Post Reply 
Hard to exhale
Author Message
TheSleepingDead Offline

New Members

Posts: 1
Joined: Dec 2015

Machine: System One
Mask Type: Nasal pillows
Mask Make & Model: unsure
Humidifier: System One
CPAP Pressure: 12
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #1
Hard to exhale
I've been using my CPAP for about 4 weeks now. I have already had to change from a mask that covers my nose and mouth to a nose pillow because of leaks due to facial hair.

My problem now is it is hard to exhale. I feel like I am having to really push the air out instead of just letting my lungs deflate. I feel like the pressure may be too high but I don't know how to change it. It is only set to 12 but I would like to try it at maybe 10 or 11.

Does anybody else have this problem? Am I alone in this?
12-17-2015 02:12 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
kaiasgram Offline

Advisory Members

Posts: 241
Joined: Aug 2013

Machine: S9 VPAP Auto
Mask Type: Nasal pillows
Mask Make & Model: Aloha
Humidifier: H5i
CPAP Pressure: 8-10
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Northern California

Post: #2
RE: Hard to exhale
Get the Setup Manual for your machine from the link at the top of the page, it will show you how to access the clinical menu where the pressure settings are. "System One" refers to a whole line of machines so you need to know which model you have.

If you have a machine that records treatment information you can use the data to guide any adjustments to your pressure settings. If a slightly lower pressure feels more comfortable and it doesn't compromise your treatment, then no problem. Smile
12-17-2015 02:27 AM
Find all posts by this user Post Reply Quote this message in a reply
DeepBreathing Offline
Wiki Editor
Moderators

Posts: 2,294
Joined: Sep 2013

Machine: Resmed S9 VPAP Adapt
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Resmed H5i
CPAP Pressure: EPAP: 9 - 15 PS: 3 - 10
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Perth, Western Australia

Post: #3
RE: Hard to exhale
G'day TheSleepingDead, welcome to Apnea Board.

I know exactly what you mean about the exhalation being difficult. Your machine may have a "flex" setting which reduces the pressure slightly to make it easier to exhale. It may be called C-flex or A-flex, depending on the particular model. This should be shown in your user manual. As Kaiasgram said, it's also a good idea to get a copy of the clinician manual which gives you a higher degree of control. You can get a copy here: http://www.apneaboard.com/adjust-cpap-pr...tup-manual There are hundreds of different manuals available, so follow the instructions carefully and make sure you request the exact one you need for your machine.

DeepBreathing
Apnea Board Moderator
www.ApneaBoard.com


Bed

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.
12-17-2015 05:11 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
PoolQ Offline

Advisory Members

Posts: 986
Joined: Jul 2015

Machine: AirCurve 10 VAUTO
Mask Type: Full face mask
Mask Make & Model: Amara View
Humidifier: Integrated
CPAP Pressure: 6.2, 15, PS4.0
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Sillicon Valley

Post: #4
RE: Hard to exhale
Yep there is a setting to provide reduced pressure during exhale, if this is still not enough you can move to BiLevel, this is the main reason for BiLevel.
12-17-2015 03:02 PM
Find all posts by this user Post Reply Quote this message in a reply
SideSleeper Offline

Advisory Members

Posts: 226
Joined: Oct 2015

Machine: PR DS560HS REMstar Auto-A Flex+ +
Mask Type: Nasal mask
Mask Make & Model: Wisp & Dreamwear
Humidifier: Respironics System One
CPAP Pressure: APAP 11-11
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Western Oregon, USA

Post: #5
RE: Hard to exhale
I have a PR System One 560 model. I imagine yours is somewhat similar. Turn the knob (the one you push to turn it off and on) one click clockwise. The window should light up--do you see a section that says C-Flex or A-Flex? If so turn the knob to highlight it, then push the knob in to see the menu. If Flex is on you should see it listed and a number after it. If it is off you may not be able to turn it on--click on the off to see. The higher the number listed the more exhale pressure reduction you get--I use 3. A few things can be changed in the Setting section but I don't think Flex is one of them. Have you talked to your CPAP supplier (DME)?
12-17-2015 03:18 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
SideSleeper Offline

Advisory Members

Posts: 226
Joined: Oct 2015

Machine: PR DS560HS REMstar Auto-A Flex+ +
Mask Type: Nasal mask
Mask Make & Model: Wisp & Dreamwear
Humidifier: Respironics System One
CPAP Pressure: APAP 11-11
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Western Oregon, USA

Post: #6
RE: Hard to exhale
I have a PR machine also. If yours is similar turn the knob one click to light the screen. You should see C-Flex or A-Flex listed in one section. tun knob to highlight that section, then clpush the knob. If you see A Flex selection with a number highlight it by turning knob, turn once more to highlight the number. For most exhale pressure relief set at 3--that drops the pressure the most for exhale--doesn't change the inhale pressure. If it says off you are going to have to learn how to get into the clinician's menu--or take it to your CPAP supplier or whoever set it up in the first place.
12-17-2015 03:25 PM
Find all posts by this user Post Reply Quote this message in a reply
OpalRose Offline

Monitors

Posts: 3,167
Joined: Nov 2014

Machine: PR System One REMstar Auto 560 with A Flex
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 For Her
Humidifier: REMStar heated humidifier with heated hose
CPAP Pressure: Auto Cpap 10-13 AFLEX 1
CPAP Software: SleepyHead EncoreBasic

Other Comments: Started CPAP Therapy October 23, 2014

Sex: Female
Location: Northeast Ohio, USA

Post: #7
RE: Hard to exhale
(12-17-2015 02:12 AM)TheSleepingDead Wrote:  I've been using my CPAP for about 4 weeks now. I have already had to change from a mask that covers my nose and mouth to a nose pillow because of leaks due to facial hair.

My problem now is it is hard to exhale. I feel like I am having to really push the air out instead of just letting my lungs deflate. I feel like the pressure may be too high but I don't know how to change it. It is only set to 12 but I would like to try it at maybe 10 or 11.

Does anybody else have this problem? Am I alone in this?


Your profile doesn't state which system one you have. If you are using a straight Cpap setting of 12, you can set a CFLEX Setting of 1,2, or 3 to give exhale pressure relief, with 3 giving the most relief.

If you are having trouble exhaling, then set it to 3. When you breath out, this will give you the most pressure relief. This is a comfort setting, and you should utilize it if needed.

You cannot use AFLEX unless you are using an auto mode.

Just turn the round knob until flex is highlighted. Press down and make correct setting. You can do this from your menu or the clinical menu.

I wouldn't change your pressure setting until you start looking at your data and have a reason to lower it. Changing your pressure has nothing to do with exhale relief.

Order your clinicians manual, see top of page, (CPAP Setup Manuals), so you will know how to make changes to your machine.

OpalRose
12-17-2015 03:55 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
trish6hundred Offline

Advisory Members

Posts: 6,430
Joined: May 2012

Machine: Resmed S9 AutoSet for Her
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: H5i Heated Humidifier
CPAP Pressure: 10 - 7-20 Cm H2O
CPAP Software: Not using software

Other Comments: I started CPAP in 2008. Totally blind since birth.

Sex: Female
Location: Missouri, USA

Post: #8
RE: Hard to exhale
Hi TheSleepingDead,
WELCOME! to the forum.!
Much success to you with your CPAP therapy and fine tuning it to meet your needs.

trish6hundred
12-17-2015 07:41 PM
Find all posts by this user Post Reply Quote this message in a reply
Journey to Sleep Offline

Members

Posts: 6
Joined: Dec 2015

Machine: Philips Respironics System One REMStar C-Flex Plus
Mask Type: Nasal pillows
Mask Make & Model: Swift
Humidifier: Unsure
CPAP Pressure: 7
CPAP Software: EncoreViewer

Other Comments: Started CPAP therapy summer of 2011. Launched www.JourneytoSleep.com in November 2015.

Sex: Male
Location:

Post: #9
RE: Hard to exhale
Have you tried using the "ramp" feature? Try that, it worked for me.

It's possible the pressure is too high, but doubtful. The ramp will allow your lungs to adjust as you go to sleep.
12-17-2015 08:15 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Ghost1958 Offline

Advisory Members

Posts: 957
Joined: Aug 2014

Machine: PRS1 Series Sixty Auto Aflex
Mask Type: Nasal mask
Mask Make & Model: F&P Eson
Humidifier: PRS1 with Heated Hose
CPAP Pressure: 10.5 min 16 max
CPAP Software: SleepyHead EncoreBasic

Other Comments: Moderate to Severe SA Obstructive. Rapid O2 desat off the machine.

Sex: Male
Location: KY

Post: #10
RE: Hard to exhale
Going from ffm to pillows the pressure likely is too high.
If you have an auto aflex machine enable Aflex set it on 3 to begin with.
If a straight cpap pr machine turn in cflex plus.
Set it on three.
Cflex plus works the same as aflex.
You can figure out the number setting that feels best to you from there.
Guess but likely your pressure could drop to 9 or maybe 8 on pillows vs 12 on ffm.
12-17-2015 09:28 PM
Find all posts by this user Post Reply Quote this message in a reply
Post Reply 


Possibly Related Threads...
Thread: Author Replies: Views: Last Post
  Airfit P10 - condensation collects on exhale ports Possum 7 383 11-02-2016 02:54 PM
Last Post: Possum
  Blockage during exhale - Uvula/Soft Palate mikemky 27 18,747 10-26-2016 09:15 AM
Last Post: Sleeprider
  Occasional problems with exhale relief function SLongridge 1 260 10-24-2016 05:29 PM
Last Post: trish6hundred
  Exhale Pressure William2000 7 594 09-26-2016 05:21 PM
Last Post: surferdude2
  A Question of Exhale Pressure Relief thecpapguy! 9 856 09-09-2016 07:36 AM
Last Post: thecpapguy!
  [CPAP] Nasal Exhale Blockage & Machine/Feature Choice txpap 1 323 07-11-2016 07:02 PM
Last Post: trish6hundred
  Mild Pulsing Effect on Exhale holden4th 4 669 05-19-2016 03:33 AM
Last Post: holden4th

Forum Jump:

Who's Online (Complete List)