ResMed Air Sense if set to no ramp but EPR ramp only ? new user posting 1 week oscar

[REMmi]

You would get better therapy with EPR 3 full time with minimum pressure at least at 7. This will give you therapy much like a bilevel with a PS of 3.

If you take your CPAP set to min 7 EPR 3 or a bilevel with Min pressure 4 with PS 3 you'll get similar therapy.

The don't do this phrase meant if you try to mix EPR 3 Ramp only with No Ramp settings, this equals No EPR at all.

I'm very new to even touching my settings, I believe for all last year EPR was ramp only, as I said I think.

for now, I don't even understand what EPR is , so forgive me if I'm hesitant to keep the settings at 7-11, EPR full time, and at 3 , considering how terrible my sleep is now.

I sort of want to stick with what the sleep study and MD advised 6-11, but am not sure what EPR he set it to, or if he did , as that is how the settings were changed, remotely by the MD.

I'm still not sure what your are referring to with the "dont do this", for tonight I think EPR is off, but ramp is also off,  thanks for responding though.

[SarcasticDave94]

Most every user finds they will need to edit settings to get best therapy. Your doctor has no real drive to help further.

Lots here face the scenario "I'll get the medical staff to edit". Typically you have to make an appointment, pay the copay, explain what's wrong, staff may interpret you need extra pressure. They probably get it wrong. Rinse repeat 10, 20 times until your CPAP is set to really help you individually.

Or, access the clinical menu, turn the dial, enter the number to edit, lock it in, next settings, exit clinical. 1 minute free. Better therapy.

Note that just because the auto CPAP can adjust itself, it really needs tuned to begin at your correct therapy pressure, needs only to range between the best settings for you. Setting the CPAP to your best pressures makes therapy much improved.

Again, the "do not do this" is regarding do not mix EPR 3 with Ramp only while you run zero Ramp. This cancels out the EPR entirely because the EPR is looking for Ramp, which is inactive.

EPR is the acronym Exhale Pressure Relief. Your auto CPAP blows an inhale pressure by itself. Add EPR 1, 2, or 3, and this EPR reduces the inhale pressure when the CPAP senses you are exhaling by way of extra resistance through the mask.

I can't make you edit the settings, and I can't make you use EPR 3 full time. However, your goal of better therapy isn't getting any closer until you do edit those settings.

[LaurenceShaw]

Hello, so last night, I was unable to get any solid sleep. Usually I get an initial 2-4 hours , the latter if lucky , then rest of the night is many many arousals, I assume I then drift back to sleep, but can't always tell.
However, when I look at My Air it says AHI of 6, and 100% ; I assume that is just because the length of time the mask was on my face?
Or can the ResMed Airsense 11 tell when I'm sleeping and does it just use the actual sleep time to compute an AHI.

I'm still waiting on a chinstrap and neckbrace, but am a bit scared to play around with the pressures, and EPAP.  Though, after such a poor sleep I want to which a few small things back and forth,

I have received a paper copy of my overnight sleep study, the tech had me down to 0 AHIs ; though it was a terrible sleep. So I'm using that pressure of 6-11 tonight again, think I had it on 6-12 last night ; EPR of 1 only, also what I think they used at sleep study.

I noticed on my back , hands on chest , couple times my hands went numb, never noticed that before.

I have the SD card in the machine, and can post a redacted sleep study ? or just wait till neck brace and chin strap arrive in 10 days or so ?

seems like forever, trying to get the sleep any better,  when one never awakes feeling normal for a few years , and the Cpap seems to have little effect

thankyou.

Hey REMmi.  I don't see mention of what type of chin strap you ordered, and I don't know if you're aware ... traditional neoprene chin straps wrap around the tip of the chin and the top back of the head.  The line between those two points passes almost directly through the jaw joint.  This means that the force applied by traditional chin straps is almost directly into the jaw joint, which is pretty much the least effective and most uncomfortable direction possible.  If you need a chin strap, the Knightsbridge Dual Band provides vertical lift via straps that pass beneath the jaw and are oriented vertically.  This works with the natural rotation of the jaw.  And it has two bands, one elastic and one non-elastic, to allow the force to be minimized yet still effective.  If you're interested in more info such as pictures and graphs, we are Supplier 37.  (Please be sure to use that link since via a keyword search you might end up with a counterfeit.)

[REMmi]

Sir, I bought and used this one
https://www.amazon.com/gp/product/B0DJKQ...UTF8&psc=1

I read the docs here and looked for knightsbridge, not sure if this is similar, nor if I should be wearing a chinstrap with a full face mask.

Dear Dave,

I am a brand new to the situation of changing settings, I guess I read the LankyLeft guy saying EPR can make things worse, which is the last thing I need.

If you folks with a lot of experience and knowledge, based on the few Oscar Scans I posted think 7-11 is a better pressure and EPR fulltime 3, is safe enough, I'll use  that tonight. ; going to switch back to slimline tonight and remove the B/V filter as am using the humidifier.

I am also new to who is who, and am cautious regarding changing the settings.

last night, for 1st time in long time took a full trazadone, sleep solid 9-4 am or so, with the new chin strap, settings 6-11 , AHI 6, standard hose , humidity 6, still with some dry mouth.

But again , I did spend some time, 30-40 minutes with mask on not sleeping, do the AHIs get averaged into ALL the time the mask is on, or does the ResMed 11 determine, when one is sleeping and use that?


As one of my main frustrations, is MyAir saying oh you did 8 hours AHI low , score 100% but I don't feel good every darn day

going to attach last nights Oscar

sure seems like the original 8-20 was much better despite same number of AHI" ; not sure what the original EPR was, pretty sure for 1 year it was Ramp Only, sigh

[REMmi]

EPR 3 full time , pressure 7- 11 oscar attached.

[LaurenceShaw]

Sir, I bought and used this one
https://www.amazon.com/gp/product/B0DJKQ...UTF8&psc=1

I read the docs here and looked for knightsbridge, not sure if this is similar, nor if I should be wearing a chinstrap with a full face mask.

Hi REMmi,

No, that chin strap you found on Amazon is a traditional chin strap and quite different.  Traditional chin straps wrap around the tip of the chin and the top back of the head.  The line between those two points passes almost directly through the jaw joint, so the direction of the applied force is almost directly into the jaw joint. This is inefficient and uncomfortable and pretty much the worst direction possible to apply force to secure the position of the jaw.

We have drawings and a video explaining this further on our website ... check out the link at Supplier 37.  (Be careful since a keyword search is still likely to bring you to the counterfeiter!  Hopefully that will be rectified soon.)

[REMmi]

Hi REMmi,

No, that chin strap you found on Amazon is a traditional chin strap and quite different.  Traditional chin straps wrap around the tip of the chin and the top back of the head.  The line between those two points passes almost directly through the jaw joint, so the direction of the applied force is almost directly into the jaw joint. This is inefficient and uncomfortable and pretty much the worst direction possible to apply force to secure the position of the jaw.

We have drawings and a video explaining this further on our website ... check out the link at Supplier 37.  (Be careful since a keyword search is still likely to bring you to the counterfeiter!  Hopefully that will be rectified soon.)

thanks for the idea Sir, I looked at your website via the supplier's list. Trouble is I live in a small apt, and my growing pile of Cpap supplies, is getting a bit daunting.

The subjectivity of a good sleep, and how one feels seems difficult to quantify also, last night I "slept", 1130-430, with a bit of melatontin, not even one solid block of probably 30 minutes, then kind of stayed in bed till 0630am, maybe with some smaller blocks of "sleep" ;  been using humidifier at highest setting, but by end of night , the tube rains out sometimes, which means I must shake it out and set one notch lower middle of the night, I've some az brand biotin mouthwash maybe arriving next week, and 2 soft collars, meanwhile, your device is $50-$90 I assume with shipping to my location.

few days back I had some Covid Symptoms, wasn't even sure I should use my F20, and maybe infect it or rebreath it, but I have been, and just cleaning them daily.

I definitely think I need to use an AirTouch F20, going to call Apria and change to that, the Airfit is leaking at the cheeks, and ... reading here I also see mask liners, for my collection of stuff, to try. As the F20 airfits are easier to clean than the memory foam on the Airtouchs, or else I just toss the Airtouches after a month like I am supposed to :  current Airfit last night is not even 2 weeks old, so don't think the silicone worn out would be causing the cheek burping apparently one of the myriad sources of my arousals,

take care , just sharing

PS: guess I'll be returning the az $20 chin strap, as don't need any Mastoid pain, if that is what you are implying is the risk?

[SarcasticDave94]

The ever changing leaky seal is why I ditched the F20 for a Fisher and Paykel mask. I never could get either AirFit silicone or AirTouch to work without leaks. And I found out by trial and much error that making the straps very tight will make it leak even more.

Do you have to use any F&P? Nope. But I do think a different make and model mask will be better for you, after this amount of trial and error.

[REMmi]

The ever changing leaky seal is why I ditched the F20 for a Fisher and Paykel mask. I never could get either AirFit silicone or AirTouch to work without leaks. And I found out by trial and much error that making the straps very tight will make it leak even more.

Do you have to use any F&P? Nope. But I do think a different make and model mask will be better for you, after this amount of trial and error.

actual I do have 1 F&P FFM, I re-ordered via Apria AirTouchs, as the foam ends up with less leaking, it seems to me, at the cheeks in the middle of the night, only issue is how to clean the foam/mask, as soap and water and the foam takes all day to dry. 

So, ordered so cpap wipes, as today, I noticed some debris/threads left on the mask by the baby wipes.

The neck collar seems to be a big success, I'm ordering some more at different sizes, the Releaf Caldera medium is much smaller and comfortable than the XL Velpeau "comfort" which is huge in the back, ordered the latter after measuring neck height. Going to return it for a L and M but the versions are with more support. and a larger Releaf.

However, at least for 2 nights the AHIs are 2 ; so maybe I might be able to use a pillow-mask at some point, would be nice to think about, instead of long term FFM ?

Also, heard the Lankyleft guy say something about pillow-mask users not needing chinstraps, but don't understand , the how and why of chinstraps, he also mentioning that all but the Knightsbridge because of the direction of pull, can cut off breathing,

with the airtouch resupply also sending a heated hose, at the moment i'm maxing out my humdifier setting at 8 , as even on 7, having dry mouth


any stories here of FFM users being able to get down to using pillow-masks only?  any hints?

best regards

[REMmi]

ugh, after 2 nights of 2 AHI, now up to 18 AHI again, guess just continue at the pressures , can see what else to do;

that said I dont particularly feel headaches, brain fog, overly fatigued, and was a night of 9 hours with the mask on&off many times, so how does one gauge ; AHI vs. how one feels starts and for a full day?

and/or is there such a thing as false positives with AHIs, for example with mask on/offs ? how does one tell what is the real AHI number, usually seems like even with a bad night, if the mask stays on for 8 hours , the AHI might often be low, as mentioned earlier in the thread ,