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CyrusManz

CyrusManz
Joined Jan 2022
Bio

61 year old active male, clinically diagnosed with Central Sleep Apnea in 2020.

CyrusManz
Joined Jan 2022
Bio

61 year old active male, clinically diagnosed with Central Sleep Apnea in 2020.

I'm not sure how Philips Respironics APAPS work because I am on a ASV machine. ASV machines are more akin to Ventilators than they are to PAP machines because they provide a close to spontaneous breath when you miss one while they also they provide auto EPAP pressures to minimize patency in OSA events. CSA events are essentially Clear Airway events that last more than 10 seconds, in which case a ASV algo should deliver successive and elevating IPAP pressures for the preset length of time, based on your Inspiration time. (Resemd has no alternate manual settings for any of this while Dreamstation algo allows you a fiully auto setup or manual setup).

I have no issues with my dreamstation. It is set to the max range of IPAP and EPAP and Pressure support. So when I am awake I can barely even feel it (which is what it should be like) and when I fall asleep it just automatically adjusts the pressures for each breath and I never ever feel it or get bothered by it.

In contrast my Resmed does some crazy things, like just adjusting the pressure up and up for no apparent reason and when I asked Resemed support how to fix it, they suggested that I "keep blowing back hard into the tube", which I thought was pretty stupid.

Resmed algo just looks at the last 90 seconds of my breathing pattern and sets up its backup based on that 90 seconds. It does not even have a manual backup rate setting. What this means is that if someone is seriously sick and their breathing pattern is all over the place, Resmed algorithm doesn't care and takes that pattern as its baseline:-)...So good luck if you average like 6 breaths per minute because Resemd ain't gonna give you more than that, if you stop breathing:-)