📈 📉 CPAP Pressure! Too Low, Too High, Just Right. How To Adjust Your CPAP Pressure Levels

try.sleephq.com/ is my online therapy support community & cpap reporting platform. Master your therapy and improve your sleep with our powerful cloud-based platform.
Create a FREE account and download your detailed therapy report today!
Features Include -
1. High-resolution 'breath-by-breath' analysis - View every apnea and every breath in full detail.
2. Sleep Journal - Track how changes to device settings influence your sleep & therapy results.
3. Custom PDF reports - Detailed therapy reports complete with journal entries.
4. Therapy Trends - Monitor changes to your apnea control over time.
5. Support - Access to the SleepHQ Community Forum
6. Education - From CPAP novice to therapy PRO. Master your device and settings with the SleepHQ Academy course
7. Blood Oxygen, Heart Rate & Movement Data - Connect a SleepHQ O2 Ring to your account to view additional data sources and take your therapy to the next level.
8. Access to exclusive, member-only discounts on the latest and greatest CPAP gear
And much more!
SleepHQ O2 Ring - www.sleephq.com/o2-ring/
SleepHQ Magic Uploader - www.sleephq.com/magic-uploader/
Join My Facebook Community - cpap.review/facebook
My Monthly Newsletter - cpap.review/newsletter
Thanks for all the love & support!
Uncle Nicko
The auto cpap machine used in this tutorial video is the BMC Luna G3 Auto - cpap.review/lunag3
If your cpap pressure is too high your apnea and snoring will be well controlled but you might experience more side effects like dry mouth, mask leaks and general discomfort. If your cpap pressure levels are too low then your apnea and snoring will not be well controlled and you might wake up feeling unrefreshed! We want to our CPAP pressure to be JUST RIGHT!
00:00 - CPAP Pressure Tutorial
01:30 - Clinical Vs Patient Menu
02:30 - Analysing Your CPAP Data
04:30 - The Clinical CPAP Menu
05:30 - Changing Your CPAP Pressure Levels
07:45 - Trial and Error (success!)
09:55 - Fixed Pressure Adjustment
11:20 - Take Home Message
Here's some clinical settings videos for some popular machines
1. ResMed AirSense 10 - • ResMed AirSense 10 Rev...
2. Philips Dreamstation - • Philips Respironics De...
3. Fisher Paykel Sleep Style - • Fisher Paykel SleepSty...
4. BMC Luna IQ - • Part 3 - Luna 2 IQ Cli...
5. BMC Luna G3 - • Part 2 - BMC Luna G3 C...
6. Z2 Travel CPAP - • Z2 Auto Travel CPAP Se...
7. ResMed Airmini - • Video
9. Fisher Paykel Icon - • Fisher Paykel ICON Plu...
10. Devilbiss SleepCube - • Devilbiss SLEEPCUBE / ...
We want our therapy levels to be as low as possible whilst still maintaining a healthy night sleep free from sleep apnea and snoring with a healthy AHI (apnea hypopnea index).
Most CPAP & AUTO CPAP machines have the ability to display your sleep therapy data directly on the machine screen or on a smart phone app and with just a few data variables we can very easily fine tune our therapy control from the comfort of our own home without the need for costly clinic visits, test and therapy reports!
Even if you don't have any pressure statistics from your device, as long as you have access to your AHI (apnea hypopnea index) which all machines should have then you can easily fine tune your device just with a little trial and error.
As a rule of thumb... As long as your AHI is below 5, you can continue reducing your CPAP pressure levels. If you're on a fixed pressure machine, reduce your prescribed pressure by .5 or 1 per night and. If you're using an AUTO CPAP, drop your max apap level ( the maximum pressure level your machine can provide) by .5 or 1 per night.
Our aim is always to try and get our pressure levels to the lowest they can possibly be whilst still maintaining a healthy AHI of less than 5. If you spend a little time fine tuning and optimising your therapy then it will go a long way to you achieving a healthy and COMFORTABLE sleep!
I hope you enjoy the video.
Look out for one another.
Nick

[@CPAPReviews]

G'day mates try.sleephq.com/ is my online therapy support community & cpap reporting platform. Master your therapy and improve your sleep with our powerful cloud-based platform. Create a FREE account and download your detailed therapy report today! Features Include - 1. High-resolution 'breath-by-breath' analysis - View every apnea and every breath in full detail. 2. Sleep Journal - Track how changes to device settings influence your sleep & therapy results. 3. Custom PDF reports - Detailed therapy reports complete with journal entries. 4. Therapy Trends - Monitor changes to your apnea control over time. 5. Support - Access to the SleepHQ Community Forum 6. Education - From CPAP novice to therapy PRO. Master your device and settings with the SleepHQ Academy course 7. Blood Oxygen, Heart Rate & Movement Data - Connect a SleepHQ O2 Ring to your account to view additional data sources and take your therapy to the next level. 8. Access to exclusive, member-only discounts on the latest and greatest CPAP gear And much more! SleepHQ O2 Ring - www.sleephq.com/o2-ring/ SleepHQ Magic Uploader - www.sleephq.com/magic-uploader/ Join My Facebook Community - cpap.review/facebook My Monthly Newsletter - cpap.review/newsletter Thanks for all the love & support! Uncle Nicko

[@masonbransby5555]

Thanks for your kindness of sharing this information. I just registered with sleephq and soon to will upload my data. 🙏

[@59jackbq]

Does not work if you brought machine from overseas unfortunately

[@sabrinaf7139]

I need some help but I have an older machine a REMstar auto m series. I'm trying to adjust the pressure and I want it to start low then go up.

[@mikeg8437]

I have this exact machine. Any idea if it or when sleephq will compatible anytime soon?

[@SweetPumkinBread]

Hi Nick, I'm my mom's caregiver and it's our first time with CPAP therapy. She's got the resvent iBreeze. Would you mind please telling me how to access the clinical menu to adjust her pressure? Hers starts at 3 and goes to 20, and she feels like she's asphyxiating when it's both below 4.5 and when it's above 9.5. Her tummy keeps filling with air, her ears feel like they're about to pop, and the high pressure is just terribly uncomfortable. Her AHI is currently 21.8. I really would love to help her. Can you please help me help her? Btw, I absolutely love your videos!

[@deepderp9957]

4 days in to Cpap therapy. My doc had me at 16 to start. It’s been really hard to adjust. My mask is good, and I’m wearing a brace to stop my chin tucking in. I’m so tired, and I can’t face another night being woken up by the difficulty exhaling. My stomach is bloated when I wake up and it’s so uncomfortable. I just changed the settings to 10. Thanks for this video. I’m taking this into my own hands and just hearing you say to experiment is all I needed. Thanks.

[@LeeKobe1]

I had an almost identical experience! My max pressure was at 14 from the doctor. As a result I barely used it for years. I didnt realize that I could change it and greatly improve the effectiveness. My AHI averaged at 9.5. I set my max pressure to 10 last week and now wear it most of the evening. Finally feeling rested in Nebraska!

[@scottelias4879]

Having an identical experience!

[@davidbehrendsen4635]

Same here!!!!!

[@callyman]

Me too

[@ormus1746]

All of you need to stop your bullshit. Stop being babies and actually try to acclimate to your situation. I have been a dme tech for over 11 years and can tell you with the utmost certainty that you aren't doing anything good for yourself. If you understand the word therapy you should also be able to understand that your titration was set at that level because that is what was ACTUALLY WORKING OVER A CERTAIN PERIOD OF TIME. You can of course go ahead and ignore my warning and do what you want but you'll suffer the inevitable consequences, not me. Switch your settings back to what was prescribed and stop thinking that therapy is something that provides effective effective results after only a few days, or be a wannabe doctor who is also a nuclear physicist and whatever you think you are. But seriously ffs stop thinking you know better than a doctor.

[@mrs.d1591]

Excellent video!!!! I have been waking up with dry eyes and feeling like I had been in a fist fight! My neck and chest muscles were so sore!! I have lowered my pressure and kept my AHI under 5. My doctor said I shouldn't adjust my own pressure since here in the U.S it is a prescription. I told him too bad. He can kiss 💋 my a**. Feeling better already. 😁😁😁😉

[@maryann823]

Oh geez I just found this and changed mine to 8. I think together insurance to pay for it (I think it takes 90 days) maybe I should put it back. I feel like I’m smothering when I’m trying to fall asleep.

[@silverbreezeRn]

😂😂😂😂❤

[@kennypinsky5309]

So I followed this advice and last night, my AHI was the lowest it has ever been. Can’t thank you enough.

[@CPAPReviews]

Hi Kenny , Great to hear it brother

[@garytate862]

@@CPAPReviews can I use one of these machines without a sleep study?

[@patgreenerides]

62 years old, had untreated sleep apnea for 15+ years and in complete denial. My advice to anyone, if you are told you have it, do something about it, or like me you may end up with Diabetes, a stiffening of the right side of the heart and moisture build up in the left lung due to the heart working harder to force oxygen in and CO2 out...Only been on CPAP 6 weeks and truthfully I've been struggling with it... Masks, pressure, leakage and dry mouth everything you've mentioned.. found all your videos very informative and very helpful. Being in the 🇬🇧 and under the NHS we don't have the access to the data and settings that you have.. It takes sooooooo long to speak to a clinician to ask about fine tuning and often you've got what you've got and get on with it..

[@LeeKobe1]

I had an almost identical experience! My max pressure was at 14 from the doctor. As a result I barely used it for years due to too high of pressure, bloating, etc. I didnt realize that I could change it and greatly improve the effectiveness. My AHI averaged at 9.5. I set my max pressure to 10 last week and now wear it most of the evening. Finally feeling rested in Nebraska!

[@BRUTUSz]

9.5 holy ####. That is wild. The problem first time when you get the machine " set up " by a person. First you are not used to pressure like that. I remember when me and a person set it up. Felt like i could not catch my breath. I am very trained, powerlifter. But even for me it was very strange feeling. On my 4th year now and now i begin to mix and trix with the machine. Wish and new stuff earlier.

[@NicTrades]

This video saved my life. I had terrible vertigo from pressure in my ears until I turned down the CPap. I lost a lot of weight when I started and did not realise it lowered the pressure I needed. My AHI was 116 (yes over 100) before CPap but was going to give up . Thank you

[@phbrinsden]

I have just concluded my installation on a 5 ton Trane. After looking at several videos I focused on yours Jim as your recap of wiring layout was very clear. Also, your control box layout looked just like mine. I have done 2 starts so far and went from 75 or so amps without MicroAir down to 44 on the first start then to 33 on the second start. So far so good. I will update after 5 starts.

[@neiltamblyn7592]

I never thought I would ever get my head around all the facts and figures, but at 71 , since subscribing to your KZbin I am amazed at how much i am picking up, your job is not on the line by a long shot Nick , but I am mentally more comfortable and now am experiementing with my pressures, for that I thank you. Neil

[@CPAPReviews]

Thanks Neil! I agree, it does all seem a bit overwhelming at first but once you start to learn about how the machine works and what the numbers mean then it is very beneficial. Glad to hear you're doing well. Cheers Nick

[@user-fo4jw8vf8z]

I am totally lost and defeated already after only two nights of using my cpap. I don't understand anything about it (and I'm not stupid) I can tell that the pressure is too high but I'm so afraid to mess with it. I'm so tired and my health is suffering terribly from my sleep apnea. 😪

[@bwrijus9864]

Wow I've been on a cpap for years and this is 1st time learn and understanding what is actually going on. Thank you

[@thevinmeister5015]

I was started at 8cm, but despite a 0.1AHI, I was having poor sleep quality as well as a lot of abdominal bloating in the morning. After a month of not being able to reach my sleep specialist, I took matters into my own hands and lowered it by 1cm after reading up on my side effects. Best decision I ever made.

[@CPAPReviews]

Hi there, thanks for sharing your experience! This is exactly what I want to hear and I'm very happy for you. Well done. Nick

[@thankyou62]

How do you do it yourself? My machine makes it impossible to switch anything unless the doctor does it... unless there is a way around that...

[@michelleharris517]

My position have my CPAP set up where I can't change my settings

[@YouBetterCallSaul]

@@thankyou62 hope you figured this out if not you need to look up the provider menu. Getting to that menu is different for each machine. This channel usually shows for the most common machines how to do it and what each setting does.

[@2007vwbeetle]

@@CPAPReviews I tried ResMed auto with humidifier a couple years ago and felt like I was on a ventilator. UN-natural breathing even getting to sleep was almost impossible and if I did go to sleep I never made it over 2-3 hours. I think mine was set 5-15? If that was a 5 going to sleep it was a lot of pressure that was far from natural. Caused a lot of anxiety. Three different mask. In a month I returned it and tried to get some sleep. Any suggestions if I try again? This was at the beginning of Covid and had very little close contact help.

[@jenniferhayes9377]

Okay I know it’s only been one night but what a difference!!!! I’m so happy that I came across this video. I reset my numbers last night and got 0 leaks. I slept great and my nose is not dry. I couldn’t figure out what was causing the excessive dryness but after watching this I believe it was the high pressure and the leakage it caused. Thank you so much this video has been life changing. Not to be dramatic or anything. 😀

[@CPAPReviews]

Hi Jen, that's great to hear. Best wishes for the future. Nick

[@preetimittal2123]

What are the changing you do???

[@maryann823]

I just changed mine to 8. I feel like I’m smothering. We shall see.

[@preetimittal2123]

@@maryann823 previous what was your pressure???

[@maryann823]

@@preetimittal21236-16. I kept the 16 but changed it to 8 last night. I slept so much better but am hesitant to say I feel better this morning. What are your thoughts?

[@tinky1250]

Thank you so much!!! Excellent video!!💕

[@michaelchinn2780]

Nick, thanks for the information you present in this channel. I ran across your channel when researching the loss of connectivity of my many years old AirSense 10. Turns out it was a 3G modem and they recently just turned off 3G in my portion of the US. However, the info that you provide is second to none, I've been on CPAP/APAP since Feb of 96 (yep that's 26 years). I've learned more from your video's in an hour than all that I've been taught over the years from the medical and or DME suppliers. Keep up the good work. Once again Thank you for the explanations.

[@JamesKaplan-mh8dm]

This is the best video instruction I could find after endless searching for ways to reduce the pressure and modulate minimum and maximum pressure according to personal needs. The feature instructing users how to 'get in' to the clinical menu and how best to modulate the pressure was invaluable! Thank you -

[@whelkshuffler]

nice one, great information, thank you

[@JohnBenson]

Thank you! Fantastic helpful information.

[@FrankZen]

Thank you so much! My pressure was set so high to the point my machine was starting to not be effective. My AHI was fairly low so I set a range instead of fixed and already I'm feeling the difference!

[@billvanlaethem5948]

I have learned so much from your tutorials much more than the brochures or the sleep app clinic!!!!!! I am grateful for all your information still working on the humidity to have terrible allergies and the mouth has been too dry so I’ve been increasing humidity but don’t want to much humidity for the lungs!!!:(

[@russellburns5386]

Great, enjoyed your settings discussion.

[@silverbreezeRn]

This is EXACTLY what I needed to learn. Thanks so much!!!

[@jimmyjames7392]

Ok, I found your tutorial on the AirSense 10 part 3 of 3 which showed how to get access to the clinical menu. Now I'm good to go. Appreciate you man! You are the best!!! I haven't used my machine for many months because I couldn't get through to the doc that the pressure he had it set for made it blow out my mouth. He even wanted it set higher so I put it in airplane mode so they couldn't turn it up more. Of course that didn't help because it was already to high. I finally just gave up because I wasn't aware I could set it myself. I found that I was getting better sleep without using it. My wife decided today to do a search and found one of your videos. Now I can start using it again. I'd like to find the video on how to remove the modem. I don't want to risk airplane mode accidently getting turned off. I subscribed and now am going to join. I don't know how to put into words how much I appreciate what you have done for those of us who desperately need this info. Thanks again from the bottom of my heart! YOU ARE A REAL HERO!!!

[@jeffj318]

Great video. So much to think about especially for newbies.

[@CPAPReviews]

Hi Jeff, yeah it can be a little too much info for newbies so don't get to bogged down in the detail in the beginning. Plenty of time to learn the more advance stuff over time. Cheers brother. Nick

[@SteveMack]

Very helpful mate, thank you!

[@kolkmeiester]

Your videos are very helpful, thank you!

[@SMG043]

Good stuff again. Great info. Wish more people watched your channel, given how much of an undiagnosed problem this is in society.

[@CPAPReviews]

Much appreciated! Glad you enjoyed it :-). There's about 150,000 people a month who watch them so slowly getting the word out but yes it's very much an undiagnosed problem! Thank you

[@ChrisRedheart]

Hi Nick, first thank you for all the work you and your team (there is most always a team) that goes into the videos you have provided! I was able to find (not hard at all) your video on my machine and now I can control the setting. Thank you again!!

[@CPAPReviews]

Hi Chris, you're very welcome. No team here mate, only me although i do have a couple of kids who have helped in some vids

[@patriciabraford4303]

I just watched this and understand more of the basics. Thanks.

[@shaynyoe]

Super helpful! Thanks Nick

[@allenrousseau5668]

Thank you Nick! I'm going to check out and see if I can improve the settings, thanks for sharing this! God bless! AL from CT

[@CPAPReviews]

Great work mate, let me know how you go ;-). Cheers. Nick

[@davidadams9391]

Very interesting... thanks Nick. I learn more from you than I do my doctor! Great day!

[@CPAPReviews]

Hi David, thanks for the great feedback mate. Means a lot. Cheers

[@user-uw9cn9vy6h]

Wonderful information! Such a thorough explanation. This is the best CPAP channel on KZbin!!

[@eileenwright8209]

Thanks so much for the informative videos! I'm new to using C-Pap and I appreciate the information that you provide!😊✌

[@hm6954]

Nick, I cannot thank you enough for explaining my CPAP machine and my sleep apnoea so well in simple layman language which is all that I can understand.

[@CPAPReviews]

Most welcome mate, glad you enjoyed it :-) Have a great day. Nick

[@Kim-ix6yv]

Thank you so much for this video. You have explained more to me than my Doctor did! For ages I was struggling with the cpap machine but now that I have figured it out thanks to you, I have adjusted the pressure and it is so much more comfortable to use, thank you so much

[@LeeKobe1]

I had an almost identical experience! My max pressure was at 14 from the doctor. As a result I barely used it for years. I didnt realize that I could change it and greatly improve the effectiveness. My AHI averaged at 9.5. I set my max pressure to 10 last week and now wear it most of the evening. Finally feeling rested in Nebraska!

[@sandie1166]

Excellent video. You always have good information. Thanks for the effort you put into these videos.

[@Chriznis]

Great video. I happen to have the same machine so this def helps a lot. Thank you very much

[@ericauyeung5812]

Thank you so much! I'm using the ResMed Aircurve 10 Vauto. Could you tell me how to adjust the pressures? It has max, min & PS (the range). Thank you very much again!!!

[@michaelkintz7682]

Thanks, Nick. Good presentation, easy to follow. My first time with the Airsense and the pressure was too much. Using your "hack" to the secret clinical menu, I was able to adjust the pressure. Going for my first "ride" tonight. Wish me luck!

[@steppy-d]

Thank so much for this video. My therapy was fine at one time and all of the sudden my AHI started going higher and higher. I defiantly will try raising my IPAP.

[@cherylboothe518]

extremely helpful.

[@producdevity]

Thank you so much for the videos! I'm on day 4 and I can gladly say that your channel is making it a lot easier for me. Didn't get a full night of sleep yet with the mask on but I'm getting there!

[@CPAPReviews]

Hi Yassine, you're welcome. It can take a bit of time to get a full night but you will get use to it soon. Keep it up :-)

[@stevesanders8172]

So cool you can help people optimize their therapy! Doctors don’t have the time to do this for you.

[@CPAPReviews]

Thanks Steve, appreciate that brother ;-)

[@bumble8588]

Super duper helpful. This is THE best video on CPAP adjustments. I just couldn't sleep with the darn thing, and now that I have adjusted it I can....and my body really needed it. Thank you!!

[@samanthababer-scovell3216]

Thank you so much for this video! I have a ResMed S9, and would love the video to help me with the clinical settings.

[@pennybelt9779]

I’m so glad to have found this video! This is my machine and I feel my pressure was too high. I had dry eyes, mouth, throat… I woke up feeling like my torso had been beaten and had excess air/gas in my stomach. I have begun the process of adjusting down and will try it tonight. Fingers crossed!

[@CPAPReviews]

Glad it was helpful!

[@dougboari804]

Thank you so much Nick! I just got a new DreamStation 2 And I just learned all the tricks and hints for setting my pressure myself! My equipment provider can set pressure remotely so I hope they didn’t lock me out! I’ll let you know! I’ve been using a CPAP for 15 years and I’ve learned more in this one video than in the 15 prior years!

[@CPAPReviews]

Glad to hear it legend. Thanks for the kind words. Nick :)

[@mountainstatematt]

This was a very helpful video for me.

[@billkellgren4382]

Thank you so much for this information Uncle Nick.. I'm fine tuning every night my auto setting was first maxed at 20.0 and as I go down I'm still under 5.0 ahi. And easyer to breathe during therapy.. hopefully I'm doing this correctly as your explanations.

[@Kyotopearl]

I’m watching this video again, taking notes this time! I know they say your body needs to ‘adjust’ to it but why do I feel way way waaaaay worse. Instead of feeling fresh as daisy like I expected, instead I get headaches that lasts all day long, light headedness, nausea, painful boating and super dry coughing fits. I DRED going to sleep. I actually woke up during one of of those super high pressure times and it felt like my head was being squeezed like it was going to pop off. This is the most informative video I’ve run across. Thanks for the through job! So excited to do my own adjustments

[@CPAPReviews]

If you have a ResMed or Philips cpap you can join me on at community.sleephq.com . That's where the pros hang out (including myself)

[@hollisross3561]

Thanks for explaining that. I wasn't sure how to configure my machine for better sleep.

[@CPAPReviews]

Very welcome. Glad it was helpful. Nick

[@jeanlucmeloni3068]

Thank you so much for your work !!!

[@cherylgibbons4574]

Hi Nick, thanks to your reviews I’ve managed to get a Resmed S10 over here in the UK, the 11 is still in the ethers for the NHS. I will be monitored for the first year and now I will be able to see exactly what’s going on at last re apnea’s and mask leaks, hooray 😃 hopefully I will be able to get more than 3 hours sleep in one go. Thanks again Nick, blessings to you. ❤️🤗

[@garrettmineo]

Great video, using this strategy would be great as opposed to having to do the dreaded sleep study.

[@CPAPReviews]

Hi Garrett, absolutely NO NEED TO DO A SLEEP TEST to work out your pressure. In fact I don't think there's really ever a need for a sleep test. Cheers mate. Nick

[@scottparis6355]

@@CPAPReviews Except that the sleep study costs a thousand US dollars! So it's great for the doctor's cash flow.

[@jakemarek4746]

I have to say, Nick, this is EXACTLY what I came online today to see! I keep waking with dry mouth, and my wisdom teeth actually hurt at some points in the night! I can feel my mouth blow open, so annoying. Thanks for all your help!

[@iamthemiracle81]

Same

[@Rednuts351]

Thanks for taking the time to do this nick

[@CPAPReviews]

You're welcome brother. Hope it helped. Nicko

[@truckerdaddy-akajohninqueb4793]

Thanks. I'll look this over 👍🇨🇦

[@samountian1967]

Your friend that does a 3 part series recommended you. Great information. You guys are very good at give us this information. Any suggestions on a flex vs c flex? My therapist way back in 2005 recommended c flex but this was back when I had a CPAP instead of APAP.

[@CPAPReviews]

Awesome! Thank you. A-Flex and C-Flex are Philips pressure relief settings. They are very similar but A-Flex reduces the pressure at the end of inhalation and C-Flex reduces the pressure at the start of exhalation. Just try them both out to see which one you like the most but they're very similar. Cheers

[@daviderdolino3378]

Hey Nick I have a Luna 2 Auto Cpap. How do I access the clinical menu. Thanks

[@MrRdacos]

Thanks for what you do and very helpful information. Been struggling with Resmed 10 CPAP for a year and half with these various symptoms. No doctor has provided such thorough instructions such as you. I dialed down my max pressure last night to 6. Prefer using nasal pillows because I can't tolerate anything on my face. Even so, they're still irritating despite my current one month usage AHI being 1.4, total AI 1.0. I have leak 29L/min without chin strap since removing chinstrap and trying to train myself to keep mouth closed when sleeping because I notice hair loss which I read is another effect of these straps. You mentioned lowering air pressure which can minimize leaks so will try dial it down to 5 next. Tried using a CPAP cap with chin strap which thins hair just as bad. Going to try the Resmed Bella nasal pillows which can be used either as a ear loops or head strap. Hopefully it would solve the hair loss issue. Any suggestions?

[@CPAPReviews]

Hey, have you ever tried mouth strips instead of the chin straps? - kzbin.info/www/bejne/fYK0pHmrhb6ebLs. They're getting pretty popular now and a lot of people prefer them over the chin straps. Also regarding the hair loss, you might look at getting some thick mask headgear covers. You can find them on amazon etc. Or you could also perhaps look at wearing some sort of hair net / cover before putting your mask over the top. I'll have to do a bit more investigating. What model mask do you currently use? IE ResMed P10? I know some people use this mask that has no headgear called the Bleep DreamPort Sleep Solution. Maybe check that out. Cheers

[@davidyusten9420]

12 days ago I got a cpap machine went back and forth with my doctor about the pressures trying to get the pressures that may work my doctor was not being flexible with me so I fixed the problem took the damd thing back now I feel great I finally get a good night sleep I think cpap is same as statins they want every person on earth using them .

[@jeffj318]

Great video, Nick! Very helpful.

[@CPAPReviews]

Cheers legend

[@fiona4228]

Thank you, Nick. This video is so helpful. My max was set so high that it was practically making me jump out of bed. Am systematically adjusting the max now and using the data on the resmed app that keeps track of everything the machine is doing to monitor the AHIs. So helpful and not something I'd have learned via the providers.

[@CPAPReviews]

Hi Fiona, this is the sort of comment that makes my day! Thank you and best wishes. Nicko

[@cardozmerwyn2931]

Hey nick 👌thanks for taking the time to make this vid i need the info on my Philips respironics Bipap s/t 👍

[@CPAPReviews]

Hi Cardoz, Bipap is a little bit more complex mate as there's a few other settings in relation to the pressure delivery. I probably wouldn't fiddle too much with the biped machines :-) Take Care Nick

[@cardozmerwyn2931]

Cheers nick appreciate ur support thanks for trying

[@CPAPReviews]

sorry I couldn't provide more help with this one

[@cardozmerwyn2931]

No sweat bud but I am still having the issue with the dry throat cheers

[@cunnyfunt30]

Brilliant information, I'm excited to get started now

[@CPAPReviews]

Cheers Anthony, all the best. Nick

[@BeerLeagueGoalieGodfather]

Thank you so much for your easy to understand and helpful videos!

[@CPAPReviews]

Happy to help!

[@paulgrogan8339]

I'm new to the CPAP world and I have to say it is not as bad as I had been led to believe. One simple trick which has worked for me is to ensure my top lip is clean shaven before I go to bed and to put a small amount of moisturiser on, as I use a nose pillow. The result is a relatively leak free nights sleep. Simple but effective.

[@CPAPReviews]

Thanks for sharing your experience Paul. All the best brother. Nicko

[@dewitubeX1]

Very awesome information, thanks to this info I'm using my pressure at 8 and it feels way comfortable compared to when i had it at 14. At 14 the AHI was at 0.8 now at 8 is at 2.7 and so is less than 5. Thank you very much god bless you sir

[@prakodg8777]

how much was your AHI to begin with?

[@dewitubeX1]

@@prakodg8777 16.5

[@destiny9705]

Thank you so much for the video even 2 years later. I was waking up all night and reseting comfort mode or just taking it off because the high pressure was waking me up all night. I was getting bad bloating also.

[@Joe-mz6dc]

Thank you very much for your videos. You have helped me immensely. I have an airsense 11. I just started doing cpap sleep therapy a week ago. It's been a very strange start for me because my sleep therapist tested me for sleep apnea, then after I tested positive he gave me the machine and configured it. The first night I was doing great. After we spoke on the phone he told me that based on my results he would adjust the settings to try and optimize them for me. The next night I woke up in the middle of the night with really bad aerophagia. I called my provider but my sleep technologist had promptly left the company. I decided to do some research and found your videos and many others. I went for it and started making changes myself and things improved immensely. Meanwhile my provider passed me on to another technician but by the time she called me I had already started changing all the settings myself as per your videos and things have gotten a lot better since that crazy second night. I believe he lowered my pressures a little too much so for myself when the maximum pressure is too low I get bad aerophagia.

[@fredost1504]

Helpful. One of the difficulties of CPAP is the exhale. Once i discovered EPR, set it to 3, I could exhale properly, adjusting the positive inhale pressure becomes easier. I created my own hypoxia by having pressure too low, which created 'events', which drove the AHI number up. Once I bumped the number up to closer to 10, things started to improve. Ill just say this-no doubt you can pay $1000+ to have a titration study to determine the correct pressure, humidity, temperature, etc. Do it if you can afford it. Probably the best solution, so im told. If not, this is a helpful guide to get setup. My opinion is getting control of the exhale is vital because without that, the mask will come off quick.

[@CPAPReviews]

Thanks for sharing your insight Fred. Respectfully disagree regarding the 'pressure titration study'. Big waste of time and money and can easily be done in your own home either using your machine data or even just with trial and error. All the best mate. Nick

[@enzostark]

@@CPAPReviews what is EPR?

[@boxer1639]

Thank you this helped a lot. One problem I have is when the cpap starts every night the pressure is strong despite being at the lowest level (4). Also I find myself waking up at night having to turn the machine off and on again because the pressures too strong. I’ve followed your tips for the working out the maximum pressure.

[@CPAPReviews]

Hey mate, unfortunately 4 is the lowest but keep at it and soon it won't feel so strong as your breathing will get use to the pressure. Cheers

[@boxer1639]

@@CPAPReviews thanks mate. I realised what it was. Its the side compartment not fully being connected until it clicks which was causing the machine to blare out excessive air.

[@samarahowland8868]

Tysm! My pressure was too high after losing weight but now all fixed and much more comfortable 😌

[@lauraramirez1386]

Your videos are extremely helpful. I am so grateful!!

[@CPAPReviews]

Hi Laura, glad you like them

[@nickiclarke4304]

Thank you for emphasising comfort! I’m new to CPAP and have found that what I can sleep with comfortably (and with apnoea controlled) is quite different to what the specialist recommended. Thank you for reassuring me that this is something I can work out myself.

[@CPAPReviews]

Hi Nicki sounds like you're on the right track to me! Best wishes. Nick

[@columcoyne8173]

Hi, thanks for all of the great information. My husband has a Resmed 10. He has been getting really high AHI ( between 7 and 45). We have tried the doctor, new face mask, new machine, new sleep positions. This has been going on for over a year and we can't seem to get any answers. Do you have any suggestions? His mask fit is always at 100%. Thanks so much.Monica

[@adamshipley5415]

GREAT video! Thank you!

[@CPAPReviews]

Appreciate that legend. Cheers

[@tonylamkin6104]

Thank you very much. Great video!

[@CPAPReviews]

Thanks Tony, appreciate the kind words. Nick

[@scottparis6355]

Amazing! My machine was set on min=4, max=20 from the beginning. My supplier insisted that it had been adjusted specially for me. I struggled with mask leaks and noise. When I found your channel I opened the therapy menu and discovered that ALL of the adjustments were set on the default values. The supplier had never set anything. Reduced the Max from 20 to 13 and the problem is solved!!!! AHI is now .7. Yes, seven tenths! Thank you so much.

[@Michael-vh1wc]

Did you increase your min at all, or is it still set at 4?

[@scottparis6355]

@@Michael-vh1wc I experimented with changing the minimum, but it doesn't seem to make much difference. It's on 8 or 9 now. I like to start with a pressure that I can actually feel..... On my Resmed 11 I can barely tell if the machine is running at a min of 4. When I started with CPAP 10 years ago, I used a gradual ramp but I don't find I need ramp at all now.

[@CPAPReviews]

Great to hear it brother. Congrats

[@lvnlife75]

I am really enjoying your videos! I have learned so much!! I have a Philips Dreamstation, how do I access the clinical menu? My doctor has turned that off.

[@CPAPReviews]

Hi Diana, thanks for the kind words! Great to hear. Here's a link for you :-) kzbin.info/www/bejne/ZnPLo32GedaSa9U . Let me know If you get stuck. Nick

[@johnt890]

Start on Wednesday. Learning so much-thanks and best wishes.

[@CPAPReviews]

Hi John, glad to help mate. Let me know if you need any assistance when you get started. Cheers and good luck!

[@AngieFromCanada]

Just found you today and already subscribed even though I am in Canada. My niece however is in Perth :)

[@pamhutchinson6120]

Thank you for this great video. I have the ResMed AirSense 10: could you send me information to check my clinical settings please?

[@CPAPReviews]

Hi Pam, glad you enjoyed it. Yep here's the link - kzbin.info/www/bejne/p3rJeaiabb-beqc Let me know if you need any further assistance :-)

[@michaelsmith697]

Hey Nick! Great video! I have finally bought my Resmed Airsense 10 Autoset. It's a beautiful machine. Very clever and it's silent. I was on fixed pressure of 9 with a Ramp set to 5. My apneas went down from around 11.7/15 per hour to between 2/5.5. When the sleep therapist set the machine to AUTO and has it set to Auto Ramp (it shows up 4) and the auto settings are at between 4 -12 I got the following readings: (Events per hour) 27/1 - 5.1 Ev, 28/1 -7.0 Ev, 29/1 - 8.2 Ev, 30/1 - 3.4 Ev. I woke up during the night/morning of the 29th and saw the machine was at 12 psi. This was after around 4/5 hours of sleep (I sleep late...) I feel it's good that the Auto setting can come on and take over when I need it. The sleep therapist told me to wait 2 weeks. What's the best way to get the Apnea events as low as possible? To increase the lower level from 4 to around 8.5? Keep the ramp at 4? or 5? I know how to get into the clinical menu but I feel the therapist will have a fit if I go there! I am still feeling moody and lethargic and sleepy with no get-up and go in the mornings.... like I am coming out of anesthesia! I appreciate that you are a busy guy, however, any hints and tips that you may share with me would be great! Thank you, Nick.

[@CPAPReviews]

Hey Michael, thanks for your comment. Normally you do get better AHI results with a fixed pressure machine however your AHI levels seem pretty good on Auto also but if you wanted to improve them even more then yes i would try experimenting with your lower level and bring it up a bit from 4. Probably try 7 to start and then you can increase a bit more if required but just see what feels comfortable. Regarding how you feel when you first wake up in the morning. This actually has nothing to do with how good a sleep you had but more so what STAGE OF SLEEP you were in when you first wake up in the morning. It's like the lottery haha. So if you wake up just after slow wave sleep or RemSleep then you feel like your hungover and it takes like a good 30 min to feel alert but if you wake up just after stage 1 or 2 sleep then you will feel like you can just jump out of bed. I recommend you check out this cool app apps.apple.com/au/app/sleep-cycle-sleep-tracker/id320606217 which helps to solve this issue and get's pretty good reviews. I love it. It can also take a few months of therapy before people really start to notice improvements in how they feel during the day but judge it in the afternoon not when you first wake. That being said, even if you don't feel a lot different, the proof is in the numbers which are showing a big improvement in the quality of your sleep breathing. Have a good one mate. Nick

[@michaelsmith697]

@@CPAPReviews hi Nick! Thank you heaps for the reply and information. It will be very helpful! I will take note of what you said and apply it. It is a bit like a lottery! Haa. I will ask the therapist to look into the settings when I see her next week.

[@club7152]

Thanks!

[@cathompson58]

Thank you

[@jeremiahkirby6552]

Thanks Nick! Just bumped up my power level. What scares me is I started on power 7 and still had a bunch of events all the way to power 13. I know 20 is the end. Even when I have .4 events per hour I can feel it in my jaw and wrecked. Sleep Study is huge in America, it's big business here. Lifetime patients. My ahi is 1.2. Just checked it. My sleep doctor is impossible to contact. Thanks!

[@CPAPReviews]

G'day mate, any AHI number under 5 is good and considered 'normal breathing' Thank you :-)

[@philiphungate3121]

Yep the my Doctor here in Tennessee said oh you are doing great we will see you in a year. Not much help.

[@jeremiahkirby6552]

@@philiphungate3121 Hey brother Phillip. My dad is a vet and gets his cpap stuff from them. He will have up to 38 events per hour while using cpap and on auto setting. I think cpap just measures your events and doesn't prevent them. I'll be under .5 events per hour for a week then BAM at 17 events an hour. It's the same deal with my doc. It's become big business. I've lost about 60 pounds and I'm hoping to get off of cpap. I learned most things from online because doctors are no help.

[@jeremiahkirby6552]

@@philiphungate3121 If you have inquiries Nick that runs this channel will help with some advice. Great guy.

[@jeremiahkirby6552]

@@philiphungate3121 One of my doctors at a state hospital told me they cant help me and to talk to Dr. Google. I've had 5 surgeries on my head, have two holes drilled in my skull and a new ear drum. I went to visit someone and her husband was a surgeon. Stayed two weeks. Greg and I got along great. He would go slice up people then he would get home and we would have a cigar, whiskey and sit in back by the pool and listen to classical music. Old Navy man. We had many laughs. He said "Jeremiah, I have a hard time making friends". I told him "I have a hard time trusting doctors but I trust you". Greg's wife says he is one of the last honest surgeons. Still out there but rare.

[@BGGGroomingReviews]

Great info I knew how to change the settings but didn’t know about the AHI. I’ll have to look at that and see if I need to adjust

[@CPAPReviews]

Great work! Let me know how you go :-)

[@raquellopez7300]

@@CPAPReviews how do you access the clinical settings for my Resmed Elite older Cpap model. Thanks

[@lizsouza5273]

Great video. I found your video on my machine. So thankful for your videos!

[@CPAPReviews]

Hi Liz, happy to help. Glad you found it useful. Cheers

[@tobo26]

Thanks, that is so informative. I was definitely having mask leak caused by pressure getting too high. I also turned off Auto off as one time, I found the unit had turned off while I was sleeping. By the way, what is a good leak rate, as I am getting 46L/M, definitely seems too high to me? Cheers.

[@CPAPReviews]

Hi there, thanks for the kind words. Glad you enjoyed it. Anything less than 60L/M is pretty good. Some people will find it difficult to get under this number so when it comes to leak rates, if they're not bothering you too much and waking you up and your AHI number is still low then you don't really need to worry about them too much. Have a great day. Nick

[@jeffj318]

@@CPAPReviews Thanks, Nick.

[@gypsysoul1011]

Hi, this is a great tutorial! When you say that your AHI needs to be below a certain number, i.e. 5 or 6; do you mean 5.0/6.0 or 0.5 or 0.6. I'm referring to when trying to adjust pressure levels using only the AHI number. Thanks for the great content!

[@paulgrogan8339]

I'm hoping it's 5.0 because I am currently 2.2, so fingers crossed it's not .5!

[@danvelgtr]

@@paulgrogan8339 Its 5.0 .

[@williammcarthur8708]

THANKS

[@sleepergirl04CRNA]

Thank you so much for this video! Very informative! I have the machine in the video and just made the changes you recommended. Looking forward to trying them out tonight.

[@CPAPReviews]

Great stuff! Let me know how you go

[@DarrylSellwood]

Hi Nick, I am new to the CPAP world. I have been trailing an auto Dreamstation for about three weeks. My AHI was 25 in sleep test and with the machine I am averaging 3 - 10. Your video have been awesome get an understanding of it all. Your straight Aussie talk is fantastic! Question: How long does it take for most to gain more normal energy levels and less snoozing during the day?

[@CPAPReviews]

Hi Darryl, thanks for the kind words. Glad to hear you're having some success with the therapy. It's a great question and the truth is that it's a different time frame for everyone. Some people wake up after 1 day felling brand new and some people actually never feel much difference even though their apnea is treated. Normally after 1 month, most people notice a difference in their overall energy levels and a reduction in day time sleepiness. Sometimes people also forget actually how much more sleepy they were without the cpap so perhaps have a night off after 1 month and you will probably notice the difference in how you feel. All the best. Nick

[@DarrylSellwood]

@@CPAPReviews Thanks Nick. To tell you the truth, I only notice a little improvement at the moment. Maybe my specialist help tweak my settings I will see an improvement.

[@grandmajane2593]

I've been on it 10 years and I still feel like sleeping all day and all night. Good luck to you.

[@quantumtechcrypto7080]

For me the sleeping snd feeling rested it was instant. Make adjustments to find that sweet spot. If it isn’t life changing something isn’t right.

[@DarrylSellwood]

@@quantumtechcrypto7080 Yep, finding that adjustment is the thing I have been trying to do for past two + year. I have an appointment with another sleep specialist next month.

[@kimhurzeler4451]

ResMed S9 ; I'd love the video to help me with the clinical settings.

[@doughboy9194]

How to change resmed aircurve 10 s

[@FranciscoMartinez-ws2hr]

Thank you Great information

[@CPAPReviews]

You're welcome, glad you enjoyed it. Cheers

[@davidschweikhart459]

Thank you for this video. One problem I have been having, for about the last 6 months, on occasion, is a "totally" dry mouth. It's awful! I'm not sure, but I think it may be my sleep position changing a lot at night. I am a very restless sleeper until I get into a deep sleep, which I think is not too often. I'm a big guy, at 6" tall, and 300 pounds (which I'm working on getting down to a proper weight). I have an AirSense 10 CPAP and a full face mask. Been on CPAP since November 2010.

[@rln970]

Nick, Thanks for doing these fantastic videos. I haven't found anyone near as f=good as you. I was just switched from CPCP to BIPAB, which eliminated my need for supplemental oxygen. I am struggling with mask leakage and your videos have been a great help. The video on the Quattro was particularly helpful and I switched from my F20 back to an older Quattro with great improvements in leakage. Congratulations on your latest family addition. I have four children and they are all wonderful

[@CPAPReviews]

Hey brother, mate it's these sort of comments that keep me making the vids. Great to hear you're find them useful and they're making a difference in your life. Appreciate the congrats and i wish you and your family all the best. Look after them ;-). Nick

[@rln970]

@@CPAPReviews Nick, I struggled with my first week on BIPAP, with terrible sleep due to mask leakage and my AHI as high as 17. The last seven days, my average is 8:47 sleep with average AHI &Ai of 2.8& 1.5. My medical supplier called to see how I was doing and I told her, thanks to you, I had everything figured. She said that was great, as it is difficult to troubleshoot issues, particularly remotely. Take care, Dick

[@onlyiwilknow]

Hi Nick, I was tested by a sleep clinic and my AHI was measured at 67 /h AHI. I am using the ResMed AirSense 10 AutoSet 5 - 15 The first couple of nights the AHI was down to 3.8 / 2.6 but started creeping upwards. Lately, I wake up tired as can be. I am tempted to set the max a bit lower OR start with a fixed pressure test to find the optimal setting. Could you please send me the instructions to get into clinical settings as well as your suggestions

[@enzostark]

kzbin.info/www/bejne/g57PYYBtd7enqqc

[@callyman]

What sort of machine do you have? It's a terrible shame no one has replied to you still

[@TheReformedSociety]

Turn on the machine then press both the dial button and the "Home" button. That will get you into the settings.

[@kymmenzies5681]

Mate, this is the best advice I have been given. I am on a trial and did not get any of this information. The machine was set on max pressure, I had air pouring out of the mask and I spent half the night trying to adjust the fitting of the mask. Thanks a million. Regards Kym

[@thementat9338]

Very informative, thanks.

[@CPAPReviews]

Glad you enjoyed it. Have a great day. Nick