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question - not getting enough air feeling
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cookie810 Offline

Preferred Members

Posts: 28
Joined: Jan 2015

Machine: resmed AirSense 10 CPAP
Mask Type: Nasal mask
Mask Make & Model: ResMed AirFit N10
Humidifier: unsure
CPAP Pressure: 8
CPAP Software: Not using software

Other Comments:

Sex: Female
Location:

Post: #1
question - not getting enough air feeling
When I first put the mask on, I feel like I am not getting enough air at the beginning- I eventually do fall asleep but I would like to get more air flow in the beginning- I am on a 45 minute timer to the full flow which would be 8... but sometimes I have to lift the mask off to get a deep breath- and then I have to start the timer over...
looking for advice---
01-24-2015 08:24 PM
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trish6hundred Offline

Advisory Members

Posts: 6,430
Joined: May 2012

Machine: Resmed S9 AutoSet for Her
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: H5i Heated Humidifier
CPAP Pressure: 10 - 7-20 Cm H2O
CPAP Software: Not using software

Other Comments: I started CPAP in 2008. Totally blind since birth.

Sex: Female
Location: Missouri, USA

Post: #2
RE: question
Hi cookie810,
You could try making the ramp time shorter, say, from 45 minutes to 30 minutes, (or even shorter,) or you can turn the ramp feature completely off. Hang in there for more suggestions.

trish6hundred
01-24-2015 08:45 PM
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Mr. Van Winkle Offline

Advisory Members

Posts: 257
Joined: Nov 2014

Machine: Resmed Airsense 10 Autoset
Mask Type: Nasal mask
Mask Make & Model: F&P Eson
Humidifier: Airsense
CPAP Pressure: 9 -15
CPAP Software: ResScan SleepyHead Other Software

Other Comments:

Sex: Male
Location: Minnesota

Post: #3
RE: question
(01-24-2015 08:24 PM)cookie810 Wrote:  When I first put the mask on, I feel like I am not getting enough air at the beginning- I eventually do fall asleep but I would like to get more air flow in the beginning- I am on a 45 minute timer to the full flow which would be 8... but sometimes I have to lift the mask off to get a deep breath- and then I have to start the timer over...
looking for advice---
I had changed my ramp time to 5 min's and the works good for me, I also use auto start , pressures starts at 4 but by the time I get the mask on properly it's already over 5.4 so it does ramp up to pressure fairly quick, mine is 9-15, I do not have that feeling of the lack of air which I did have when the ramp was set longer.
So give it a try you can always change it back to what ever ramp time you need.
5 minutes for me give me enough time get adjusted and I'm almost asleep, ( which wasn't that way before I started cpap).
Good Luck and Sleep-well
01-24-2015 09:11 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: #4
RE: question
Yes, shorten that ramp.

The ramp typically starts out at 4 (the lowest most machines can go) then slowly increases to the lowest pressure the machine is set. You said yours is set to 8. So for 45 minutes, it isn't increasing very much at all. It is slowly creeping along just 4 points. Meanwhile, you aren't falling asleep because you can't breathe. And you've probably gotten used to the pressure of 8 and anything less feels suffocating.

Shorten the ramp to, say, 15 minutes and see if that is enough. If not, then go to 10. Or, be brave and just turn it off. Try it prior to going to bed. Turn the ramp off. Turn on the machine, and put on the mask. I'm betting you find it fairly comfortable.

Another thing to look at is what the EPR is set to. Sometimes the EPR is too low for the user and it can feel smothering, too. If you turn the ramp off, consider setting the EPR to 3 if it is not there already.

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.
01-24-2015 09:49 PM
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vsheline Offline

Advisory Members

Posts: 1,907
Joined: Jul 2012

Machine: S9 VPAP Adapt (USA Model# 36007, not better 36037 or 36067)
Mask Type: Full face mask
Mask Make & Model: F10 or SimPlus w/ 2Liners. MirageQuatro & Gecko gel pad
Humidifier: H5i
CPAP Pressure: 15 EPAP, PS 5-10
CPAP Software: ResScan

Other Comments: Marfan Syndrome, chronic bradycardia, occasional Cheyne-Stokes Respiration

Sex: Male
Location: California, USA

Post: #5
RE: question
Hi cookie810,

There are two major adjustments for the Ramp:

1. "Start Pressure" is the pressure the Ramp starts at. Default is 4, but the Start Pressure can be set higher.

(For example, if our normal treatment pressure (perhaps named "Min Pressure" if using an auto-adjusting machine like the AutoSet, or perhaps named "Set Pressure" if using a fixed-pressure machine) is 8, the "Start Pressure" can be set to 6 or 7 or whatever is most comfortable.)

2. "Ramp Time" can be set to zero (off) or up to 45 minutes in increments of 5 minutes. Or, as an option, the AirSense 10 models have a new "Auto" setting for the Ramp Time.

When Ramp Time is set to Auto, the AirSense 10 machine will stay at the Start Pressure until our breathing pattern looks like we have fallen asleep, and then the pressure will ramp up at a rate of 1 cmH2O per minute until the pressure reaches the Min Pressure setting.

(For example, if the Start Pressure is set to 6 and the Min Pressure is set to 8, after we fall asleep the machine will take 2 minutes to ramp up from 6 to 8, and then normal therapy begins. "Normal therapy begins" means the machine will then start responding to events like apneas, hypopneas, Flow Limitation or snoring.)

I recommend you obtain the clinician setup manual for your machine (request the setup manual by email) using the links starting at this page:
http://www.apneaboard.com/forums/Thread-...d=30#pid30

Take care,
--- Vaughn

Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment. The Advisory Member group provides advice and suggestions to Apnea Board administrators and staff on matters concerning Apnea Board operation and administrative policies - not on matters concerning treatment for Sleep Apnea. I think it is now too late to change the name of the group but I think Voting Member group would perhaps have been a more descriptive name for the group.
(This post was last modified: 01-24-2015 11:26 PM by vsheline.)
01-24-2015 11:11 PM
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Ghost1958 Offline

Advisory Members

Posts: 957
Joined: Aug 2014

Machine: PRS1 Series Sixty Auto Aflex
Mask Type: Nasal mask
Mask Make & Model: F&P Eson
Humidifier: PRS1 with Heated Hose
CPAP Pressure: 10.5 min 16 max
CPAP Software: SleepyHead EncoreBasic

Other Comments: Moderate to Severe SA Obstructive. Rapid O2 desat off the machine.

Sex: Male
Location: KY

Post: #6
RE: question
Yep reset your ramp pressure so you can breathe or just turn it off. I personally cant get enough air below 7 my min pressure is 9 with no ramp.
01-24-2015 11:29 PM
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Moriarty Offline

Advisory Members

Posts: 270
Joined: Jul 2012

Machine: Respironics REMStar 50 Series Auto
Mask Type: Nasal pillows
Mask Make & Model: Fisher & Pakel Pilairo Q
Humidifier: Respironics System One
CPAP Pressure: 8.5-20 (average 9.4)
CPAP Software: SleepyHead

Other Comments: Image above is my CPAP machine...

Sex: Male
Location: Toowoomba - Qld - Australia

Post: #7
RE: question
Ramp did not work well for me at all. For me the pressure is 8.5 minimum and I like the machine hitting that pressure straight up...

Disclaimer: The 'Advisory Member' title is a Forum thing that I cannot change. I am not a doctor and my comments are purely my opinion or quote my personal experience. Regardless of my experience other readers mileage may vary.
01-25-2015 09:28 AM
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archangle Offline
Wiki Editor
Advisory Members

Posts: 3,159
Joined: Feb 2012

Machine: ResMed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: ResMed Swift FX
Humidifier: ResMed S9 H5i
CPAP Pressure: 16-20
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments: Happy PAPper

Sex: Undisclosed
Location: USA

Post: #8
RE: question
Turn off the ramp unless you can't sleep without it.

Sometimes you can convince yourself you're getting enough air if you open your mouth and let air gush through for a while. You may also be able to get over that "dead air" feeling if you consciously take a few deep breaths and feel the air flow in and out through your nose.

Get the free SleepyHead software here.
Useful links.
Click here for information on the main alternative to CPAP.
If it's midnight and a DME tells you it's dark outside, go and check it yourself.
01-25-2015 09:46 AM
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