C-Flex and EPR User Experiences
C-Flex and EPR User Experiences
I have been using a ResMed AirSense 10 for about three months and have been following my results closely with OSCAR. I've read the forum comments and watched the YouTube channels and have made adjustments carefully to my therapy...with excellent results I might add. I've gone from an initial AHI score or 61 to a regular nightly score of around 1.0. Last night my score was 0.5 So here is my question, why is the conventional wisdom that EPR or C-Flex is something to be weened off of? My score IMPROVED slightly when I added it to my settings and my mask and breathing comfort level went way up. My pressure is 9 and I am only using an EPR setting of 1 although I will be experimenting with a higher EPR settings while watching my nightly result. I understand the potential for degrading the therapeutic effect of CPAP if this feature is used randomly without any form of monitoring, but if the OSCAR data responds positively, why wouldn't you use this comfort feature?
I'd love experienced users to offer their perspective and experiences on the subject. BTW, I do think APAP is problematic and I have also turned off auto ramping. Conventional CPAP is working very well for me and I follow my OSCAR results regularly, why should I aspire to eventually turn off EPR? Thoughts?
I'd love experienced users to offer their perspective and experiences on the subject. BTW, I do think APAP is problematic and I have also turned off auto ramping. Conventional CPAP is working very well for me and I follow my OSCAR results regularly, why should I aspire to eventually turn off EPR? Thoughts?
_________________
Machine: Airsense 10 Card to Cloud |
Mask: ResMed AirTouch™ N20 Nasal CPAP Mask with Headgear |
Re: C-Flex and EPR User Experiences
The potential for degrading the therapeutic effect when using EPR..exhale pressure relief or any sort of exhale relief by other brands...is a "maybe potential issue" and not an automatic for sure "this is a problem" issue thing.
If someone finds that the treatment is maybe a little less effective during the drop during exhale it is easily remedied by a simple increase in the base line pressure.
If you are more comfortable sleep better using EPR...I would also be wondering why anyone would set a goal of "getting happy with no EPR".
Or maybe they just like to experiment...that would be a good reason I suppose.
I use a machine that offers what would essentially be EPR at 4 and that's what I prefer.
It mimics my own natural breathing pattern and is extremely comfortable and when I am comfortable I fall asleep faster, easier and stay asleep longer.
Sleep has always been my primary goal....without sleep it doesn't matter much what your settings are or what the AHI is....if you aren't sleeping it doesn't matter.
_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier |
Additional Comments: Mask Bleep Eclipse https://bleepsleep.com/the-eclipse/ |
I may have to RISE but I refuse to SHINE.
If you want to try the Eclipse mask and want a special promo code to get a little off the price...send me a private message.
If you want to try the Eclipse mask and want a special promo code to get a little off the price...send me a private message.
Re: C-Flex and EPR User Experiences
EPR is for comfort..If I am more comfortable using EPR 2 and averaging 1.5-2.0, there is no way I would turn it off to lower my EPR...It's insignificant.
Changing settings every night is doing you no good.
Changing settings every night is doing you no good.
_________________
Machine: ResMed AirSense™ 10 AutoSet™ CPAP Machine with HumidAir™ Heated Humidifier |
Mask: Fisher & Paykel Vitera Full Face Mask with Headgear (S, M, or L Cushion) |
Additional Comments: Back up is S9 Autoset...... Buckwheat hull pillow |
Re: C-Flex and EPR User Experiences
This is a perfect example of listening to the wrong "conventional wisdom".eclise wrote: ↑Sat Nov 19, 2022 4:24 pmI have been using a ResMed AirSense 10 for about three months and have been following my results closely with OSCAR. I've read the forum comments and watched the YouTube channels and have made adjustments carefully to my therapy...with excellent results I might add. I've gone from an initial AHI score or 61 to a regular nightly score of around 1.0. Last night my score was 0.5 So here is my question, why is the conventional wisdom that EPR or C-Flex is something to be weened off of?
These same ignormauses will tell you "you may need a bilevel (only they'll call it a "bipap", which is wrong) without even a glimmer of understanding that (almost) the whole point of bilevel machines is that they provide MORE pressure differential than is even possible with EPR, (which can give you more than *flex).
Based on what you've said, I don't think you do.eclise wrote: ↑Sat Nov 19, 2022 4:24 pmMy score IMPROVED slightly when I added it to my settings and my mask and breathing comfort level went way up. My pressure is 9 and I am only using an EPR setting of 1 although I will be experimenting with a higher EPR settings while watching my nightly result. I understand the potential for degrading the therapeutic effect of CPAP if this feature is used randomly without any form of monitoring,
For the same reason you should turn off APAP.... 'conventional "wisdom"'.
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.
- Miss Emerita
- Posts: 3416
- Joined: Sun Nov 04, 2018 8:07 pm
Re: C-Flex and EPR User Experiences
EPR is certainly a comfort feature, but it also helps with flow limitations and sometimes hypopneas. The negative talk about it comes mostly from the fact that some people see an uptick in central apneas when they increase EPR. For small increases, that’s a non-issue, and for larger ones, the simple solution is to back the EPR down. But bear in mind that many people see no increase in CAs when they increase EPR.
_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier |
Mask: Bleep DreamPort CPAP Mask Solution |
Oscar software is available at https://www.sleepfiles.com/OSCAR/
- chunkyfrog
- Posts: 34378
- Joined: Mon Jul 12, 2010 5:10 pm
- Location: Nebraska--I am sworn to keep the secret of this paradise.
Re: C-Flex and EPR User Experiences
2 seems to be my sweet spot.
It's been that way since 2010.
Why wean off something that works this well?
It's been that way since 2010.
Why wean off something that works this well?
_________________
Mask: AirFit™ P10 For Her Nasal Pillow CPAP Mask with Headgear |
Additional Comments: Airsense 10 Autoset for Her |
Last edited by chunkyfrog on Tue Nov 22, 2022 1:58 pm, edited 1 time in total.
Re: C-Flex and EPR User Experiences
It'd be fair to say that most people don't see any increase.Miss Emerita wrote: ↑Sat Nov 19, 2022 9:13 pm. But bear in mind that many people see no increase in CAs when they increase EPR.
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.
-
- Posts: 14
- Joined: Thu May 14, 2020 6:20 pm
Re: C-Flex and EPR User Experiences
Very true, and don't need to go to bipap unless you're suspecting mixed or central apnea. Once I keep my nasal and throat clear (Afrin and Guaifenesin) cpap with rather mild to moderate setting is all I need. However, when it gets brutal, bipap was a life saver, literally.palerider wrote: ↑Sat Nov 19, 2022 6:54 pmThis is a perfect example of listening to the wrong "conventional wisdom".eclise wrote: ↑Sat Nov 19, 2022 4:24 pmI have been using a ResMed AirSense 10 for about three months and have been following my results closely with OSCAR. I've read the forum comments and watched the YouTube channels and have made adjustments carefully to my therapy...with excellent results I might add. I've gone from an initial AHI score or 61 to a regular nightly score of around 1.0. Last night my score was 0.5 So here is my question, why is the conventional wisdom that EPR or C-Flex is something to be weened off of?
These same ignormauses will tell you "you may need a bilevel (only they'll call it a "bipap", which is wrong) without even a glimmer of understanding that (almost) the whole point of bilevel machines is that they provide MORE pressure differential than is even possible with EPR, (which can give you more than *flex).
_________________
Machine: Z2 Auto Travel CPAP Machine |
Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear |
Additional Comments: Also Airsense 10 and Dreamstation Bipap |
Re: C-Flex and EPR User Experiences
BZZZRT. wrong.marquisvns wrote: ↑Mon Nov 21, 2022 11:33 amVery true, and don't need to go to bipap unless you're suspecting mixed or central apnea.palerider wrote: ↑Sat Nov 19, 2022 6:54 pmThis is a perfect example of listening to the wrong "conventional wisdom".eclise wrote: ↑Sat Nov 19, 2022 4:24 pmI have been using a ResMed AirSense 10 for about three months and have been following my results closely with OSCAR. I've read the forum comments and watched the YouTube channels and have made adjustments carefully to my therapy...with excellent results I might add. I've gone from an initial AHI score or 61 to a regular nightly score of around 1.0. Last night my score was 0.5 So here is my question, why is the conventional wisdom that EPR or C-Flex is something to be weened off of?
These same ignormauses will tell you "you may need a bilevel (only they'll call it a "bipap", which is wrong) without even a glimmer of understanding that (almost) the whole point of bilevel machines is that they provide MORE pressure differential than is even possible with EPR, (which can give you more than *flex).
Mention ignoramuses, and one pops up.
Last edited by palerider on Tue Nov 22, 2022 11:45 am, edited 1 time in total.
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.
- babydinosnoreless
- Posts: 2325
- Joined: Fri Nov 02, 2018 2:53 pm
Re: C-Flex and EPR User Experiences
Wrong. I was prescribed a bilevel because of pressure needs. Bilevels go to 25 cpaps only go to 20.marquisvns wrote: ↑Mon Nov 21, 2022 11:33 amVery true, and don't need to go to bipap unless you're suspecting mixed or central apnea.palerider wrote: ↑Sat Nov 19, 2022 6:54 pmThis is a perfect example of listening to the wrong "conventional wisdom".eclise wrote: ↑Sat Nov 19, 2022 4:24 pmI have been using a ResMed AirSense 10 for about three months and have been following my results closely with OSCAR. I've read the forum comments and watched the YouTube channels and have made adjustments carefully to my therapy...with excellent results I might add. I've gone from an initial AHI score or 61 to a regular nightly score of around 1.0. Last night my score was 0.5 So here is my question, why is the conventional wisdom that EPR or C-Flex is something to be weened off of?
These same ignormauses will tell you "you may need a bilevel (only they'll call it a "bipap", which is wrong) without even a glimmer of understanding that (almost) the whole point of bilevel machines is that they provide MORE pressure differential than is even possible with EPR, (which can give you more than *flex).
_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier |
Mask: AirFit™ N20 Nasal CPAP Mask with Headgear |
Re: C-Flex and EPR User Experiences
Thanks for everyone's contributions. I have increased my EPR to 3 and bumped my pressure slightly to 9.6. This was last night's OSCAR result. I won't be changing anything!
For some reason I am not able to add my attachment, but it was of a great night's sleep with only three events over 7.5 hours.
For some reason I am not able to add my attachment, but it was of a great night's sleep with only three events over 7.5 hours.
_________________
Machine: Airsense 10 Card to Cloud |
Mask: ResMed AirTouch™ N20 Nasal CPAP Mask with Headgear |
- chunkyfrog
- Posts: 34378
- Joined: Mon Jul 12, 2010 5:10 pm
- Location: Nebraska--I am sworn to keep the secret of this paradise.
Re: C-Flex and EPR User Experiences
Somebody needs to google "ween".
Not to be confused with "wean", which actually corresponds to the OP's intent.
Ween is a rock group, and was used in olden times to indicate belief.
The vocabulary frog has spoken.
Not to be confused with "wean", which actually corresponds to the OP's intent.
Ween is a rock group, and was used in olden times to indicate belief.
The vocabulary frog has spoken.
_________________
Mask: AirFit™ P10 For Her Nasal Pillow CPAP Mask with Headgear |
Additional Comments: Airsense 10 Autoset for Her |
- Miss Emerita
- Posts: 3416
- Joined: Sun Nov 04, 2018 8:07 pm
Re: C-Flex and EPR User Experiences
Eclise, so good to hear you had a great night's sleep!
_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier |
Mask: Bleep DreamPort CPAP Mask Solution |
Oscar software is available at https://www.sleepfiles.com/OSCAR/