WELCOME! to the forum.!
CPAP therapy can take a bit of getting used to, but it does get better, just stick with it.
Hang in there for more responses to your post and best of luck to you with your CPAP therapy.
Thanks for the quick replies retired_guy, surferdude2, and trish! I was hoping for the answers you gave. I will lower the epr to 2 and up the pressure range to 6-10 and see if I can handle that tonight. I did get that hammer effect some. I also noticed that it is really difficult to yawn with the air flow. Kind of like sucking the air from an overfilled balloon!
One other question: should the ramp up go all the way to my highest pressure setting even before I fall asleep? I thought it would ramp up to the minimum and go up from there as needed. It ramped up to 10 which is where I could not exhale and I was still wide awake, so I had to change the settings to the lower range. I did however keep the mask on the entire night - so I was happy that I was able to do that on the first night. Scratching your nose is a real pain though:-)
The ramp is supposed to start at a lower pressure then slowly increase over the specified period to the therapeutic pressure (minimum required)
You specify the beginning point for the ramp. So if it appears it is advancing the ramp past whatever you have specified as the therapeutic minimum, check to see what the beginning ramp pressure is set to. If it's higher than your new minimum, that's why it's acting goofy.
A nice place for the ramp setting is "off."
Hi again Board! I have been using the REsmed S9 Autoset for 9 days now and have played with the pressure settings along the way. The last 2 nights I have had it set to min 6 and Max 14.6. I am still up around 13 to 14 AHI. What was interesting was that last week I had it set to min 6 and max 12.6 and my AHI for that night was 7. I had increased it trying to get the 7 lower, but it went up. I figured that the more pressure the lower AHI. Can too much pressure cause a higher AHI? Also, why wouldn't I want to just set the pressure for, lets say, 8 - 20 and let the machine figure out how much pressure I need? Thanks for the help!!
What is the breakdown of your events?? Maybe you are getting more centrals with the higher pressure.
Use your ramp and your EPR to make yourself as comfortable as possible but note a couple of effects already eluded to:
It's not always obvious which direction to take these settings for maximum comfort though most beginners to therapy tend to use them as designed and advertised.
Many (most?) of us tend to turn OFF the ramp in fairly short order (it's just annoying for many of us) and even the EPR.
My own EPR I played with to get the absolute minimum AHI (not really useful once you get effective treatment, just "playing a game" with seeing how low I could get it).
Other than that, my EPR is set to off. I turned my ramp off the first night after reading other posts prior to starting therapy.
Don't take this as a recommendation FOR YOU but just as a suggestion you might consider or try at some point.
Knowing you CAN set these the way YOU PREFER is the important point.
While on the subject, there is similar effect with humidity. Generally you want to set it high enough to avoid drying yourself out, however some people get MORE CONGESTED if they set it TOO HIGH or TOO LOW.
It's odd that either extreme MIGHT cause you to become congestion but those are the reports we hear.
So if you are facing congestion problems (especially new problems you didn't already have) then try changing the humidity away from the extreme or toward the other extreme even.
Then within what allows you to BREATH, set whatever level you prefer to control temperature and dryness.
Most of CPAP/APAP is pretty logical but the above settings can be counter-intuitive at times.
Sleep study AHI: 49 RDI: 60 -- APAP 10-11 w/AHI: 1.5 avg for 7-days (up due likely to hip replacement recovery)
"We can all breathe together or we will all suffocate alone."