95% of our sleep apnea is going to be well controlled and it will stop the machine from going past 10cm for the other 5% of the night when it's probably waking you up.
      Once you have capped your Auto Max to that level, you can then monitor your AHI over the next week and see what it is like. If your AHI is below 5, you could actually drop the Auto MAX TO 9 and then monitor your AHI For another week to see if it stays below 5 etc. As long as your AHI stays below 5 then you can keep dropping that auto max level.
      I hope this helps :-)
      Nick

    • @pambromley7481
      @pambromley7481 Před 4 lety

      @@CPAPReviews thanks Nick for your prompt and comprehensive advice. I shall look into that.

    • @michaelsmith697
      @michaelsmith697 Před 3 lety

      @@CPAPReviews sounds good

    • @gregzeng
      @gregzeng Před 3 lety

      Read replies. Other factors to consider. Size & type of mask ok? Is your face, body unusual? Beard, other medical conditions? Asthma or severe TBI, like myself, for the last 36 years? Or just old age, like myself?

  • @CPAPReviews
    @CPAPReviews  Před 2 lety

    G'day mates If you use a ResMed AirSense 10 or 11 you can now register for a free www.sleephq.com account. It's super easy to upload, review and share your cpap therapy data. We're adding new CPAP machines to the platform every month so join our mailing list and we will let you know when your CPAP is compatible cpap.review/sleephq-newsletter

  • @tgwel4839
    @tgwel4839 Před 3 lety +1

    Love this vid! Thank you for the great info!!!!

    • @CPAPReviews
      @CPAPReviews  Před 3 lety

      Hi There, appreciate the kind words. It's a very old video and one that i laugh at now looking back but many people still enjoy it so i have kept it up on youtube. Thank you for watching. Nick

    • @CPAPReviews
      @CPAPReviews  Před 3 lety +1

      Hi guys, ResMed is trying to take down the CPAP Reviews channel. Here's a Facebook Group i started! Please join for support - facebook.com/groups/138127984943408 . If you have any free time please copy this and post it on the comments. Thank you so much! Nick

  • @motormusic1
    @motormusic1 Před 7 lety

    As you know quite a lot about Apnea, can i ask if you suffer from it? You look like you're in good shape so find it hard to believe that you a) have Apneas b) why you'd be interested in the condition

    • @CPAPReviews
      @CPAPReviews  Před 7 lety +2

      Hello, no i don't have sleep apnoea but have been in the industry for around 10 years now. Kind regards
      Nick

    • @motormusic1
      @motormusic1 Před 7 lety

      Thank you for your reply

    • @pierremrbazin
      @pierremrbazin Před 5 lety +6

      Being in shape and having sleep apnea are not mutually exclusive. I lost 60 lbs between getting my CPAP and MMA training. My sleep apnea didn't go away, but it was a hell of a lot easier to sleep with a regular high intensity exercise regimen. The idea that only overweight people have sleep apnea is a myth.

    • @andrewbycroft6776
      @andrewbycroft6776 Před 5 lety +2

      @@pierremrbazin I also read somewhere that it can simply come down to your genetics - your lower jaw size, lower jaw setback compared to upper jaw etc.

  • @laurahicks9558
    @laurahicks9558 Před 3 lety +1

    I hope that wasn't your wife cuz you took longer than five minutes. 😊

    • @CPAPReviews
      @CPAPReviews  Před 3 lety

      Haha, hi Laura, i'm sorry for the boring vid. This was one of my very first ones :-). Nick

    • @laurahicks9558
      @laurahicks9558 Před 3 lety

      It was not boring at all! It was fantastic! I've just obtained a cpap (but not through a doctor) as I don't have apnea. So your videos have been gold!

  • @lamperist
    @lamperist Před 6 lety

    Lol 1k is not adorable

  • @umachand5441
    @umachand5441 Před 2 lety

    You talking crap
    Tell the price

  • @vikasgupta1828
    @vikasgupta1828 Před 2 lety

    Thanks