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Removing EPR setting.
#11
RE: Removing EPR setting.
Just info I see on feedback on ResMed's EPR is that although it's a comfort setting, many users will find it enhances therapy. A setting of EPR 3 drops your exhale pressure by 3 of whatever your pressure setting is. I would suggest leaving it as is unless we're addressing some therapy or comfort problem.
Dave

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INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#12
RE: Removing EPR setting.
(07-04-2020, 01:25 PM)SarcasticDave94 Wrote: Just info I see on feedback on ResMed's EPR is that although it's a comfort setting, many users will find it enhances therapy. A setting of EPR 3 drops your exhale pressure by 3 of whatever your pressure setting is. I would suggest leaving it as is unless we're addressing some therapy or comfort problem.

Thanks. I'll leave well enough alone.

(07-04-2020, 11:51 AM)RoseWeissman Wrote:
(07-04-2020, 10:45 AM)bonjour Wrote: EPR, though not medically documented, is as important as PS is on a BiLevel up to its limit of 3cmw.  it TREATS Flow Limits, Hypopneas, RERAs, and UARS within its limits.

Without question, it is listed as only a "Comfort" setting.  It does far more than just lowering Centrals when decreased, I would expect to see some obstructive events increased when lowered and reduced when raised.

(07-04-2020, 10:49 AM)bonjour Wrote: EPAP_, Exhale pressure is what treats Obstructive Apnea, that is what splints the airway open.  You need to be aware of this.
Post OSCAR daily charts for a proper evaluation.

Hi bonjour. Do you think it is better that I don't decrease/ remove the EPR setting? This is still all very new to me so was going on what I was reading. So my assumption was better to have 14cm H2o at all times rather than only on inspiration, because I don't know any better. I don't think my sleep dr has any idea what if any EPR setting I have on the machine.

This is my data from 2 night ago. It is a rarity to get anything like this. In fact I rarely even have one CA event at all. So going on the advice here just leave well enough alone. I think initially I was just seeing EPR, comfort and advice to generally not to use it, but without realising that was for issues with central apnoeas which I don't have. Or rarely do. Thanks again.


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#13
RE: Removing EPR setting.
Just a reminder on CA events, they are random or consistently inconsistent. Your CA may be from a short breath hold while changing sleep positions. It's perfectly OK to ask about things. Unless you've had a history of some CA cropping up, I'd not be overly concerned. If they begin to appear more often or if you start to feel less rested, post an OSCAR chart and we can look at it. Just note what should be considered your "normal" chart look versus not. If event rates spike, that's when to look at them and get an action.

Hope that helps out.
Dave

OSCAR
Standard OSCAR Chart Order
Mask Primer
Dealing With A DME
Soft Cervical Collar Wiki
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#14
RE: Removing EPR setting.
As others have said there is no reason for you to not use EPR.
Fred Bonjour - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter 
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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.
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