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Newbie - Problems Exhaling
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wintermute Offline

Members

Posts: 6
Joined: Jun 2013

Machine: ResMed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: ResMed Swift LT
Humidifier: RedMed H5i
CPAP Pressure: 4-20 Auto
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #1
Newbie - Problems Exhaling
Another problem has popped up in the last two nights using my S9 Autoset. It's supposedly set up in Auto mode with a 4-20"H2O pressure range.

I woke up both nights in the early morning feeling I was in a wind tunnel. I wasn't inhaling so much as having air shoved into my lungs (and stomach) at a constant 13.5"H2O pressure. My diaphragm muscles were fatigued and it was difficult to exhale. Being awake at this point, I normalized my breathing bit the pressure did not decrease. I shut off and restarted the brick, but had the same problems after the machine ramped up. Is it possible that it's in manual mode?
(This post was last modified: 08-18-2013 12:33 PM by wintermute.)
08-18-2013 12:33 PM
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SleepEZ Offline

Preferred Members

Posts: 37
Joined: Jul 2013

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: ResMed Swift FX
Humidifier: ResMed H5i
CPAP Pressure: Autoset (7 - 13)
CPAP Software: SleepyHead

Other Comments: Respironics Premium Chinstrap. Had to buy myself. My DME ignored prescription and many requests.

Sex: Male
Location: Des Plaines, IL

Post: #2
RE: Newbie - Problems Exhaling
The question is whether or not EPR has been enabled in "Full Time" mode in the Clinician's Menu. Hopefully so. If that's the case, you should have access to EPR settings when you press the bottom silver button (with two check marks on it). It should be the first menu choice. Be sure to set it to 3 for starters. It allows you to exhale at a lower pressure, which helps alot when first starting out. Smile

(08-18-2013 12:33 PM)wintermute Wrote:  Another problem has popped up in the last two nights using my S9 Autoset. It's supposedly set up in Auto mode with a 4-20"H2O pressure range.

I woke up both nights in the early morning feeling I was in a wind tunnel. I wasn't inhaling so much as having air shoved into my lungs (and stomach) at a constant 13.5"H2O pressure. My diaphragm muscles were fatigued and it was difficult to exhale. Being awake at this point, I normalized my breathing bit the pressure did not decrease. I shut off and restarted the brick, but had the same problems after the machine ramped up. Is it possible that it's in manual mode?
08-18-2013 02:57 PM
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eplantz Online

Preferred Members

Posts: 47
Joined: Mar 2013

Machine: S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10
Humidifier: H5I
CPAP Pressure: 15-20
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Chicago

Post: #3
RE: Newbie - Problems Exhaling
This sounds like what happens when you have excessive leaks. The S9 attempts to compensate by increasing the pressure up to the limit you specify (20 in your case)
08-18-2013 06:19 PM
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vsheline Offline

Advisory Members

Posts: 1,908
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: #4
RE: Newbie - Problems Exhaling
(08-18-2013 12:33 PM)wintermute Wrote:  I woke up both nights in the early morning feeling I was in a wind tunnel. I wasn't inhaling so much as having air shoved into my lungs (and stomach) at a constant 13.5"H2O pressure. My diaphragm muscles were fatigued and it was difficult to exhale. Being awake at this point, I normalized my breathing bit the pressure did not decrease. I shut off and restarted the brick, but had the same problems after the machine ramped up. Is it possible that it's in manual mode?

Hi wintermute, welcome to the forum!

I would turn unit off (if on/off button has a lighted LED, hold down on/off button about 5 second until power turns off) wait 5 seconds, and unplug unit for a minute and plug in again.

On the other hand, you probably are needing the high pressure and will need some time to get used to it. Your breathing muscles will be stronger in a week or so.

One thing you can do to probably improve (lower) how much pressure you need, is to make sure you stay off your back while asleep. I wear a snug teeshirt with a tennis ball in a pocket sewn right between the shoulder blades.

Take care,
--- Vaughn

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.
08-19-2013 03:45 AM
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Shastzi Offline

Advisory Members

Posts: 1,174
Joined: Dec 2012

Machine: ResMed S9 Autoset
Mask Type: Full face mask
Mask Make & Model: FitLife Total face mask
Humidifier: F&P HC150 with Hybernite heated hose.
CPAP Pressure: 15cm-20cm H2O (auto)
CPAP Software: SleepyHead Other Software

Other Comments: CMS50-F wearable Oximeter; Software: SPO2 Assistant

Sex: Undisclosed
Location: Florida, USA.

Post: #5
RE: Newbie - Problems Exhaling
Sounds like you need to bump the upper limit down to about 12cm. let yourself acclimate at that pressure.
(about a week)
Get SleepyHead up and running and learn how to read the reports (from this site of course)
The next week if you are still showing a high AHI from the reports bump the pressure up 1-2cm.
run another week and re-accilmate.
Do this like a stair-step process and you'll nail down the best pressure for yourself.
It works! Smile
Since the machine can only do so much,
SleepyHead will help you pinpoint leaks and several other problems that are common.
You still need to engage the little grey cells and you'll be on the right path in no time!

Cheers and Best of luck!

Smile

"With ordinary talent and extraordinary perseverance, all things are attainable." - Thomas Foxwell Buxton

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08-19-2013 05:25 AM
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