Any machines do a higher EPAP than IPAP

[varaonaid]

Hello,

I'm wondering if anyone knows if there is a VPAP/BiPAP machine that allows for a higher EPAP than IPAP? I need extra positive airway pressure when exhaling and my current machine seems to slack off when I exhale even though it's set to straight CPAP without any C-flex, etc.

If anyone knows if such a machine exists, I'd love to know about it!

Thanks in advance!

All the best,
Rae

[BleepingBeauty]

Hello,

I'm wondering if anyone knows if there is a VPAP/BiPAP machine that allows for a higher EPAP than IPAP? I need extra positive airway pressure when exhaling and my current machine seems to slack off when I exhale even though it's set to straight CPAP without any C-flex, etc.

If anyone knows if such a machine exists, I'd love to know about it!

Thanks in advance!

All the best,
Rae

Hi, Rae.

I don't know about the ResMed units, but I know that my Respironics BiPAP ASV will NOT allow a higher EPAP setting than the minimum IPAP pressure.

A question about the machine you're using: Are you positive that the EPR (ResMed's version of Respironics' C-Flex or A-Flex) is turned off? EPR will lower the exhale pressure by its setting (i.e., EPR=1 lowers exhale pressure by 1cm, EPR=2 by 2cms, EPR=3 by 3cms). I'd check that first.

[GumbyCT]

Hello,

I'm wondering if anyone knows if there is a VPAP/BiPAP machine that allows for a higher EPAP than IPAP? I need extra positive airway pressure when exhaling and my current machine seems to slack off when I exhale even though it's set to straight CPAP without any C-flex, etc.

If anyone knows if such a machine exists, I'd love to know about it!

Thanks in advance!

All the best,
Rae

Am I the only one wondering why in the world you would want the Exhale Pressure higher than the Inhale Pressure? Why?

Wouldn't that be like holding your breath?

[who]

Effective treatment generally involves exhale pressure being high enough to prevent apnea. Inhale pressure must be equal to, or higher than, but not less than, exhale pressure in order for treatment not to feel as if the machine was fighting against you.

[LoQ]

Hello,

I'm wondering if anyone knows if there is a VPAP/BiPAP machine that allows for a higher EPAP than IPAP? I need extra positive airway pressure when exhaling and my current machine seems to slack off when I exhale even though it's set to straight CPAP without any C-flex, etc.

If anyone knows if such a machine exists, I'd love to know about it!

Thanks in advance!

All the best,
Rae

I don't know the answer to that and doubt there is one, but it's a very interesting question to me. I have this sneaking suspicion that my problem may be with difficulty exhaling more than the inhale phase.

I am curious about the Provent technology in lieu of xPAP. I wonder if that would benefit you? It increases pressure on exhale rather than inhale. Maybe you could ask your doctor if you could try it. If you do, let us know what you think about it.

[GeneS]

It seems that there must be a problem with a machine setting or mask leak when exhaling otherwise the mask pressure in cpap mode should not slack off when you exhale. If the mask pressure stays at the cpap pressure setting during exhale the airway pressure during exhale has to be higher than the airway pressure during inhaling. It seems that if you need more airway pressure during exhaling your diaphram would compress your lungs more and increase the pressure. I do not know right now what else could cause this.

Gene

Hello,

I'm wondering if anyone knows if there is a VPAP/BiPAP machine that allows for a higher EPAP than IPAP? I need extra positive airway pressure when exhaling and my current machine seems to slack off when I exhale even though it's set to straight CPAP without any C-flex, etc.

If anyone knows if such a machine exists, I'd love to know about it!

Thanks in advance!

All the best,
Rae

[sleepmba]

I'm willing to bet there is not a machine that does that. I think if they had a machine like that, it would rank up there with water boarding as a torture device.

As someone suggested, you may be having an equipment issue. Maybe a leak somewhere or maybe your machine is giving out. If your mask, hose, humidifier and all the connections check out, you may want to have your machine looked at by your DME.

[LoQ]

Looking at what I wrote earlier, I don't think I made it clear when I said I have more difficulty exhaling than inhaling that I meant natively, without the machine. If I just sleep without a machine, I have a MUCH harder time exhaling than inhaling. Something goes wrong in my upper airway during the exhale phase. Thus, like the original poster, I long for a machine that will give me more pressure during exhalation to keep my airway open so my CO2 can escape better.

[jdm2857]

If one were to create a machine that could be set to a higher EPAP pressure than IPAP, I would think that you naturally would try to inhale at the higher pressure and exhale when the pressure reduced and wind up in a night-long (wo)man vs. machine battle.

If it's true that you need a higher EPAP pressure to support your airway on exhale, I think that you have no choice but to go even higher with the IPAP pressure.

[GumbyCT]

Hello,

I'm wondering if anyone knows if there is a VPAP/BiPAP machine that allows for a higher EPAP than IPAP? I need extra positive airway pressure when exhaling and my current machine seems to slack off when I exhale even though it's set to straight CPAP without any C-flex, etc.

If anyone knows if such a machine exists, I'd love to know about it!

Thanks in advance!

All the best,
Rae

Am I the only one wondering why in the world you would want the Exhale Pressure higher than the Inhale Pressure? Why?

Wouldn't that be like holding your breath?

I guess I will never know.

[CollegeGirl]

Hello,

I'm wondering if anyone knows if there is a VPAP/BiPAP machine that allows for a higher EPAP than IPAP? I need extra positive airway pressure when exhaling and my current machine seems to slack off when I exhale even though it's set to straight CPAP without any C-flex, etc.

If anyone knows if such a machine exists, I'd love to know about it!

Thanks in advance!

All the best,
Rae

Rae, I'm curious - what makes you think you need "extra" positive airway pressure while you're exhaling?

[M.D.Hosehead]

Asthmatics may find it easier to exhale against pressure.

Are you sure you don't have asthma? Do you hear wheezing sounds from your chest?