Why no EPR/C-Flex as norm?
Why no EPR/C-Flex as norm?
It appears that DMEs do not normally turn on exhalation relief on machines at set up - so many folks asking how to use it (and it's "behind the clinician menu).
Why don't they turn it on to patient control automatically so the user can easily control it? Does it need to be on the prescription?
Why don't they turn it on to patient control automatically so the user can easily control it? Does it need to be on the prescription?
_________________
Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear |
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control |
Additional Comments: Sleepyhead SW. NeilMed and Alkalol Nasal rinses. Veramyst. AutoPAP 11-20 cms. Started June '14, untreated AHI 31-38, with PAP around 1. |
- Nick Danger
- Posts: 621
- Joined: Mon Jun 09, 2014 3:13 pm
Re: Why no EPR/C-Flex as norm?
My ENT said he didn't like EPR because he wasn't sure the software would react soon enough if the airway was collapsing. The studies I read suggested this isn't a problem.
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Machine: ResMed AirSense™ 10 AutoSet™ CPAP Machine with HumidAir™ Heated Humidifier |
Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear |
Additional Comments: APAP mode, minimum pressure = 9. No ramp, EPR = 3, medium. Soft cervical collar. Sleepyhead software. |
Re: Why no EPR/C-Flex as norm?
I don't know. I wasn't even sure what it was for until today. Set it and planning to give it a try tonight to help with aerophagia.
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Mask: Swift™ FX For Her Nasal Pillow CPAP Mask with Headgear |
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control |
Additional Comments: S9 set to auto, pressure 5-15, Premier style chin strap |
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Re: Why no EPR/C-Flex as norm?
I hope it works, and your eyes won't be bugged out quite so much tomorrowJustTia wrote:I don't know. I wasn't even sure what it was for until today. Set it and planning to give it a try tonight to help with aerophagia.
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Re: Why no EPR/C-Flex as norm?
You and me both!palerider wrote:I hope it works, and your eyes won't be bugged out quite so much tomorrowJustTia wrote:I don't know. I wasn't even sure what it was for until today. Set it and planning to give it a try tonight to help with aerophagia.
_________________
Mask: Swift™ FX For Her Nasal Pillow CPAP Mask with Headgear |
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control |
Additional Comments: S9 set to auto, pressure 5-15, Premier style chin strap |
Board culture. Learn it. Embrace it.
Re: Why no EPR/C-Flex as norm?
Sometimes the reduced pressure on exhale can increase your apneas.
Some people find it uncomfortable.
The changing pressure can sometimes "pump" the mask up and down on your face and cause leaks or other problems.
The machines and masks are sometimes noisier with exhale relief.
Some people find it uncomfortable.
The changing pressure can sometimes "pump" the mask up and down on your face and cause leaks or other problems.
The machines and masks are sometimes noisier with exhale relief.
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Mask: Swift™ FX Nasal Pillow CPAP Mask with Headgear |
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Re: Why no EPR/C-Flex as norm?
you're question is clear!!!! I think DMEs don't want you to control your life. They think we are stupid?englandsf wrote:It appears that DMEs do not normally turn on exhalation relief on machines at set up - so many folks asking how to use it (and it's "behind the clinician menu).
Why don't they turn it on to patient control automatically so the user can easily control it? Does it need to be on the prescription?
- Justin Case
- Posts: 86
- Joined: Tue Feb 02, 2010 12:18 am
Re: Why no EPR/C-Flex as norm?
My previous Sleep doc recommended straight CPAP when I asked him what he thought about APAP. He bluntly said, save your money and just buy a regular CPAP. In hospitals when I had a PSG done, if not mistaken, there was no EPR or C-Flex.
JC
Re: Why no EPR/C-Flex as norm?
I like the 'save your money' line, given how close in price the cpaps and apaps are in cpap.com (50-75$ diff)Justin Case wrote:My previous Sleep doc recommended straight CPAP when I asked him what he thought about APAP. He bluntly said, save your money and just buy a regular CPAP. In hospitals when I had a PSG done, if not mistaken, there was no EPR or C-Flex.
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Accounts to put on the foe list: dataq1, clownbell, gearchange, lynninnj, mper!?, DreamDiver, Geer1, almostadoctor, sleepgeek, ajack, stom, mogy, D.H., They often post misleading, timewasting stuff.
Accounts to put on the foe list: dataq1, clownbell, gearchange, lynninnj, mper!?, DreamDiver, Geer1, almostadoctor, sleepgeek, ajack, stom, mogy, D.H., They often post misleading, timewasting stuff.
- Justin Case
- Posts: 86
- Joined: Tue Feb 02, 2010 12:18 am
Re: Why no EPR/C-Flex as norm?
I guess in his defence, it was 10 years ago and the price difference was much wider. However, I think that mindset is still maintained today hence DMEs not enabling EPR/CFLEX.
JC
Re: Why no EPR/C-Flex as norm?
well, typically, the whole point of epr/xflex is just patient comfort, and that's typically not something the medical profession spends much time thinking about.Justin Case wrote:I guess in his defence, it was 10 years ago and the price difference was much wider. However, I think that mindset is still maintained today hence DMEs not enabling EPR/CFLEX.
Get OSCAR
Accounts to put on the foe list: dataq1, clownbell, gearchange, lynninnj, mper!?, DreamDiver, Geer1, almostadoctor, sleepgeek, ajack, stom, mogy, D.H., They often post misleading, timewasting stuff.
Accounts to put on the foe list: dataq1, clownbell, gearchange, lynninnj, mper!?, DreamDiver, Geer1, almostadoctor, sleepgeek, ajack, stom, mogy, D.H., They often post misleading, timewasting stuff.
Re: Why no EPR/C-Flex as norm?
englandsf wrote:It appears that DMEs do not normally turn on exhalation relief on machines at set up - so many folks asking how to use it (and it's "behind the clinician menu).
C-flex is on the standard user's screen menu.
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Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear |
Additional Comments: 14-cm wg, Model 460, Serial Number: P10175579 4E22 SleepyHead v0.9.6 (testing) |
- zoocrewphoto
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Re: Why no EPR/C-Flex as norm?
Except they almost always turn on the ramp, starting at 4, which they think will help people get started with cpap, yet it ends up bothering a lot of people so much that they quit if they don't find a forum like this one and make some adjustments.palerider wrote:well, typically, the whole point of epr/xflex is just patient comfort, and that's typically not something the medical profession spends much time thinking about.Justin Case wrote:I guess in his defence, it was 10 years ago and the price difference was much wider. However, I think that mindset is still maintained today hence DMEs not enabling EPR/CFLEX.
I think my doctor included epr at 2 as part of my prescription. I would have to check, but I think that is what my copy says. My copy, though, was written at my request, after I got my machine. The original went straight to the DME, and I am fortunate that my doctor has sleep apnea himself and specifically prescribes Resmed autosets to everybody. He likes the auto feature and the full data.
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Re: Why no EPR/C-Flex as norm?
My DME does set up PAP machines with EPR/Flex turned ON (and usually at the max setting). They also make sure that patient access to the EPR/Flex setting is also turned ON. And they tell the patient how to access that setting and tell them to experiment with it if desired.
On the PR machines there's a really neat feature that's available whenever the clinician allows patient access to Flex: There's a real-time demo of Flex available where you mask up, press the demo button and you can change Flex while the mask is on and breathe with the new Flex for several minutes before changing to yet a different Flex if you want. It allows you to directly compare Flex = 1, 2, or 3 (but alas, not OFF) at your pressure and without restarting the machine. You can flip back and forth between settings as much as you like by simply turing the knob. When you figure out which you like best, you simply turn the machine off while the Flex is at that setting and the new setting is now the default setting in the set up menu(s).
On the PR machines there's a really neat feature that's available whenever the clinician allows patient access to Flex: There's a real-time demo of Flex available where you mask up, press the demo button and you can change Flex while the mask is on and breathe with the new Flex for several minutes before changing to yet a different Flex if you want. It allows you to directly compare Flex = 1, 2, or 3 (but alas, not OFF) at your pressure and without restarting the machine. You can flip back and forth between settings as much as you like by simply turing the knob. When you figure out which you like best, you simply turn the machine off while the Flex is at that setting and the new setting is now the default setting in the set up menu(s).
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Machine: DreamStation BiPAP® Auto Machine |
Mask: Swift™ FX Nasal Pillow CPAP Mask with Headgear |
Additional Comments: PR System DreamStation and Humidifier. Max IPAP = 9, Min EPAP=4, Rise time setting = 3, minPS = 3, maxPS=5 |
Re: Why no EPR/C-Flex as norm?
You have a great DME. The ResMed I have does not do that but I think both widely used machines require a setting to allow user access to EPR/Flex - which seems crazy...
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Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear |
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control |
Additional Comments: Sleepyhead SW. NeilMed and Alkalol Nasal rinses. Veramyst. AutoPAP 11-20 cms. Started June '14, untreated AHI 31-38, with PAP around 1. |