Using Ramp Feature (and making it work)

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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Goofproof
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Re: Using Ramp Feature (and making it work)

Post by Goofproof » Thu Nov 19, 2015 8:59 pm

Mynah wrote:Well I use ramp and just thought the boys were having some fun with the comments.

Any advice received on here is optional.

I appreciate the help the forum has given me.
Correct! After you answer the same thing a hundred times, you have to make it fun, it keeps your head from exploding. Jim
Use data to optimize your xPAP treatment!

"The art of medicine consists in amusing the patient while nature cures the disease." Voltaire

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Wulfman...
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Re: Using Ramp Feature (and making it work)

Post by Wulfman... » Thu Nov 19, 2015 9:11 pm

Mynah wrote:Well I use ramp and just thought the boys were having some fun with the comments.

Any advice received on here is optional.

I appreciate the help the forum has given me.
I don't think anyone has ever said or suggested that people shouldn't use Ramp if they felt the need to.
Yeah, (over the years) some of the replies to these polls and other questions have probably been a little "edgy", but I guess that's one way of having "fun" with them.

And, yes, the advice given here IS optional.......just like with doctors' prescribing medications.......the patient doesn't have to take them if they choose not to.

Glad you found the forum. Make yourself comfortable here. We're sort of like "family".


Den

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(5) REMstar Autos w/C-Flex & (6) REMstar Pro 2 CPAPs w/C-Flex - Pressure Setting = 14 cm.
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Re: Using Ramp Feature (and making it work)

Post by Dead fish hater » Thu Nov 19, 2015 10:05 pm

WULFMAN, YOU ARE AN A$$

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Wulfman...
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Re: Using Ramp Feature (and making it work)

Post by Wulfman... » Thu Nov 19, 2015 10:25 pm

Dead fish hater aka Also Posted As:(DWaldman) wrote:WULFMAN, YOU ARE AN A$$
DWaldman wrote:I have been on many forums on the net over the years, forums for blind dogs, forums for seizure dogs, classic car forums, and more . Never have I met such a group of self centered, pompous a-holes as are collected here. You people suck. Goodbye, this is my last post to this sorry ass group.

I guess you lied.

But, coming from you, I'll take your remark as a compliment. Thank you.

Have a good one.


Den

.
(5) REMstar Autos w/C-Flex & (6) REMstar Pro 2 CPAPs w/C-Flex - Pressure Setting = 14 cm.
"Passover" Humidification - ResMed Ultra Mirage FF - Encore Pro w/Card Reader & MyEncore software - Chiroflow pillow
User since 05/14/05

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Goofproof
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Re: Using Ramp Feature (and making it work)

Post by Goofproof » Thu Nov 19, 2015 10:28 pm

Most of them just can't resist...
Use data to optimize your xPAP treatment!

"The art of medicine consists in amusing the patient while nature cures the disease." Voltaire

WindCpap
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Re: Using Ramp Feature (and making it work)

Post by WindCpap » Fri Nov 20, 2015 6:54 am

The auto-ramp feature on the Airsense 10 is always spot on for me. The only time it ever makes a mistake is if I get really relaxed watching TV in bed, and it starts the ramp early. It actually starts about a minute or two before you really start sleeping since your breathing pattern changes to regular breaths at about that time. The first few times, I actually noticed the ramp. After that I didn't I highly doubt that using autoramp would miss any more apnea events than using apap due to the fact that your muscle tone will gradually relax as you get deeper and deeper into sleep, and your pressure need will gradually increase. I have personally checked the ramp waveform several times (breath by breath), and never once have I seen an event.

The reason why I use the ramp, and will continue to use it, is that the with with the 7/3 (7 pressure, 3 EPR), my breathing is almost the same as without the CPAP, and I can cough, yawn, and talk without having to fight the pressure being stuffed up my nose. The reason why I increased to 8/3 is I often wake up (by often I mean once per night, but most nights) a little bit stuffy, and the 7/3 is not quite enough to hold my nasal passages open against the stuffiness.

Even if I decided to stop using the auto-ramp for comfort (I doubt this will happen), I would still set it to 0.2 cmH20 below therapy pressure so that I could tell when I fall asleep as I find it is very useful for interpreting data.

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Hang Fire
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Re: Using Ramp Feature (and making it work)

Post by Hang Fire » Fri Nov 20, 2015 7:37 am

WindCpap wrote:The reason why I use the ramp, and will continue to use it, is that the with with the 7/3 (7 pressure, 3 EPR), my breathing is almost the same as without the CPAP, and I can cough, yawn, and talk without having to fight the pressure being stuffed up my nose. The reason why I increased to 8/3 is I often wake up (by often I mean once per night, but most nights) a little bit stuffy, and the 7/3 is not quite enough to hold my nasal passages open against the stuffiness.
You wrote this as if it is going to be very informative to the people reading it. But it is not because you didn't state whether your EPR setting is all night or only during ramp. It makes a big difference.

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andycole
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Re: Using Ramp Feature (and making it work)

Post by andycole » Fri Nov 20, 2015 11:39 am

I am quite intrigued by this thread. I have ramp set at 45 because I thought the initial startup was giving me problems. Now I'm going to turn it off and see what difference it makes. Thankful that I found this website and forum. Have been considering returning the machine.

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Minnie Maunder
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Re: Using Ramp Feature (and making it work)

Post by Minnie Maunder » Fri Nov 20, 2015 12:16 pm

Now I'm going to turn it off and see what difference it makes.
Does anyone else see the irony here?

DWaldman started a thread telling people to use the ramp, and as a result of the thread, someone is turning the ramp off.

andycole wrote:I am quite intrigued by this thread. I have ramp set at 45 because I thought the initial startup was giving me problems. Now I'm going to turn it off and see what difference it makes. Thankful that I found this website and forum. Have been considering returning the machine.
Yes, that's right, experiment until you see what works for you. It seems that thousands of people have solved problems with the help of this forum. It may take some time, but most of the problems can be solved.

Good luck.

Heart Jumping
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Re: Using Ramp Feature (and making it work)

Post by Heart Jumping » Fri Nov 20, 2015 12:27 pm

Minnie Maunder wrote:
Does anyone else see the irony here?

DWaldman started a thread telling people to use the ramp, and as a result of the thread, someone is turning the ramp off.
Actually he didn't tell people to use ramp. He stated what he found worked for him and posted it in case it helped anyone else ending in "YMMV". And since then some other people have also explained how they use ramp. Might seem like semantics but I find it ironic you're somewhat mischaracterizing things .

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WindCpap
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Re: Using Ramp Feature (and making it work)

Post by WindCpap » Fri Nov 20, 2015 1:04 pm

Hang Fire wrote:
WindCpap wrote:The reason why I use the ramp, and will continue to use it, is that the with with the 7/3 (7 pressure, 3 EPR), my breathing is almost the same as without the CPAP, and I can cough, yawn, and talk without having to fight the pressure being stuffed up my nose. The reason why I increased to 8/3 is I often wake up (by often I mean once per night, but most nights) a little bit stuffy, and the 7/3 is not quite enough to hold my nasal passages open against the stuffiness.
You wrote this as if it is going to be very informative to the people reading it. But it is not because you didn't state whether your EPR setting is all night or only during ramp. It makes a big difference.
That is an interesting way to ask for more info.

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Heart Jumping
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Re: Using Ramp Feature (and making it work)

Post by Heart Jumping » Fri Nov 20, 2015 1:15 pm

WindCpap wrote:
Hang Fire wrote:
WindCpap wrote:The reason why I use the ramp, and will continue to use it, is that the with with the 7/3 (7 pressure, 3 EPR), my breathing is almost the same as without the CPAP, and I can cough, yawn, and talk without having to fight the pressure being stuffed up my nose. The reason why I increased to 8/3 is I often wake up (by often I mean once per night, but most nights) a little bit stuffy, and the 7/3 is not quite enough to hold my nasal passages open against the stuffiness.
You wrote this as if it is going to be very informative to the people reading it. But it is not because you didn't state whether your EPR setting is all night or only during ramp. It makes a big difference.
That is an interesting way to ask for more info.
Yes it is. Well, I found it informative and would like more info .

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WindCpap
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Re: Using Ramp Feature (and making it work)

Post by WindCpap » Fri Nov 20, 2015 1:18 pm

I use the EPR only on the ramp.

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andycole
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Re: Using Ramp Feature (and making it work)

Post by andycole » Sat Nov 21, 2015 12:48 pm

last night I turned off the ramp feature. supposedly got 10 hours usage which is an all time high. part of that could be due to mri testing first thing Friday morning and I was exhausted. I was originally diagnosed with complex apnea and therapist has been tweaking min/max. my pressure settings now are 5min and 10max. Mask is still popping up into my mouth and I am still swallowing air. is it possible the machine doesn't know how to respond with the pop up - leak rate doesn't seem to be affected. I need to find the original report so I can compare some of the results. I can't say that I feel any better today and still tired. however some of that may be due to having retired 5/1 and no longer am a 24/7/365 IT guy.

CPAP Statistics
96 days of CPAP Data, between Mon Aug 3 2015 and Fri Nov 20 2015
Details Most Recent Last Week Last 30 Days Last 6 Months Last Year
CPAP Usage
Average Hours per Night 10:08 07:37 06:36 05:51 05:51
Compliance 100% 100% 88% 79% 79%
Therapy Efficiacy
AHI 0.89 1.18 1.09 1.39 1.39
Obstructive Index 0.00 0.00 0.00 0.00 0.00
Hypopnea Index 0.69 0.90 0.95 1.28 1.28
Clear Airway Index 0.00 0.00 0.00 0.00 0.00
Leak Statistics
Average Leak Rate 2.11 3.23 4.37 11.99 11.99
90% Leak Rate 1.20 6.00 8.40 43.20 43.20
% of time above Leak Rate threshold 2.53% 2.93% 5.63% 14.24% 14.24%
Pressure Statistics
Average Pressure 10.50 10.28 9.54 10.09 10.09
Min Pressure 5.00 4.02 4.02 4.02 4.02
Max Pressure 19.90 19.98 23.74 25.00 25.00
90% Pressure 13.26 13.18 13.54 14.60 14.60

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Mask: ResMed AirFit™ F20 Full Face CPAP Mask with Headgear
Additional Comments: Machine: ResMed AirCurve 10 ASV with Heated Humidifier/Slimline Hose. Pressures: 5/10