30 days in, I decided to revisit the ramp feature on my S9 Autoset (9.6-17, EPR 2) sleep study called for CPAP at 11.5. I tried the ramp feature when i first got my machine, and hated it. I saw that many on the board did not use the ramp, so I figured my experiance was the norm. Now, with some time under my belt, and a bit more used to the effects, I decided to revisit ramp. When I first put on my Aloha pillow mask, the machine goes to 9.6. I push back at that, have some slight full chest discomfort, but all is well with a few open mouth exhales. I settle in, and sleep well, have good numbers, but the discomfort occurs every time I get up for a B.R. break.
So I decided to revisit ramp.
Here is what I did: put the machine into autostart mode, put on the mask and watched the meter. At about 7.5 breathing felt natural. I set the ramp start to 7.5, and the time to 5 minutes. (that is well within the time it takes for me to get settled into bed.) WHAT A DIFFERANCE! No chest discomfort, no need for exhale relief, and I fell into a good sleep. Some of you might want to revisit ramp, though YMMV.
Hey, everyone is different. If using ramp helps you before falling alsleep, then use it.
Same goes with the EPR setting. This therapy is hard enough to adapt to, so use the comfort features available to you.
Now I don't like the ramp, but I'm just used to starting at my minimum pressure. It feels right to me. I also use an exhale relief of 2.