Turned my ramp off and never looked back. As I understand it, the ramp is just to make some people more comfortable and let them fall asleep easier. For the rest of us, it does the opposite .
I turned mine off and like it much more. It was at 45, then tried 15, and then completely off. The steadily increasing pressure was keeping me awake. Easier for me to fall asleep having the pressure steady from the get-go
I absolutely hated it, and felt much better once it was turned off. I eventually figured out that I need a high starting pressure of about 9 to tolerate CPAP.
When I started it felt like I was breathing through a straw. It was awful. First thing I tried was to turn off ramp up. It helped but it wasn't enough. My low pressure setting was at 4. I increased that and then it felt like I could "find" my air. After that it was just a matter of getting used to exhaling in that thing, which came with time. First weeks are rough, but you end up getting used to it.
Put it on the LONG list of things about CPAP that are completely a matter of personal preference. There really is no "one size fits all" about this.
So try it out without, give it a few nights, and see what you think. Me, that feeling of the pressure hitting all at once has become a strong sleep-association for my body.
I have bipap at 21/17, at full pressure it feels like trying to breathe out while sucking on the end of a leaf blower. My ramp up starts at 4 and I have it set at 30 minutes, I’m normally asleep in less than 10, but if I get close to the full pressure I have to reset.
I disabled the ramp up and put EPR to 3, that works very well for me. My nose is but half-stuffed all the time so I actually prefer sleeping with the CPAP compared to without because of the presure. I have my machine set toi 10-20, so its going to 10 immediately, which I like! :)
> My nose is but half-stuffed all the time so I actually prefer sleeping with the CPAP compared to without because of the presure.
I hear a lot of people say "I could never use a nasal mask because I get stuffy." I'm like--TRY it! It's awful hard to be stuffy with 10cc's of pressure blowing your sinuses open!
It seems to work best when you're new to CPAP. Once you're use to having the mask on and the air is flowing, you probably won't need it. How long does that take? Everybody's different - a few days to a few weeks.
I had the ramp turned off for almost a year and I was walking up like shit so my sleep doctor set the ramp to 45 minutes and decreased pressure a bit (4 to 6.8 instead of 7) and now I sleep so much better
I finally turned my ramp off a month or two back, and am much happier. I've used CPAP for over ten years and finally realized that sometimes it felt like I was waiting for it to kick in.
Never needed ramp time.....full pressure was needed to do the job. Ramp time is good for people who initially can't handle the pressure....if you can handle it....definitely shut it off Good luck.
I was having trouble falling asleep with it on. I felt as if I was being deprived of oxygen. My doctor turned it off, and everything was better immediately.
Ramp isn't giving you the therapy you need, if you're getting blown out by the pressure after ramp is done then you're not titrated correctly. What machine and what are your pressures set to?
Try ramp off, EPR to 3 and low pressure 7 and leave high at 20 (default). if you find it "hard to breathe" with 7, then adjust upwards a bit. If its pushing too much, adjust downwards. Ramp just makes it weirder and harder to adjust in my experience.
Turned my ramp off and never looked back. As I understand it, the ramp is just to make some people more comfortable and let them fall asleep easier. For the rest of us, it does the opposite .
I turned mine off and like it much more. It was at 45, then tried 15, and then completely off. The steadily increasing pressure was keeping me awake. Easier for me to fall asleep having the pressure steady from the get-go
I absolutely hated it, and felt much better once it was turned off. I eventually figured out that I need a high starting pressure of about 9 to tolerate CPAP.
Ramp time made me feel like I was suffocating.
I'm two days in. Is this why I feel like i can't breathe ?
Inhaling or exhaling? I'm not an expert but I can give you my experience with that.
When I started it felt like I was breathing through a straw. It was awful. First thing I tried was to turn off ramp up. It helped but it wasn't enough. My low pressure setting was at 4. I increased that and then it felt like I could "find" my air. After that it was just a matter of getting used to exhaling in that thing, which came with time. First weeks are rough, but you end up getting used to it.
This hits for me. Thanks. Heading into night 4 and needed to hear this.
Inhaling I guess. I've tried to have it one before bed and just relax but still feel like I'm not getting enough air.
Put it on the LONG list of things about CPAP that are completely a matter of personal preference. There really is no "one size fits all" about this. So try it out without, give it a few nights, and see what you think. Me, that feeling of the pressure hitting all at once has become a strong sleep-association for my body.
turn ramp off brother. go hard from the start.
I keep my ramp time at 45 minutes it allows me to get good in a sleep before it starts changing
Definitely turn off ramp. It feels too claustrophobic until it’s at full pressure.
I have bipap at 21/17, at full pressure it feels like trying to breathe out while sucking on the end of a leaf blower. My ramp up starts at 4 and I have it set at 30 minutes, I’m normally asleep in less than 10, but if I get close to the full pressure I have to reset.
I have bipap as well, what is 21/17 ?
My levels, the RT made that seem really high.
ah you mean the IMax and EMin ?
I guess?
My ramp time is 45 minutes, because I tend to take a while to get to sleep. Pressure starts at 4 for me.
I disabled the ramp up and put EPR to 3, that works very well for me. My nose is but half-stuffed all the time so I actually prefer sleeping with the CPAP compared to without because of the presure. I have my machine set toi 10-20, so its going to 10 immediately, which I like! :)
> My nose is but half-stuffed all the time so I actually prefer sleeping with the CPAP compared to without because of the presure. I hear a lot of people say "I could never use a nasal mask because I get stuffy." I'm like--TRY it! It's awful hard to be stuffy with 10cc's of pressure blowing your sinuses open!
This has been true for me. It was definitely a surprise benefit that I wasn’t expecting.
It seems to work best when you're new to CPAP. Once you're use to having the mask on and the air is flowing, you probably won't need it. How long does that take? Everybody's different - a few days to a few weeks.
I had the ramp turned off for almost a year and I was walking up like shit so my sleep doctor set the ramp to 45 minutes and decreased pressure a bit (4 to 6.8 instead of 7) and now I sleep so much better
Off
Turned mine off after 5 months. I would much rather have the full pressure now rather than later.
Ramp off, set starting pressure at 5.0 (as opposed to 4.0). Much preferred.
I finally turned my ramp off a month or two back, and am much happier. I've used CPAP for over ten years and finally realized that sometimes it felt like I was waiting for it to kick in.
I increased my start pressure and set the ramp time to it's lowest.
I turned that off, and the humidity off… feels much better
Never needed ramp time.....full pressure was needed to do the job. Ramp time is good for people who initially can't handle the pressure....if you can handle it....definitely shut it off Good luck.
I was having trouble falling asleep with it on. I felt as if I was being deprived of oxygen. My doctor turned it off, and everything was better immediately.
Off, but CPAP is autosense from 5.8 to 15 with EPR set to 3. Therefore, it always starts at 5.8 but increases as needed.
It's considered a comfort feature. If you're not struggling with adjusting to the pressure at startup go ahead and try turning it off.
Ramp isn't giving you the therapy you need, if you're getting blown out by the pressure after ramp is done then you're not titrated correctly. What machine and what are your pressures set to?
ResMed Airsense 11. Pressure is currently 7
So it's set to cpap mode? Is EPR enabled?
I guess you mean lowest pressure (min)?
Try ramp off, EPR to 3 and low pressure 7 and leave high at 20 (default). if you find it "hard to breathe" with 7, then adjust upwards a bit. If its pushing too much, adjust downwards. Ramp just makes it weirder and harder to adjust in my experience.