Fine-Tune Your Auto CPAP Like a Pro: How to Optimize Your Pressure for Perfect Sleep!

[@CPAPReviews]

Join sleephq.com for FREE and unlock 100% of your CPAP therapy data-completely uncensored. Take control of your sleep health today because your data belongs to you! Get the complete picture and make informed decisions about your therapy like never before. Pre-Order Links 1. Magic Uploader Pro - Save $40 - cpap.review/magic-uploader-pro 2. O2 Ring Pro - Save $40 - cpap.review/o2-ring-pro 3. Magic Uploader Pro + O2 Ring Pro Bundle - Save $109 - cpap.review/mu-o2-pro-bundle-offer My social links 1. CPAP Reviews Facebook - cpap.review/facebook 2. CPAP reviews Instagram - cpap.review/instagram 3. CPAP Reviews X - cpap.review/x 4. CPAP Reviews TikTok - www.tiktok.com/@cpapreviews Join my monthly snoozeletter - cpap.review/snoozeletter

[@georgewhittaker9105]

Just ordered my resmed airsense 11. I’ve been watching for a few months and purchased the wellvue 02 ring based on your recommendation and I must say, you may well have saved my life. I found my o2 was dropping down to mid 70s and heart rate low 30s. I then ordered an at home sleep study and found I have severe apnea. I was a life long smoker but quit 8 years ago. Ended up with COPD. Went to Hawaii by and up the mountain where I got cerebral hypoxia. Taken down via ambulance. Got Covid as soon as I got home. Non vaccinated. Have had issues with breathing since. But since finding your channel, I’ve taken back control of my life. As much as I can, at least. So thank you, for all your doing. Your funny, calm, intelligent delivery of information if easily and readily understandable. I’m so grateful for the hope I feel now. I’m excited to see what will come

[@georgewhittaker9105]

Follow up. Got my machine. Used it last night. It’s definitely a learning curve by my drops went from 88 an hour to 2 😳2😳 my oxygen never dipped below 88. Huge improvement. I’m so grateful and excited for the future

[@Mike-li5yq]

You are an absolute legend Nicho. I can see why my leak rate is circa 28 each night. My minimum pressure was set at 6 and maximum at 12. Have made adjustments to both in line with your comments and will see what happens during the next week with my SleepHQ data.

[@BigHushAffiliate]

Thank you so much for everything you do for the community. I learn so much every time you upload a video and you teach so well that it’s easy to understand. Just wanted to say I appreciate the time and effort you take to teach everyone on how to utilize these machines, especially for a newcomer trying to help there wife get a good nights rest. 🙏🏻 Thank you so much buddy. 🙏🏻🤝🏼

[@CPAPReviews]

Really appreciate that mate and good luck with the misses.

[@LastTrump7]

@@CPAPReviewswhy couldn’t I tolerate a CPAP because even when just putting it on before I could get to sleep at a pressure of 4, I felt like I was on a ventilator. I never could seem to breathe naturally. I had a hard time falling asleep and when I did it was only for 2 hours. I don’t think the pressure ever went over 8 for those two hours before I woke up. It was during Covid so very little Dr to patient time. After 30 days and only using it a couple hours a night I had to get some sleep and returned while still in the trial. Any ideas I am getting ready after 4 years to try a different Dr and hopefully find something I can tolerate. I think it was set 4-16. Other then that don’t know much about it. It was a ResMed 10.

[@terryolson-l8e]

I wish you were my neighbor. My sleep is a mess and most days are bad because of it. My dr sees me once a year for 5 minutes. The events numbers are constantly changing and usually high. You make sense but I have no idea how to do it. Range is 11-16 on auto. Thanks Gor helping many people!

[@nancyclark2600]

Excellent video. Very fortuitous as I just saw my sleep NP yesterday. I requested thst we increase low pressure from 10 to 12 based on average of 12. Now I'm going to look at high pressure range which they set at 20. I get leaks throughout the night, water runs out every night,and I'm waking up. Cant wait! Thank you so much for all you do for our community!

[@patriciabraford4303]

I learned how the pieces fit together with this video. I’m so glad you did a comparison. I’ve watched it three times now. Thanks again.

[@hiteshdewasi2320]

This is a very informative video, I did a 2 month experiment with using Philips CPAP machine after finding out from a sleep test level 1. I'm having 30ish apnea episodes per hour in the night, but unfortunately the experience i had wasn't great. I kept waking up with pressure building in the night and within 1-2 weeks developed a subconscious habit of removing the mask in my sleep. I almost decided to not use CPAP anymore but thanks to my doctor I've reconsidered it and now I plan on buying my first CPAP machine. Still a bit confused between Resmed 10 & 11 to be honest, heard a worrying things about issues with 11. But once again huge thanks to give information like this which shows companies aren't perfects and we need to adjust devices to our needs. Will be watching quite few of your videos as i need to still learn alot being new into this CPAP and Apnea learning curve. Thank again

[@CPAPReviews]

Glad you enjoyed it mate! Can probably pick up an AirSense 10 Autoset for $US399 this black friday sales. Cheers

[@TheNuclear3]

My data looked exactly as yours did in the demo! I adjusted the minimum and the maximum as shown in the video and can’t wait to try it! Thank you!

[@CPAPReviews]

Awesome, please report back and let me know how you get on. Cheers

[@kenburt8938]

Excellent. Thank you. Over the last year I slowly lowered the upper pressure until flat spots showed on the graph and it improved ahi. Didn't think of increasing lower pressure but now I will. And Sleep HQ Pro is well worth the cost. Thanks to everyone at Sleep HQ.

[@CPAPReviews]

Hi Ken, thanks very much for the SleepHQ endorsement. Yes the pressure min is just as important. The pressure max limit is important to reduce cpap side effects and the pressure min limit is important for sleep and breathing quality (airway support!). Cheers

[@chrisclark239]

Great video. I have been using my cpap for 3 weeks now. I am having problems with mask leak in the very early mornings when I use my Dreamwear full face mask. Now I know why. Lots of noise and high pressure. It wakes me and my wife up. I know my max pressure is set to 17. I will try lowering it.

[@CPAPReviews]

Good idea mate, let me know how it goes. Cheers

[@suziestubbs4812]

This was a very good and comprehensive video which I will save for future review. Thank you Nick!

[@arudd909]

Thank you for your channel and this Video. I was diagnosed with Obstructive Sleep Apnea when I was 19 years old and have been using cpap machines regularly sense then. I am now 36. I have been on the Airsense 10 since that was released. I recently got a new prescription as my machine is 10 years old and needs to be replaced. When I looked at the prescription the doctor just put that the machine needs a minimum pressure of 4 and a max of 20.... no specified levels or anything. I also was never told about getting an SD card to put in the machine to better track and finetune the pressure levels. according to the prescription my AHI is 21.3. I plan on getting an SD card to see how making adjustments improves the therapy.

[@pctekman]

I cant wait for the best sleep of my life.

[@kaleatelis]

Thank you for the scientific analysis of CPAP pressure. Do you think that different masks play a role in the calculation of pressure? I very often use different masks and I constantly adjust the pressure. For N30i I set the pressure 8-15 but for F&P solo to 6-10. So sometimes the overall statistics pressure is skewed.

[@virgilsmith5792]

Please consider adding the React Health Luna G3 auto cpap

[@rickwatts8373]

New Subscriber to your channel and to therapy. 1 month now using Resmed 11 with F20 mask. Fantastic video. I check all the boxes you mentioned for waking up in the middle of the night. If its not one thing its another, so still tired. The information you provided not only makes sense it is supported by solid data. 👍If adjusting the min and max air pressure is if advisable to also switch on the EPR? Thanks

[@jamesjr5500]

Struggling with my CPAP I just can't get a full nights sleep I usually wake up a couple times a night. They have changed my settings 2 or 3 times and it just isn't working. I have so much trouble with leaks and dry mouth. During my sleep study I had 88 events per hour and my O2 levels dropped to 80% before they hooked me up so I am just so nervous about changing anything on my machine. Going to go in to see them next week so hoping they can get this figured out.

[@sandyk13599]

I finally found 2 masks I like: ResMed Airfit N30 or N30i.

[@sandyk13599]

I have had success with ResMed N30 & N30i. After Nick did a video about masks I got the small wide and it has made a huge difference! Thanks Nick.

[@CPAPReviews]

just join SleepHQ mate, you'll get access to the pro community for 2 weeks (community.sleephq.com) and we'll sort you out in no time. Cheers

[@jamesjr5500]

@@sandyk13599 I'm using the Dreamwear full face it looks similar to the one you use so not sure if it would be any help

[@startledemu]

Can’t wait for my BMC Luna to be included in SleepHQ

[@CPAPReviews]

Cheers, i'm looking forward to the day we have universal support for all devices

[@Malc664]

@@CPAPReviews My BMC Luna is giving me a great sleep so it might be one of the good machines. I do have a Resmed Airmini though.

[@cesalt2408]

Outstanding video! This is so helpful to know how to use data to dial in perfection. Thanks so much!

[@CPAPReviews]

Glad you enjoyed it! One thing i forgot to mention is if your pressure min is high (ie above 10cm) and you find it difficult falling off to sleep at that pressure, you can set a ramp that starts at a lower pressure and gradually builds up to the pressure min over a set time frame (ie 20-30 min etc). Cheers

[@Hi-TechHillbilly]

Glad you're starting to agree with lanky lefty

[@CPAPReviews]

haha old mate gramps and his obsession with CPAP mode . I don't agree with that. Sleep apnea is a dynamic condition that requires dynamic therapy. It's like using a sledgehammer to open a walnut

[@lachiem6218]

Hi mate thanks for the video, going to give this a shot! Just wondering whether the APAP algorithm used in the video was set to standard or "soft" and what your thoughts are on which to use for figuring out the best APAP window. At the moment im inclined to use soft. Thanks from a fellow Aussie!

[@CPAPReviews]

Hey buddy, the response was 'standard' in this example. You won't see sharp pressure jumps with the 'soft' response however it's less 'sensitive' and will provide less apnea control. Hey you should do a week with soft and then a week with standard and generate a detailed report! Cheers

[@kiltedpiper98]

Fantastic video with great information and ideas. I’m going to implement these right now.

[@CPAPReviews]

Cheers, let me know how you go! All the best

[@jkdbuck7670]

CPAP has helped me get actual rest.

[@CPAPReviews]

Glad to hear it! Keep it up

[@Goro_56ix]

just did a sleep study and got an AHI of 66.2/hr, Supine AHI 79.6/hr, REM AHI 65.3/hr. Not too sure how severe these numbers are compared to others but they recommended APAP therapy. Beginner question, which machine do you recommend and should i choose CPAP over APAP? Been hearing a lot about APAP issues on the internet.

[@eitanavniel7438]

Hey Nick, I have an Lowenstein Peisma Smart, How do I access thr clinical menu? Many thanks

[@dirkthomas1042]

Thanks Uncle Nicko. This is awesome. I have to try it.

[@CPAPReviews]

Have fun!

[@ginettegagne5918]

@@CPAPReviewsHello uncle Niko, from Quebec Canada… 😊 I have AirCurve10 ASV… I really need help… my pressure is all over the map but I don’t know if it’s because I have an ASV or not…. I sleep more and more during the day… and since I have lupus, it is REALLY problematic. I uploaded my cpap data and O2 ring data on the Pro SleepHQ, if you have any suggestions …

[@DanDanRobotMan]

Where does the SPO2 and pulse data come from?

[@Coffeedad]

Do you know if i can use the my air app if i get a AirSense 10 or do i need to get 11?

[@tonyburgess2633]

Can you advise how Canadians can get a V COM? It seems like they only ship to US citizens. Thanks I know this wasn’t relevant to this video but wanted to comment in most recent.

[@rolandglee]

For my Resmed Aircurve 10 ASV, the min PS setting will not go beyond 6.0. I need to set it to 11.5 per my Med reading. Is there a solution?

[@adamhowells8494]

Hi should i get diagnosed first by a specialist before going out and buying a cpap machine?

[@JimBiedel]

great help . wish i could get a o2 ring for more detail.. Not an iOS fan or user. Too bad

[@CPAPReviews]

What's stopping you? it's very easy to get O2 data into SleepHQ via android. Cheers

[@jamesanderson3799]

Being a Taylor guitar owner and collector the only thing I'm staring at is the extra set of 3 holes below the guiitar hook where he tried to hang it the first time.

[@jamesanderson3799]

And I use the Guitartuna app also

[@CPAPReviews]

my desk back then was lower buddy.

[@rolandglee]

@CPAPReviews, I have a Resmed Aircurve 10 ASV. Thank you for the PS configuration guidance. Do I use the same principle for the EPAP settings too?

[@CPAPReviews]

Hey buddy, these principals are for Auto CPAP devices no ASV devices. I would encourage people with ASV and Bilevel devices to consult with healthcare professionals when changing settings. if the airway is collapsing (OSA events) you'd increase your EPAP min/max settings gradually higher but remember there needs to be adequate pressure support so the ASV algorithm can adapt to changing ventilation needs.

[@Julie-s9l]

Very informative, thank you

[@dtoro15]

I use 11 CM with an EPR of 2 with my nasal pillow mask. It seems to work pretty well.

[@CPAPReviews]

Glad to hear it buddy. Cheers

[@xraytech8332]

If I can figure out how to download my info from my FP SleepStyle, is there someone who can help me interpret it?

[@mattheviewer]

Interesting info but am puzzled as my machine is set for CPAP, set to start at 4 PSI and ramp up to 8 PSI. I set 4 psi min pressure while max pressure is supposedly set by my sleep doctor (at 8 ps) - is there another CPAP max pressure? i I am a nasal breather who uses a chin strap but refuses to tape his mouth shut (cough/throat clear/ etc bad news if mouth is shut). What can I fine tune in this case? I wish some mfr would make a mouth __cover__ that restricts mouth air flow but will allow fast removal or will blow off from a violent couth.

[@aqua1262]

Sorry, for my english, don't get the message. Do you recommend to higher the min pressure to get better results/comfort? Second, this is a apap, no cpap device, right? if not, the pressure would always be at one/same level? Thanks

[@CPAPReviews]

Your english is better than mine! A higher pressure min is more breathing/airway support. lowering the pressure max will often help with comfort (less side effects/leak problems etc). Yes this advice is for APAP. Cheers

[@marcschultz01]

Hi, I have a air mini. Is there away I can retrieve the data from the cloud? Or is it best to look at the limited data on the Airmini app? This is my first machine that is my own. Have been using a S9 for years.

[@CPAPReviews]

Unfortunately there's only way to view the AirMini data is on the AirMini app as it has no SD card

[@marcschultz01]

​@@CPAPReviewsWhat about the data that is uploaded to the cloud?

[@donalddodson7365]

Very helpful, as always.

[@CPAPReviews]

Always appreciate your kind comments Don. Cheers

[@samlatooni]

Why did he turn epr so high if the new AVG min and max are sufficient?

[@CPAPReviews]

I imagine one of the pro members suggested this in attempt to improve the flow linitation trace. Switching on EPR can sometimes help with that. Cheers

[@markhowells3835]

Ok if your moneys tight which machine would you buy

[@mencariparrott7063]

What app or website can we use if we have a Luna g3 CPAP for detailed reports?

[@CPAPReviews]

Hi there, you can use pap link which is for pc/windows - cpap.review/pap-link

[@johnortiz8630]

I wake up at 2am every night, and sometimes when I try to go back to sleep it feels like my breathing is out sync with the machine! I can’t slow my breathing down.I’m breathing faster and harder!

[@CPAPReviews]

Hey buddy, optimizing your pressure range will help with this and you might also like to explore using the RAMP feature.You're likely waking up just after a REM Sleep block (when the pressure is highest) Setting a RAMP period of maybe 15-20 minutes at a lower pressure can help you get back sleep at a lower, more comfortable pressure. Cheers

[@johnortiz8630]

@@CPAPReviews i have a sleep doctor, who reviews my data. I told them about it and they ramped up my pressure it made my sleep episodes worse than before. I average about 1.5 to 2 events per hour a night. Reamed 11 I think it might be just habit now, I've been doing this for years. I may try changing up my sleep routine.

[@tngolfgame]

How if at all would all of this affect a person using a BIPAP machine?

[@natashastardust2838]

They started me off at 20, I managed to find out how to change it and put it down to 10. I'm not waking up as much now

[@kramer911]

Completely new to this and just made a sleep hq account. I have a dream station but I am wondering, how do you get this data? I have yet to be able to fall asleep with the machine yet. Have tried 4-5 separate nights and I just ended up laying there half paralyzed for 2-4 hours each time before I took it off and slept without it. Trying to find whats gonna make me comfortable and allow me to fall asleep. What should I do and how do I share info from my dream station? thanks

[@CPAPReviews]

Hey bro, importing your SD card data is pretty simple. This is how to import ResMed data and the same principles apply (just choose the dreamstation as your device in step 1). - kzbin.info/www/bejne/hKjSlZaBrr6jgLs . I don't know if you'll find anything in the charts that will help you fall asleep mate. I'd experiment with pressure relief (A-flex) for breathing comfort and perhaps experiment with your starting pressure. (some people experience a suffocation feeling at lower starting pressures). The mask is also important so if you're not having much luck with your current mask it might be worth trying a few other models. Good luck buddy! Perseverance is the key so stick with it but if you haven't fallen asleep in an hour, take the mask off and get some rest (even sleep apnea sleep is better than no sleep at all) Cheers

[@patrickhutley5626]

Another top notch video @CPAPReviews 🎉 do you do any consultations like LankyLefty if someone was wanting you to take a deep dive into their CPAP data?

[@CPAPReviews]

Hey buddy, not at this stage as i think my time is best spent creating vids that benefit a large audience however we've just started adding some great SleepHQ consultants to the pro community - community.sleephq.com/c/mentors/ .

[@John-viheavyequipment]

i have air curve 10 but it doesnt show air limitations is there something wrong ?

[@joeldubrick]

You might have it set on S mode which doesn’t collect the air limitation data as the pressure doesn’t change. You might need to change to the v auto mode to get the full data.

[@ronjenkins9135]

What about us with Resmed 10 without SD cards? How can I get to the data?

[@CPAPReviews]

Hi there, unfortunately the only way to view detailed CPAP information is with an SD card. This is the only place that it is stored. Cheers

[@andrewcrawford9775]

I have a BMC machine will it work on the website. Your channel may just save me as Ibeen on cpap for 7 months now and still feel like I'm just waiting to die, unfortunately

[@CPAPReviews]

Hey buddy, unfortunately not but we will be working on the integration with BMC in 2025. Good luck bro. Nicko

[@andrewcrawford9775]

@CPAPReviews Thank you for the reply appreciate it great news 😊

[@BrettReid-b9w]

Hi Nick, my name is Brett Reid and I’m from Canada. I would like to know how to become a pro member because I really want to get a solo nasal pillow mask. I’ve been using CPAP for about 12 years the place I was going for my study, they don’t do it anymore And I’ve been using that Resmed to find out how I’m doing again do you know how good that is I could really use somehow could you put up on KZbin how I can become a pro member but God bless you for what you’ve done because it’s really helped and this Canadian really appreciate you.

[@CPAPReviews]

hey bro, it's pretty easy to join pro. Just sign up for a SleepHQ account (sleephq.com) and then you'll see 'Billing' in the left hand menu. To access the Solo, you'll need to access to the 'platinum exclusive deals space' which is available to SleepHQ pro members on the yearly plan or pro members on the monthly plan who have been with us for 6 months or longer. Here's the link to the solo - community.sleephq.com/c/platinum-exclusive-deals/new-f-p-solo-cpap-mask

[@CPAPReviews]

Hey mate, you just join sleephq.com and when you log in you will see 'billing' in the left hand navigation menu. Click that link and you can become a pro member. Please note that you will need a annual membership to access the platinum exclusive deals space here - community.sleephq.com/c/platinum-exclusive-deals/new-f-p-solo-u-s-us90-save-29

[@angelspake81]

Dissonant breathing 😄

[@lynnrees4814]

Is the Luna G3 able to connect to sleep hq?

[@CPAPReviews]

Hi there, unfortunately it's not yet supported but we are hoping to have universal support for all the major manufactures by mid 2025. Cheers

[@alanblyde8502]

Can’t wait to get my thingamejig n ring to start get my shit right, been making changes for years now with shit results 🇦🇺🤙

[@CPAPReviews]

That's great bro! Did you order the new SleepHQ O2 Ring Pro? Should be arriving very soon

[@ChihuahuamomX3]

I don't get much help here in the USA with my CPAP settings. My sleep center is a joke. I wish I had someone here to help me. 😢

[@CPAPReviews]

There are a lot of great forums available! CPAPtalk.com, Apneaboard.com and also our community - community.sleephq.com . There's also my CPAP Reviews facebook group - cpap.review/facebook-

[@kenburt8938]

Me either, no help at all. But Sleep HQ has been amazing.

[@TaintedNate]

This is really helpful and just what I needed. Thank you

[@pbrian9527]

Did you also turn on EPR?

[@CPAPReviews]

That’s right! He also changed his EPR to 3. While EPR (Expiratory Pressure Relief) is often called a 'comfort setting' to make exhaling easier, it can actually have a significant impact on your therapy results-sometimes in a big way. Try spending a week with EPR turned off, then switching it on for the following week. Afterwards, use SleepHQ to generate a detailed report and compare the two weeks. You’ll likely notice some big differences in your data (possibly good, possibly bad! It's an enigma). Cheers!

[@pbrian9527]

@@CPAPReviews thanks. I was curious what you saw in the data that made you consider turning on EPR?

[@CPAPReviews]

Hey mate, it was li. 1. Sometimes turning on EPR can improve the flow limitation trace (not really sure why this is though but i have a few theories) and 2. It can sometimes improve mask leak because of the exhalation pressure drop inside the mask. Check out that vid i did on EPR - kzbin.info/www/bejne/fZK7cmOQfrydZ7ssi=2bLdF6A1kqqHPf4h

[@pbrian9527]

@@CPAPReviews thanks. I have seen videos saying the Resmed machine takes too long to get back to IPAP number after the EPR drop. You are correct that it may not be for everyone.

[@CPAPReviews]

this is true which is why it normally reduces apnea treatment when you switch it on however because EPAP stays low for the whole expiratory phase when it eventually does shoot back up during inhalation the air moves very fast and i think this might be what improves the flow limitation trace but it's only a theory i have. Cheers

[@joeldubrick]

Excellent video! Could you make a video like this for bilevel pressure optimization?

[@CPAPReviews]

Cheers mate, bilevel can be a bit tricky because there a number of different bilevel devices and modes that are designed to help with different respiratory conditions. I've a special Lowenstein device coming my way shortly that has ever mode available in the one device so i'll do some demo's using that machine. Cheers

[@qubansailor]

My wife has been complaining for a while about waking her up in the middle of the night sounding like Darth Vader. I think this video may really help tune my sleep and save hers. Thank you so much!!!

[@CPAPReviews]

Good luck buddy. Cheers!

[@JosephBolen]

On a BiPAP machine do you view the IPAP setting as equivalent to a CPAP setting? 🤔

[@robinwillett9581]

Why does he need cpap if his A/H is 0.84??

[@myratan8168]

That's his treated AHI. It would be higher without apap

[@af1966]

Didn't know that you follow American baseball.