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Air pressure
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Cicero Offline

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Posts: 33
Joined: Dec 2013

Machine: ResMed Elite
Mask Type: Nasal pillows
Mask Make & Model: Nasal pillow, make unsure.
Humidifier: ResMed Elite
CPAP Pressure: 5 to 15
CPAP Software: Other Software

Other Comments:

Sex: Male
Location: Christchurch New Zealand

Post: #21
RE: Air pressure
Love all the comments, so much to consider but it is all there.

Where do you get the carefusion chin strap from?

Thanks you all and don't forget what day it is tomorrow.And may it be Merry.

At the evening service tonight, the sermon topic will be 'What Is Hell?' Come early and listen to our choir practice.
12-23-2013 07:53 PM
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Sleepster Offline
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Posts: 4,995
Joined: Feb 2012

Machine: ResMed AirCurve10 VAuto
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: HumidAir and SlimLine Hose
CPAP Pressure: MaxI 13.6 | MinE 5.2 | PS 4.4
CPAP Software: ResScan SleepyHead

Other Comments: Diagnosed Nov 2011. Conquered aerophagia.

Sex: Male
Location: Houston, Texas

Post: #22
RE: Air pressure
Chin straps are sold by the same durable medical equipment providers (DME) that provide your mask, machine, hoses, etc. They are covered by insurance.

The higher the pressure, the greater the chance of a mouth-leak. The only way to know if it'll work for you is to try it.

Chin straps have to be tightened as they stretch, just like the straps on your mask. After a few months they get all stretched out and have to be replaced. I get one every six months from my DME. They last longer than six months so I have a stock pile, just like I have a stock pile of all of the equipment because it lasts longer than the insurance company replacement schedule.

Sleepster
Apnea Board Moderator
www.ApneaBoard.com


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.
12-23-2013 09:49 PM
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Cicero Offline

Preferred Members

Posts: 33
Joined: Dec 2013

Machine: ResMed Elite
Mask Type: Nasal pillows
Mask Make & Model: Nasal pillow, make unsure.
Humidifier: ResMed Elite
CPAP Pressure: 5 to 15
CPAP Software: Other Software

Other Comments:

Sex: Male
Location: Christchurch New Zealand

Post: #23
RE: Air pressure
Hi all.
I tried the sock thing, didn't work for me.
Tried the Velcro chin strap and that seems to work.

I am 77 and they tell me from tests that I have sleep apnea.
I have never woken up in my 77 years feeling refreshed from sleep.
Thinking that getting oxygen during the night would improve my lot,
so far if anything I feel worse.
Hoping for a change in the end, we will see.

At the evening service tonight, the sermon topic will be 'What Is Hell?' Come early and listen to our choir practice.
01-03-2014 05:33 PM
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PaytonA Offline
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Posts: 3,015
Joined: Dec 2013

Machine: ResMed S9 VPAP Auto
Mask Type: Full face mask
Mask Make & Model: Resmed Mirage Quattro
Humidifier: H5i(distilled-top up)
CPAP Pressure: VAuto MinE14.0 MaxI 20.6 PS4.0
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Orange County,California

Post: #24
RE: Air pressure
I agree with Sleepster and I would try the tongue trick before going to a chin strap. For some like me, the pressure (mine is 20 cmH2O) the lips can not maintain the seal. It must be maintained with the tongue.

I did not think that I could accomplish the tongue seal at first either. In hopes of creating a physical habit that might stay with me in my sleep, I started practicing holding my tongue up against the roof of my mouth with my mouth closed moderately tightly when I was awake. Usually just prior to going to bed and just prior to going to sleep. I was able to get it working.

Good luck,

PaytonA
01-03-2014 08:14 PM
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JimZZZ Offline

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Posts: 370
Joined: Dec 2013

Machine: ResMed S9 AutoSet
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: ResMed H5i (not using)
CPAP Pressure: 9 - 14
CPAP Software: ResScan SleepyHead

Other Comments: CareFusion PureSom Ultra Chinstrap

Sex: Male
Location: Western North Carolina

Post: #25
RE: Air pressure
(12-23-2013 02:20 AM)Cicero Wrote:  Am I alone with this one?
Cicero, No you are not alone. I have been struggling with this problem since I switched from a ffm to a Wisp nasal mask. The only thing I haven't tried is the idea of a sports mouth guard. Sounds interesting. I really don't want to go back to the ffm so will continue trying to make the nasal mask work. Good luck.
01-04-2014 10:07 AM
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Sleepster Offline
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Moderators

Posts: 4,995
Joined: Feb 2012

Machine: ResMed AirCurve10 VAuto
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: HumidAir and SlimLine Hose
CPAP Pressure: MaxI 13.6 | MinE 5.2 | PS 4.4
CPAP Software: ResScan SleepyHead

Other Comments: Diagnosed Nov 2011. Conquered aerophagia.

Sex: Male
Location: Houston, Texas

Post: #26
RE: Air pressure
(01-03-2014 08:14 PM)PaytonA Wrote:  I agree with Sleepster and I would try the tongue trick before going to a chin strap.

For me, and others as well, the chin strap is necessary for the back of the tongue to be able to make the seal. What happens is that the jaw-closing muscles relax when asleep, the jaw drops open, and there is now too large of a gap between the tongue and the roof of the mouth to form a seal.

So there are two things that need to be trained. You need to train the back of your tongue to stay up against the roof of your mouth, and you need to train your jaw muscles to keep your mouth closed.

I managed the former. And I know this because in the beginning air would leak into my mouth and my cheeks would puff up. In a week or two I was able to put a stop to that.

I can't manage the latter. And I know this because without a chin strap, or even with a too-loose chin strap, I'll wake up with air hissing out of my mouth; and when I check my data I see significant periods of time spent in large leak. With a properly-adjusted chin strap that doesn't happen.

Sleepster
Apnea Board Moderator
www.ApneaBoard.com


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.
01-04-2014 04:17 PM
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PaytonA Offline
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Posts: 3,015
Joined: Dec 2013

Machine: ResMed S9 VPAP Auto
Mask Type: Full face mask
Mask Make & Model: Resmed Mirage Quattro
Humidifier: H5i(distilled-top up)
CPAP Pressure: VAuto MinE14.0 MaxI 20.6 PS4.0
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Orange County,California

Post: #27
RE: Air pressure
(01-04-2014 04:17 PM)Sleepster Wrote:  
(01-03-2014 08:14 PM)PaytonA Wrote:  I agree with Sleepster and I would try the tongue trick before going to a chin strap.

For me, and others as well, the chin strap is necessary for the back of the tongue to be able to make the seal. What happens is that the jaw-closing muscles relax when asleep, the jaw drops open, and there is now too large of a gap between the tongue and the roof of the mouth to form a seal.

So there are two things that need to be trained. You need to train the back of your tongue to stay up against the roof of your mouth, and you need to train your jaw muscles to keep your mouth closed.

I managed the former. And I know this because in the beginning air would leak into my mouth and my cheeks would puff up. In a week or two I was able to put a stop to that.

I can't manage the latter. And I know this because without a chin strap, or even with a too-loose chin strap, I'll wake up with air hissing out of my mouth; and when I check my data I see significant periods of time spent in large leak. With a properly-adjusted chin strap that doesn't happen.

I am sorry if I did not make a clear enough statement. I was not trying to say that one should avoid the chin strap, just that I thought it might be better to try to train the tongue seal before going to the chin strap.

As you indicated, some people can keep a seal with their mouth wide open.

Respectfully,

PaytonA
01-04-2014 07:12 PM
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Cicero Offline

Preferred Members

Posts: 33
Joined: Dec 2013

Machine: ResMed Elite
Mask Type: Nasal pillows
Mask Make & Model: Nasal pillow, make unsure.
Humidifier: ResMed Elite
CPAP Pressure: 5 to 15
CPAP Software: Other Software

Other Comments:

Sex: Male
Location: Christchurch New Zealand

Post: #28
RE: Air pressure
I have made the Velcro chin strap and it works quite well.

It's the one mentioned on here as well as on youtube.

I would also like to thank the forum for all the great information.

At the evening service tonight, the sermon topic will be 'What Is Hell?' Come early and listen to our choir practice.
01-05-2014 06:34 PM
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