Resmed S9 Climateline

[dazrodger]

Hi,

I'm a relative newby with CPAP, and have a Resmed S9 Escape + humidifier.
I'm reluctant to to use my machine at night as I'm having major problems with 'rainout', even though I make sure there isn't any water in either end of the hose etc. I'm tempted to buy or ask my technical guy at hospital for a heated hose instead, i.e. Resmed Climateline to solve my watery wakeup call.

Does anyone have one, and can I obtain one through the N.H.S ? or do I buy one privately ?

Thanks,

Daryl

[Grumpy]

climateline is excellent

I've not had one instance of rainout since I got mine.

£25 from RealSleep:

http://shop.realsleep.co.uk/h5i-climate-line-slimline-tubing-p-358.html

[proterra]

Get a hose cover, my clinic supplied one. Also I would suggest getting a Hose Lift that would stop rain out plus it takes the weight of the hose off your face & makes it easier to turn over.
If youre in the Uk see Hope2sleep site, cost about £20 but well worth it, fits under mattress or you can buy a bracket to screw onto bedhead or somewhere which makes it more secure & firm.

[LeeNotts]

If they gave you a S9 & H5i Humidifier Im surprised they didnt give you the climate line to go with it. seems a little odd that they cut costs in that way.

I love my Climate line!

I haven't had any rainout since I've had my s9 (NHS provided) set up in February. its fantastic, lightweight, and smaller than the regular tubing although does have a tendency to tangle a little more than regular tubing (i think due to the more metal like construction). Speak to your clinic see if they can get you one, if not at £25 is well worth the investment. I'm convinced that the S9 H5i Humidifier and climate line is whats allowing me to sleep a good 7 hours a night.

[dazrodger]

Thanks for your advice

I'll give my N.H.S guy a phone today regarding a climateline hose, although the last time I saw him (1 month ago) he basically told me to go away and 'put up with a bit of sleep interruption' as he put it, as there wasn't anything more he could do .

Since my apnoea (13 times a night) was now under control, his attitude was that his job was done ! Maybe it was, but I'm still unable to get a nights sleep and feel awful during the day.

Wish me luck !

Daryl

[Tigers Fan]

Thirteen apnoeas a night? Are you sure? We usually express event rate per hour as AHI. Thirteen a night is damn good but AHI 13 is far from good and would leave you tired during the day.

At AHI 13 his job is far from done!!

[Barely Awake]

Lest that was 'one point three' (1.3) which is exactly my reading at present.

Even then his job isn't done - because where we all might get broken sleep from such as car alarms, dogs barking or whatever, you can't cope with it night after night and that is basically what happens when you get a shower inside the mask from rainout. If they can't afford to kit everyone out with heated hoses fine, but if they insist on 'job done' I would be asking him if I could have his home phone number, so as I could ring him up every time rainout wakes me up to ask him if he thinks his job is done? They should be helping you to find a solution.

As you can tell, I had a bad couple off nights myself!

[Barely Awake]

Amazing what six and a half hours kip without being woken does for one - less grouchy and more sensible today!

Practical tip - if you don't have a hose cover tuck your hose under your duvet, keeping it warm will stop condensation building up over that area. It will also mean that part of the hose is lower than your mask, and collected water doesn't travel uphill. Early on I actually used rings of pipe insulation for a while, but then found hose covers were cheap enough to buy a couple and rotate. Those that have heated hoses seem to be saying it means no rainout at all, so with your machine having a purpose made heated hose (is that right?) that would be the way to go. If your clinic can't afford to supply them then the only answer perhaps is to pay for one yourself.

[Fredxx]

There is always the option to just reduce the humidification level. The more humid you make it (i.e. the higher the setting) the more likely that rain-out will be a problem.

[Darren @ Intus]

Hi Daryl,

As so many of our forum regulars have pointed out, the main two approaches for dealing with rainout are either getting a heated tubing which is a very good option, especially if the rainout is quite severe.

However the other option is getting a cover for your tubing to insulate it, a tubing fleece is quite useful for this approach. Also keeping the temperature in your room when you go to bed at a comfortable level is also a useful approach.

While waiting on the tubing or fleece to come, you can try tucking the hosing under the duvet to keep it insulated although if you move around a lot in your sleep, this wouldn't be the most ideal option, you may end up getting tangled.

[Grumpy]

hose cover versus heated hose

Why spend £10 on a hose cover that mitigates the problem when £25 on a heated hose solves it?

The hose-lift is a good piece of kit, I use it in hotels. At home I have an old-fashioned style cast-iron bedstead so just loop the hose over the top rail of the bed-head.

[Tigers Fan]

It's not a contest imo. A hose cover makes a hose less snake like in its behaviour, looks more attractive and quietens the rushing air sound - and in extended seasons like this summer, it also helps prevent rain-out. A heated hose prevents rain-out and is not usually required in the summer. Personal choice is all!

[mart9012]

I got an S9 with the H5i humidifier and it came with the heated Climateline hose from Churchill Hospital. I've recently managed to get a tear in my original one and Resmed are sending me a new one straight out. I've never had rainout issues with this although I have had in the past with a standard non heated hose. I recommend the climateline and maybe you can persuade one out of the NHS?

[dazrodger]

Hi Guys,

Well I phoned up my tech guy at my local hospital, the Victoria in Glasgow and was told that they don't supply climateline hoses for my machine. So I bought one online and have had a couple of nights getting used to it and guess what, no rainout !! what a difference it makes

Just a pity that the NHS don't provide one with the S9.

Now my only problem is my mask, the full face quattro thingy . . . I put it on at bedtime, and by 3am I'm woken by leaks & rude noises escaping from it ! If I move it gets worse and I end up just taking it off altogether. Pfftttt
needless to say I'm feeling pretty awful/tired.

Any advice ?

Daryl

[Sienna]

I really struggled until my hospital suggested a 'pillow' mask. In particular the Swift FX Nasal Pillow.

It's really excellent. It stays in place - I use a hose lift thingy now too. As I experiment with its fitting, the leaks have come down dramatically to well within acceptable levels and I don't feel claustrophobic when I wear it. In fact, I hardly know I'm wearing it.

This mask really turned around my CPAP. Before I had it, I treated each night with glum resignation, almost resentment. Now, I go to sleep easily and in some comfort.