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[Equipment] Newbie Adjustment Help - please......
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sautee Offline

Preferred Members

Posts: 20
Joined: May 2016

Machine: Resmed Airsense 10 Autoset
Mask Type: Nasal mask
Mask Make & Model: Respironics Wisp
Humidifier: Included with Airsense
CPAP Pressure: 12
CPAP Software: Other Software

Other Comments:

Sex: Female
Location:

Post: #1
Newbie Adjustment Help - please......
Good afternoon, I am yet another newbie, trying (quite valiantly, I think) to adjust to using my Airsense 10 & Wisp mask. I really feel that I cannot breathe with the mask on, especially on exhale. I have the ramp time set at "auto". I briefly tried the Nuance nose pillows at the respiratory therapist initial "fitting", but opted for the Wisp - one at a time, I guess. I would not mind purchasing something else, but how many $100 guesses should one make?
Just a little frustrated. Any advice would be greatly appreciated!
Thanks!
05-25-2016 02:23 PM
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trish6hundred Offline

Advisory Members

Posts: 6,430
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: #2
RE: Newbie Adjustment Help - please......
Hi sautee,
WELCOME! to the forum.!
The mask is the hardest part of this whole thing, so you might have to try quite a few of them, 'till you find one that is right for you. I know this can be frustrating, but just stick with it and don't give up.
Hang in there for more suggestions and much success to you with your CPAP therapy and good luck finding the mask that will work for you.

trish6hundred
05-25-2016 02:43 PM
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justMongo Offline

Monitors

Posts: 3,840
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: #3
RE: Newbie Adjustment Help - please......
Let's get a little more info on your specific machine type.
Bottom right where the machine says Airsense 10 will be a word or two in smaller letters...
CPAP, Autoset, VPAP ????

There is a setting called Expiratory Pressure Relief (EPR.) That can be set to lower the pressure you exhale against by up to 3 cm-water.
That setting may provide the relief you are looking for.

I suggest you 1) Find your exact model. 2) Request the clinician's guide by email: here
http://www.apneaboard.com/adjust-cpap-pr...tup-manual
Scroll to nearly the bottom of the page.

That will allow you to find what your EPR is set to -- it may be set to "off."

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: 05-25-2016 02:46 PM by justMongo.)
05-25-2016 02:45 PM
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sautee Offline

Preferred Members

Posts: 20
Joined: May 2016

Machine: Resmed Airsense 10 Autoset
Mask Type: Nasal mask
Mask Make & Model: Respironics Wisp
Humidifier: Included with Airsense
CPAP Pressure: 12
CPAP Software: Other Software

Other Comments:

Sex: Female
Location:

Post: #4
RE: Newbie Adjustment Help - please......
Thank you! I have requested the guide.
Thank you - looking forward to learning here!
(This post was last modified: 05-25-2016 03:35 PM by sautee.)
05-25-2016 03:34 PM
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sautee Offline

Preferred Members

Posts: 20
Joined: May 2016

Machine: Resmed Airsense 10 Autoset
Mask Type: Nasal mask
Mask Make & Model: Respironics Wisp
Humidifier: Included with Airsense
CPAP Pressure: 12
CPAP Software: Other Software

Other Comments:

Sex: Female
Location:

Post: #5
RE: Newbie Adjustment Help - please......
(05-25-2016 02:45 PM)justMongo Wrote:  Let's get a little more info on your specific machine type.
Bottom right where the machine says Airsense 10 will be a word or two in smaller letters...
CPAP, Autoset, VPAP ????

There is a setting called Expiratory Pressure Relief (EPR.) That can be set to lower the pressure you exhale against by up to 3 cm-water.
That setting may provide the relief you are looking for.

I suggest you 1) Find your exact model. 2) Request the clinician's guide by email: here

Scroll to nearly the bottom of the page.

That will allow you to find what your EPR is set to -- it may be set to "off."


I received the clinician's guide. (Many thanks!) The EPR was "On", type was "full time" and the level was "3". So it might be a mask issue????
05-26-2016 02:56 PM
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PoolQ Offline

Advisory Members

Posts: 986
Joined: Jul 2015

Machine: AirCurve 10 VAUTO
Mask Type: Full face mask
Mask Make & Model: Amara View
Humidifier: Integrated
CPAP Pressure: 6.2, 15, PS4.0
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Sillicon Valley

Post: #6
RE: Newbie Adjustment Help - please......
I also had problems exhaling into pressure. A full face mask helped even though I did not mouth breathe too much. If you still need more pressure relief you can do what I did n=and move to a BiLevel that's lets you get even more "EPR" type of settings, mine is at 4 and other settings on my machine have helped a lot also. Check your humidity settings and don't assume that default is what you like, humidity can feel like congestion.

Is your machine in Auto mode or CPAP mode, Auto should have two pressures like 8-12.

With ramp there will be another pressure setting that it starts with and then ramps up to the minimum therapy setting, many times this is left at a default of 4 and for me this was way too low, I needed 5.8 as a minimum to not feel starved for air.

Oh and don't expect the health system to make all of these "comfort" settings for you, this is a trial and error thing, small adjustments and try it for a while, keep a journal of what the settings are and how you felt. By the time you have gone through them all you will forget what was good.
05-26-2016 03:57 PM
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sautee Offline

Preferred Members

Posts: 20
Joined: May 2016

Machine: Resmed Airsense 10 Autoset
Mask Type: Nasal mask
Mask Make & Model: Respironics Wisp
Humidifier: Included with Airsense
CPAP Pressure: 12
CPAP Software: Other Software

Other Comments:

Sex: Female
Location:

Post: #7
RE: Newbie Adjustment Help - please......
(05-26-2016 03:57 PM)PoolQ Wrote:  I also had problems exhaling into pressure. A full face mask helped even though I did not mouth breathe too much. If you still need more pressure relief you can do what I did n=and move to a BiLevel that's lets you get even more "EPR" type of settings, mine is at 4 and other settings on my machine have helped a lot also. Check your humidity settings and don't assume that default is what you like, humidity can feel like congestion.

Is your machine in Auto mode or CPAP mode, Auto should have two pressures like 8-12.

With ramp there will be another pressure setting that it starts with and then ramps up to the minimum therapy setting, many times this is left at a default of 4 and for me this was way too low, I needed 5.8 as a minimum to not feel starved for air.

Oh and don't expect the health system to make all of these "comfort" settings for you, this is a trial and error thing, small adjustments and try it for a while, keep a journal of what the settings are and how you felt. By the time you have gone through them all you will forget what was good.


Thanks for all the great info! Wow!! So much to learn. Interesting that a full face mask helped - I don't think I would have even considered that. I was told that I needed to "fail" on my CPAP before a BiPAP could be prescribed.

I have probably had the humidity setting too high - I will lower it and try that. My machine is Auto - the ramp minimum pressure is 6, and that seems okay for me. I'm thinking the max pressure (12) is a bit high - but I certainly cannot rationalize changing it at this time.

It didn't take me long to determine that the health system will not be a helpful partner.

Thanks again for taking the time to respond to my post. I really appreciate it!
05-26-2016 04:26 PM
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