We use cookies and other tools to enhance your experience on our website and to analyze our web traffic.
For more information about these cookies and the data collected, please refer to our Privacy Policy.

Sierra

Sierra
Joined Jul 2018
Bio

CPAP: AirSense 10 AutoSet

Set to CPAP Fixed Mode

Pressure 11 cm

Ramp: Auto

Ramp Start: 9 cm

EPR: 2, Full Time

Mask: ResMed AirFit P10 Nasal Pillow

Canada

Sierra
Joined Jul 2018
Bio

CPAP: AirSense 10 AutoSet

Set to CPAP Fixed Mode

Pressure 11 cm

Ramp: Auto

Ramp Start: 9 cm

EPR: 2, Full Time

Mask: ResMed AirFit P10 Nasal Pillow

Canada

As best as I understand it periodic breathing is technically a more general condition and includes a more specific type of periodic breathing called Cheyne Stokes respiration. Respironics likes to call it periodic breathing and ResMed calls it Cheyne Stokes Respiration (CSR). I think it is a worthwhile feature and both machines likely do about the same job. Some believe it is over reported by the machines causing unnecessary alarm. But, it does raise a flag if it is seen frequently and is something that should be investigated by a cardiologist. After 6 months using the AirSense 10 my machine reports I have had CSR about 0.1% of the time.

If you want some differences between the machines, the ResMed reports flow limitations continuously while the Respironics only flags it. The ResMed reports total time in apnea, but the Respironics machine does not seem to. Total time in apnea is a useful measure because AHI only counts incidents of apnea but does not consider the length of time each incident lasts.

The ResMed has a better method of controlling EPR (Expiratory Pressure Relief) than Respironics does with their similar A-Flex feature. EPR and A-Flex can reduce treatment effectiveness during sleep. However it does make the machine more comfortable by reducing expiratory pressure before you go to sleep. ResMed allows you to use EPR only during the Auto Ramp, and then have it shut off automatically when you go to sleep. Respironics can't do that. I also believe that EPR is more effective as it gives you the full pressure relief that it is set at, while the Respironics A-Flex more shapes the pressure instead of fully reducing it.

The two machines differ in how they respond in Auto mode. The Respironics is slow to increase pressure and quick to reduce it. It also ramps pressure up about every 10 minutes and then back down again just to see what it does. The ResMed is quicker to ramp pressure up and holds it up there in anticipation of more events longer. I believe that is more effective. ResMed on the For Her version of the machine offers two different response modes. The For Her is more suitable for those using lower pressures. You can set the machine to use either the Standard or For Her response mode.

Hope that helps some,

I believe SirRobin is located in British Columbia, Canada. To my knowledge we do not have the DME system here, although Ontario may have something similar. Health care in Canada is administered provincially although the Federal government supplies the money. For that reason each province is different. Where I am the provincial health care system pays for the sleep studies but not the machine or accessories. Many, and especially those who are working for a larger company may have a supplementary private insurance plan. But there are various levels of coverage and different companies that provide it (ManuLife, SunLife, etc). But in most cases they pick up the costs not covered by the provincial health care system up to a specific limit. How you spend up to that limit can be negotiable if you talk directly with the insurance company. It depends on the company and the coverage. The CPAP/Study provider of course likes to put themselves in the middle and will say they will bill the insurance company direct. And they do that often while charging very high prices. For example $2400 for a machine and mask, instead of the on line price of $875. It is not a very efficient system but it is what it is. I'm retired and no longer have a Cadillac insurance plan so everything I get is on my nickel. While this sounds bad, it is not really that bad. I can buy what I want, when I want, and do not have to dance to the tune of a government health cares system, or an insurance company. In the scheme of things the costs of a CPAP are not all that high when you are paying it all yourself, and shop around for the best prices.

For the AutoSet machine the initial cost on line for the machine, carrying case, slimline hose, mask, and heated hose is about $875. That is all you need to get started. A replacement mask insert is about $35 and is needed perhaps every year or so based on my wife's experience. Filters for the machine are about $3 each and probably need to be replaced every 6 months or so. My wife's machine is 4 years old and seems to be operating fine. Perhaps for budget purposes count on a replacement once every 5 years based on wear. No indication that hose life is an issue. The only real problem is that it seems ResMed thinks it needs to change the hose fittings with each new machine, so a new machine probably means new hoses too. And if you camp and want to run on 12V DC power supplies are about $130. They also seem to be specific to the current machine with ResMed,

You can buy parts wherever you want. You need a prescription for a machine but not parts. There are lots of CPAP machine and components on line stores in Canada. The good news is that prices in Canadian dollars are virtually the same as what the US folk pay in $US. Perhaps Trump has a 25% tariff on Australian imports?

I suspect the more practical issue is that you may want a new machine just to get the latest bells and whistles technology, not because it is worn out. The iPhone effect!

The wildcard cost is that of a mask that works for you. If you can get the mask type and model sorted out on somebody else's nickel, that is a big win. After that all you have to do is replace the insert once a year or so.