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EPAP pressure
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PaulaO2 Offline
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Moderators

Posts: 8,064
Joined: Feb 2012

Machine: S9 Autoset
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: H5i
CPAP Pressure: 14-20
CPAP Software: SleepyHead

Other Comments: Ehlers-Danlos Syndrome, Hypermobility Type; chronic sarcasm

Sex: Undisclosed
Location: western NC, USA

Post: #11
RE: EPAP pressure
And, if you are going to be making changes, do not make them based on a single night's data. Go by at least 7-10. And take lots of notes by starting a sleep diary. Write down what you did that day (good/bad/fun/stressful day, new experiences, did nothing, worked in yard/office, etc), how you feel when you are getting ready for bed (exhausted, good, tired, stressed, wide awake but have to go to bed anyway, etc), and any changes you have done during the day (new food, new beer, different CPAP setting, new mask, etc). Then when you get up, note how you feel again (good night, dreams but don't remember them, etc). That way you can keep track of what changes did what and when. You can enter these changes into the notes/details section of SleepyHead, too.

The reason you don't want to make too many changes at once is because there are just too many variables that go into a night's sleep. You really don't know if it was the change you made or if it was the new beer. So by observing the data and watching for trends, you can make better decisions.

PaulaO2
Apnea Board Moderator
www.ApneaBoard.com


Breathe deeply and count to zen.

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
08-15-2014 11:32 AM
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vsheline Offline

Advisory Members

Posts: 1,907
Joined: Jul 2012

Machine: S9 VPAP Adapt (USA Model# 36007, not better 36037 or 36067)
Mask Type: Full face mask
Mask Make & Model: F10 or SimPlus w/ 2Liners. MirageQuatro & Gecko gel pad
Humidifier: H5i
CPAP Pressure: 15 EPAP, PS 5-10
CPAP Software: ResScan

Other Comments: Marfan Syndrome, chronic bradycardia, occasional Cheyne-Stokes Respiration

Sex: Male
Location: California, USA

Post: #12
RE: EPAP pressure
(08-14-2014 09:27 PM)twdc33 Wrote:  Currently I am waking up numerous times a night with the resmed. I was wondering if I raised the minimum ipap if it would help. I do not however see a way to set minimum ipap on this machine in auto mode. Did d I miss something? Now I just have it set on constant mode but I miss the lower pressures with the auto.

The S9 AutoSet calls max IPAP setting the Max Pressure setting. The Min Pressure setting is the min IPAP setting.

EPAP is either the same as IPAP (if EPR is off) or if EPR is being used then EPAP = IPAP - EPR, except the machine always uses an EPAP at least as high as 4 cm H2O.

I suggest you set the therapy mode to Auto and set the Min Pressure to 9, or higher if it feels like you are working too hard to inhale.

If my CPAP pressure had been set to 13 then I would set the Max Pressure at least as high as 13 plus the amount of EPR. For example, if EPR is 3 then I would set Max Pressure to at least 16, or more likely would set the Max Pressure a couple cm H2O higher than that, such as 18 if EPR is 3.

Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment. The Advisory Member group provides advice and suggestions to Apnea Board administrators and staff on matters concerning Apnea Board operation and administrative policies - not on matters concerning treatment for Sleep Apnea. I think it is now too late to change the name of the group but I think Voting Member group would perhaps have been a more descriptive name for the group.
(This post was last modified: 08-17-2014 03:10 AM by vsheline.)
08-17-2014 02:55 AM
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twdc33 Offline

Members

Posts: 14
Joined: Aug 2014

Machine: respironics remstar pro
Mask Type: Full face mask
Mask Make & Model: red med air
Humidifier: unsure
CPAP Pressure: 12.5
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #13
RE: EPAP pressure
Thanks for the insight. Is epr the same as PS?
08-17-2014 07:32 AM
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vsheline Offline

Advisory Members

Posts: 1,907
Joined: Jul 2012

Machine: S9 VPAP Adapt (USA Model# 36007, not better 36037 or 36067)
Mask Type: Full face mask
Mask Make & Model: F10 or SimPlus w/ 2Liners. MirageQuatro & Gecko gel pad
Humidifier: H5i
CPAP Pressure: 15 EPAP, PS 5-10
CPAP Software: ResScan

Other Comments: Marfan Syndrome, chronic bradycardia, occasional Cheyne-Stokes Respiration

Sex: Male
Location: California, USA

Post: #14
RE: EPAP pressure
(08-17-2014 07:32 AM)twdc33 Wrote:  Thanks for the insight. Is epr the same as PS?

ResMed EPR (meanng exhalation or "expiration" pressure relief) and PS (Pressure Support) are both equal to the difference between IPAP and EPAP, except that EPR is subtracted from IPAP to get EPAP, and PS is added to EPAP to get IPAP.

IPAP - EPR = EPAP
EPAP + PS = IPAP

ResMed CPAP and APAP machines use EPR.
ResMed bi-level machines use PS.

Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment. The Advisory Member group provides advice and suggestions to Apnea Board administrators and staff on matters concerning Apnea Board operation and administrative policies - not on matters concerning treatment for Sleep Apnea. I think it is now too late to change the name of the group but I think Voting Member group would perhaps have been a more descriptive name for the group.
(This post was last modified: 08-17-2014 12:17 PM by vsheline.)
08-17-2014 12:10 PM
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