EASIER Exhaling with EPR Pressure Adjustment (Expiratory Pressure Relief)
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- Опубликовано: 16 авг 2024
- One of the challenges with CPAP sleep apnea treatment is fighting the CPAP machine pressure when you exhale. That's why brands like ResMed, Fisher & Paykel and Philips Respironics add a feature on their travel CPAP devices and at home units to adjust the pressure, called EPR (Expiratory Pressure Relief). When on, EPR detects when the user is breathing out and lowers the pressure being delivered to increase your comfort during sleep therapy. Note, that EPR goes by different names for different manufacturers - EZEX for Transcend, Z Breathe for Breas, as well as others.
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Shout out to Ruben (or whoever is replying in the comments from the RespShop team) for thourougly answering all my questions in the comments! Super helpful and very much appreciated, thank you!
Great information! I just checked my ResMed AirSense 10 and it is already set at 3 by default.
this video is awesome!!!!!! i discovered my machine has this function after frustration over symtoms you lamented to. best sleep ever!
Great to hear the video was of help!
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Very clear and concise video.......keep it up!!
Thanks a lot!
Thank for watching! If you enjoyed our video, please don't forget to Like and Subscribe for more CPAP and Sleep related videos.
Thanks for the amazing video. It really helped ❤
We are happy to hear you enjoyed the video! Did you know, RespShop is dedicated to releasing a new video every week! So don't forget to like and share for more CPAP and Sleep related Videos.
Dude, fantastic video.
Thank you so much!
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They put my EPR on a 3 and put the Autoset mode on soft because I was having Aerothagia… it no longer gives me full energy! Please help! 🙏🏻
Try taking a look at another one of this guys ⬆️ videos...called : how to adjust pressure and other settings on the Resmed airsense 11.....
The air pressure number is responsible for the air pushed in and the epr would be for the pressure when you exhale ...I believe
Hi, you can adjust the EPR and turn off soft mode in the clinical menu. We have a video showing how to do that on the AirSense 11: ruclips.net/video/VrSizofsmOA/видео.htmlsi=rn1B8rNSlcRUI4hd
Hope this helps!
@KainsFleshlight Yes, you're right - air pressure is the amount of air delivered by the machine and EPR is the amount of pressure drop when you exhale :)
@@RespShop i already turned fixed the settings but it gave me Aerothagia again. Would lowering the pressure stop this? Because the settings that give me stomach issues is what’s giving me full energy, the other settings didn’t, so can I turn my pressure to only go up to 6.0 ? Would that stop Aerothagia? Thanks! 🙏🏻
@@AVCoinPusher Lowering the pressure can stop aerophagia but if you drop the pressure too much, it may not be enough to keep your airway open. Always let your doctor know if you plan to change the pressure and keep an eye on your AHI to make sure it remains < 5.
Thank you for this video. I have a philips dreamstation. I do not see the EPR setting you speak to on my system. I use a ResMed quattro FX medium. When I exhale, the mask makes a "thumping" sound that is so annoying. It makes it difficult to fall asleep. Once I do relax or begin to sleep, and I am exhaling with less force, the thumping sound goes away. If I concentrate on exhaling slowly it does not make the thumping sound. Please tell me there is something I can do to make this thumping sound go away?
You're welcome! EPR is ResMed's name for the pressure relief feature. On Philips machines it is called Flex (C-Flex for dreamstation CPAP and A-Flex for dreamstation auto CPAP).
The thumping noise you hear comes from the one-way valve in the elbow of your mask. It makes a thumping noise when it closes after a forceful exhalation. Unfortunately, the best way to prevent the thumping sound is to exhale with less force.
Try increasing your flex setting so your machine drops more pressure on exhalation and see if that helps prevent the forceful exhalations.
Im having trouble exhaling. So just to clarify if I set my epr to 3 it will make it easier to breath out, correct?
Yes, that is correct!
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❤ Thank you!
Thank you that explains the stomach cramps I’ve experienced since using my cpap
So with epr they are just cutting wattage to the motor a bit. Why not cut it off completely or even reverse slightly? No problem to design a motor with that capability, including ramping up again. I can even imagine storing the energy from the exhale and using it again. Just some weight increase to the device itself would occur but I suspect the amount of people that would be successful in their therapy and stick with it would increase by multiple 10s of percents.
Thank you for watching!
But lower EPAP gives me a lot of more CAs, even when PS is 2.
Thank you for watching! Unfortunately, in this case then it's not a good idea to use EPR.
What about the epr setting ramp only or full time, you didnt talk about that? Mines set to ramp only so ill leave it there but besides the obvious in the setting names, whats the difference
Thank you for watching! EPR ramp means EPR is on only during ramp. EPR full time means it's on during ramp and after ramp is finished. You can experiment with the settings to see what works best for you. Some people don't even use EPR at all.
I cannot find the setting for EPR level
It will be in the clinical menu of your ResMed device. If you do not have a ResMed device you will need to contact your provider as other manufactures have the same feature but it could be called something else.
I got more ahi with epr, so I switch it off. I wonder why.
It could be a number of reasons. If your EPR was set to 3, it could be too high of a drop in exhalation pressure. Or ask your provider what types of apneas occurred while having the EPR on.
Thank you for watching!
Cause you dont need to exhale quickly
This should be the default setting WTF
I absolutely dislike this feature because i have to exert a lot of force to breathe in right after breathing out
Thank you for watching. EPR isn't for everyone, that's for sure!
Machine settings via iPhone? Where can I find that app??
This is using the app for the ResMed AirMini, you can watch a full video on it here: ruclips.net/video/UMAXzOB8d2k/видео.html
Many CPAPs have accompanying apps these days. Which machine do you own?