I was at my annual CPAP review with my sleep specialist. They told me my pressure is set for a variable from 12 to 20, with an actualized average pressure of 17.2. They said that during my last overnight sleep study I was having an average of 93 breathing “events” (stoppages) per hour and none were recorded in the last year (per the CPAP data). Unlike many people, I don’t mind my CPAP. I have bad sealing masks, louder machines, poor fitting head harnesses, etc… I have gotten to the point that I can’t sleep without my CPAP. The difference it has made is truly amazing. No more feeling dead tired all the time, fighting to stay awake watching TV or shaking my head violently to keep myself awake/aware while driving.
I’ve been told off today for messing with my settings, I have my machine given to me by the NHS and they said if I continue going into the clinical menu they will take the CPAP off me! Couldn’t believe they’d rather me not be interested and continue with therapy settings that weren’t working until my next appointment that are every 6 months! I’m looking into buying my own kit now and going it alone
Sounds like you're over in the UK yeah? You can probably pick up a Lowenstein Prisma 20A for around $600 pound and it's worth every penny (although not compatible with SleepHQ just yet) A few of our SleepHQ pro members have been picking up the AirSense10 card to cloud for $499USD (400 pound) and freight forwarding it to the UK so that's an option also. Cheers
Cpap is a medical device….if a dr is in charge of your care and then you change settings, then something bad happens…a patient could still try to hold the physician for the problem. …and you would rather take advice from youtube cpap techs or whatever they are? changing the clinical settings is like prescribing your own medicine. i understand your frustration, but i wouldnt mess with settings that you may not know all the ins and outs of.
I have the ResMed 11 and I swear by the EPR setting. For me it makes breathing so much more effortless. I completely agree with EVERYTHING else you have stated in all your videos (I watch them all). Thanks for the help. You have made a positive difference in my life.
I started CPAP therapy 2 weeks ago. I haven't been able to fall asleep with it since i started. Until last night when i turned off auto CPAP. Auto mode have me the feeling of gasping for air and it stressed me out. The inspiration was too slow at the beginning and I felt like I wasn't getting enough air and taking long drawn out inspirations. Turning off auto allowed me to fall asleep for the first time with it. I have the resmed 11.
I'd like to point out that apnea control is not everything and comfort is essential so you need to find the right balance. EPR will most likely reduce your apnea control so just be aware of that but you can still use it if you find therapy easier and more enjoyable. Thanks for watching. Cheers try.sleephq.com/ is my online cpap support community & cpap reporting platform. Master your therapy and improve your sleep with our powerful cloud-based platform. Create a FREE account and download your detailed therapy report today! Features Include - 1. High-resolution 'breath-by-breath' analysis - View every apnea and every breath in full detail. 2. Sleep Journal - Track how changes to device settings influence your sleep & therapy results. 3. Custom PDF reports - Detailed therapy reports complete with journal entries. 4. Therapy Trends - Monitor changes to your apnea control over time. 5. Support - Access to the SleepHQ Community Forum 6. Education - From CPAP novice to therapy PRO. Master your device and settings with the SleepHQ Academy course 7. Blood Oxygen, Heart Rate & Movement Data - Connect a SleepHQ O2 Ring to your account to view additional data sources and take your therapy to the next level. 8. Access to exclusive, member-only discounts on the latest and greatest CPAP gear And much more! SleepHQ O2 Ring - www.sleephq.com/o2-ring/ SleepHQ Magic Uploader - www.sleephq.com/magic-uploader/ Join My Facebook Community - cpap.review/facebook My Monthly Newsletter - cpap.review/newsletter Thanks for all the love & support! Uncle Nicko
Imho the settings the doctor gave me for my cpap was too low. During my test, it says I need 9 but today I need 14 when using auto mode. It also depends on masks. With Phillips I only need 12, but resmed mask I need 14. Your weight also determines the pressure
Confused! You just compared 2 different machines with different settings, not different settings of the same machine. If the ultimate goal is to achieve better AHI, you just made the case for using EPR as a good thing. What's the downside? Love the channel. Lots of good advice/help. But, this one has me scratching my head. Thanks
For a long time I was trying to transition from EPR 3 toward going straight CPAP. I started to shift it to EPR 2. A couple of nights I tried EPR of 1, and slept horribly. So kept it at 2 for a long time. I got used to exhaling against the increased pressure, but never fully used to it, and definitely not to the point of being able to comfortably switch to EPR 1. Since getting sick last week, I switched it back to EPR 3 after having been at 2 for a long time, and it's so much more comfortable. I think my sleep might be a bit better, as well.
Been consistently having an AHI of 11-14 and sure enough, it was on, gonna try this to see if it improves things. Just found this channel after a couple months of middling success on my ResMed 11 (was having upwards of 60 events an hour beforehand, so it is at least helping) and enjoying the videos a lot, hopefully this channel will be a help!
You know what, thankyou for the info, I actually turned my epr to 3 and for some reason I have been getting worse sleep lately, pressure is pressure no matter what, this actually make sense losing the desired pressure wont be back for awhile, last night scared me, because I was choking on my dream and when I woke up from it, I was actually choking, I will change my settings today to what it was Update june 18. It was indeed the resmed EPR, I stopped choking, on the 1st day of turning it off, I was still waking up like every 2 hrs, 7 hrs total, following day it was gone, manage to sleep for more than 8 hrs, felt so alive and energetic, once again thankyou for this info, you're a godsend, 3 days later I am loving my cpap again. mine is Airsense 10 elite.
sometimes notbeing able to breathe out fully during the therapy can cause problems as well, bilevel is better then EPR as it changes the pressure faster.
@@King.Benjamin I have tried turning it back on once in awhile couple months ago, and yeah It gives me higher ahi. never again, with EPR off, my average ahi is like 2, you should definitely give it a try for few days.
Started Apap therapy 2 weeks ago. I'm a healthy, gym going 40yo dude, with no health issue. BUT, my throat closes on its own the second i fall asleep! I've been dead tired for years! Now, i feel like i'm 20 again! Cpap for the win.. health is more important than comfort
sleep apnea board shows some good explanation as to how epr can help reduce flow limits. cpap friend made a vid on it too. so is it fair to say epr sucks if it can reduce flow limits?
I have a ResMed AiirSense 11 and when I was struggling to get used to the machine (my first CPAP) the EPR was the key to success. I can't speak for anyone else but I've had zero problems with the setting (I use EPR level 3) and in any case I'd have no problems making a little tweak to the primary pressure if that were required. Not sure what the fuss is about but I guess everyone's experience is different.
Hey mate, yeah everyones different. There's no one size fits all when it comes to CPAP but it's certainly important to understand EPR can reduce apnea control so if you don't need it, don't use it. Cheers
Resmed 11. Poor communication between tech and Drs causing delays and problems. This interesting 🤔 Hhhm, after pressure of 11-12, got rid of obstruction but CA went sky high. So, they increased pressure up to 16 to reverse conversion to central which only caused an air pressure wound from pillow mask. Then decreased to 7 and with different and same mask, Obstruction and CA went sky high, couldn’t breath and exhausted. Have changed to a range with continued problems with both. Turned off pressure relief- dramatic decrease in both- obstruction almost controlled, CA still too high, but much better… THank YoU! May still need another sleep study and different machine, but some relief for months b4 this can happen better than the bs that was happening…
They changed my EPR to 3 and the autoset is on “soft” they did this because of Aerothagia… it no longer gives me full energy please help! I have mild sleep apnea.
Not sure if you saw his video about soft vs standard setting. He said with soft you can get a lot of issues with swings in narrow breathing. So you may want to try Standard instead of Soft. As well as upping your max pressure level 2 or 3. So like from 12 to 14 or 15. Hope you were able to figure it out.
I would like to thank you so much, you advised me last week to change the pressure to 16 and EPR to 3 and wow what a difference. But I’m keep wondering why don’t they make EPR on from the beginning??
Thank goodness it hasn’t really bothered me to my knowledge. I reduced my pressure a few years ago on my own which helped with mask leaks and discomfort. I just got a resmed 11 with EPR. I may play around with adjusting it and see what my results are. Thanks for sharing all this
I thought I was following along thinking I might want to turn off or reduce my epr setting until the end of the video that showed the person had epr off on the resmed 10 and then on the resmed 11 epr-2 on and they had better results with epr on not off. Count me confused 😮
I totally agree! Count me confused too. After the first 70% of the video I thought "oh dear, I'd better turn off EPR on my AirSense 10". Then at the end, presumably to support his case, Nick shows just one example....but EPR helped!!!
That's interesting. My sleep WatchPat One gave me an AHI of 40. My very first night with resmed 11 airsense auto gave me an AHI of 1.56 (my lowest AHI to date [new user, currently only one week]), I turned on EPR and my AHI the very second night was 3.19. I suspected it was EPR set to 3 so I lowered it to 2. Since then it has been 2.06 and lower. I think I'll try EPR 1 and even turning it off.
Thanks Nikko, you are the only reason I bat on with it, doctors have no interest in the data uploads. looking fwd to the new mask arriving, much appreciated.
@@Healinghands829 Great question and millions of cpap users would also like to know that. In 1993 they eradicated my pineal gland along with the tumor. They thought it did nothing, turns out it regulates your sleep and deep sleep by emitting melatonin. I'm 44 and before I turned 40 I had 3 strokes. Sleep depravation was most like the culprit. I'm a 30 year brain tumor survivor now. 30 years of exhaustion. It just hits me and I have to sleep. Part of why I'm on disability along with brain damage and many other things.
Well, that explains a lot. I thought I was going nuts when I first noticed a different airflow with EPR turned on versus off... Sometimes it feels like a damn hurricane in my mask. Fortunately I'm only EPR 1 and was planning to wean off it over time anyways.
yeah that's correct. An increase in EPR will result in a large influx of airflow into your mask during inhalation. This can cause a mask and mouth leaks and also some other problems. It also increases noise levels. Good luck
I am using a Lowenstein 20 and was doing Ok BUT since watching these (Nicks) videos I understand my sleep apnea so much more and how to get the most comfort Vs air control out of my machine.
New to this day 4, yet already digging into the settings. EPR on the 11 has 3 levels… I think level one feels like it kicks back in quickly and may be as good as the competition.
Thank Chris for very interesting comparison. I believe that clinical blind study with say 100 voluntary patients between a) different C-PAP brands b) various settings would yield so much new data re. brands and EPR's importance to treatment results. Maybe even that golden key to Pandora's box? I am from Finland and we cannot tweak our ResMed or other CPAP machines (yeah, really true!) due our 🤬😤 government healthcare legislation. Patients need to contact to "authorized" public healthcare (long response time) or private specialist apnea clinic (€€€) in order to ask them to tweak or do any changes (and they charge you roughly 50€ for every change). This is absurd law is resulting many people to drop out from CPAP treatment Anyway, your channel and videos are a lifeline to me and other Finns to learn more on treatment! So huge thank you for all your great information
Really, are they locked down? One would hope the manufacturers are doing that research and improving their products, but the reality is probably less optimistic
Hey Bro, thanks for all of the very informative videos. They are very helpful, and I always feel like you are there looking out for all of us. Thank you!!! There is something I have been wondering about. I live in the USA, Ohio to be exact. My wife and I are applying for a passport and may be traveling out of the country. How easy is it to use my Air 10 in other countries and will it work. Do I need adapters to plug in and will my cpap machine be safe. I absolutely cannot go without using a cpap even for one night. You may have already covered this topic, I can look back if you have. Thanks and keep up the good work!!!!
I tried the EPR off and woke up half way through the night with pain in my abdomen. Without the EPR I somehow eat the air and get abdominal pain. Honestly felt so bad I thought I was dying. So I keep mine on now. 😂
Cpap brings my father's blood sugar high ...when he doesn't use cpap my father's sugar is normal and when he use ....his sugar level borderline high...please make video on this ...please throw some lights on this please i am very disturb...please throw some light on it...please reply
If the machines are set on the same pressure, isn't part of the "secret sauce" of the softPAP that it in fact goes to a higher pressure? I use my airsense10 only because the "auto on" seems to work much better than my Dreamstation, perhaps I should give that another go. Thanks for the video.
Lowenstein has 11 secret herbs and spices mate . Give it a go and check out the difference on SleepHQ. You can add both your machines on a pro account or just one on the free version. Cheers
@@CPAPReviews Yes I certainly am looking closely at the Lowenstein.(been waiting for your full review, hope I havent missed it). Have an account, thinking about a 02 ring and pro. I just meant that when it is set on 10 isn't it really going to 11?(on some EPR settings at least), so not exactly apples for apples.
Oh you mean with SoftPAP 3, yes that's correct but they also did SoftPAP 2 which doesn't go to 11cm and it was the same results. When i do these research videos there's only so much info i can share. Was certainly Apples for Apples though
Weird... My original Phillips (yeh that one) did a great job. After i got the Phillips refun, i purchased air sense 10. Never been as good, same setting. Did another hospital sleep center test.. Nope nothing changed.. Still setting of 12. Either AS10 not as good or sleep center missed something.
Hey mate, this is a really comment and something i should have mentioned in the vid. So most clinics should have pressure relief off when titrating a patients pressure levels but from my experience in the lab it's a bit of a mixed bag. Let's say you visit the lab, they have EPR off and they prescribe you 12cm of pressure, you go home, switch EPR on 3 and now your only getting 10cm of pressure and your now far from the optimal pressure. I think this is a really valid point and it's disappointing that ResMed doesn't provide information and training to inform patients that EPR is not just a comfort setting. It's a very powerful clinical setting that can reduce apnea control in a big way. Cheers brother. Nicko
@@CPAPReviews thanks Nicko. First time i did the test they used a mask + wired up. 5 years later on retest, no mask. Had a probe under the nose+wired up. So they changed methods over the years.
The first thing that I turn off for every machine. They think they are being clever and helpful, but the C in CPAP stands for Continuous. I like to think that this means constant, not variable.
So I'm confused.. I have a ResMed 10, and my AHI was around 4 with EPR off. My provider turned it on (full time at level 3) and my AHI immediately (and constantly) dropped to 1.4 on average. Does this mean it's worked for me? Or are my AHI readings false? Cheers!
Hi, I am new to CPAP therapy. I started about two weeks ago, and I have been having such a difficult time with it. I have the Airsense 11 and have my pressure set on 5 to 15. I would wake up with air in my stomach, even my ribs hurt! It was bad. And also I would feel as if I am suffocating in the middle of the night I wake up gasping for air. And the pressure feels as it is too high. I keep messing with the settings. Trying to find my comfort level. My sleep has been worse since starting therapy.. but I am going to try some of your tips tonight and hope this helps! I’ve changed my pressure and will turn off EPR.
@@Healinghands829 I am no longer using the CPAP machine, the doctor didn’t do much, he just changed the pressure settings to the lowest but it didn’t work. I’m going to try the mouth piece, you put in your teeth. Hopefully that helps.
@@BlondieHappyGuy I was using the pillows and the full face mask(airfit F20). The pillows was more comfortable but I definitely took in a lot more air, I believe because I would open my mouth.
Pandoras box my friend. It really depends on what is the cause of the airflow resistance. Is it up in your nasal cavity or perhaps the nasopharynx or even lower perhaps. 'Flow limitation' is a broad categorisation. Could be a massive booga in your nose
Very timely, have my new resmed 11 for less than a week, coming from a dreamstation 1, two nights ago I turned off EPR and my AHI went down almost by 1 per hour. Thanks for some explanation. Thinking I'll just leave mine off. My mental model was keeping my airways blown up like a ballon was likely a good idea, it would help with stoping things from shifting around and causing obstructions.
Nicko have you had a go on the Lowenstein? I've got a Prisma 20A on a 4 week trial - I found that the Softpap gave the inhalation part of the cycle a slight delay and a fair old whoosh of air. I turned it off last night and found the machine a bit more comfortable but still not as comfortable as the Fisher & Paykel (which had everything turned on). I've had the max pressure on the Prisma lowered after consultation with the shop (from 20 to 12 I think). I had a trial on the Resmed Autoset 10 and had the pressure relief turned on - if I knew then what I know now I would have turned it off. I thought that machine was a bit agro and now I know why!
@@GreedWitchOficial I have a FP sleepstyle. I find it easier to use than Lowenstein and airsense 10. Has less settings/options but that didn't affect its performance. I trialled them all first and purchased FP
Im confused. Resmed Epr is bad as the graphs indicate,… but real results show better results with the only difference being epr on? Huh. My testing showed Aerophagia only with epr off.
I'm new to therapy and don't have a device that's compatible with sleep HQ. What I've noticed since turning on the EPR on my airsense 11 is that i don't wake up with my lungs full of air, feeling like I can't breath, and needing to exhale through my mouth. Needing to do this is distressing to me, because I'm a nose breather and I've never needed to open my mouth while I sleep unless I had a sinus infection. My therapy does still seem to be working - i have many nights where my AHI is less than 1 according to the myair app (prior to turning on the EPR, I frequently had an AHI of 8-16. I'm wondering if maybe I ought to have bought a BiPAP. I just did an at home sleep study (due to the probative cost of testing and therapy with the sad excuse for health insurance provided by my employer - I'm in the US by the way) and I'm questioning if I might have mixed sleep apnea rather than just OSA. Like i said, I'm a nose breather and I'm not a loud sleeper either. The pulmonologist said that women can tend to snore quieter than men, and that I'm probably still snoring it just probably sounds like heavy breathing. I think my therapy is still working, at least to some extent. My primary reason for being tested for sleep apnea is because I had secondary polycythemia (excessive red blood cell production - presumably due to being in a hypoxic state for extended periods of time). Since adding another asthma medication and starting CPAP therapy, my polycythemia has resolved! However, I would like to also reduce my risk of apnea related conditions (dementia, heart disease, obesity, etc). My questions are: (1) is it possible for ResMeds EPR to help with mixed sleep apnea or central sleep apnea even though it tends to be ineffective/increase the pressure necessary for treatment for patients with obstructive sleep apnea? And (2) how is central sleep apnea or mix sleep apnea diagnosed within a clinical setting - should I attempt to have an in clinic sleep study?
I have an awful time at the beginning of inhalation. It seems I have to wait for the machine to start blowing air, Mandel I'm coving trying to bread in. Horrible experience not sure what to do.
Thnx for explaination - I've noticed the airflow characteristics you've mentioned with my AIRSENSE 10 with ERP set to 3. How do the other EPR settings on Resmed compare? I remember there are 3 levels of EPR available. Might one of the other EPR settings improve apnea performance? FYI my AIRSENSE 10 is in CPAP mode (no auto adjustments other than EPR).
Very interesting video! Is this still relevant if I am using the APAP Mode on my RedMed 10? Surely the pressure would just "sort itself" out? My EPR is FULLTIME Level 3.
I would like to know this too. What you have said is exactly the same for me. I feel that helps me in that it's very comfortable breathing out. I use the nose dream wear, not the nose and mouth mask.
I have a lot of hypoapneas. I need to turn my pressure up to 13 ( on 11) but I have a problem exhaling fully and end up swallowing air. Should I be using the EPR so I dont swallow air? Thank you :)🥰
@@scottgm321 I can’t remember, I don’t think so. I had to do another sleep study and came back that I don’t have sleep apnea anymore. I don’t know how it’s is even possible.
The secret "Sauce" of the pressure increasing on the end of expiration is usually what causes people to not tolerate CPAP at the beginning, P flex is similar and is VERY comfortable... While i agree with every single thing your saying here.... graphs dont show comfort..... and yea they are less comfortable... sure my AHI might be slighty increased.... but thats RARE....and if compliance improves then thats whats most important...
My mask has never stayed on consistently, my sleep doctor has dismissed it everytime i've mentioned it so i've been just going on my own research for 4 months now. I have a resmed and i've tried changing mask sizes, humidity level, air temp, mask tighteness, a large amount of different sleep supplements and recently started messing with my own pressures because when I called and asked if they could tweak it for me i was told i would have to wait for my next appointment with at the time was 3 months away. Havent tried EPR settings i wonder if it dropping off pressure is making me rip it off in my sleep. Hope this works tired of not sleeping at night
I am 57 and I do have severe sleep apnea. If I lay on my back of course it makes it worse but if I lay on my side, it does decrease the apnea. quite a bit through the night, but my pressure is so high I can never get a good seal… do you suggest a mask that with thick foam, and something that I can pull tight without the marks I’ve gone through seven different mask, trying to find the right one to sell my size head..😡😡😡🙏🙏🙏 thanking about the Rez med air fit f30-40
You can still use a phillips machine, either pull the foam out of the air chamber or get a foamless one and swap it: live.staticflickr.com/65535/53527345983_5f1c4c401b_b.jpg
Good morning Nick, watching the video, I have had the EPR turned on, but the EPR was at 3. I adjusted EPR from 3 down to 2... OMG... the difference was incredible,,,, no leaks and I actually slept better all night. I was thinking of lowering the EPR down to 1 from 2, just to see if the results are better. BTW, I have a ResMed 10..... thank you so much for your video's, I have learned so much but still continue to learn.
Hi David, thanks for sharing that info mate. Yeah it's certainly worth dropping a little lower if you don't find exhalation too difficult without it. Nothing wrong with experimenting to find what level gives you the best results. Cheers brother
G'day Don, that's very generous of you mate. Certainly not expected but greatly appreciated. Got a brand new bubba so i'll put it in her piggy bank for when she's older . Thanks legend. Nicko
Trying to figure out why I just started CPAP. Feel like I can’t breathe and having more apnea episodes to the point I work up this morning with an O2 of 74%. Not sure what to do.
Oh no😬. Great insight and thank you for sharing. I tried with the EPR off or even level 2 and couldn’t breathe with the nasal pillows. Resmed have turned me into an EPR Junkie! 😂😂
Anytime mate, thanks for sharing your experience. I also can't use my P10 without EPR on. That mask is very small and there's a lot of resistance with the mesh exhalation port so exhalation is extra hard with that one.
@@CPAPReviews even with regular cleaning with cheap vevor ultrasonic bath it clogs easily, I had to put a few small holes in the mesh with the tip of a dart and it’s been good on EPR3😉
I tried Reslex on my BMC Luna 3G machine because I felt too stressed on the exhale but the inhale pressure seemed to ramp up too much for me.Do you have any tips?
I know this is an older video, but I'm wondering if there's any data on the SleepStyle or SleepStyle+? I've got an Airsense 10 I've had for over 5 years now and I think it's time for a change.
@@CPAPReviews Okay -- I just recently discovered your videos and I saw one where you compared the APAP algorithms of several brands and F&P Icon was one of only two that passed, so I guess I'm a bit spoiled already Btw, usage note, "buddy" often has a negative connotation in Am. English, I'd venture saying your natural "mate" is probably the best, because even if not already aware, we can see in your videos that it's a very warm and friendly Aussie word 🙂 the
Thank you . First i work out if needs to be treated and it certainly helps if there's O2 data but you can also tell from the flow rate if it's causing sleep disruptions. If it is an issue and it's a ResMed users it's worth enabling EPR because that can often help as i showed in the video. Increasing the CPAP pressure (ipap & epap) can also help. It really is trial and error when it comes to airflow limitation as it's hard to know exactly the anatomical cause. Cheers
Interesting stuff. Can you do one like this with comparing these against the same brands' bipap machines? I'm curious if the same brands end up doing better with that was well. Like would a ResMed bipap end up not going back to the inhalation pressure in time, just like with its CPAP EPR?
That's a very interesting idea! With Bilevel it's different because a lot of the time you want that epap to stay low so it helps with ventilation etc. Thanks for the awesome suggestion
@@CPAPReviews as Jason pointed out, with BiPap you can tweak the rise time :) I weaned off EPR after watching your video and his. Moral of story: doesn't EPR as a "cheap BiPap"
Does what was said about EPR also apply in APAP mode? I have had Resmed devices for about 15 years. Up until the 9 series, it was a big improvement every time. Since the 10 series, I don't feel the devices are better, they are just playing around with the design. With the 10s the modem did not work, with the 11s the modem now works but Bluetooth is an imposition, does not run. In addition, the humidifier solution is getting worse and the air purification filters are a laughing stock since the 11 device. You can just as well leave them out. I will now get myself air purification filters and cut them to the necessary size. Are the current devices from Löwenstein medical (I think that was the German company you mentioned in the video) now so good that they can be a reasonable alternative to Resmed? At that time I already needed the APAP version. Meanwhile the ratio of obstructive apneas to central apneas has turned around and I have over 75% central events. Perhaps I need a different device?
Is Pressure relief the same as EPR? I don’t see epr on my resmed 11 or a 1-3 setting like mentioned in the video and the comments. I’m new to this. Thanks.
Dear Nick i am a disable coal miner and I've been on cpap and now on Aircurve 10 v auto 13 to 18. At 4ml oxygen machine and nothing is helping me at all. I sleep 10 to 18 hrs and wake up i am tired and stay sleepy and no energy at all and I feel so bad i can't stay awake and I turn on oxygen 4ml and resmed auto curve 10 v auto. All i do is sleep. I have no energy and stay tired all the time and sleep all the time. My eyes are at half cock in sleep set. I was told get resmed with back up on it... and Apap machine. What do i do and really need. Its hard for me to breath in and carbon dioxide out cause from me suffering from black lungs. I wheeze all the time and rattling in my Lungs and cough up MUCUS all the time and I'm a oxygen 24 7 and tanks also and it's been messing with my nerves and causes serious really bad panic attacks and its RUINING my life. I don't breath normal like every one else and sleep study i did i wasn't ready to breath and wush air went into my lungs and back out done it 4 times i went to sleep when I woke up my Lungs had a work out from top too bottom and I felt like 17 years old and never felt so good and all that day i was wide awake and energy and felt best in my life until night time I went back to being tired and exhausted and sleepy over again and got resmed Aircurve 10 V auto machine and its not done nothing for me all these years I'm Tired being tired worn out and sleep and I can't stay awake nick. My breathing volume was at 51 percent and its worse now go to black lung clinic and do another breathing test. I was a coal miner for 30 years and black lung disable me badly and its all i can do to breath I'm a nose breather but I open my mouth to just has to go one way in me. PLEASE FOR THE LOVE OF MY SAVIOR JESUS CHRIST PLEASE HELP ME 🙏 😢😢😢😢😢 COAL I'VE MINDED WENT TO YOUR COUNTRY ALSO ALL IN THE WORLD IM IN USA 🇺🇸 AMEN ❤️ 🙏
I turned my EPR to a one and turned my machine to just CPAP use. To see if maybe that’ll help. I can’t stand the face masks so I’m gonna try the nasal one. My pressure is automatic so it’s between 4-6 since I turned that off to CPAP I’m hoping it helps. Every time I used it in the past I couldn’t sleep at all. So I’m hoping with this I do. Do you think that’ll help? My EPR was a 3 My pressure was automatic 4-6 My humidity level was 6 Tube was 72 degrees I turned the humidity off too.
@@CPAPReviews I hear that VCOM item can give a better effect than EPR, is that true? It is something similar, but better? If so, do you have any in sale from within Australia? I don't wanna pay the high shipping costs to get it from America just to try it.
Hey mate, sign up at sleephq.com/account . It's free, you'll then get access to the sleephq community where we have all the video tutorials. The link to the specific tutorial is community.sleephq.com/c/sleephq-academy/sections/4788/lessons/62075 In short, you take your SD card out of your cpap, insert it into your computer and then copy the files across to sleephq. It's pretty easy but i can help you out in the community. Cheers
@@CPAPReviews thank you for the reply sir.i am new cpaper,just 4 months.i have been following your videos which helps me lot. i have already created account to sleephq.the trial period is now over.can we still read data ?what can we get benefit after updating premium. I am from Nepal sir and here we cannot do any international payment.
I turned off EPR years ago. It was never comfortable for me. My AHI over the past year is 0.4 - 1.4. Turned off the "soft" setting also! I just ordered another Res Med A-10 Auto-Set Card to Cloud model. Good prices on them now. What is your "go to" settings for this machine?
so if i understand it correctly resmed could firmware update its machines to match this better epr profile as oposed to the trainwreck they all currently have?
@@CPAPReviews so not ther air curve bi pap if thats the case then it makes all of their current machines out of date or obsolete then bar the 11 and current gen mini wow
@@CPAPReviews Nicko, I have to wonder if these pressure relief features are patented. That would explain why ResMed does it one way, and Philips does it differently.
Does the sudden surge in flow for Resmed EPR also affect their bilevel machines? Or is it more subtle? I tried EPR 3 last night, and it felt like a fan was blowing on my face every time I took a breath. I need to switch to a bilevel and am leery of getting another Resmed for this (and other) reason.
I'm confused about the number settings of EPR. I have the ResMed 10 and while I don't see an EPR setting, I do see Pressure Relief, which is On (no numbers). Is this the same thing as EPR?
I love your videos but I’m also overwhelmed and don’t have the time to keep up. Do you do private coaching or is there anyone you can recommend to decipher my data for me? I’m using the Resmed airsense 10
I was at my annual CPAP review with my sleep specialist. They told me my pressure is set for a variable from 12 to 20, with an actualized average pressure of 17.2. They said that during my last overnight sleep study I was having an average of 93 breathing “events” (stoppages) per hour and none were recorded in the last year (per the CPAP data). Unlike many people, I don’t mind my CPAP. I have bad sealing masks, louder machines, poor fitting head harnesses, etc… I have gotten to the point that I can’t sleep without my CPAP. The difference it has made is truly amazing. No more feeling dead tired all the time, fighting to stay awake watching TV or shaking my head violently to keep myself awake/aware while driving.
Thanks! Very helpful to see the breakdown of differences and ways in which EPR can be a force for evil and for good.
Hi there, thanks for tip mate . I think you summed EPR it up nicely with that comment! Have a great day
I’ve been told off today for messing with my settings, I have my machine given to me by the NHS and they said if I continue going into the clinical menu they will take the CPAP off me! Couldn’t believe they’d rather me not be interested and continue with therapy settings that weren’t working until my next appointment that are every 6 months! I’m looking into buying my own kit now and going it alone
Sounds like you're over in the UK yeah? You can probably pick up a Lowenstein Prisma 20A for around $600 pound and it's worth every penny (although not compatible with SleepHQ just yet) A few of our SleepHQ pro members have been picking up the AirSense10 card to cloud for $499USD (400 pound) and freight forwarding it to the UK so that's an option also. Cheers
@@CPAPReviews thanks for the advice mate appreciate it.
That’s exactly what has happened to me but I’m giving them back their aircurve 10 and going back to my Luna g3
@@CPAPReviews brother when do you think the prisma will be on sleephq? Thanks a lot in advance for your time
Cpap is a medical device….if a dr is in charge of your care and then you change settings, then something bad happens…a patient could still try to hold the physician for the problem. …and you would rather take advice from youtube cpap techs or whatever they are? changing the clinical settings is like prescribing your own medicine. i understand your frustration, but i wouldnt mess with settings that you may not know all the ins and outs of.
I have the ResMed 11 and I swear by the EPR setting. For me it makes breathing so much more effortless. I completely agree with EVERYTHING else you have stated in all your videos (I watch them all). Thanks for the help. You have made a positive difference in my life.
So how do others reconcile this vid w/ your experience? I'm so confused BC it just seems all negative w/ no alternative
when you use the epr setting, did you have to turn up the pressure? thanks
Well, you have to raise your minimum pressure if you're using EPR but the delay is still there :(
I started CPAP therapy 2 weeks ago. I haven't been able to fall asleep with it since i started. Until last night when i turned off auto CPAP. Auto mode have me the feeling of gasping for air and it stressed me out. The inspiration was too slow at the beginning and I felt like I wasn't getting enough air and taking long drawn out inspirations.
Turning off auto allowed me to fall asleep for the first time with it.
I have the resmed 11.
Auto CPAP or auto pressure relief?
I'd like to point out that apnea control is not everything and comfort is essential so you need to find the right balance. EPR will most likely reduce your apnea control so just be aware of that but you can still use it if you find therapy easier and more enjoyable. Thanks for watching. Cheers
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Uncle Nicko
so whats the best device?
@alanmw86 here's a video you might like - ua-cam.com/video/v6_NHkXgSRU/v-deo.html
Imho the settings the doctor gave me for my cpap was too low. During my test, it says I need 9 but today I need 14 when using auto mode. It also depends on masks. With Phillips I only need 12, but resmed mask I need 14. Your weight also determines the pressure
I turned that off last night. Can't say I even noticed any difference in comfort. But I did note my apnea report dropped from around 2 aph to 0.3.
Thanks for sharing that info mate. Look like it worked
Confused! You just compared 2 different machines with different settings, not different settings of the same machine.
If the ultimate goal is to achieve better AHI, you just made the case for using EPR as a good thing. What's the downside?
Love the channel. Lots of good advice/help. But, this one has me scratching my head.
Thanks
Yep. This video is all over the shop. Doesn’t add up at all.
For a long time I was trying to transition from EPR 3 toward going straight CPAP. I started to shift it to EPR 2. A couple of nights I tried EPR of 1, and slept horribly. So kept it at 2 for a long time. I got used to exhaling against the increased pressure, but never fully used to it, and definitely not to the point of being able to comfortably switch to EPR 1. Since getting sick last week, I switched it back to EPR 3 after having been at 2 for a long time, and it's so much more comfortable. I think my sleep might be a bit better, as well.
Great to hear mate! That's why the introduced it. To improve comfort. Cheers
Been consistently having an AHI of 11-14 and sure enough, it was on, gonna try this to see if it improves things. Just found this channel after a couple months of middling success on my ResMed 11 (was having upwards of 60 events an hour beforehand, so it is at least helping) and enjoying the videos a lot, hopefully this channel will be a help!
Make sure you watch this one mate - ua-cam.com/video/qKN4pW3qYEs/v-deo.html
appreciate you, thanks
You know what, thankyou for the info, I actually turned my epr to 3 and for some reason I have been getting worse sleep lately, pressure is pressure no matter what, this actually make sense losing the desired pressure wont be back for awhile, last night scared me, because I was choking on my dream and when I woke up from it, I was actually choking, I will change my settings today to what it was
Update june 18.
It was indeed the resmed EPR, I stopped choking, on the 1st day of turning it off, I was still waking up like every 2 hrs, 7 hrs total, following day it was gone, manage to sleep for more than 8 hrs, felt so alive and energetic, once again thankyou for this info, you're a godsend, 3 days later I am loving my cpap again.
mine is Airsense 10 elite.
sometimes notbeing able to breathe out fully during the therapy can cause problems as well, bilevel is better then EPR as it changes the pressure faster.
I'm trying this tonight, thank you for your comment 🙏 😊
@@King.Benjamin I have tried turning it back on once in awhile couple months ago, and yeah It gives me higher ahi. never again, with EPR off, my average ahi is like 2, you should definitely give it a try for few days.
Started Apap therapy 2 weeks ago. I'm a healthy, gym going 40yo dude, with no health issue. BUT, my throat closes on its own the second i fall asleep! I've been dead tired for years!
Now, i feel like i'm 20 again! Cpap for the win.. health is more important than comfort
sleep apnea board shows some good explanation as to how epr can help reduce flow limits. cpap friend made a vid on it too. so is it fair to say epr sucks if it can reduce flow limits?
Just rewatched this video. I’m going to experiment and try to lower my flow limitations.
I have a ResMed AiirSense 11 and when I was struggling to get used to the machine (my first CPAP) the EPR was the key to success. I can't speak for anyone else but I've had zero problems with the setting (I use EPR level 3) and in any case I'd have no problems making a little tweak to the primary pressure if that were required. Not sure what the fuss is about but I guess everyone's experience is different.
Hey mate, yeah everyones different. There's no one size fits all when it comes to CPAP but it's certainly important to understand EPR can reduce apnea control so if you don't need it, don't use it. Cheers
I found that EPR was ok for me when I use the nasal pillows, but if I use a full face mask (not often anymore) I can't use EPR.
Resmed 11. Poor communication between tech and Drs causing delays and problems. This interesting 🤔 Hhhm, after pressure of 11-12, got rid of obstruction but CA went sky high. So, they increased pressure up to 16 to reverse conversion to central which only caused an air pressure wound from pillow mask. Then decreased to 7 and with different and same mask, Obstruction and CA went sky high, couldn’t breath and exhausted. Have changed to a range with continued problems with both. Turned off pressure relief- dramatic decrease in both- obstruction almost controlled, CA still too high, but much better… THank YoU! May still need another sleep study and different machine, but some relief for months b4 this can happen better than the bs that was happening…
They changed my EPR to 3 and the autoset is on “soft” they did this because of Aerothagia… it no longer gives me full energy please help! I have mild sleep apnea.
Not sure if you saw his video about soft vs standard setting. He said with soft you can get a lot of issues with swings in narrow breathing. So you may want to try Standard instead of Soft. As well as upping your max pressure level 2 or 3. So like from 12 to 14 or 15. Hope you were able to figure it out.
I would like to thank you so much, you advised me last week to change the pressure to 16 and EPR to 3 and wow what a difference.
But I’m keep wondering why don’t they make EPR on from the beginning??
Glad i was able to help mate
Thank goodness it hasn’t really bothered me to my knowledge. I reduced my pressure a few years ago on my own which helped with mask leaks and discomfort. I just got a resmed 11 with EPR. I may play around with adjusting it and see what my results are. Thanks for sharing all this
You're welcome. If it ain't broke, don't fix it
I thought I was following along thinking I might want to turn off or reduce my epr setting until the end of the video that showed the person had epr off on the resmed 10 and then on the resmed 11 epr-2 on and they had better results with epr on not off. Count me confused 😮
Pandoras box mate but with sleephq.com you can easily try the different setting and see which give you the best results. Cheers
@@CPAPReviews thanx. Sleephq on my list as soon as I can figure out how to upload all my ViHealth O2 ring data.
That's easy, lots of vid tutorials in the Pro academy space mate community.sleephq.com/c/sleephq-academy/
I totally agree! Count me confused too. After the first 70% of the video I thought "oh dear, I'd better turn off EPR on my AirSense 10". Then at the end, presumably to support his case, Nick shows just one example....but EPR helped!!!
Would love to have seen your opinion on the F&P Sleepstyle….or is it so good that it doesn’t even need a mention!!
Haha, i'll have to see what i can find mate but yeah probably.
Another SleepStyle user interested in how the F&P pressure relief ranks / works ok?
That's interesting. My sleep WatchPat One gave me an AHI of 40. My very first night with resmed 11 airsense auto gave me an AHI of 1.56 (my lowest AHI to date [new user, currently only one week]), I turned on EPR and my AHI the very second night was 3.19. I suspected it was EPR set to 3 so I lowered it to 2. Since then it has been 2.06 and lower. I think I'll try EPR 1 and even turning it off.
Thanks Nikko, you are the only reason I bat on with it, doctors have no interest in the data uploads. looking fwd to the new mask arriving, much appreciated.
Hey Nick! Been off cpap for almost 2 months and finally the exhaustion is leaving. Lost 55 pounds. I am so glad to be done with cpap!
You bloody legend! Congrats! :woohoo
@@CPAPReviews Thanks for your help along the way, Nick!
@@CPAPReviews Really. Thank you for giving the time to help others all the way from Aussie land. Cheers my friend!
Why was it making you exhausted?
@@Healinghands829 Great question and millions of cpap users would also like to know that. In 1993 they eradicated my pineal gland along with the tumor. They thought it did nothing, turns out it regulates your sleep and deep sleep by emitting melatonin. I'm 44 and before I turned 40 I had 3 strokes. Sleep depravation was most like the culprit. I'm a 30 year brain tumor survivor now. 30 years of exhaustion. It just hits me and I have to sleep. Part of why I'm on disability along with brain damage and many other things.
Well, that explains a lot. I thought I was going nuts when I first noticed a different airflow with EPR turned on versus off... Sometimes it feels like a damn hurricane in my mask. Fortunately I'm only EPR 1 and was planning to wean off it over time anyways.
yeah that's correct. An increase in EPR will result in a large influx of airflow into your mask during inhalation. This can cause a mask and mouth leaks and also some other problems. It also increases noise levels. Good luck
I have always used EPR but will try without. Thanks for the analysis!
Any update on the change?
I am using a Lowenstein 20 and was doing Ok BUT since watching these (Nicks) videos I understand my sleep apnea so much more and how to get the most comfort Vs air control out of my machine.
New to this day 4, yet already digging into the settings. EPR on the 11 has 3 levels… I think level one feels like it kicks back in quickly and may be as good as the competition.
Thank Chris for very interesting comparison. I believe that clinical blind study with say 100 voluntary patients between a) different C-PAP brands b) various settings would yield so much new data re. brands and EPR's importance to treatment results. Maybe even that golden key to Pandora's box?
I am from Finland and we cannot tweak our ResMed or other CPAP machines (yeah, really true!) due our 🤬😤 government healthcare legislation.
Patients need to contact to "authorized" public healthcare (long response time) or private specialist apnea clinic (€€€) in order to ask them to tweak or do any changes (and they charge you roughly 50€ for every change). This is absurd law is resulting many people to drop out from CPAP treatment
Anyway, your channel and videos are a lifeline to me and other Finns to learn more on treatment! So huge thank you for all your great information
Really, are they locked down? One would hope the manufacturers are doing that research and improving their products, but the reality is probably less optimistic
Hey Bro, thanks for all of the very informative videos. They are very helpful, and I always feel like you are there looking out for all of us. Thank you!!!
There is something I have been wondering about. I live in the USA, Ohio to be exact. My wife and I are applying for a passport and may be traveling out of the country. How easy is it to use my Air 10 in other countries and will it work. Do I need adapters to plug in and will my cpap machine be safe. I absolutely cannot go without using a cpap even for one night. You may have already covered this topic, I can look back if you have. Thanks and keep up the good work!!!!
I tried the EPR off and woke up half way through the night with pain in my abdomen. Without the EPR I somehow eat the air and get abdominal pain. Honestly felt so bad I thought I was dying. So I keep mine on now. 😂
Yep that can happen mate! Keep it on but worth a try 🤙
Bro understood the problem with S10/EPR but what is the solution for S10Autosense
Cpap brings my father's blood sugar high ...when he doesn't use cpap my father's sugar is normal and when he use ....his sugar level borderline high...please make video on this ...please throw some lights on this please i am very disturb...please throw some light on it...please reply
has ResMed ever responded to this critical review of their EPR and state why they don't make it an option or a software fix?
If the machines are set on the same pressure, isn't part of the "secret sauce" of the softPAP that it in fact goes to a higher pressure?
I use my airsense10 only because the "auto on" seems to work much better than my Dreamstation, perhaps I should give that another go.
Thanks for the video.
Lowenstein has 11 secret herbs and spices mate . Give it a go and check out the difference on SleepHQ. You can add both your machines on a pro account or just one on the free version. Cheers
@@CPAPReviews Yes I certainly am looking closely at the Lowenstein.(been waiting for your full review, hope I havent missed it).
Have an account, thinking about a 02 ring and pro.
I just meant that when it is set on 10 isn't it really going to 11?(on some EPR settings at least), so not exactly apples for apples.
Oh you mean with SoftPAP 3, yes that's correct but they also did SoftPAP 2 which doesn't go to 11cm and it was the same results. When i do these research videos there's only so much info i can share. Was certainly Apples for Apples though
@@CPAPReviews Thanks for clearing that up
Thanks! Turned it off and one of my best nights.. ever!
Awesome brother! Glad to hear it. Certainly not for everyone but for those wanting more control and better breathing it's the way to go. Cheers
Weird... My original Phillips (yeh that one) did a great job. After i got the Phillips refun, i purchased air sense 10. Never been as good, same setting.
Did another hospital sleep center test.. Nope nothing changed.. Still setting of 12.
Either AS10 not as good or sleep center missed something.
Hey mate, this is a really comment and something i should have mentioned in the vid. So most clinics should have pressure relief off when titrating a patients pressure levels but from my experience in the lab it's a bit of a mixed bag. Let's say you visit the lab, they have EPR off and they prescribe you 12cm of pressure, you go home, switch EPR on 3 and now your only getting 10cm of pressure and your now far from the optimal pressure. I think this is a really valid point and it's disappointing that ResMed doesn't provide information and training to inform patients that EPR is not just a comfort setting. It's a very powerful clinical setting that can reduce apnea control in a big way. Cheers brother. Nicko
@@CPAPReviews thanks Nicko.
First time i did the test they used a mask + wired up.
5 years later on retest, no mask.
Had a probe under the nose+wired up.
So they changed methods over the years.
G'day Nick, just clarifying shouldn't the AutoSet Resmed pressure curve (red) should be above the Gray line ??? Otherwise it doesn't go above 10.
The first thing that I turn off for every machine. They think they are being clever and helpful, but the C in CPAP stands for Continuous. I like to think that this means constant, not variable.
So I'm confused.. I have a ResMed 10, and my AHI was around 4 with EPR off. My provider turned it on (full time at level 3) and my AHI immediately (and constantly) dropped to 1.4 on average. Does this mean it's worked for me? Or are my AHI readings false? Cheers!
Hey, like i showed in the video it's a bit of a pandoras box but lower AHI is normally a good sign
I turned the epr of last night(had the airsense 11 for about a week). I don't know why but it feels better even before i fall asleep.
Brother are you going to do a full review of Lowenstein prisma 20a?
Yes, i'm putting it together now
Hi, I am new to CPAP therapy. I started about two weeks ago, and I have been having such a difficult time with it. I have the Airsense 11 and have my pressure set on 5 to 15. I would wake up with air in my stomach, even my ribs hurt! It was bad. And also I would feel as if I am suffocating in the middle of the night I wake up gasping for air. And the pressure feels as it is too high. I keep messing with the settings. Trying to find my comfort level. My sleep has been worse since starting therapy.. but I am going to try some of your tips tonight and hope this helps! I’ve changed my pressure and will turn off EPR.
Hey how’s it going? Did you figure out why you were struggling for air?
@@Healinghands829 I am no longer using the CPAP machine, the doctor didn’t do much, he just changed the pressure settings to the lowest but it didn’t work. I’m going to try the mouth piece, you put in your teeth. Hopefully that helps.
@@BlondieHappyGuy I was using the pillows and the full face mask(airfit F20). The pillows was more comfortable but I definitely took in a lot more air, I believe because I would open my mouth.
@@BlondieHappyGuy thank you, I appreciate it!
Had the worst sleep last night from this machine. That’s good advice I’ll try messing with the EPR thank you.
SO WHAT IS THE BEST CPAP TO GET ?????? I GOING TO HAVE TO CHOOSE ONE VERY SOON????🎉🎉🎉🎉🎉
Great video so does it mean . Clinician should not put full EPR with auto Cpap or vice versa .
It's weird. Turning EPR off reduced flow limit for me.
Pandoras box my friend. It really depends on what is the cause of the airflow resistance. Is it up in your nasal cavity or perhaps the nasopharynx or even lower perhaps. 'Flow limitation' is a broad categorisation. Could be a massive booga in your nose
@bobmurton5869 You may need to try a saline nasal rinse! I did not realize that my nasal chambers were full of mucus.
Very timely, have my new resmed 11 for less than a week, coming from a dreamstation 1, two nights ago I turned off EPR and my AHI went down almost by 1 per hour. Thanks for some explanation. Thinking I'll just leave mine off. My mental model was keeping my airways blown up like a ballon was likely a good idea, it would help with stoping things from shifting around and causing obstructions.
Nicko have you had a go on the Lowenstein? I've got a Prisma 20A on a 4 week trial - I found that the Softpap gave the inhalation part of the cycle a slight delay and a fair old whoosh of air. I turned it off last night and found the machine a bit more comfortable but still not as comfortable as the Fisher & Paykel (which had everything turned on). I've had the max pressure on the Prisma lowered after consultation with the shop (from 20 to 12 I think). I had a trial on the Resmed Autoset 10 and had the pressure relief turned on - if I knew then what I know now I would have turned it off. I thought that machine was a bit agro and now I know why!
Do you prefer the Airsense 10 or the Sleepstyle?
@@GreedWitchOficial I have a FP sleepstyle. I find it easier to use than Lowenstein and airsense 10. Has less settings/options but that didn't affect its performance. I trialled them all first and purchased FP
Im confused. Resmed Epr is bad as the graphs indicate,… but real results show better results with the only difference being epr on? Huh. My testing showed Aerophagia only with epr off.
I'm new to therapy and don't have a device that's compatible with sleep HQ. What I've noticed since turning on the EPR on my airsense 11 is that i don't wake up with my lungs full of air, feeling like I can't breath, and needing to exhale through my mouth. Needing to do this is distressing to me, because I'm a nose breather and I've never needed to open my mouth while I sleep unless I had a sinus infection. My therapy does still seem to be working - i have many nights where my AHI is less than 1 according to the myair app (prior to turning on the EPR, I frequently had an AHI of 8-16.
I'm wondering if maybe I ought to have bought a BiPAP. I just did an at home sleep study (due to the probative cost of testing and therapy with the sad excuse for health insurance provided by my employer - I'm in the US by the way) and I'm questioning if I might have mixed sleep apnea rather than just OSA. Like i said, I'm a nose breather and I'm not a loud sleeper either. The pulmonologist said that women can tend to snore quieter than men, and that I'm probably still snoring it just probably sounds like heavy breathing.
I think my therapy is still working, at least to some extent. My primary reason for being tested for sleep apnea is because I had secondary polycythemia (excessive red blood cell production - presumably due to being in a hypoxic state for extended periods of time). Since adding another asthma medication and starting CPAP therapy, my polycythemia has resolved! However, I would like to also reduce my risk of apnea related conditions (dementia, heart disease, obesity, etc).
My questions are: (1) is it possible for ResMeds EPR to help with mixed sleep apnea or central sleep apnea even though it tends to be ineffective/increase the pressure necessary for treatment for patients with obstructive sleep apnea? And (2) how is central sleep apnea or mix sleep apnea diagnosed within a clinical setting - should I attempt to have an in clinic sleep study?
Thanks for this explanation. I think I prefer the phillips machines with Cflex vs the EPR
I know a lot of people who prefer Cflex vs EPR and also vide versa. It's personal preference at the end of the day. Cheers
Nice why didn't you review the Luna machine with last video . I love mine.
I have an awful time at the beginning of inhalation. It seems I have to wait for the machine to start blowing air, Mandel I'm coving trying to bread in. Horrible experience not sure what to do.
Thnx for explaination - I've noticed the airflow characteristics you've mentioned with my AIRSENSE 10 with ERP set to 3. How do the other EPR settings on Resmed compare? I remember there are 3 levels of EPR available. Might one of the other EPR settings improve apnea performance? FYI my AIRSENSE 10 is in CPAP mode (no auto adjustments other than EPR).
Very interesting video! Is this still relevant if I am using the APAP Mode on my RedMed 10? Surely the pressure would just "sort itself" out? My EPR is FULLTIME Level 3.
I would like to know this too. What you have said is exactly the same for me. I feel that helps me in that it's very comfortable breathing out. I use the nose dream wear, not the nose and mouth mask.
I like EPR. No more bloated/sore tummy
That's a good point! Cheers
That awesome that you can see all that technical information. ResMed doesn't show you much on their App. I'm in New Jersey, USA. 👍
I have a lot of hypoapneas. I need to turn my pressure up to 13 ( on 11) but I have a problem exhaling fully and end up swallowing air. Should I be using the EPR so I dont swallow air? Thank you :)🥰
I’m not understanding, is it better off ?
yes it's better turned off
K thank u !
did it improve things for you?
@@scottgm321 I can’t remember, I don’t think so. I had to do another sleep study and came back that I don’t have sleep apnea anymore. I don’t know how it’s is even possible.
The secret "Sauce" of the pressure increasing on the end of expiration is usually what causes people to not tolerate CPAP at the beginning, P flex is similar and is VERY comfortable... While i agree with every single thing your saying here.... graphs dont show comfort..... and yea they are less comfortable... sure my AHI might be slighty increased.... but thats RARE....and if compliance improves then thats whats most important...
Thanks for the comment
My mask has never stayed on consistently, my sleep doctor has dismissed it everytime i've mentioned it so i've been just going on my own research for 4 months now. I have a resmed and i've tried changing mask sizes, humidity level, air temp, mask tighteness, a large amount of different sleep supplements and recently started messing with my own pressures because when I called and asked if they could tweak it for me i was told i would have to wait for my next appointment with at the time was 3 months away. Havent tried EPR settings i wonder if it dropping off pressure is making me rip it off in my sleep. Hope this works tired of not sleeping at night
Tricky one mate, i've done a video on this - ua-cam.com/video/OF15Ild0j9I/v-deo.html
@CPAPReviews I'll give it a watch, appreciate it man
Seems like most doctors are worthless when it comes to CPAP.
I am 57 and I do have severe sleep apnea. If I lay on my back of course it makes it worse but if I lay on my side, it does decrease the apnea. quite a bit through the night, but my pressure is so high I can never get a good seal… do you suggest a mask that with thick foam, and something that I can pull tight without the marks I’ve gone through seven different mask, trying to find the right one to sell my size head..😡😡😡🙏🙏🙏 thanking about the Rez med air fit f30-40
6:56 What does the F & P Sleepstyle use instead of EPR or Flex and is it better than EPR or worse? How does it compare to other cpap machines?
I don't know to be honest mate. I've never seen a study done that compares it
Thanks for the information on EPR for CPAPs
You're welcome
Wasn't C Flex lost to us in Foam Gate? I loved my Phillips machine.... Where is CFlex still available?
You can still use a phillips machine, either pull the foam out of the air chamber or get a foamless one and swap it: live.staticflickr.com/65535/53527345983_5f1c4c401b_b.jpg
If I recall right, I understand never did really feel comfortable with the EPR paradox. Perhaps this is the next version of that?
Good morning Nick, watching the video, I have had the EPR turned on, but the EPR was at 3. I adjusted EPR from 3 down to 2... OMG... the difference was incredible,,,, no leaks and I actually slept better all night. I was thinking of lowering the EPR down to 1 from 2, just to see if the results are better. BTW, I have a ResMed 10..... thank you so much for your video's, I have learned so much but still continue to learn.
Hi David, thanks for sharing that info mate. Yeah it's certainly worth dropping a little lower if you don't find exhalation too difficult without it. Nothing wrong with experimenting to find what level gives you the best results. Cheers brother
Thank you Uncle Nicko! Here's a tener to wet your vocabules ... I'll try some nights without ReMed's 'slow rise' EPR off. Good day, mate.
G'day Don, that's very generous of you mate. Certainly not expected but greatly appreciated. Got a brand new bubba so i'll put it in her piggy bank for when she's older . Thanks legend. Nicko
Trying to figure out why I just started CPAP. Feel like I can’t breathe and having more apnea episodes to the point I work up this morning with an O2 of 74%. Not sure what to do.
Oh no😬.
Great insight and thank you for sharing.
I tried with the EPR off or even level 2 and couldn’t breathe with the nasal pillows.
Resmed have turned me into an EPR Junkie! 😂😂
Anytime mate, thanks for sharing your experience. I also can't use my P10 without EPR on. That mask is very small and there's a lot of resistance with the mesh exhalation port so exhalation is extra hard with that one.
@@CPAPReviews even with regular cleaning with cheap vevor ultrasonic bath it clogs easily, I had to put a few small holes in the mesh with the tip of a dart and it’s been good on EPR3😉
Oh i like that idea!!!
I tried Reslex on my BMC Luna 3G machine because I felt too stressed on the exhale but the inhale pressure seemed to ramp up too much for me.Do you have any tips?
would love to know how BMC's G3 works
I know this is an older video, but I'm wondering if there's any data on the SleepStyle or SleepStyle+? I've got an Airsense 10 I've had for over 5 years now and I think it's time for a change.
Nick, I'm disappointed you didn't analyze F&P SleepStyle's EPR
There's a lot of cpap machines out there buddy
@@CPAPReviews Okay -- I just recently discovered your videos and I saw one where you compared the APAP algorithms of several brands and F&P Icon was one of only two that passed, so I guess I'm a bit spoiled already
Btw, usage note, "buddy" often has a negative connotation in Am. English, I'd venture saying your natural "mate" is probably the best, because even if not already aware, we can see in your videos that it's a very warm and friendly Aussie word 🙂
the
Great video! What is your approach to treating flow limitations? I've read that increasing EPR/PS is supposed to help but not sure if that is ideal
Thank you . First i work out if needs to be treated and it certainly helps if there's O2 data but you can also tell from the flow rate if it's causing sleep disruptions. If it is an issue and it's a ResMed users it's worth enabling EPR because that can often help as i showed in the video. Increasing the CPAP pressure (ipap & epap) can also help. It really is trial and error when it comes to airflow limitation as it's hard to know exactly the anatomical cause. Cheers
do you know if this also happens too with resmed bilevel? (resmed 10 resmed aircurve vauto) with EASYBREATH? thanks for your video
How does this affect b-pap systems.
I've had 3 machines. The F&P is the best. That is, a Ph's, De and F&P.
Awesome! Thanks for sharing your experience. Nicko
@melmo5218 Have you tested the Airsense 10 Autoset?
Thank you, Uncle Nick
My pleasure!
Interesting stuff. Can you do one like this with comparing these against the same brands' bipap machines? I'm curious if the same brands end up doing better with that was well. Like would a ResMed bipap end up not going back to the inhalation pressure in time, just like with its CPAP EPR?
That's a very interesting idea! With Bilevel it's different because a lot of the time you want that epap to stay low so it helps with ventilation etc. Thanks for the awesome suggestion
@@CPAPReviews as Jason pointed out, with BiPap you can tweak the rise time :) I weaned off EPR after watching your video and his.
Moral of story: doesn't EPR as a "cheap BiPap"
Does what was said about EPR also apply in APAP mode?
I have had Resmed devices for about 15 years. Up until the 9 series, it was a big improvement every time. Since the 10 series, I don't feel the devices are better, they are just playing around with the design. With the 10s the modem did not work, with the 11s the modem now works but Bluetooth is an imposition, does not run.
In addition, the humidifier solution is getting worse and the air purification filters are a laughing stock since the 11 device. You can just as well leave them out. I will now get myself air purification filters and cut them to the necessary size.
Are the current devices from Löwenstein medical (I think that was the German company you mentioned in the video) now so good that they can be a reasonable alternative to Resmed?
At that time I already needed the APAP version. Meanwhile the ratio of obstructive apneas to central apneas has turned around and I have over 75% central events. Perhaps I need a different device?
Is Pressure relief the same as EPR? I don’t see epr on my resmed 11 or a 1-3 setting like mentioned in the video and the comments. I’m new to this. Thanks.
Are you in the clinical setting? You won’t see it until you are
@@PleasantlyConfused6816 thanks, I found it!
Please tell me what the 95% and 99% flow limitation on Resmed mean. My 95% last night was 0.15 and my 99% was 0.26
Dear Nick i am a disable coal miner and I've been on cpap and now on Aircurve 10 v auto 13 to 18. At 4ml oxygen machine and nothing is helping me at all. I sleep 10 to 18 hrs and wake up i am tired and stay sleepy and no energy at all and I feel so bad i can't stay awake and I turn on oxygen 4ml and resmed auto curve 10 v auto. All i do is sleep. I have no energy and stay tired all the time and sleep all the time. My eyes are at half cock in sleep set. I was told get resmed with back up on it... and Apap machine. What do i do and really need. Its hard for me to breath in and carbon dioxide out cause from me suffering from black lungs. I wheeze all the time and rattling in my Lungs and cough up MUCUS all the time and I'm a oxygen 24 7 and tanks also and it's been messing with my nerves and causes serious really bad panic attacks and its RUINING my life. I don't breath normal like every one else and sleep study i did i wasn't ready to breath and wush air went into my lungs and back out done it 4 times i went to sleep when I woke up my Lungs had a work out from top too bottom and I felt like 17 years old and never felt so good and all that day i was wide awake and energy and felt best in my life until night time I went back to being tired and exhausted and sleepy over again and got resmed Aircurve 10 V auto machine and its not done nothing for me all these years I'm Tired being tired worn out and sleep and I can't stay awake nick. My breathing volume was at 51 percent and its worse now go to black lung clinic and do another breathing test. I was a coal miner for 30 years and black lung disable me badly and its all i can do to breath I'm a nose breather but I open my mouth to just has to go one way in me. PLEASE FOR THE LOVE OF MY SAVIOR JESUS CHRIST PLEASE HELP ME 🙏 😢😢😢😢😢 COAL I'VE MINDED WENT TO YOUR COUNTRY ALSO ALL IN THE WORLD IM IN USA 🇺🇸 AMEN ❤️ 🙏
I turned my EPR to a one and turned my machine to just CPAP use. To see if maybe that’ll help. I can’t stand the face masks so I’m gonna try the nasal one. My pressure is automatic so it’s between 4-6 since I turned that off to CPAP I’m hoping it helps. Every time I used it in the past I couldn’t sleep at all. So I’m hoping with this I do.
Do you think that’ll help?
My EPR was a 3
My pressure was automatic 4-6
My humidity level was 6
Tube was 72 degrees
I turned the humidity off too.
I tried no EPR but didn't like it, but I have lowered it from 3 to 2.
Awesome mate, it can certainly take a little getting use to but if you're getting great results on 2 then probably no need to go lower. Cheers
@@CPAPReviews I hear that VCOM item can give a better effect than EPR, is that true? It is something similar, but better?
If so, do you have any in sale from within Australia? I don't wanna pay the high shipping costs to get it from America just to try it.
@travv88 yeah they're available for the SleepHQ pro members mate. Just one of the perks
how to download resmed data to my laptop.does it requires any special software ??? and how can we read data on sleephq???
Hey mate, sign up at sleephq.com/account . It's free, you'll then get access to the sleephq community where we have all the video tutorials. The link to the specific tutorial is community.sleephq.com/c/sleephq-academy/sections/4788/lessons/62075
In short, you take your SD card out of your cpap, insert it into your computer and then copy the files across to sleephq. It's pretty easy but i can help you out in the community. Cheers
@@CPAPReviews thank you for the reply sir.i am new cpaper,just 4 months.i have been following your videos which helps me lot. i have already created account to sleephq.the trial period is now over.can we still read data ?what can we get benefit after updating premium. I am from Nepal sir and here we cannot do any international payment.
Hello my friend, yes you probably only need the free account which gives you access to your most recent 30 days of detailed cpap therapy data. Cheers
can we use bmc cpap mask on resmed cpap machine???
I turned off EPR years ago. It was never comfortable for me. My AHI over the past year is 0.4 - 1.4. Turned off the "soft" setting also! I just ordered another Res Med A-10 Auto-Set Card to Cloud model. Good prices on them now. What is your "go to" settings for this machine?
so if i understand it correctly resmed could firmware update its machines to match this better epr profile as oposed to the trainwreck they all currently have?
Hello my friend, the AirSense 11 does have OTA updates however i can't imagine ResMed stuffing around with algorithms mid cycle. Could get very messy
@@CPAPReviews so not ther air curve bi pap if thats the case then it makes all of their current machines out of date or obsolete then bar the 11 and current gen mini wow
@@CPAPReviews Nicko, I have to wonder if these pressure relief features are patented. That would explain why ResMed does it one way, and Philips does it differently.
I use IPR on my ResMed and turned up my pressure 1 CM from 10 to 11 and have had good success. Just my two cents.
appreciate the feedback mate. Nicko
Does the sudden surge in flow for Resmed EPR also affect their bilevel machines? Or is it more subtle? I tried EPR 3 last night, and it felt like a fan was blowing on my face every time I took a breath. I need to switch to a bilevel and am leery of getting another Resmed for this (and other) reason.
Yeah, I tried an aircurve vauto 10 and same issue, sleep not as well as any of my phillips machines.
what about fisher and paykel, is their preassure relief good?
Is the Löwenstein Prisma cpap available in the USA?
I don't think so mate but i know a bunch of people who are importing them in from Europe and the UK
What a greatly informative video on this setting. Super helpful.
Appreciate the comment
Terrific video, super informative, super clear. Thank you!
Glad you enjoyed it mate. Thanks for the great comment
Going to try EPR tonight.
Surely this is simple software update ResMed could implement?
I'm confused about the number settings of EPR. I have the ResMed 10 and while I don't see an EPR setting, I do see Pressure Relief, which is On (no numbers). Is this the same thing as EPR?
You need to access "Clinical Settings" by pressing both the click wheel and home button simultaneously for a few seconds.
I love your videos but I’m also overwhelmed and don’t have the time to keep up. Do you do private coaching or is there anyone you can recommend to decipher my data for me? I’m using the Resmed airsense 10
Do you have a sleepHQ account? There’s a great community there where you can upload your data and people will help!