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Turned off EPR
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PaulaO2 Offline
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Machine: S9 Autoset
Mask Type: Full face mask
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CPAP Software: SleepyHead

Other Comments: Ehlers-Danlos Syndrome, Hypermobility Type; chronic sarcasm

Sex: Undisclosed
Location: western NC, USA

Post: #1
Turned off EPR
I thought I had already done this but while looking for something in the clinician menu, I saw it was still on. So, I turned it off.

Ramp has been off for a while.

The first night, I had a lot of problems with it. My ears closed and I had intense sinus pressure. Breathing out wasn't all that difficult although I did notice it was different.

The second night (last night) was better although my ears did close again. Could be coincidence but two nights in a row makes me think not.

The reason I considered turning it off is a while back, I was in a "discussion" and I heavy sighed through my nose. And had absolutely no air to breathe back in. It was maybe just two seconds but it was long enough to make me panic. The S9 is a lot more air tight than my S7 by a long shot. If the power went off, I barely noticed with the S7 but I am awake, gasping for air, the second the power goes off now. And my breathing forcefully out caused the EPR to do something I did not like.

When in the menu. I did not see any numbers. I can't remember what it said (full and manual maybe?) but I've never seen the EPR settings on the user menu.

PaulaO2
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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.
05-09-2012 11:58 AM
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Rritch Offline

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Posts: 107
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Machine: Respironics System One Pro (450)
Mask Type: Nasal mask
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Humidifier: Respironics System One
CPAP Pressure: 10
CPAP Software: SleepyHead

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Sex: Male
Location: NoVA USA

Post: #2
RE: Turned off EPR
You can enable EPR in the user menu from the clinician menu. There are 3 levels of EPR 1-3 which equates to -1, -2, or -3 cmH20 pressure reduction during exhale.
05-09-2012 12:16 PM
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PaulaO2 Offline
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Posts: 8,065
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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: #3
RE: Turned off EPR
I went back to look.

My machine was set to Full Time and 3. It is now set to Off (with it on off, I could not access to EPR level, which makes sense.
EPR has Full Time, Off, and Ramp Only.
EPR Level has 1 - 3, Off, and Patient.

I am assuming that since mine was set to 3 and not Patient, that is why I saw no EPR on the user screen. How rude!

PaulaO2
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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.
05-09-2012 01:13 PM
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Rritch Offline

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Posts: 107
Joined: Feb 2012

Machine: Respironics System One Pro (450)
Mask Type: Nasal mask
Mask Make & Model:
Humidifier: Respironics System One
CPAP Pressure: 10
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: NoVA USA

Post: #4
RE: Turned off EPR
I am pretty sure if it is off or if the level is set to anything besides patient it will NOT show up in the user menu.
05-09-2012 01:43 PM
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zonk Offline

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Other Comments: CPAP since Nov 2010

Sex: Male
Location: Australia

Post: #5
RE: Turned off EPR
(05-09-2012 01:43 PM)Rritch Wrote:  I am pretty sure if it is off or if the level is set to anything besides patient it will NOT show up in the user menu.
Correct Coffee
05-09-2012 01:52 PM
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Sleepster Offline
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CPAP Software: ResScan SleepyHead

Other Comments: Diagnosed Nov 2011. Conquered aerophagia.

Sex: Male
Location: Houston, Texas

Post: #6
RE: Turned off EPR
(05-09-2012 01:13 PM)PaulaO2 Wrote:  I am assuming that since mine was set to 3 and not Patient, that is why I saw no EPR on the user screen. How rude!

But effective! Too-funny

But seriously, why don't you try setting it at 2 or 1 for awhile, before you drop all the way to zero.

I have a BiPAP, so my pressure drops quite a bit when I exhale. I love it. I've thought about gradually raising the exhale pressure until it matches the inhale pressure (CPAP mode). But, I'm a chicken. My AHI has stabilized at 2 and I don't want to mess with success.

Sleepster
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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.
05-09-2012 02:26 PM
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JumpStart Offline

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Machine: ResMed S9 Autoset
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CPAP Pressure: 10 - 20 (auto range)
CPAP Software: ResScan SleepyHead

Other Comments: ResMed Mirage Quattro

Sex: Male
Location: Houston, Texas

Post: #7
RE: Turned off EPR
When my doc increased my pressures (as a test) to 10-20, I developed serious mask leaks at upper pressures. In dealing with those, I moved my EPR from 1 to Off, and learned a lot. Among other things, if your machine is not absolutely in tune with your exhale cycle, and is pumping out the maximum, there will be a greater absolute pressure when you begin to exhale (and your machine continues to blow) than is originally set, or so I believe. While this may or may not affect you therapeutically, it certainly can create leaks where there otherwise might be none, particularly if you are "on the edge". In my experience, it reduced leaks when I eliminated EPR.

Breathing keeps you alive. And PAP helps keep you breathing!
05-09-2012 03:02 PM
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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: Turned off EPR
I don't have much problems with leaks. Like most folks, I have a built-in leak alarm laying next to me. LOL

If my ears bother me again tonight, I'll turn it back on but set it at 1 or 2, depending on how bad the ears are.

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.
05-09-2012 03:07 PM
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shanzlik Offline

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Sex: Male
Location: Texas

Post: #9
RE: Turned off EPR
I tried mine at off, 3, 2, and 1 for 2-3 days each. I had the best AHI at 2, and it was comfortable, so that's where I left it.

I also had to go in and make mine accessible in the menu. It was set at 3 and the option to change it was hidden when I got it (by either the factory default or through setup by the DME, I don't know which one).
05-09-2012 03:15 PM
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PollCat Offline
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Other Comments: CPAP-ing since 1995; Type 2 Diabetes; Chronic Asthma; Gout

Sex: Male
Location: Westfield, IN

Post: #10
RE: Turned off EPR
Having slept for more than 15 years without EPR, I never turned it on when I got my new S9. Does it really make that big of a difference?


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.
05-09-2012 10:42 PM
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