How To Change The Pressure Settings On A ResMed Airsense 10 CPAP Machine

September 15, 2020 | CPAP Tips & Tutorials |
airsense 10

Many patients just beginning their CPAP therapy may experience difficulty getting used to the air pressure from their CPAP machine. Most often, users describe a sense of breathlessness when exhaling against their prescribed air pressure. Pressure relief on the ResMed AirSense 10 allows individuals to adjust air pressure during exhalation for greater comfort during therapy. 

The ResMed AirSense 10 has built-in sensors that detect a patient’s breathing. As an individual exhales, the CPAP machine responds by reducing the air pressure delivered by a specific amount. When an inhale is detected again, the machine raises the pressure back to the prescribed setting. This is known as EPR, or expiratory pressure relief.

The ResMed AirSense 10 has four EPR settings: 0-3. At 0, pressure relief is turned off. At 3, air pressure is reduced by 3 cm H2O. For example, if a patient’s CPAP is set to 10 cm H2O with an EPR of 3, the air pressure during exhale is lowered to 7 cm H2O. Once an inhale is detected, air pressure increases back to 10.

If patients are still having difficulty breathing and EPR is set to the maximum setting, they may require BiPAP therapy.

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How To Change The Pressure On A ResMed CPAP Machine

In some cases, the EPR settings are prescribed by a doctor and programmed by a technician. However, patients can turn these EPR settings on or off in the “My Options” menu on their ResMed device. Rotate the dial to select on or off and confirm your EPR setting by pressing down on the dial.

If you are having trouble accessing this feature or would like your EPR number adjusted, do not hesitate to contact our customer care team at 866-414-9700.

What Other Features of the ResMed AirSense 10 AutoSet Help with Breathing?

Another comfort feature offered on the ResMed AirSense 10 is ramp. Some new users may have difficulty adjusting to CPAP therapy as they are falling asleep. When ramp is turned on, therapy begins at a lower, default pressure setting of 4 cm H2O. As the patient falls asleep, the air pressure will increase until it reaches the prescribed setting. This allows users to remain compliant with therapy without experiencing any discomfort.

For those who have just been prescribed CPAP therapy and are experiencing discomfort, expiratory pressure relief may help.

If you want to learn more about the ResMed AirSense 10 or EPR, speak to our knowledgeable customer care team at The CPAP Shop. They can help you choose the best CPAP machine for your therapy needs. Call 866-414-9700 or email us at questions@thecpapshop.com.

Chris Vasta CPAP Expert & President at The CPAP Shop

Author

Chris Vasta

Over a 10+ year career at PHH Mortgage managing a $100 million portfolio, Chris Vasta learned the ins and outs of the business world. He learned how to establish business relationships, lead a multi-prong team, and implement strategies for long-term growth. In 2007, Vasta used that experience to transition his role into president of The CPAP Shop. Over his tenure, Vasta has been involved in everything from website design to warehouse layout. His hands-on approach with customers has evolved into an in-depth understanding of the challenges of beginning and adhering to sleep therapy. He often provides his insights on product…


20 Comments Leave new

  • Rick

    Is there any way to lower the starting pressure lower than 4?

    • Chris Vasta

      Hi Rick, your pressure settings were prescribed to you by your doctor, so we recommend contacting them if you are feeling any discomfort. However, if you are not taking advantage of the AirSense 10’s Expiratory Pressure Relief (EPR), this could be a useful feature for you. This feature allows users to adjust air pressure during exhalation for greater comfort during therapy. This device has four EPR settings: 0-3. At 0, pressure relief is turned off. At 3, air pressure is reduced by 3 cm H2O. We hope this helps!

  • Jim

    The ResMed AirSense 10 has four EPR settings: 0-3. At 0, pressure relief is turned off. At 3, air pressure is reduced by 3 cm H2O.

    I understand you use a higher EPR setting if you are having trouble exhaling. That would seem to imply there is some advantage to using a lower or zero EPR if you can tolerate the pressure. If so, I am curious as to what the benefit would be to using zero or low EPR, rather than everybody using the EPR set to 3? Is there a benefit to using the lowest EPR I can tolerate? Thank you

    • Chris Vasta

      Hi Jim, the EPR feature on this device maintains the optimal treatment for the patient during inhalation. It is simply a comfort feature, reducing pressure during exhalation making it easier to breathe out. It helps enhance comfort during CPAP therapy by decreasing your CPAP pressure during exhalation on a breath-by-breath basis. There are three comfort settings to choose from, but if you feel as if you don’t need to use this feature, you can simply keep it off.

  • Shereen

    Your explanations are very helpful, however, now my greatest discomfort is too much air. Tried to decrease air pressure to 6.5 but it still is causing major gas problems in stomach and intestines. What’s the lowest i can go – pressure wise – in order not to lose benefit of cpap machine. I have a resmed 10. Thank you

    • Chris Vasta

      Hi there, thanks for reaching out! It would be best to speak with your doctor about pressure settings. However, our team may be able to help. Give us a call at 866-414-9700.

  • Barrett Short

    Hello. I, like others, are trying to get more comfortable with my ResMed Airsense 10 after almost 8 months of use. The machine works fine, but your information at https://www.thecpapshop.com/blog/what-is-pressure-relief-on-a-resmed-airsense-10/ says “However, patients can turn these EPR settings on or off in the “My Options” menu on their ResMed device. Rotate the dial to select on or off and confirm your EPR setting by pressing down on the dial”.

    My CPAP does not show EPR under Options. If your web site is not current, or wrong, you may want to correct it. If I am wrong, please let me know and I will call you, with my serial number, and get some training. Thank you.

    • Chris Vasta

      The option to turn your EPR settings on or off is located in the clinical menu of your device.

    • ralwoe

      To access the clinical settings menu: press both the settings knob (big dial) and home button at the same time for at least 5 secs or so. Clinic settings should have appeared on the screen. Navigate using the dial knob.

  • Steven R Polson

    I have been on CPA for 25 years, and on a Resmed Airsense for probably 10 of those years. I read how to access the clinical menu, where I can play with pressure setting as well as EPR. Sounds like EPR has been moved to the user menu now. My setting, which I have tweaked in over the years, is 9.8 cm. I have had a burning head in the morning and sleeping up to 10 hours a night over the past 9 months or so. That is more than normal for me. I have played with the pressure but always end up at 9.8 cm. I have even wondered if the machine is not maintaining the pressure any more, but I used a crude manometer and it appears to be correct. This morning, while laying awake with the machine on, I noticed a feeling a slight suffocation feeling when I would start to inhale. So, for kicks, I turned off the EPR. Totally resolved the issue. I laid there for probably 30 minutes and I didn’t even noticed the CPAP running, and also never felt like I was fighting for air. Tonight I am going to run that way and see if it makes a difference.

    • Andrew Rivenbark

      Steven,

      We definitely don’t recommend altering the pressure settings without first speaking to your doctor. If you feel as though your pressure settings aren’t ideal anymore, it may be time for a new prescription or sleep study. If you need any additional help troubleshooting issues with your machine, give our customer care team a call at 866-414-9700.

  • Juan Martín Desimone

    I have read in some forums that the EPR function has some contraindications, such as that it deforms the shape that the respiratory flow curve should have and that it is used to adapt the patient to the therapy, but that it should not be used permanently if the patient does not has trouble exhaling … Is it true?

    • Chris Vasta

      Thank you for expressing your concerns. Please reach out to a sleep therapist or pulmonologist with questions regarding your specif CPAP treatment.

  • Allen r kothe

    Have a airsense10 please explain ipat17,epap13,cm#20 Purchased used but new on letgo need to set setting thanks

  • PKK

    What do you mean by, “ allows individuals to adjust air pressure during exhalation for greater comfort during therapy.” There’s no “adjustment.” It’s either on or off.

    • Chris Vasta

      Pressure relief is different from the pressure setting on the machine. The Pressure setting is set and can not be modified by the user, but the pressure relief is a comfort feature that can be adjusted. Expiratory pressure relief (EPR™): This feature maintains the optimal treatment for the patient during inhalation and reduces pressure during exhalation making it easier to breathe out. It helps enhance comfort during CPAP therapy by decreasing your CPAP pressure during exhalation on a breath-by-breath basis. There are three comfort settings to choose from.

      • Paul Janowski

        I too cannot find any settings for the Pressure Relief setting. It is either On or Off. I am looking in the options right above SmartStart. It is called “Pressure Relief” and the options are on or off.

        • Chris Vasta

          If you are having trouble accessing this feature or would like your EPR number adjusted, do not hesitate to contact our customer care team at 866-414-9700.

        • DANIEL MCDOWELL

          The EPR settings other than on or off, can only be set in the clinicians setting area of the set-up.

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