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EPR Setting
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Jim Bronson Offline

Advisory Members

Posts: 264
Joined: Dec 2014

Machine: ResMed Airsense 10 Elite
Mask Type: Nasal mask
Mask Make & Model: ResMed Mirage FX
Humidifier: Built-in
CPAP Pressure: 9.2
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: California

Post: #1
EPR Setting
My EPR setting is currently 2. I'm wondering what would prompt me to increase or decrease it? My therapy is going pretty well, but I just thought I'd experiment a little and see what happens. Is the 2 level a pretty average setting?
11-15-2015 08:42 PM
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justMongo Offline

Monitors

Posts: 3,853
Joined: Sep 2013

Machine: ResMed VPAP Auto (S9)
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quattro
Humidifier: ResMed H5i
CPAP Pressure: 18 IPAPmax - 11 EPAPmin, PS=5
CPAP Software: Other Software

Other Comments: μολὼν λαβέ

Sex: Male
Location: Калифорния

Post: #2
RE: EPR Setting
EPR is a comfort setting; and there is no best answer.
At a pressure of 9.2, most people do not need EPR.
If 2 is what you're accustomed to, my layman advice is to keep it at 2.

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.
11-15-2015 09:01 PM
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Sleeprider Online
Wiki Editor
Advisory Members

Posts: 3,363
Joined: Dec 2014

Machine: Resmed Aircurve 10 Vauto
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed Climateline
CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: Where they make Respironics

Post: #3
RE: EPR Setting
There is really no good reason you can't satisfy your curiosity and try 3, or 1 or even 0 on EPR. Keep in mind any change may take a few nights to acclimate and allow you to make a fair evaluation whether it is better or worse. Chances are you won't notice a change of 1 cm EPR either way, or it may actually reflect in slightly different AHI.

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11-15-2015 09:29 PM
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DariaVader Offline
Apnea Board Facebook Editor
Monitors

Posts: 1,824
Joined: Nov 2014

Machine: Resmed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10 for Her
Humidifier: H5i humidifier with ClimateLine heated hose
CPAP Pressure: 8-15
CPAP Software: SleepyHead

Other Comments: diabetes II, Thyroidectomized, Primary Immune Deficiency, and the list goes on :P

Sex: Female
Location: Oregon

Post: #4
RE: EPR Setting
Some people are more comfortable with higher pressure relief. Others notice the pressure change and are disturbed by it. Worse yet, pressure changes cause some folk to hold their breath.... If you have consistent CA activity you might consider turning it to 1 or 0. If you struggle with needing higher pressures and don't react to changes, crank it up to 3.

That's my take on it.

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
Tongue Suck Technique for prevention of mouth breathing:
  • Place your tongue behind your front teeth on the roof of your mouth
  • let your tongue fill the space between the upper molars
  • gently suck to form a light vacuum
Practising during the day can help you to keep it at night

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
11-16-2015 12:34 AM
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klv329 Offline

Preferred Members

Posts: 27
Joined: Aug 2015

Machine: Resmed s9 Adapt
Mask Type: Nasal pillows
Mask Make & Model: Resmed LT
Humidifier: 80
CPAP Pressure: 8.2, 1.4-10.0
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: St. Petersburg, FL

Post: #5
RE: EPR Setting
If you do try different settings, maybe try to collect and save as much information as possible, even oxygen if you have a meter. knowing that you feel fine at epr 2 is valuable information for you to have.

when i used the APAPs with a pressure almost the same as yours, I used epr 1, and a change to epr 2 made me feel giddy and after a week or so and I had to switch back. I tried that experiment several time over the years with resmed and respironics machines with the same results.

after switching to the asv machines, I found that a zero to 1 pressure support was great, but any more than that made oxygen levels less predictable and made for a bad night's sleep.
11-16-2015 08:14 AM
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Dagmar Offline

Preferred Members

Posts: 98
Joined: Jul 2015

Machine: Resmed Airsense 10 Autoset
Mask Type: Nasal mask
Mask Make & Model: Wisp by Respironics
Humidifier: Resmed
CPAP Pressure: 10
CPAP Software: ResScan

Other Comments:

Sex: Male
Location: Michigan

Post: #6
RE: EPR Setting
I'm now set at an EPR of 3 with a straight pressure of 10. It makes CPAP more comfortable for me. It did take me a few days to acclimate to it because it felt like I was getting a pressure assisted inhalation even though it is exhalation relief. It might be just a sensory feeling from exhaling more fully before the next breath. My AHI is down a little more with the higher EPR. I'm guessing that could be due to me being more comfortable.
11-16-2015 11:50 AM
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