Rapid Shallow Breathing Using CPAP

Question:

To reduce the amount of CFlex exhalation relief you get on your RemStar Plus, first make sure the power (pressure) switch is turned off, then press the ramp button and hold it until the unit beeps to go into patient setup mode. Press the right arrow button under the LCD display repeatedly until you see the icon that looks like a horsheshoe with a tiny down-arrow in the center (I think it’s three presses).  In your case, next to the icon you will probably see the number 3, meaning the maximum pressure drop on exhale.  Use the heat and ramp buttons to adjust the number up and down between 0 and 3.   To exit setup mode, press the On/Off button.  My DME said to keep the number as low as was comfortable.   If you’d like to read further instructions, a user manual is online at http:www.respironicsremstar.compdfPlus w_C-Flex User Instr.pdf

Response:

I believe if you hold down the ramp key for several seconds, you can change it yourself. "Harry Gerapetritis" <gerapetrit…@charter.net> wrote in message

news:10cm3f123hoqsc3@corp.supernews.com… : Yes!  I am using a Respironics Remstar Plus with CFLEX, and I have the CFLEX : turned all the way up!  I was having trouble exhaling against my initial : pressure of 9, so the CFLEX was set at three.  Maybe I should get the DME to : bump that back to 1 or 2 on the lower pressure. : : Thanks.

Response:

Yes!  I am using a Respironics Remstar Plus with CFLEX, and I have the CFLEX turned all the way up!  I was having trouble exhaling against my initial pressure of 9, so the CFLEX was set at three.  Maybe I should get the DME to bump that back to 1 or 2 on the lower pressure. Thanks. "David Ruether" <r…@no-junk.cornell.edu> wrote in message

news:l2iyc.10054$Xw3.8414@nwrdny03.gnilink.net… – Hide quoted text — Show quoted text -> "Harry Gerapetritis" <gerapetrit…@charter.net> wrote in message > news:10chvfq9kmq7eb@corp.supernews.com… > > I’ve been using CPAP since the beginning of the year, and my prescribed > > pressure has been changed several times as we try to strike a balance to > > minimize obstructive and central apneas. On a pressure of 9, I was having > > frequent centrals, while on a pressure of 7 I was having more obstructive > > apneas, so we settled on a pressure of 8.  I have since recorded about an > > hour of my sleeping on a number of occasions and I was shocked to hear how > > rapidly (and I guess shallowly) I was breathing. The faster than normal pace > > continued throughout the hour until the tape ended. Has anyone else observed > > this? Any idea what causes such shallow rapid breathing? > Just a guess (Mark’s comment is much more likely > relevant), but are you using a Respironics machine > with "C-Flex"? I used to catch myself doing short > rapid breaths "synching" with the C-Flex pressure > changes. This stopped long ago for me (I think…), > but it is possible it may be an issue for you (the > feature can be reduced to nearly "0" on the > machine, if this is what is happening). > — >  David Ruether >  r…@cornell.edu >  http://www.ferrario.com/ruether

Response:

I have this.  My shallow breathing is actually hypopneas. Hypopnea is partial obstruction of the airway.   "Harry Gerapetritis" <gerapetrit…@charter.net> wrote in message news:10chvfq9kmq7eb@corp.supernews.com…

: I’ve been using CPAP since the beginning of the year, and my prescribed : pressure has been changed several times as we try to strike a balance to : minimize obstructive and central apneas. On a pressure of 9, I was having : frequent centrals, while on a pressure of 7 I was having more obstructive : apneas, so we settled on a pressure of 8.  I have since recorded about an : hour of my sleeping on a number of occasions and I was shocked to hear how : rapidly (and I guess shallowly) I was breathing. The faster than normal pace : continued throughout the hour until the tape ended. Has anyone else observed : this? Any idea what causes such shallow rapid breathing? : :

Response:

"Harry Gerapetritis" <gerapetrit…@charter.net> wrote in message

news:10chvfq9kmq7eb@corp.supernews.com… > I’ve been using CPAP since the beginning of the year, and my prescribed > pressure has been changed several times as we try to strike a balance to > minimize obstructive and central apneas. On a pressure of 9, I was having > frequent centrals, while on a pressure of 7 I was having more obstructive > apneas, so we settled on a pressure of 8.  I have since recorded about an > hour of my sleeping on a number of occasions and I was shocked to hear how > rapidly (and I guess shallowly) I was breathing. The faster than normal pace > continued throughout the hour until the tape ended. Has anyone else observed > this? Any idea what causes such shallow rapid breathing?

Just a guess (Mark’s comment is much more likely relevant), but are you using a Respironics machine with "C-Flex"? I used to catch myself doing short rapid breaths "synching" with the C-Flex pressure changes. This stopped long ago for me (I think…), but it is possible it may be an issue for you (the feature can be reduced to nearly "0" on the machine, if this is what is happening). —  David Ruether  r…@cornell.edu  http://www.ferrario.com/ruether

Response:

I’ve been using CPAP since the beginning of the year, and my prescribed pressure has been changed several times as we try to strike a balance to minimize obstructive and central apneas. On a pressure of 9, I was having frequent centrals, while on a pressure of 7 I was having more obstructive apneas, so we settled on a pressure of 8.  I have since recorded about an hour of my sleeping on a number of occasions and I was shocked to hear how rapidly (and I guess shallowly) I was breathing. The faster than normal pace continued throughout the hour until the tape ended. Has anyone else observed this? Any idea what causes such shallow rapid breathing?

Response:

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