Post Reply 
Ramp Question
Author Message
OB-Left Offline

Preferred Members

Posts: 39
Joined: May 2015

Machine: ResMed Airsence 10 Auto
Mask Type: Full face mask
Mask Make & Model: AirFit F10, Mirage Quatro
Humidifier: Integrated
CPAP Pressure: 6 - 12
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Michigan

Post: #1
Ramp Question
Approaching two weeks of treatment. Untreated sleep study AHI of 114 was reduced to an AHI of 1.0 last night. Would post a screen shot of SH, but I can't yet...

So I have never had an issue with the initial pressure setting of 4.0. Have not wanted to change any settings yet due to looking for things to stabilize. That being said what should/would I expect to be different from increasing initial pressure to 5.0 and turning ramp to off. Turning the ramp to off is something that alot of people seem to prefer? Dont-know
05-19-2015 12:03 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Quila Offline

Preferred Members

Posts: 31
Joined: Mar 2015

Machine: AirSense 10 autoset
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10
Humidifier: Built in
CPAP Pressure: 8 - 13
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: British Columbia, Canada

Post: #2
RE: Ramp Question
I had ramp enabled when I first started using CPAP and a pressure range from 5 - 15. I would occasionally feel like I wasn't getting enough air when I first put the mask on, so I now have ramp off and a range from 8 - 13. For me, these settings are a lot more comfortable. I don't think ramp is really necessary after you get used to higher pressures.
05-19-2015 12:14 PM
Find all posts by this user Post Reply Quote this message in a reply
krelvin Offline

Advisory Members

Posts: 155
Joined: Jul 2014

Machine: Resmed S9 VPAP Auto BiLevel
Mask Type: Full face mask
Mask Make & Model: Quattro Air
Humidifier: S9 Series H5i Heated Humidifier with Climate Control
CPAP Pressure: 10.6cm - 18cm - PS 4cm
CPAP Software: ResScan SleepyHead

Other Comments: FlashAir WiFi SDcard with SleepMaster/FlashPAP - Weather Nut

Sex: Male
Location: Mesa AZ

Post: #3
RE: Ramp Question
(05-19-2015 12:03 PM)OB-Left Wrote:  ... Have not wanted to change any settings yet due to looking for things to stabilize. That being said what should/would I expect to be different from increasing initial pressure to 5.0 and turning ramp to off. Turning the ramp to off is something that alot of people seem to prefer? Dont-know
Without seeing charts it is hard to give any kind of feedback, but you won't really know until you try. The Ramp setting is a comfort setting and doesn't take anything special to turn it off. That you can change anytime.

I only used it a few days and never turned it back on again.

Current Settings PS 4.0 over 10.6-18.0 (cmH2O) BiLevel Auto
TNET Sleep Resource Pages
CPAP Machine Database
05-19-2015 12:20 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Crimson Nape Offline

Monitors

Posts: 1,327
Joined: Oct 2014

Machine: ResMed S9 Autoset
Mask Type: Other
Mask Make & Model: P-10 / F&P Simplus / DreamWear
Humidifier: H5i w/Climateline
CPAP Pressure: 8 - EPR 3
CPAP Software: SleepyHead

Other Comments: CMS-50F & 50IW

Sex: Male
Location: Georgia

Post: #4
RE: Ramp Question
If your starting ramp pressure is below your treatment pressure range then most people turn it off. I have a problem getting to sleep with the mask on, so I use the ramp set at my minimum therapy pressure so my CPAP won't record any events until I'm asleep. The ramp feature allows a user to have a pressure setting from 4cmH2O up to the minimum treatment pressure.

Statistics prove that people who have more birthdays live longer.
(This post was last modified: 05-19-2015 12:23 PM by Crimson Nape.)
05-19-2015 12:23 PM
Find all posts by this user Post Reply Quote this message in a reply
retired_guy Offline

Preferred Members-2

Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #5
RE: Ramp Question
If you're not experiencing any discomfort, then for you having the ramp on is fine. The one reason you might want to try not using it is because while the machine is in "ramp mode," it cannot detect/resolve your apnea events. That too may not be a big deal, but it seems to me that when our pressure settings are fairly low to begin with (starting at 5 in your case), then ramp seems a bit redundant.
05-19-2015 12:44 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
OB-Left Offline

Preferred Members

Posts: 39
Joined: May 2015

Machine: ResMed Airsence 10 Auto
Mask Type: Full face mask
Mask Make & Model: AirFit F10, Mirage Quatro
Humidifier: Integrated
CPAP Pressure: 6 - 12
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Michigan

Post: #6
RE: Ramp Question
Ok, looks like setting changed and I can post. So here is graphs from last night.

[Image: Screenshot%202015-05-19%2016.01.41.png][/URL]

Here is another graph from a few nights before. I see at least 5 events that were not counted before the green line. Whats up with that? Is it part of the Ramp effect? or due to pressure being too low?

[Image: Screenshot%202015-05-18%2017.20.26.png]

I'm assuming that just before 23:12 is when machine determined I was asleep and started ramping up the pressure?
(This post was last modified: 05-19-2015 03:37 PM by OB-Left.)
05-19-2015 03:14 PM
Find all posts by this user Post Reply Quote this message in a reply
retired_guy Offline

Preferred Members-2

Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #7
RE: Ramp Question
Your stats don't look too bad, OB. Good job getting started.

Yes, I would turn off ramp, and set the minimum pressure to 7.

That's all I would do for now. Then, I'd let the thing run for a few days and see what happens.

Your leak numbers could be better, could be worse. But to do that you would probably need to migrate to a different mask. That's something that could be done of course, and it might actually help you dump on the remaining AHI.

But for now, I think you're ok, just a little low on the starting pressure.
05-19-2015 03:45 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
PaulaO2 Offline
Wiki Editor
Moderators

Posts: 8,065
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: #8
RE: Ramp Question
You've been using this for two weeks you said.

Take a look at the data. Look at what the median pressure and the 95% pressure is for each day. Like, in the two days you presented in the screenshots above, you had 8.12 / 9/5 and 9.88 / 11.36.

IF it were my data, and the rest of the two days look like these two, and IF I were not obligated to leave my machine alone due to some compliant issue or a nosy doctor who thought he/she were G-d, here's what I would do: I would set the minimum to 7 and the maximum to 13. Then I'd observe the data for another 4 weeks. It is obvious the pressure of 5 is too low. Both nights it literally LEAPS from 5 to what your body needs.

And yes, turn ramp off. Ramp starts at 4 and slowly increases over whatever time frame you have set. It increases to the minimum pressure setting on an APAP or the treatment pressure of a regular CPAP. In your case, it is going from 4 to 5. Really useless.

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.
05-19-2015 04:09 PM
Find all posts by this user Post Reply Quote this message in a reply
OMyMyOHellYes Online

Advisory Members

Posts: 915
Joined: Mar 2013

Machine: Respironics 560 Auto
Mask Type: Nasal mask
Mask Make & Model: Resmed Mirage FX
Humidifier: Respironics System One (no heated hose)
CPAP Pressure: 08.0-15.0 cm/H2O
CPAP Software: EncoreBasic

Other Comments:

Sex: Male
Location: Texas

Post: #9
RE: Ramp Question
MOst long term users I've seen discuss the issue have sided with the ramp OFF setting. Me too. I feel suffocated with the pressure below 8 so that's where I start. My average pressures run 9 is, mayber 9.5 so that's a good floor for me. I;m comfortable at 8 and it is not far at all from my average.

OMMOHY
05-19-2015 08:47 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
TyroneShoes Offline

Preferred Members-2

Posts: 505
Joined: Oct 2014

Machine: Resmed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10
Humidifier: Resmed H5i
CPAP Pressure: 10-14
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location:

Post: #10
RE: Ramp Question
I never used ramp so I am unfamiliar. But curious. Is it that the xPAP CAN'T detect and so can't record those events, or is it that it DECLINES to record those events? It would seem that even at a very low pressure it could still measure the back pressure and identify events.

I have the xPAP on a table behind the bed, so it is out of reach. So, I use autostart. But I pull the mask away briefly to verify that it has started; otherwise I really could not tell. Ramp would probably interfere with that process.
05-19-2015 08:54 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
  Dream Station Ramp and Pressure Settings knowoneuno 15 321 12-02-2016 06:50 PM
Last Post: Sleeprider
  Auto ramp: Do you use, why or why not. Rcgop 18 647 11-29-2016 08:23 AM
Last Post: 0rangebear
  Smart Ramp bernerbits 2 306 09-14-2016 09:19 PM
Last Post: stephennic
  just settings bipap auto 20/12.. pressure ramp brejust 3 343 09-01-2016 02:07 PM
Last Post: trish6hundred
  [Equipment] To Ramp or not to Ramp EwanRGR 8 629 07-14-2016 08:41 PM
Last Post: Sleepster
  Ramp Feature TheLionSleeps 13 941 07-03-2016 01:51 AM
Last Post: vsheline
  Changing ramp time Fisher Paykal Sleep Style 600 HAVAGO 5 372 07-02-2016 11:58 PM
Last Post: vsheline

Forum Jump:

Who's Online (Complete List)