teachcsg wrote:I find that the ramp feature is very helpful to new patients. When we first set them up and place their mask on them and turn the machine on many will jump slightly or look scared at ALL the air coming at them. Once we hit the ramp they seattle down. We then ask if with the ramp the air is too low or not enough, i.e 'does it feel like your suffocating or not enough air" if they say yes then we increase ramp slightly until they are comfortable. We sometimes teach them how to adjust themselves.
Many patients that have worn for a while come in and no longer use ramp. They are so used to the high pressures that they do not need it anymore. But starting out I like the feature.
That suffocating feeling can start within the first week as we adjust to the normal pressures. Nobody told me that it could feel like suffocating. Newbies just know that they feel they can't breathe. Most DMEs do NOT tell us that we may need to adjust it upward or turn it off. After 2 days, I moved mine to 5 minutes, and then the next day I turned it off. I go straight to 11 every day, and that feels fine for me.
Also, the ramp featured, if used over and over again can leave somebody without treatment most of the night, and they don't realize that. So, they think the machine isn't helping (because it really isn't), and then quit. Instead, they need to know that ramp time is not therapy time, and they shouldn't keep using the ramp all night.
Who would have thought it would be this challenging to sleep and breathe at the same time?