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Can't find a good ffm fit
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Deweym Offline

Members

Posts: 12
Joined: Oct 2015

Machine: Resmed AS10
Mask Type: Full face mask
Mask Make & Model: Resmed air fit f10
Humidifier: Resmed
CPAP Pressure: 12-16
CPAP Software: Not using software

Other Comments: Heated tubing

Sex: Male
Location: OKC

Post: #1
Can't find a good ffm fit
I have been using a cpap machine for over five years. I recently changed to the Resmed as10 with a higher pressure. As a result the nasal pillows that I had been using do not work well with the higher pressure. Air blows out thru my mouth. I have tried most of the ffm, but I have to get it so tight that it hurts my nose. I am now trying the Quattro fx. Any suggestions? I have just about decided to go back to the nasa pillows and tape my mouth.
10-24-2015 07:09 PM
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justMongo Offline

Monitors

Posts: 3,854
Joined: Sep 2013

Machine: ResMed VPAP Auto (S9)
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quattro
Humidifier: ResMed H5i
CPAP Pressure: 18 IPAPmax - 11 EPAPmin, PS=5
CPAP Software: Other Software

Other Comments: μολὼν λαβέ

Sex: Male
Location: Калифорния

Post: #2
RE: Can't find a good ffm fit
Welcome

If you'd like to stick with the pillows, try adding a chin strap to your headgear. It's intended to gently remind the jaw to stay closed.
If you wish to go to another type of mask, such as a FFM, what works for one person may not work for another.

Finding the "best" mask is a very personal process.

As you can see by my profile, I prefer the Mirage Quattro which has an adjustable forehead brace. Works for me.

Members have written reviews of various masks at:
http://www.apneaboard.com/forums/Forum-CPAP-Mask-Reviews

Kindest Regards,

Mongo

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.
(This post was last modified: 10-24-2015 07:17 PM by justMongo.)
10-24-2015 07:16 PM
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trish6hundred Offline

Advisory Members

Posts: 6,452
Joined: May 2012

Machine: Resmed S9 AutoSet for Her
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: H5i Heated Humidifier
CPAP Pressure: 10 - 7-20 Cm H2O
CPAP Software: Not using software

Other Comments: I started CPAP in 2008. Totally blind since birth.

Sex: Female
Location: Missouri, USA

Post: #3
RE: Can't find a good ffm fit
Hi Deweym,
WELCOME! to the forum.!
There are so many masks out there, you might have to try quite a few before you find one that works for you.
Hang in there for more suggestions and much success to you as you continue your CPAP therapy.

trish6hundred
10-24-2015 09:50 PM
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Deweym Offline

Members

Posts: 12
Joined: Oct 2015

Machine: Resmed AS10
Mask Type: Full face mask
Mask Make & Model: Resmed air fit f10
Humidifier: Resmed
CPAP Pressure: 12-16
CPAP Software: Not using software

Other Comments: Heated tubing

Sex: Male
Location: OKC

Post: #4
RE: Can't find a good ffm fit
Thanks. I was using a chin strap but air was still coming out of my mouth. I just tried the mirage Quattro and it messed up the bridge on my nose. It's now very sore. How were you able to make it work for you?
10-24-2015 09:52 PM
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justMongo Offline

Monitors

Posts: 3,854
Joined: Sep 2013

Machine: ResMed VPAP Auto (S9)
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quattro
Humidifier: ResMed H5i
CPAP Pressure: 18 IPAPmax - 11 EPAPmin, PS=5
CPAP Software: Other Software

Other Comments: μολὼν λαβέ

Sex: Male
Location: Калифорния

Post: #5
RE: Can't find a good ffm fit
(10-24-2015 09:52 PM)Deweym Wrote:  Thanks. I was using a chin strap but air was still coming out of my mouth. I just tried the mirage Quattro and it messed up the bridge on my nose. It's now very sore. How were you able to make it work for you?

Everyone's face is different. So, the fact that the MQ works for me and not you is no surprise.

I like that the contact of the top of the mask cushion is adjustable.

There are variants of all the major categories of masks. Finding what works for you may mean trying several masks.
Sleep-well

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.
10-24-2015 11:12 PM
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zonk Offline

Advisory Members

Posts: 7,908
Joined: Feb 2012

Machine: A10 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Activa LT
Humidifier: Integrated /ClimateLineAir
CPAP Pressure: 9/13
CPAP Software: ResScan

Other Comments: CPAP since Nov 2010

Sex: Male
Location: Australia

Post: #6
RE: Can't find a good ffm fit
You might need to download SleepyHead http://www.sleepfiles.com/SH2/ to see what is going on, your pressure is not on the high side

Do you check the sleep report data, AHI, pressure, leak, etc ...
10-24-2015 11:40 PM
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Ghost1958 Offline

Advisory Members

Posts: 957
Joined: Aug 2014

Machine: PRS1 Series Sixty Auto Aflex
Mask Type: Nasal mask
Mask Make & Model: F&P Eson
Humidifier: PRS1 with Heated Hose
CPAP Pressure: 10.5 min 16 max
CPAP Software: SleepyHead EncoreBasic

Other Comments: Moderate to Severe SA Obstructive. Rapid O2 desat off the machine.

Sex: Male
Location: KY

Post: #7
RE: Can't find a good ffm fit
F&P Simplus. Handles high pressures, comfortable and wont destroy the bridge of your nose.
10-25-2015 01:04 AM
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rleenders Offline

New Members

Posts: 2
Joined: Jul 2014

Machine: DeVilbiss Sleep Cube
Mask Type: Nasal pillows
Mask Make & Model: Resmed Swift
Humidifier: DeVilbiss Sleep Cube
CPAP Pressure: 8
CPAP Software: Not using software

Other Comments:

Sex: Male
Location: Sydney, Australia

Post: #8
RE: Can't find a good ffm fit
I had problems from the get-go with air rushing out of my mouth, despite several swaps of face mask. The answer (as posted by others) is really simple - a chin strap.
The muscles holding the jaw closed relax when in deep sleep, and if your jaw drops open a touch, the pressured air will go where the pressure is weakest - straight out your mouth.
Find a comfy chin strap - they are inexpensive - and you will stop the problem.
10-25-2015 04:42 AM
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49er Offline

Advisory Members

Posts: 239
Joined: Apr 2012

Machine: VPAP-S
Mask Type: Nasal mask
Mask Make & Model: Sleep Weaver Elan Soft Cloth Nasal Mask
Humidifier: H5i
CPAP Pressure: 13.6/9.6
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location:

Post: #9
RE: Can't find a good ffm fit
(10-24-2015 07:09 PM)Deweym Wrote:  I have been using a cpap machine for over five years. I recently changed to the Resmed as10 with a higher pressure. As a result the nasal pillows that I had been using do not work well with the higher pressure. Air blows out thru my mouth. I have tried most of the ffm, but I have to get it so tight that it hurts my nose. I am now trying the Quattro fx. Any suggestions? I have just about decided to go back to the nasa pillows and tape my mouth.

Hi Deweym,

What led you to decide to use a higher pressure with AS10? I agree with Zonk about downloading sleepyhead to analyze the sleep report data that he mentioned. Obviously I can't guarantee anything but you might be surprised and find out you don't need as high a pressure as you thought you did.

If you find you still need the higher pressure and wanted to stick with nasal pillows, you might google the aloha nasal pillow mask which has bigger holes and might provide the necessary airflow at the higher pressure without feeling the need to breath through your mouth.

Finally, with your current nasal pillow mask, have you tried going to the largest size possible to see if airflow improved without leaking through your mouth? If you haven't, that is another step you could take before making the other discussed changes.

49er
10-25-2015 05:04 AM
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Deweym Offline

Members

Posts: 12
Joined: Oct 2015

Machine: Resmed AS10
Mask Type: Full face mask
Mask Make & Model: Resmed air fit f10
Humidifier: Resmed
CPAP Pressure: 12-16
CPAP Software: Not using software

Other Comments: Heated tubing

Sex: Male
Location: OKC

Post: #10
RE: Can't find a good ffm fit
Last night I used a gecko and it was better. The problem I' m also having is that with high pressure the mask covers the sides of my mouth. A check on my pressure shows that 95% of the time l'm at 11.5. We're checking with my doctor about raising the top limit. I had been using the opus medium pillows before.

Deweym
10-25-2015 10:22 AM
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