Post Reply 
what to do with pressure after getting up
Author Message
kitley Offline

Preferred Members-2

Posts: 104
Joined: Mar 2012

Machine: resmed s9 elite
Mask Type: Nasal mask
Mask Make & Model:
Humidifier: resmed s9 elite
CPAP Pressure: 7
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Ontario, Canada

Post: #1
what to do with pressure after getting up
Just new to CPAP. I have been using it for four nights now...and finally was able to wear it all night last night. I use the nasal pillows. Just not sure what to do, if I wake up through the night...say for a washroom break. My machine is still a loaner of course, for three more weeks. My pressure is set to seven, and the tech set the machine to ramp from 4 to seven, over 45 minutes. I leave it running and when I return to bed, I am unable to tolerate the air at 7, I start to hyperventilate, as I find the pressure to breathe out, too difficult. Is it ok to stop the machine, and then it will take 45 minutes again to ramp up, allowing me to be asleep again before it gets too difficult for me. Also, will this be a non issue, after I have used it for awhile? Thanks for any info.
04-09-2012 05:33 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: #2
RE: what to do with pressure after getting up
Yes, this is fine. A lot of us do that.

When you get your final machine, consider making that ramp shorter. It is my opinion that the shorter the ramp, the faster you acclimatize to the pressure. I used to use ramp feature all the time but stopped because I got so used to the full pressure, I couldn't breathe at the lower pressure. I was having more and more problems feeling suffocated. Someone suggested I turn the ramp off and that worked.
04-09-2012 05:41 PM
Find all posts by this user Post Reply Quote this message in a reply
zonk Offline

Advisory Members

Posts: 7,908
Joined: Feb 2012

Machine: A10 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Activa LT
Humidifier: Integrated /ClimateLineAir
CPAP Pressure: 9/13
CPAP Software: ResScan

Other Comments: CPAP since Nov 2010

Sex: Male
Location: Australia

Post: #3
RE: what to do with pressure after getting up
Hi kitley
Congrats on being able to wear the mask all night long.
I agree with Paula ramp 45 mins is way too long especially at 4 which for me would feel suffocating but my pressure is higher than yours.
What machine are you using and did come with the humidifier?
If experiencing problem exhaling against the pressure turning on the exhale pressure relief (EPR, Flex) can help as it can lower the pressure at exhale by 1, 2, or 3 cm which some find more tolerable and comfortable.
Say you turn ramp off and set EPR/Flex at 3 and at your pressure at 7 you you would be exhaling at 4 and getting proper pressure to treat your apnea as in ramp (4) for 45 mins is not doing much if you need 7.
(This post was last modified: 04-09-2012 06:30 PM by zonk.)
04-09-2012 06:07 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
weeble Offline

Advisory Members

Posts: 154
Joined: Feb 2012

Machine: Resmed AirSense Autoset For Her S10
Mask Type: Nasal mask
Mask Make & Model: Wisp and DreamWear
Humidifier: AirSense
CPAP Pressure: 6-18
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Female
Location: Gold Coast Australia

Post: #4
RE: what to do with pressure after getting up
Hi
I still use my ramp after nearly a year - I don't need to any more but I do because I like the fact it gives me time to nod off before reaching its full setting. I would always turn the machine off if you get up for some reason...apart from anything...it would raise your AHI reading because leaving it running but not wearing it, would show a massive leak. Perhaps once you get used to it, turn the ramp down to a shorter time
04-09-2012 06:18 PM
Find all posts by this user Post Reply Quote this message in a reply
greatunclebill Offline

Members-b

Posts: 549
Joined: Feb 2012

Machine: Respironics System one Auto A-Flex
Mask Type: Full face mask
Mask Make & Model:
Humidifier: System one
CPAP Pressure: 8-12
CPAP Software: SleepyHead EncoreViewer

Other Comments: quattro fx full face

Sex: Male
Location: L.A. (Lower Alabama)

Post: #5
RE: what to do with pressure after getting up
there is no right or wrong answer. do whatever is more comfortable to you. you control the buttons.
04-09-2012 08:52 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
PollCat Offline
Apnea Board Polling Administrator
Monitors

Posts: 1,576
Joined: Feb 2012

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: ResMed AirFit P10
Humidifier: H5i Cleanable with ClimateLine
CPAP Pressure: 10 - 18
CPAP Software: SleepyHead

Other Comments: CPAP-ing since 1995; Type 2 Diabetes; Chronic Asthma; Gout

Sex: Male
Location: Westfield, IN

Post: #6
RE: what to do with pressure after getting up
Before I started using the Autoset, I had just standard CPAP machines set at 15 (with a 15 minute ramp - starting at 7). If I got up in the middle of the night, I'd just take the headgear off and then replace it after the 'break'. The trick to getting comfortable again was to open my mouth to equalize the pressure and once I'd adjusted to the pressure, close my mouth and go back to sleep.

Since the Autoset shuts off and turns on automatically, I've set the ramp to 5 minutes and the starting pressure to 10.


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.
04-09-2012 11:29 PM
Find all posts by this user Post Reply Quote this message in a reply
kitley Offline

Preferred Members-2

Posts: 104
Joined: Mar 2012

Machine: resmed s9 elite
Mask Type: Nasal mask
Mask Make & Model:
Humidifier: resmed s9 elite
CPAP Pressure: 7
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Ontario, Canada

Post: #7
RE: what to do with pressure after getting up
(04-09-2012 06:07 PM)zonk Wrote:  Hi kitley
Congrats on being able to wear the mask all night long.
I agree with Paula ramp 45 mins is way too long especially at 4 which for me would feel suffocating but my pressure is higher than yours.
What machine are you using and did come with the humidifier?
If experiencing problem exhaling against the pressure turning on the exhale pressure relief (EPR, Flex) can help as it can lower the pressure at exhale by 1, 2, or 3 cm which some find more tolerable and comfortable.
Say you turn ramp off and set EPR/Flex at 3 and at your pressure at 7 you you would be exhaling at 4 and getting proper pressure to treat your apnea as in ramp (4) for 45 mins is not doing much if you need 7.

Hi Paula and Zonk...thanks so much for your speedy replies. My loaner machine is a Medres Escape 58. It has a button that says I can heat the humidifier. It is not turned on, so I would assume it is now set for n onheated humidifier. I will have to look in my case and see if she included a manual for the machine. I can contact someone 24 hours a day, if needed, and also leave a message for the resp. tech. If there is no book I maybe will try that. It is just disappointing that I am able to wear it all night, but feeling as though I can't breath, until I fall asleep. Of course this happens at least 10 times through the night, as I continue to get used to the new gear on my head and face. Without a manual I would not be comfortable changing the settings myself. When I purchase my own machine...is it of benefit to have one that has a heated humidifier, and what does it do for you?
04-10-2012 07:14 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
kitley Offline

Preferred Members-2

Posts: 104
Joined: Mar 2012

Machine: resmed s9 elite
Mask Type: Nasal mask
Mask Make & Model:
Humidifier: resmed s9 elite
CPAP Pressure: 7
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Ontario, Canada

Post: #8
RE: what to do with pressure after getting up
(04-09-2012 11:29 PM)bobg1946 Wrote:  Before I started using the Autoset, I had just standard CPAP machines set at 15 (with a 15 minute ramp - starting at 7). If I got up in the middle of the night, I'd just take the headgear off and then replace it after the 'break'. The trick to getting comfortable again was to open my mouth to equalize the pressure and once I'd adjusted to the pressure, close my mouth and go back to sleep.

Since the Autoset shuts off and turns on automatically, I've set the ramp to 5 minutes and the starting pressure to 10.

Hi Bobg..I did automatically open my mouth but it felt worse and I closed it. Maybe I will try it again for a longer time and see what happens.
04-10-2012 07:21 AM
Find all posts by this user Post Reply Quote this message in a reply
zimlich Offline

Preferred Members-2

Posts: 392
Joined: Feb 2012

Machine: Respironics PR System One BiPap Auto SV Advanced
Mask Type: Nasal mask
Mask Make & Model: ResMed gel Nasal Mask
Humidifier: System One
CPAP Pressure: 8-20 ASV, 8 EPAP,PS 12
CPAP Software: Not using software

Other Comments: I use the Quattro FFM when necessary

Sex: Female
Location: Norfolk, VA

Post: #9
RE: what to do with pressure after getting up
Kitley, I predict you'll get used to the pressure of 7 in a very short while. When I go to the bathroom during the night I turn the machine off and disconnect the hose from my mask. If you do that your ramp will restart. Perhaps by the time you get your new machine you will be used to the pressure and not need the ramp. Using EPR, or flex will also increase comfort (as previously suggested). Good for you getting through the whole night with the pillows this quickly. Welcome to the forum.
04-10-2012 07:53 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
kitley Offline

Preferred Members-2

Posts: 104
Joined: Mar 2012

Machine: resmed s9 elite
Mask Type: Nasal mask
Mask Make & Model:
Humidifier: resmed s9 elite
CPAP Pressure: 7
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Ontario, Canada

Post: #10
RE: what to do with pressure after getting up
(04-10-2012 07:53 AM)zimlich Wrote:  Kitley, I predict you'll get used to the pressure of 7 in a very short while. When I go to the bathroom during the night I turn the machine off and disconnect the hose from my mask. If you do that your ramp will restart. Perhaps by the time you get your new machine you will be used to the pressure and not need the ramp. Using EPR, or flex will also increase comfort (as previously suggested). Good for you getting through the whole night with the pillows this quickly. Welcome to the forum.

Thanks Zimlich. I thought I would have an easier time then some new users. I exercise with a girl who's pressure is set at 11. She just loves it...does not know how she ever slept without it. She is the last user I spoke to before I went for my calibration. A positive note certainly helps. During calibration...they used a face mask on me..I was asleep in seconds...with frequent wake ups of course. It surprised me because I tend to be claustraphobic. I have had so many years of hardly any sleep, that almost anything to try is more than welcome. Also, I have TIA's which the resp. tech. thinks were caused by the sleep apnea...as well as heart arrythmias...so hopefully, I will live longer now...or at least not always be worried about when the big stroke is going to hit! Hopefully this is not just the honeymoon phase for me.
04-10-2012 08:57 AM
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
  Which disturbs sleep most? High Pressure or Changing Pressure Rcgop 7 1,260 11-10-2016 07:37 PM
Last Post: Sleep2Snore
  Lower max pressure affecting pressure increases Rcgop 9 718 07-17-2016 07:03 PM
Last Post: green wings
  I pressure/E pressure - cause/cure - on CAs Rcgop 1 533 06-17-2016 08:47 PM
Last Post: richb
Gross treatment pressure higher than the setting pressure debby2242 24 2,002 04-03-2016 01:34 PM
Last Post: sonicboom
  Pressure and leaks, changing pressure sleepwellsir 17 4,941 12-27-2013 03:04 AM
Last Post: DOOM_NX
  resetting ResMed pressure range above 95% pressure ekim 31 6,368 11-13-2013 08:24 AM
Last Post: ekim

Forum Jump:

Who's Online (Complete List)