G'day Rich, welcome to Apnea Board.
(08-20-2016, 06:48 PM)rich2905 Wrote: My pressure is set to fixed of 15 with a ramp up from 6 in 45 minutes.
45 minutes is a very long ramp time. While the machine is ramping up it's not providing treatment pressure and doesn't respond to apneas which occur during the ramp period. As you get more accustomed to the therapy you want to try reducing the ramp period as far as you comfortably can.
Quote:I am having a hell of a time with the mask.
Yep! We all do - getting the mask right is the hardest part of CPAP therapy. Every face is different - that's why there are so many different makes and models on the market.
Quote: 1)I have been waking up in the middle of the night with the mask leaking when at full pressure (i.e. 15). I have tightened the straps and can stop the leaks a bit after a lot of mucking around but the straps are very tight. Is that right.
The theory behind the Simplus and similar masks is that the straps should only be tight enough to hold the mask in place gently against your face. When the pressure builds up, the seals on the mask inflate like a hovercraft skirt and seal it against your skin. If the straps are too tight they won't allow the seal to inflate.
Well that's the theory. I use the Simplus too, and I need to keep the straps pretty tight - but not so tight that they cause discomfort or induce headaches and neck pain. I always have a quick shave and face-wash before going to bed to ensure there are no oil residues on my skin, and I put a couple of layers of flannelette over the bridge of my nose to stop the thing leaking into my eyes.
These tricks might work for you - or you may need to try a different type of mask.
Quote: 2)I noticed. During the test I found breathing out difficult. I don't seem to be having this problem now, perhaps I have got used to it. I also notice the air is not blowing into my nose, just into the mask. Is it supposed to blow up your nose.
Resmed machines have a setting called exhalation pressure relief or EPR. this drops the pressure as you exhale, by 1, 2 or 3 cm. It sounds like yours is set OK.
The Simplus is a full face mask, allowing you to breathe through your nose or mouth as you prefer (but see next point). The air hose pressurises the whole mask, so you don't get a feeling of air blowing up your nose. You can also get nasal masks and nasal pillows which do
blow directly into your nose. many people prefer these to the full face mask.
Quote: 3) I am not sure of the settings, but is the pump supposed to stop if you take off the mask.
Check that you have "SmartStart" enabled. Personally I don't find it any problem to reach over and hit the button.
Quote: 4)This morning my mouth was very dry. Does this mean I have a setting wrong.
You're probably breathing through your mouth. Try adjusting the humidity setting, and confirm that the water tank is full before you hit the sack. Also try training yourself to only breathe through your nose.
Quote:Sorry if this has been covered before.
Not a problem - these are common problems that many people have, so it's good to keep discussing them.