Ramp time question

Hello all,

New here, newly diagnosed, and on day 4 of CPAP. Not worried about my numbers or anything, just curious on opinions on the ramp time settings. Right now I have mine set to auto at the advice of the DME, and from looking at my Sleepyhead data, it doesn't take long for it to ramp up to within my range of 8-11. I considered hard setting it to 30 minutes since that is about how long it takes me to get rested once in bed and be ready to fall asleep, but I'm more inclined to leave it alone on Auto since I haven't really had any issues falling asleep. I kind of figure on getting answers of leave well enough alone if everything is working but there could be opinions out there that are worthwhile to hear that could be against the auto setting.

Happy to find this place as it's nice to be able to talk and bounce questions off of people in the same boat as I am in.

If you are not having any problems falling asleep, I'd leave the Ramp time set to Auto. It it ain't broke, don't fix it.

It took me two nights to get rid of the ramp setting totally. Takes about 5 breaths to get totally comfortable with my 11 cm h20 pressure.

I think most of us stop using the ramp altogether after about a week unless pressures are very high. Don't forget that all the time it's ramping up to your set low pressure you're not getting as much therapy as you would if you just started straight out at that pressure.

mharrison wrote: Not worried about my numbers or anything, just curious on opinions on the ramp time settings. Right now I have mine set to auto at the advice of the DME, and from looking at my Sleepyhead data, it doesn't take long for it to ramp up to within my range of 8-11.

I'm a if it ain't broke person but when you realize things can/should be better and start tracking your AHI one of the easiest things to do is to start your pressure closer to where it stays for 90-95% of the time. Leaving it in auto with the upper end 2-3cm higher than your highest treatment pressure.

fwiw - ramp does not treat any events and therefore does not score anything in your AHI. Meaning you could be having events during the ramp period.
Many consider ramp to be like training wheels tho it is helpful to get adjusted to life on the hose.
HTH

That's wrong because the 90-95% result is NOT about those numbers, but that the pressure overnight reached them at some point, but likely stayed below them for more (if not most) of the night. They are "at or below" numbers, not definitive ones for a majority of time spent.

If the machine listed in your profile is correct, it will not provide you with any meaningful therapy data...only very basic AHI and leak information. You would need the ELITE or AUTOSET models to be able to monitor your therapy. The CPAP model is a "brick". Since you are very new at therapy, you might try asking your DME to exchange your machine for the Elite or Autoset....get your doctor involved if necessary.

LSAT wrote:If the machine listed in your profile is correct, it will not provide you with any meaningful therapy data...only very basic AHI and leak information. You would need the ELITE or AUTOSET models to be able to monitor your therapy. The CPAP model is a "brick". Since you are very new at therapy, you might try asking your DME to exchange your machine for the Elite or Autoset....get your doctor involved if necessary.

I'm getting a lot of data when I import the SD card into SleepyHead...I just checked Sleepyhead and it says I have the Autoset so I must have selected the wrong model in my profile...that I can fix.

Guest wrote:I'm a if it ain't broke person but when you realize things can/should be better and start tracking your AHI one of the easiest things to do is to start your pressure closer to where it stays for 90-95% of the time. Leaving it in auto with the upper end 2-3cm higher than your highest treatment pressure.

Closer to .... not at. This is a process, moving say 1 cm up at a time while checking your data. That is assuming your ramp is set at 4cm of course.

No suggestions? No clarification? Just wrong?

Julie wrote:That's wrong because the 90-95% result is NOT about those numbers, but that the pressure overnight reached them at some point, but likely stayed below them for more (if not most) of the night. They are "at or below" numbers, not definitive ones for a majority of time spent.

Guest wrote:

Guest wrote:I'm a if it ain't broke person but when you realize things can/should be better and start tracking your AHI one of the easiest things to do is to start your pressure closer to where it stays for 90-95% of the time. Leaving it in auto with the upper end 2-3cm higher than your highest treatment pressure.

Closer to .... not at. This is a process, moving say 1 cm up at a time while checking your data. That is assuming your ramp is set at 4cm of course.

No suggestions? No clarification? Just wrong?

Julie wrote:That's wrong because the 90-95% result is NOT about those numbers, but that the pressure overnight reached them at some point, but likely stayed below them for more (if not most) of the night. They are "at or below" numbers, not definitive ones for a majority of time spent.

Julie is right...the 90/95% figure means you were at or below that figure for 95% of the night.You were not at that figure 95% of the time. Average may be far below.

LSAT wrote:

Guest wrote:

Guest wrote:I'm a if it ain't broke person but when you realize things can/should be better and start tracking your AHI one of the easiest things to do is to start your pressure closer to where it stays for 90-95% of the time. Leaving it in auto with the upper end 2-3cm higher than your highest treatment pressure.

Closer to .... not at. This is a process, moving say 1 cm up at a time while checking your data. That is assuming your ramp is set at 4cm of course.

No suggestions? No clarification? Just wrong?

Julie wrote:That's wrong because the 90-95% result is NOT about those numbers, but that the pressure overnight reached them at some point, but likely stayed below them for more (if not most) of the night. They are "at or below" numbers, not definitive ones for a majority of time spent.

Julie is right...the 90/95% figure means you were at or below that figure for 95% of the night. You were not at that figure 95% of the time. Average may be far below.

Again no one said

You were at that figure 95% of the time

but did say should you decide to turn ramp OFF assuming it starts at 4 cm to move Closer to .... not at. This is a process, moving say 1 cm up at a time while checking your data. That is assuming your ramp is set at 4cm of course.

one of the easiest things to do is to start your pressure closer to where it stays for 90-95% of the time. Leaving it in auto with the upper end 2-3cm higher than your highest treatment pressure.

That is correct that the 90-95% result is always below that number, ALWAYS.

To Be Clear (IF that is possible) what you two are thinking is NOT what was written nor what was intended. Must be my accent?

Guest wrote:

LSAT wrote:

Guest wrote:

Guest wrote:I'm a if it ain't broke person but when you realize things can/should be better and start tracking your AHI one of the easiest things to do is to start your pressure closer to where it stays for 90-95% of the time. Leaving it in auto with the upper end 2-3cm higher than your highest treatment pressure.

Closer to .... not at. This is a process, moving say 1 cm up at a time while checking your data. That is assuming your ramp is set at 4cm of course.

No suggestions? No clarification? Just wrong?

Julie wrote:That's wrong because the 90-95% result is NOT about those numbers, but that the pressure overnight reached them at some point, but likely stayed below them for more (if not most) of the night. They are "at or below" numbers, not definitive ones for a majority of time spent.

Julie is right...the 90/95% figure means you were at or below that figure for 95% of the night. You were not at that figure 95% of the time. Average may be far below.

Again no one said

You were at that figure 95% of the time

but did say should you decide to turn ramp OFF assuming it starts at 4 cm to move Closer to .... not at. This is a process, moving say 1 cm up at a time while checking







your data. That is assuming your ramp is set at 4cm of course.

one of the easiest things to do is to start your pressure closer to where it stays for 90-95% of the time. Leaving it in auto with the upper end 2-3cm higher than your highest treatment pressure.

That is correct that the 90-95% result is always below that number, ALWAYS.

To Be Clear (IF that is possible) what you two are thinking is NOT what was written nor what was intended. Must be my accent?

This must be Donald Trump posting as guest...Right all the time....never admit it when wrong.

Julie wrote:I think most of us stop using the ramp altogether after about a week unless pressures are very high. Don't forget that all the time it's ramping up to your set low pressure you're not getting as much therapy as you would if you just started straight out at that pressure.

Julie,

The newer "smart ramps" start to increase pressure as soon as events are detected. And once they ramp up to the minimum pressure setting, they don't go below that setting ---even if there's still time on the ramp.

With the AutoRamp setting on the newest Resmed's, the machine keeps the pressure low until events occur. If events start to occur 5 minutes after you turn the machine on, the pressure starts to increase 5 minutes after you turn the machine on. If events don't happen to occur for the first 30 minutes, the pressure stays low for the first 30 minutes. But if no events are occurring, then you're getting the therapy you need during those 30 minutes.

LSAT wrote: This must be Donald Trump posting as guest...Right all the time....never admit it when wrong.

I have done my very best to be clear to you.

At this point I have to think you are hard of reading and LAST at spelling.
Oh I may be wrong again you are LAST and LAST at spelling.

Too bad, soo sad. You have not contributed a thing.

LSAT wrote: This must be Donald Trump posting as guest...Right all the time....never admit it when wrong.

Oh and we don't have a registered member here like that do we? ...