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

[@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!

[@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..

[@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.

[@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?

[@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

[@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

[@P.Snicks]

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. 😪

[@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 -

[@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?

[@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

[@ko14145]

I have been using cpap for 10 years without controlling mask leaks. Now I know how. Thanks

[@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!!!

[@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.

[@LastTrump7]

@@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.

[@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

[@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]

😂😂😂😂❤

[@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!

[@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!

[@RustyEnz]

I have watched a couple of your videos. I’ve got the Rez 10 my brother also has it. I just finished my 21st night three weeks anyway it is help me a lot and I have severe apnea 64 years old bad heart and bad back. This machine has really improved the quality of my life. I have more energy, your videos have been great guide and very helpful. God bless and thank you.

[@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!

[@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)

[@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.

[@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

[@davidbehrendsen4635]

Thank you so much for this video. My doc said they can “remotely” change things. They can’t. I get blasted every night and I’m soooooo effing tired!!!!!!!! I’m so excited to try this soon!!!!!!!!!!! Thank you!!!!!

[@CPAPReviews]

Glad it helped mate. Cheers

[@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

[@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!!

[@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

[@VernSheppard]

Excellent video. Best I've seen out there. I used this video on my ResMed AirSense 10 a year ago. It helped a lot. Just bought the Luna 3B. Great improvements.

[@CPAPReviews]

Glad it helped!

[@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 :)

[@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

[@tracysmith6757]

Your video was most beneficial, I had never adjusted it, but did after watching you. My quality of sleep is two marks above terrible. I struggle with lots of leaks and dry mouth and eyes. I will continue to monitor it and tweak it until I can get a decent nights rest. Been using it about 6-7 years, last few years have been awful. Thanks

[@CPAPReviews]

Thanks Tracy and good luck with your therapy. Cheers

[@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

[@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.

[@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

[@LSNFamily]

I have used a CPAP machine for 15 years. Have become very dependent on it. Since 2021 I have used a ResMed 10 and have loved it. However 2 weeks ago I contracted COVID 19. It was terrible. Felt like I was going to die. Had to go to the emergency room. Could not get sustained oxygen levels lying down or catch my breath. Using my CPAP machine I felt like I was trying to breath through a straw. Found and used several of your videos to learn how to enter the setup menu and was able to experiment with pressure settings. Saved my life! I don’t know if you can do this but can you do a video on how to change pressure settings to comfortable levels for people dealing with COVID or severe upper respiratory infections, extreme congestion and or nasal congestion. Love your videos.

[@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!!!:(

[@dworldismine2011]

Thanks soooo much lowered the pressure and slept so good ❤❤❤❤❤❤

[@CPAPReviews]

Glad it helped!

[@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

[@silverbreezeRn]

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

[@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

[@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.

[@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

[@lauraramirez1386]

Thanks!

[@CPAPReviews]

Hi Laura, that's very kind of you my friend. That's the first time someone has sent a donation like this. Much appreciated

[@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 :-)

[@dperl09]

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

[@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 ;-)

[@melvinsqueemish3844]

Much more, and much guidance than my medical provider.

[@CPAPReviews]

glad you enjoyed it

[@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

[@elpusegato]

I switched everything to manual, turned the heat to 86, humidity to 6, lowered pressure from 10 to 7, disabled ramp, and disabled EPR. Now I have no bloating, no dry mouth, and my AHI is 0.5

[@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!!!

[@JT-nu1oi]

Thank you sir!!I've been dealing with massive lizard mouth ,Kaiser never told me about these adjustments thanks again 👍🏼🙏🏼

[@CPAPReviews]

You're most welcome

[@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

[@Rednuts351]

Thanks for taking the time to do this nick

[@CPAPReviews]

You're welcome brother. Hope it helped. Nicko

[@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?

[@boopdiboop8868]

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

[@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

[@anneg8319]

Resmed 11 here. I've turned just about everything "auto" off and turned it to cpap after trial and error. I custom adjust as needed. I have the machine for neurological hypoventilation so I can go low but if too low I feel like I'm suffocating. Found 8 is a sweet spot. Sometimes I go a little higher. I have nasal n30i and find if I wait to place the nose piece in my nose until the machine is ramping up and suck in as I place it, it automatically goes to the correct spot to seal so it doesn't leak. Sometimes a little tweaking is necessary. Also, tightening the headstraps does not help leaks. Actually, having the headstraps a little bit loose is better and seems to allow the actual seal to do the work of stopping leaks. I'm a side/stomach sleeper and am still searching for the "perfect" pillow. But I've found a flatter pillow where I can keep my nose at the edge working best, especially wanting to keep the exhalation vent uncovered. Also, the back of my head is a bit flat...yep...so I put a hairclip on the lower back of my head and that keeps that back mask strap from moving. No more sexy for me...oh and I tape my mouth. But I feel better. Hope this helps someone.

[@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

[@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.

[@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.

[@nath6724]

Thank you so much for this. I think my machine is waking me up because the pressure is too high. My AHI is 1.7 and I had the pressure at 10. I’m turning it down to 8 and going to see how I do. My mask is leaking at night and now I know why. Thank you so much.

[@lvnmykdz]

Night one last night. Didn’t sleep.. good cause I was getting used to it. Will try again tonight.. thinks it takes awhile to get used too.

[@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.

[@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

[@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

[@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

[@Bobshouse]

Are you talking 5.0 or 0.5??? Big difference there..

[@noamfamilia]

Just wanted to say thank you for the wonderful videos.

[@CPAPReviews]

Hi there, you're very welcome. Cheers

[@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!

[@michaelbroussard4091]

Wow man. Thanks for the video. I'm gonna try this instead of quitting

[@CPAPReviews]

Great work buddy, hope it makes a difference. Cheers

[@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

[@MclF01]

thank you i have learnt more from you that i have the company who is supplying me the equipment

[@CPAPReviews]

Great to hear it! 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.

[@douglaschristine8387]

Hi Mate, I haven't used my machine in years because of air in my stomach was unbearable. I'm going to try what you did and clean it and workout tonight, 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

[@3cardmonty602]

I lost 150lbs. I lowered it down from 12 to 10, but last night I noticed that it still felt too high, and I’ve experienced a lot of gas lately. I put it down to 9.5 last night, and Boom 💥 no more gas. No more aerophagia.

[@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.

[@lindaandrews8039]

The ONLY way my pressure can be adjusted on my AirSense 10 Auto is by my pulmonologist contacting the DME provider and THEY adjust the pressure. I CANNOT adjust the pressure myself. BUT, I've been doing CPAP FAITHFULLY for just over two years, and I'm STILL tired and sleepy during the day! I CANNOT WAKE UP!!

[@callyman]

Me too. I'm sleeping 14 to 16 hours a day and waking with massive bloating and headaches. My mc was provided by the public hospital so I have a feeling I'm not going to be able to access the menu either.

[@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

[@55098]

Great tips mate I have gone from a ResMed s10 to the Philips respironics machine recently Thank you for all your hard work I wish you nothing but the best want to wish you a very best of the week stay safe above all take good care of yourself

[@CPAPReviews]

Thanks Sean, any reason for the switch. Which do you prefer and why? Glad your enjoying the content buddy. Cheers

[@55098]

@@CPAPReviews yes mate thank you so much for replying I kept having an issue with the mask seal on the ResMed nasal product so that's why I decided to switch over to Philips respironics and got a full mask instead so I'm going to try and see if this works Thanks again for all your tips take good care of yourself

[@CPAPReviews]

Cool mate, always worth trying a few different things so good luck with it.

[@55098]

@@CPAPReviews many many thanks mate

[@Socalshortybulls]

@@55098 You could have stayed with the ResMed s10 and use the Philips Respironics mask to save you the hassle of switching machines.

[@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

[@Cladman3001]

These problem you speak about have never happened to me and I have been using a CPAP for more than 20 years.

[@richardgaston1066]

When you refer to 5 on the ahi are you saying 5.0 or 0.5?

[@CPAPReviews]

Hi Richard, yes the number is 5 not 0.5. O.5 means less than 1 which is exception apnea control. Anyone less than 1 deserves an Apnea gold medal ;-)

[@Kim-ix6yv]

Good question, I was wondering the same

[@gordonsteeves9950]

Just came across your channel Nick, thanks for all the info. I have a ResMed AirSence 10 and the pressure has always been too high, after watching this I was able to get the pressure down, I have set it at 12.6 cm so I will see how it goes tonight, thanks again.

[@CPAPReviews]

Hey brother, welcome to the channel. Good luck tonight. Nicko

[@gordonsteeves9950]

@@CPAPReviews ended up at 8.6 cm and slept great, think I am going to try 7.6 cm tonight, I never questioned the place back in Ontario where I purchased it in 2019, and I stopped using it early last year as I had lost weight and thought I was sleeping better. Started using the Airsence 10 again early this year (2021) and I had to have the mask headgear really tight to stop the mask from leaking and here it was at 20 cm, duh, but thanks to you I have it on track now. One more thing Nick, how do I get the report that you got on the machine you have there? I can get to something called my report I think it is, but none of the stuff you show is there. Thanks again, Gordon

[@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.

[@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

[@rubycubez1103]

Great channel! Great content! I just got my machine 2 days ago. The first night I slept fairly well and woke up with more than average energy. But after the second night, I have a morning headache and feel groggy. My nose and eyes are dry. The tech said the settings are automatic and do not need to be touched. Thank you for this. I need to analyze my data and adjust accordingly.

[@trento8397]

The tech sounds useless, just play around with the settings until you get it right

[@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 :-)

[@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.

[@bhaveshbejdas]

I have AHI that varies from as 0.3 - 0.8 with my pressure settings to 4.0 - 6.2 do you think I should reduce the max pressure more or is this perfect ?

[@GreenRackham]

He does mention in the video that as long as you are under 5 AHI, you should be good. Your average AHI is very low, so in the video he also says you can keep lowering your pressure as long as you keep under 5 AHI. Are you sleeping well or do the pressure changes wake you up?

[@sandie1166]

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

[@kimhurzeler4451]

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

[@doughboy9194]

How to change resmed aircurve 10 s

[@Jeremy-xe9vs]

The video is much appreciated; it's very sad that many of us (cough, cough, Americans) have to get this kind of useful information from someone on KZbin who actually goes through the work to help people rather than the doctors we trust (and pay many thousands of dollars to) for the care of our health... :(

[@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.

[@cherylgibbons4574]

Thank you Nick for replying to me, this video is very helpful, time to have a play with my auto cpap S9 😀🤗

[@CPAPReviews]

Always welcome Cheryl :)

[@petebergen6178]

Hi Nick great information! My question is how come my AHI varies a lot from one night to the next it has gone as high as 12 the next night it's down to 3 or less why is that? My pressure is at 11

[@CPAPReviews]

Hi Pete, great question mate. So it can vary for a number of reasons. 1. The position you sleep in and how much time you spend in supine (on your back) sleep. Most people have a lot more sleep apnea when they're on their back compared to on their side etc so the more time you spend on your back the more likely your AHI will increase. 2. Your diet (especially alcohol consumption). 3. Allergies / congestion / colds etc will have an impact. 4. Weather, how hot or cold it is, how much ambient humidity is in the air. And there's also many more factors that can influence the AHI. My advice to everyone is not really pay to much attention on a night to night basis. You really just want to be looking at your weekly or monthly AHI average. This will give you a good ideas as to the overall control of your sleep apnea. An AHI of 11 is still very low. All the best Nick

[@petebergen6178]

Thanks for that information greatly appreciate it!

[@CPAPReviews]

Welcome

[@catherinehenry283]

My cpap machine really gets me through The nights I wake with no Headaches no breathing problems and fully rested so I urge anyone with sleeping problems get tested for sleep apnea you will not regret it… it feels so good to Breathe when you wake up in the morning. And that’s a promise.🙂

[@jblyon2]

It's important to be your own advocate too. I had doctors tell me I couldn't have apnea, despite over twenty years of symptoms that ALL could be explained by apnea starting when I was around 12. My job changed and the new insurance allows going to a specialist without a referral so I got an appointment on my own. Lo and behold apnea was confirmed! I'm still a bit tired during the day (there's medication I'm on that can cause that), but the splitting headaches and desperate need to sleep during the day are almost entirely gone, I don't wake up in cold sweats desperately needing to pee, and sensitivity loss in my fingers and toes is much improved only a month in. Get checked!

[@alanmaidman3612]

Hi Nick, is there a video for ResMed S9 Auto Set ?

[@CPAPReviews]

Hi Mate, yep here's one kzbin.info/www/bejne/n6nIgqOcjcSKjbc . It's pretty basic. Cheers

[@lauraramirez1386]

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

[@CPAPReviews]

Hi Laura, glad you like them

[@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 .