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After a couple of years on CPAP, I am finally keeping my mask on
#1
After a couple of years on CPAP, I am finally keeping my mask on
For the longest time, I have been struggling with yanking my mask off between 1.30am and 3am every night.  So tired but decided to persist


It wasn't until i tried a ton of things (humidier, nasal masks, you name it I tried it) that I finally found the following

- switched a nasal mask 
- increased the pressure from 6 to 8.5 increasing the pressure in incremental steps over time. 
- taped my mouth with a small piece surgical tape
- flex set to 1 from 3

Finally kept my mask on and got to an AHI of 0.9. Still tired but feeling a little less groggy. 

Looks like I still have some RERAs and other events. It is worth pushing the pressure up ? It is strange that when the min pressure was at 6 the 95% pressure was only at 6.5-7 but gradually as was increasing the 95% was going much higher. Last night with the min at 8.5 the 95% was at 11.1.


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#2
RE: After a couple of years on CPAP, I am finally keeping my mask on
Congratulations on making such productive changes! If the posted chart is typical for you, I myself wouldn't recommend any further changes to your settings. However, if you're curious, you could see whether you experience subjective improvement with a higher minimum.

I see that your time with the machine was less than 7 hours. Is that typical for you? I would strongly recommend trying to be sure you can sleep longer, ideally 8 hours, and see whether that helps you feel better during the day.

When your AHI is good but you still don't feel great, your subjective experience should be your overall guide. You want to do what will make you feel as rested as possible during the day, whether that's a matter of tweaking settings, sleeping longer, or following general guidelines for better sleep.

Speaking of which ....

• Keep a consistent sleep schedule. Get up at the same time every day, even on weekends or during vacations.
• Set a bedtime that is early enough for you to get at least 7 hours of sleep.
• Don’t go to bed unless you are sleepy.
• If you don’t fall asleep after 20 minutes, get out of bed.
• Establish a relaxing bedtime routine.
• Use your bed only for sleep and sex.
• Make your bedroom quiet and relaxing. Keep the room at a comfortable, cool temperature.
• Limit exposure to bright light in the evenings.
• Turn off electronic devices at least 30 minutes before bedtime.
• Don’t eat a large meal before bedtime. If you are hungry at night, eat a light, healthy snack.
• Exercise regularly and maintain a healthy diet.
• Avoid consuming caffeine in the late afternoon or evening.
• Avoid consuming alcohol before bedtime.
• Reduce your fluid intake before bedtime.
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#3
RE: After a couple of years on CPAP, I am finally keeping my mask on
mw1655,
I'm curious about the "resistance setting" for the Dreamwear nasal mask.  Your graph shows that you are using a resistance setting of X3.   I'm almost sure this should be set to X1 on your Apap.  

This could make a difference in how your mask feels and the high level of periodic breathing.  Just a thought.


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OpalRose
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INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE.  ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA.  INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#4
RE: After a couple of years on CPAP, I am finally keeping my mask on
Thanks very much for the hints. Yes it's normal. I'm trying to sleep longer but the late night conference calls (as I am based in Singapore) and my daughter getting up early doesn't help. I do tend to snatch an extra hour of sleep after I drop my daughter off to school.
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#5
RE: After a couple of years on CPAP, I am finally keeping my mask on
Thanks. I'm curious too now. I've never changed that setting. Do you happen to know how that setting impacts the breathing ?

I have nasal mask and I also have one of those anti bacterial filters on the machine where the hose goes into. Was never sure how much that filter would affect the flow rate
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#6
RE: After a couple of years on CPAP, I am finally keeping my mask on
I believe the Respironics 60 Series Resistance setting allows for the difference in pressure delivery to different type masks, like nasal, full face, pillows and also the difference in size cushion you may be using.

Although, it would be helpful if they updated their chart as many folk still use this machine.  
But with the introduction of the DreamStation, they may not be using those resistance settings, probably similar to ResMeds mask settings.

The resistance numbers are either printed on the mask packaging or mask itself.  If you use a non Respironics mask, they advise leaving the setting at 0.  

https://philipsproductcontent.blob.core....4978bc.pdf
OpalRose
Apnea Board Administrator
www.ApneaBoard.com

OSCAR Chart Organization


INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE.  ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA.  INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#7
RE: After a couple of years on CPAP, I am finally keeping my mask on
Thanks. I changed it X1 last night and I felt awful in the morning - not rested, blocked up nose in the morning. Not sure if that was the cause but I'll reset back to X3 tonight to see if it helps
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