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Changing from Pillows to Full Face Mask
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theroefam Offline

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Posts: 19
Joined: Feb 2015

Machine: ResMed Airsense 10 Elite
Mask Type: Full face mask
Mask Make & Model: ResMed AirFit F10
Humidifier: Airsense 10 Elite
CPAP Pressure: 7
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location:

Post: #1
Changing from Pillows to Full Face Mask
Hello again,
I've started my CPAP a little rough, but I'm currently heading down a better path (I hope).

The first two months I struggled using Pillows (I couldn't fall asleep or stay asleep). My original prescription was set at 6 (using a pillow during a sleep study), then upped to 7 to try and help my breathing for sleep. It helped some but not near enough.

I then tried a full face mask. Now sleeping is no problem. But the problem is my numbers went up and I don't feel well rested at all.

My numbers are.....
(5 day average before and after) -

Pillows_______Full Face
0.98____AHI____3.39
0.54____CA ____1.05
0.27____OA_____0.60
0.16_____H_____1.73

The numbers to me show a significant difference. I know they are both under 5 (which should be good). I'm staying asleep with the Full Face but come morning I'm just not feeling rested.

Should the pressure be adjusted when going to a Full Face. If so, should I go down to my original prescription or up to see if it helps?
(This post was last modified: 04-15-2015 05:58 PM by theroefam.)
04-15-2015 05:56 PM
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Tez62 Offline

Monitors

Posts: 837
Joined: Feb 2013

Machine: Resmed S9 Autoset
Mask Type: Full face mask
Mask Make & Model: Resmed Mirage Quattro
Humidifier: Resmed
CPAP Pressure: 5-15
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Melbourne, Australia

Post: #2
RE: Changing from Pillows to Full Face Mask
theroefam, also if you can post your leaks rates especially the 95 percentile.
04-15-2015 06:09 PM
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theroefam Offline

Members

Posts: 19
Joined: Feb 2015

Machine: ResMed Airsense 10 Elite
Mask Type: Full face mask
Mask Make & Model: ResMed AirFit F10
Humidifier: Airsense 10 Elite
CPAP Pressure: 7
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location:

Post: #3
RE: Changing from Pillows to Full Face Mask
The leak rates were both very low.

Between 0-6 at the 95% with Pillows
Between 0-4 at the 95% with Full face

I did change the setting on the ResMed A10 Elite
04-15-2015 07:10 PM
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PaulaO2 Offline
Wiki Editor
Moderators

Posts: 8,065
Joined: Feb 2012

Machine: S9 Autoset
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: H5i
CPAP Pressure: 14-20
CPAP Software: SleepyHead

Other Comments: Ehlers-Danlos Syndrome, Hypermobility Type; chronic sarcasm

Sex: Undisclosed
Location: western NC, USA

Post: #4
RE: Changing from Pillows to Full Face Mask
It could just be you are truly getting the treatment you need and are just playing catch up with your sleep. You need to give it some time. I've also made the switch from pillows to FFM (then back again). Make sure you have the FFM that fits you right. There are a lot out there. I have no idea what the 0-4 means on the A10s. Is that what the screen says or are you using software?

Either way, give it time. More than just a few nights. As long as the leaks stay low and the AHI is low, it could just be your body is enjoying sleeping too much and wants to stay there!

PaulaO2
Apnea Board Moderator
www.ApneaBoard.com


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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.
04-15-2015 07:23 PM
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Tez62 Offline

Monitors

Posts: 837
Joined: Feb 2013

Machine: Resmed S9 Autoset
Mask Type: Full face mask
Mask Make & Model: Resmed Mirage Quattro
Humidifier: Resmed
CPAP Pressure: 5-15
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Melbourne, Australia

Post: #5
RE: Changing from Pillows to Full Face Mask
I agree with Paula, leave it a couple of months
04-15-2015 07:30 PM
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trailrider Offline

Preferred Members-2

Posts: 304
Joined: Feb 2015

Machine: A10 Autoset for Her
Mask Type: Nasal mask
Mask Make & Model: Eson or P10
Humidifier: autoset
CPAP Pressure: 6-12 DME, 7-13 me
CPAP Software: SleepyHead

Other Comments: engineer. EPR at 3, unheated hose, humidity at 2. Routine hose entanglement.

Sex: Female
Location: Ontario

Post: #6
RE: Changing from Pillows to Full Face Mask
Welcome to the board theroafam!
I think just relax and stay the course for a week or so, then take a look at the data. The most important part is to keep with it. There are so man things to get used to on therapy, so give yourself time. It's not a race and anything under 5 is great. You may find your AHI numbers drop as you get used to everything. Many of us felt tired after starting therapy, as our bodies go "Yeah! I like this. MORE!"
04-15-2015 07:56 PM
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archangle Offline
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Advisory Members

Posts: 3,159
Joined: Feb 2012

Machine: ResMed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: ResMed Swift FX
Humidifier: ResMed S9 H5i
CPAP Pressure: 16-20
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments: Happy PAPper

Sex: Undisclosed
Location: USA

Post: #7
RE: Changing from Pillows to Full Face Mask
Many people need a little more pressure with a FFM. The FFM can push your jaw back and make your airway a little smaller.

Get the free SleepyHead software here.
Useful links.
Click here for information on the main alternative to CPAP.
If it's midnight and a DME tells you it's dark outside, go and check it yourself.
04-15-2015 08:45 PM
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retired_guy Offline

Preferred Members-2

Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #8
RE: Changing from Pillows to Full Face Mask
I agree with the others as to leave alone for a little while and see how you do.

The only thing I see that you might watch for is make sure your mask is not on too tight. A very low leak rate can be a sign of too tight, which could cause stress.
04-15-2015 08:50 PM
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truetopath Offline

Preferred Members-2

Posts: 421
Joined: Feb 2015

Machine: PR system one 560p auto with a flex
Mask Type: Full face mask
Mask Make & Model: Resumed F10
Humidifier: PR system one
CPAP Pressure: 11
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Lake View, NY

Post: #9
RE: Changing from Pillows to Full Face Mask
I'm going to go with the leave it alone for a bit school of thought as well. When I was going through my mask search process, I noticed that my AHI's varied depending on the type of mask with FFM being the highest. Best of luck on the journey.
04-16-2015 06:48 PM
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quiescence at last Offline

Advisory Members

Posts: 753
Joined: Nov 2014

Machine: REMstar System One with Autoflex
Mask Type: Full face mask
Mask Make & Model: Quattro AirFit F10
Humidifier: yes typical setting = 4
CPAP Pressure: 5-13 Autotritrating CPAP
CPAP Software: SleepyHead EncoreBasic

Other Comments: CMS-50F Plus oximeter /w SPO2 Assistant software. Avowed mouth-breather switching to nose-breathing

Sex: Male
Location: US

Post: #10
RE: Changing from Pillows to Full Face Mask
I am FFM and often AHI under 5, rarely under 3. There is a bit more volume to fill with air, so the designed leak rate is higher and the reaction time of the machine to inhales and exhales has a greater lag time. That can be interesting if you have EPR or pressure relief settings high.

QAL

Dedicated to QALity sleep.
You'll note I am listed as an Advisory Member. I am honored to be listed as such. See the fine print - Advisory Members as a group provide advice and suggestions to Apnea Board administrators and staff concerning Apnea Board operation and administrative policies. Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment.
04-22-2015 05:52 PM
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