Skip to content. Quick links. I use my humidifier, but my room is kept very cool--hence the rain out. I have spent my lunch half-hour reading about humidification settings, etc.
Is there a way I can tell by looking? One thing I do know, is that my DME did not activate the heated hose function. I saw that when I was in the therapy mode changing my minimum pressure. I left the heated hose setting alone, because I didn't feel educated enough to use it. I do use the heated humidifier, set on 5, but now I am starting to get rain out, so I want to explore turning on the heated hose function--if I have a heated hose. I feel like such a moron. If this is the stupid question that I think it is, you can just laugh at me while you are hanging out at the water cooler.
Or at home at the dinner table--or at the next family reunion--or if you talk to your pets. This one may be worthy of making a call to someone. I would guess that if it was turned off in settings it is probably a standard cheap hose. Diagnosis of crappy sleep, desats under 80, maybe UARS. That's what we used to use before heated hoses were available.
It enables me to get a consistent humidity delivery no matter what the ambient humidity might be and I just adjust the hose air temp as needed depending on the season. During warmer months I use a lower temp and in cooler months I use a warmer temp.
ResMed and Respironics both offer machine packages either with or without the heated hose. Sounds like you got the without box.
Your insurance should pay for another hose if it has been 3 months so really all you have to do is ask your supplier. If it hasn't been 3 months it will be cheaper to buy one online somewhere than pay DME prices if insurance isn't paying.
It doesn't matter how slow you go as long as you don't stop. It's actually quite annoying with the Airfit P10 mask. That's because I had water collect in the fine mesh of the mask, partially blocking those air holes.
They're small enough to begin with, moisture in them severely limited the airflow at least in my case. I also had water condense in my non-heated hose. Changing my humidity setting from 5 to 3 seems to have solved both these problems, but it's only been a few days so I can't be sure. Can anyone who owns the heated hose comment on how easy it is to wash it?Power the device.
Highlight the setup menu and press down on the control wheel and the ramp button for at least five seconds. After the machine beeps twice, release the control wheel and ramp button to switch the screen to provider mode. Use this mode to change the CPAP pressure settings. No settings can be changed while the smart card is in the machine.
The machine's home screen appears after it is fully powered. It contains four options. Use the control wheel to switch between these options until the set up menu is located.
CPAP pressure settings are derived from the results of overnight sleep studies where the patient's breathing is monitored while they sleep. Changing these setting without a doctor's permission is not recommended.
CPAP, which stands for continuous positive airway pressure, is a ventilator that keeps the airway of an individual open when he is unable to breath on his own. It consists of a fitted mask that covers the person's nose and mouth, a motor that gives off pressurized air, and a tube that connects the two. Patients using CPAP are often experiencing respiratory distress or afflicted with breathing disorders such as sleep apnea, where breathing is dangerously shallow, intermittent or nonexistent while sleeping.
Home World View. Why Would a Volume Icon Disappear?You want a pressure level that is comfortable and also consistent. By finding your ideal CPAP pressure, you can ensure that you are using your CPAP therapy in a way that is comfortable, safe, and effective while also preventing any pesky side effects.
How to Determine Your CPAP Pressure Settings
If you require higher pressures, you would then use a high-pressure CPAP mask. Others will find that their treatment is more effective and comfortable at lower levels of pressure. The pressure settings on your CPAP machine are measured in centimeters of water pressure. The highest pressure available on your CPAP machine will depend on the model you own.
However, this rating is too high for most people. Is your therapy feeling uncomfortable? Are you still tired after a night of getting your recommended amount of sleep? Do you feel as if your sleep was of poor quality? Are you starting to feel sick after not enough quality sleep? These are all great questions to consider when wondering if your CPAP pressure is too high.
Feeling uncomfortable due to the pressure may be a sign that you need to titrate your treatment up or down. It is natural to be concerned about if you are using your machine at the right pressure level. Pay careful attention to how you feel during treatment, throughout the night, and the day after to gauge whether you are using the right level of pressure for you. Now, are you wondering what factors help to determine your proper pressure level?
Many people think that the amount of pressure needed is directly correlated to the severity of your sleep apnea, but that is not always the case. Your age, weight, overall health, and more can help to figure out your correct pressure. However, only through the act of testing different pressure levels can you determine the best level for you. Additionally, that level may change over time. Pay attention to your AHIs, side effects, and sleep quality to determine whether you are at the right level of treatment, receiving too much pressure, or if you are not getting enough pressure.
When you first start using CPAP therapy for sleep apnea, your doctor will have you go through a process known as titration to arrive at the proper pressure prescription for you.
This means that you will test out different CPAP pressure levels until your ideal therapeutic level is reached. If you are having trouble with your pressure levels, you can ask your doctor to order a new titration study to evaluate the right level of pressure for you.
APAPs automatically adjust your pressure throughout your therapy, which greatly reduces the chances of having a pressure that is too high and interfering with your therapy quality. Getting a level of pressure that is enough to hold your airway open in a safe manner is essential.
What happens if your CPAP setting is too high? If your CPAP pressure is too high, your symptoms and side effects can include:. In contrast to Obstructive Sleep Apnea, which is caused by your airways being blocked, Central Sleep Apnea is the result of breathing signals failing to be sent from your brain. One that works well for you may be a poor fit for your best friend or spouse.
If you have gone through a titration study and arrived at a higher than normal pressure, talk to your doctor about the right high-pressure CPAP mask for you. You can choose between a range of models and features that can help you breathe comfortably through the night.
My pressure at 12 is much too high. The mask leaks no matter how tight the straps. That did the trick.The movement of CPAP air through the air passages can dry out the airway. Humidifiers add moisture to the airstream to help reduce irritation to the nasal passages. Not only are dry air passages uncomfortable, but the swelling can actually narrow the airway affecting therapy pressure requirements.
Humidification is the comfort feature most commonly added to CPAP therapy. There are two kinds of humidifiers: cool passover and heated. A cool passover humidifier passes room temperature air over a chamber of room temperature water. A heated humidifier heats water to warm it and as the airstream passes over the heated water, it picks up the moisture and warms the air.
The heated air is able to hold enough moisture to maintain a comfortable airway. Using a heated humidifier or a passover humidifier as a part of Sleep Apnea treatment isn't necessary, but it will make the CPAP equipment you're using much more comfortable. It will go a long way to improving compliance with the machine, meaning use increases and the user gets more benefits from CPAP therapy, which helps reduce the symptoms of Sleep Apnea.
Many people use a humidifier during the winter months to add moisture to the dry air in a home. Without humidification CPAP therapy can dry out a person's nose and mouth overnight and can result in feeling parched upon waking up in the morning. The discomfort can make a long-term commitment to the therapy difficult. With humidification most users notice very little dryness and discomfort when using CPAP equipment. For this reason, many people consider it an essential part of therapy.
Manufacturers have been working on developing ways to reduce rainout to better deliver humidification. Air is delivered at the temperature requested while sensors monitor multiple conditions to provide optimal humidification to avoid condensation by tracking room temperature and adjusting the heat throughout the system. Some manufacturers also offer machine specific heated tubing options to further combat rainout.
A heated CPAP hose contains copper coils embedded in, or wrapped around, the hose. These coils are gently heated to conduct a constant temperature throughout the length of the hose. This enhances the comfort of the therapy and reduces or eliminates rainout caused by the water condensing as it travels through the hose to the mask.
Heated hoses are more expensive alternatives to cloth tubing insulationbut they prevent rainout in nearly all cases. The Hybernite Rainout Control System is a stand alone option that can be used with any machine to prevent rainout and increase delivered humidification. Some manufacturers have developed heated hoses to work specifically with select machines in their product lines. ComfortLine Heated Tubing Kit.
Yes, it's possible to use a CPAP machine without a humidifier. In doing so, the user gets the benefit of the therapy, but may find it dries out the nasal passages and throat. This is the reason many people choose to use a humidifier with their therapy. Humidifiers make it more comfortable to use CPAP, and many people consider them necessities rather than luxuries.Apnea Board is an educational web site designed to empower Sleep Apnea patients.
We encourage you to register as a member of Apnea Board it's totally free. There is a lot of talk about how it's "illegal" for Sleep Apnea patients to adjust or change their own CPAP machine pressure settings; that only a licensed, certified or qualified technician, physician or clinician can do it. First of all, I challenge anyone to show me any local, state or federal law that makes adjusting your own legally-obtained CPAP machine a crime, or even threatens punitive action for doing so.
Go ahead, I double-dog dare ya. If you can show me such a law, I'll give you a one-year free membership on Apnea Board. Oh, wait Moving right along Yes, you must first have a prescription to obtain a CPAP machine - but after you OWN one, you are within your rights to do whatever you please with it, including using it as a leaf blower, running it over with the family car, or Below is some excellent info regarding setting pressures on common CPAP machines.
We are making such material available in our efforts to advance the understanding of Sleep Apnea treatment and to advance the educational level of Sleep Apnea patients with regard to their health.
We sometimes include the full text of articles and documents rather than a simple link because we have found that links frequently "go bad" or change over time.
We believe this constitutes a "fair use" of any such copyrighted material as provided for in section of the US Copyright Law. In accordance with Title 17 U. Sectionthe material on this site and associated discussion forums is distributed without fee or payment of any kind to those who have expressed a prior interest in receiving the included information for research and educational purposes.
If you wish to use copyrighted material from this site for purposes of your own that go beyond "fair use", you must obtain permission from the copyright owner. When it comes to our health, we need to realize that contrary to the claims of some health care professionals no one is looking out for your personal health as much as you.
Apnea Board was created to promote " patient empowerment "-- we believe patients are their own best primary care provider. You can and should be trusted with the knowledge of how to adjust pressure settings on your own CPAP machine. If you use common sense and take simple precautions, you can safely and properly fine-tune your CPAP settings to enhance the effectiveness of your treatment. We're not providing medical advice here, so we recommend you consult with a qualified sleep doctor before making any changes to sleep apnea therapy.
You should never change settings on your CPAP machine without first having a basic understanding of how to properly make such adjustments. CPAP pressures should be changed slowly, in small increments, over a long period of time, taking note of how you feel after each change. For a detailed explanation of how to determine the optimum pressure on your CPAP machine, click here. Getting into the clinician setup mode on your CPAP machine is pretty simple, really. If you'd like assistance or advice from fellow Sleep Apnea patients, please join the Apnea Board Forum and ask any question you like.
Apnea Board is an educational web site and we survive on the kindness of our members.I am trying to determine whether harm can be done by increasing the pressure coming out of the CPAP. Has their been any research as to side-effects of running the machine at a higher pressure?
At pressure of 17 I had a problem with fluid leaking from one of my ears. He sent me to a specialist ENT who was unable to determine the problem. When I rebooted the pressure defaulted to the factory setting. I had no further problem with my ear leaking until several days later, when I realized the setting defaulted. As soon as I changed the setting back to 17 my ear started leaking again. Also had hearing problems that greatly improved at a lower setting.
Have since found a new doctor! I believe it can affect eye pressure, but then apparently so can untreated apnea.
Perhaps Glaucoma is correlated to high pressure but not the cause. Trying to think what could leak. I do know that the waxy stuff can liquefyfrom personal experience. Some people have concerns that too high a pressure setting may lead to pressure-induced central apneas the brain not telling the body to breathe unless the PAP machine algorithm operating rules prevent runaways as in Respironics machines.
Well said StarSleeper! This research network and forums focus on outcomes. In the incidence of CPAP pressures being too high, a community based outcomes study might be to sort the unidentified data from the surveys for everyone on CPAP and look at the range of pressures.
Then create a survey to ask about any side effects. With large numbers of people participating in the surveys there is a lot of strong data that can help direct how treatment is delivered and maintained.
APAP machines help keep pressures lower by adjusting it up only when needed then returning to a lower pressure.DreamStation CPAP-Adjusting Humidity
So already technology is helping CPAP users who need high pressures at times have lower pressures the rest of the time. The results of surveys and studies like this will be posted here so everyone can get answers to a question like member asked. You can even propose a question right here on the site. It's cool how that works! Each morning I would awaken with wet hair from clear liquid draining from my ear. Have not ever experienced problem again since lowering pressure and that was over five years ago.
They tried the nose pillows and then a mask that only covered my nose, and I could not tolerate either one. They said the pressure was at the lowest setting but it burned my sinuses and caused me to get a sinus migraine and constant sneezing. The pressure hurt and burned the same as it does when you accidentally breath in water up your nose when swimming.
The tech sent me home and said she would talk to her supervisor. He called me and wants to try it again but I just don't know what to think. I have always been a mouth breather. Any suggestions or anyone who had the same problem and overcame it? Hi, I'm new here but I ran into the exact same problem sinus burning sensationultimately what helped was the replacement of the filter of the device, hypo-allergenic filter.
I use the S8 device and had trouble finding a hypoallergenic filter for it, so I took a standard filter S8, and cut a hypoallergenic filter The S9 dimensions of the filter.If you have sleep apnea or snoring you may be using a sleep apnea machine known as a CPAP machine.
It is the gold standard treatment for sleep apnoea. Your CPAP machine has three main parts. The first is an air pump or CPAP device. The second is a mask that covers your nostrils or nose and sometimes your mouth.
The third is a tube that links the two. The CPAP pump takes air from the room and gently pressurises it. The air blows through the tube and mask into your throat. The pressure of the air keeps your throat open while you are asleep. You may need to make a simple adjustment or you may need time to get used to wearing your mask.
Getting used to the continual air pressure of a CPAP machine can take time. Breathing out may feel uncomfortable or not natural at first but there are ways to alleviate your discomfort.
Everything You Need to Know About the CPAP Ramp Function
Often called a ramp feature, it is designed to gradually increase air pressure over time making breathing easier. It allows you to doze off normally without the full amount of air pressure. Once you are asleep the pressure gradually ramps up or increases to alleviate your sleep apnea.
EPR detects the beginning of exhalation and reduces motor speed to drop air pressure. You can select an EPR setting that is most comfortable for you. If the air pressure still feels uncomfortable it may just take time to get used to. Having the right CPAP mask is really important. Make sure you have taken the time to find the right CPAP mask to suit you. Talk to your Sleep Therapist about the ways you can adjust your mask.
Your CPAP machine is working to provide the right amount of air pressure for your sleep apnoea. Make sure that the mask is fitted to your face snugly. This will create a seal so that no air can escape. If you have noticed a change in your treatment and find your CPAP is no longer working it may be that your mask is not fitted properly or you may need a new mask.
Like most products, CPAP masks need to be replaced from time to time. A dry or stuffy nose may be the result of an ill-fitted mask.
Take the steps above if you feel this to be the case. If your mask is a good fit you may benefit from a heated humidifier. The heated humidifier is a chamber filled with water that sits on a heater-plate. The air from your CPAP passes over the warm water in the chamber before it reaches your airways.
Your nasal airways are no longer overwhelmed and nasal congestion is prevented. Heated humidifiers can come as a separate piece of equipment that attaches to your CPAP machine.
Some CPAPs come with an integrated humidifier. Contact your Sleep Therapist for more information about how a heated humidifier can help you. When CPAP-processed air enters your nose and throat, the air naturally dries, making the temperature drop, and cooling your throat and nose. The dry and cool CPAP air can lead to sneezing and a runny nose. Not only that but you may also suffer from a sore throat. You should recover after a few days to a week when you have adjusted to CPAP therapy.