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Mask Headgear Tightness
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TheLionSleeps Offline

Preferred Members

Posts: 25
Joined: Jun 2016

Machine: Dream Station auto
Mask Type: Full face mask
Mask Make & Model: Resmed AirFit F10
Humidifier: DreamStation Heated
CPAP Pressure: 7.5-10.5
CPAP Software: Other Software

Other Comments:

Sex: Female
Location: Texas

Post: #1
Mask Headgear Tightness
In trying to stop leaks, I know not to tighten the straps too much on a Resmed Airfit F10 so as not to flatten the cushion effect, but sometimes they are pretty tight to get it stopped. Good thing is that I am not having headaches. Are there precautions or long term health effects of over tightening a mask that is not related to CPAP.. . if any long term effect?
Any discussion on this topic would be appreciated since I am into this 6 weeks now and have gotten used to the "hurricane" effect of the air but loud leaks off and on are keeping me from getting a full nights rest.

Thanks
08-03-2016 04:47 PM
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Crimson Nape Offline

Monitors

Posts: 1,325
Joined: Oct 2014

Machine: ResMed S9 Autoset
Mask Type: Other
Mask Make & Model: P-10 / F&P Simplus / DreamWear
Humidifier: H5i w/Climateline
CPAP Pressure: 8 - EPR 3
CPAP Software: SleepyHead

Other Comments: CMS-50F & 50IW

Sex: Male
Location: Georgia

Post: #2
RE: Mask Headgear Tightness
My first thought is; Have you tried different mask sizes? Other than that, each mask seems to have its own unique set of tricks to work correctly. FFM's seem to use the lower straps for leak tension and the uppers straps for placement. I use a different brand but have found that tightening the upper straps will cause my mask to leak into my eyes. This may or may not work for you.

It does take awhile to get use to sleeping with something stuck to your face.

Good luck!

Statistics prove that people who have more birthdays live longer.
08-03-2016 05:04 PM
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Dawei Offline

Preferred Members-2

Posts: 342
Joined: Feb 2012

Machine: ResMed S9 AutoSet
Mask Type: Other
Mask Make & Model: Respironics "FitLife"
Humidifier: H5i
CPAP Pressure: 10-20
CPAP Software: ResScan SleepyHead

Other Comments: Began CPAP in 2006; spent the first 6 years with a "brick"

Sex: Male
Location: Western North Carolina

Post: #3
RE: Mask Headgear Tightness
While I haven't read anything about long-term effects of a too tight mask, I certainly don't like the pain when I've got my mask too tight. It's not a headache per se, but scalp/jaw pain may be the best way to describe it. As for a hurricane effect, in my experience this is due to a small leak somewhere because when I've got everything sealed up nicely, there is hardly a sound from the machine or tubing/mask combo. Sometimes, the difference between a too tight mask and a fit that's OK is simply a matter of my slightly changing the position of the headgear that rests on the back of my head or slightly relaxing the tension on one of the headgear straps.
08-03-2016 05:55 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: #4
RE: Mask Headgear Tightness
The difficulty I have found is how sensitive a mask is to get just the right pressure and how to adjust the straps a very small amount. The difference between too lose and too tight can be 1/8", once you get it close I have to keep my fingers on the main part of the strap so I get good control of moving the Velcro part just a little bit, sometimes taking 2-3 small steps to get it fitting just right. I started out just pulling the Velcro open and tugging on the strap, impossible to control how much it moves by doing this.
08-03-2016 08:12 PM
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TheLionSleeps Offline

Preferred Members

Posts: 25
Joined: Jun 2016

Machine: Dream Station auto
Mask Type: Full face mask
Mask Make & Model: Resmed AirFit F10
Humidifier: DreamStation Heated
CPAP Pressure: 7.5-10.5
CPAP Software: Other Software

Other Comments:

Sex: Female
Location: Texas

Post: #5
RE: Mask Headgear Tightness
Thank you for all your great input and suggestions. I am off to try these ideas and realize that a lot of this looseness has to be tightness!!

Now. . . . if the low AHI recordings could really mean that you get a good night's restful sleep, then I can stretch out in the lounge chair. Oh MY!
08-04-2016 08:15 AM
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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: Mask Headgear Tightness
The low AHI says the treatment is working and the apneas are under control. It does not have anything to do with comfort using the therapy, there are settings you can adjust if you need to. Personally I adjusted everything and my FIL change humidity and slept like a baby ever since.
08-04-2016 12:03 PM
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dugdale Offline

Members

Posts: 10
Joined: Nov 2015

Machine: Resmed Airsense 10 Autoset
Mask Type: Full face mask
Mask Make & Model: Airfit F10
Humidifier: Resmed HumidAir
CPAP Pressure: 10.6 - 20
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: UK

Post: #7
RE: Mask Headgear Tightness
I've been using my mask for about 8hrs a night for the last 9 months and usually achieve an AHI of less than 1.0 however woke up numerous times throughout the night as air was blowing into my eyes.

I'd tried tightening the straps but that didn't help, I loosened the straps and that didn't help either.

Last week I ordered some mask liners and what a difference they've made, no more waking up every 30 minutes or so.

The downside is that they cost me £20 (approx. $30) for 4 weeks supply but well worth it as far as I'm concerned.
08-04-2016 05:34 PM
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PaytonA Offline
Wiki Editor
Monitors

Posts: 3,005
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: #8
RE: Mask Headgear Tightness
Way to go. I have a question for you. When you started using the liners, did your leakage data in Sleepyhead change at all?

Glad to hear that you are doing well. You can make your own liners or there are reusable liners available from companies like Padacheek.

Best Regards,

PaytonA
08-04-2016 06:00 PM
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FrankNichols Offline

Advisory Members

Posts: 714
Joined: Mar 2016

Machine: AirSense 10 Autoset
Mask Type: Full face mask
Mask Make & Model: Resmed F10 and/or P10
Humidifier: Builtin
CPAP Pressure: 17-19
CPAP Software: ResScan SleepyHead Other Software

Other Comments: I've figured out how to get my AHI down to 5, I quit sleeping!

Sex: Male
Location: Live Oak, Florida

Post: #9
RE: Mask Headgear Tightness
At your low pressure you should have not problems with leaks on the F10 if it is adjusted correctly (loose enough). The exception will be when you roll over and push it off to one side or the other - then you will need to put it back in place to stop the leaking. I find the F10 cushion design starts failing (for me) around 16 or so, at that point excessive messures are needed. If you do end up having to go the very tight straps route, I recommend a small pice (1"x1"x1" - 2.54x2.54x2.54cm) of memory foam (closed cell) that you wedge in the top corner of the F10 that fits down on the bridge of your nose. I found this foam will absorb the pressure from off your bridge and stop the "pain" and irritation many complain about.

PaytonA, my leakage with the liners goes up a little, but normally not over the 24 limit. However, what the liners do for me is STOP the burps, whistles, and squeaking. So, I can sleep through most of what would otherwise be a constant racket. (Also, it stops the mask noise from waking my wife, which is even more important). I have stop using the liners for now, and I am trying to address the leaks directly. I am trying to go at 15 CPAP instead of my normal 14-17 APAP. So far it is not working - my AHI is back up to around 6.5 - sigh. I am going to give it a while, then inch the pressure up slowly to see if I can get under AHI 5 and still not have wet use any foam or liners on the mask...

I am not a Medical professional and I don't play one on the internet.
Started CPAP Therapy April 5, 2016
I'd Rather Be Sleeping
08-04-2016 06:22 PM
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PaytonA Offline
Wiki Editor
Monitors

Posts: 3,005
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: #10
RE: Mask Headgear Tightness
(08-04-2016 06:22 PM)FrankNichols Wrote:  At your low pressure you should have not problems with leaks on the F10 if it is adjusted correctly (loose enough). The exception will be when you roll over and push it off to one side or the other - then you will need to put it back in place to stop the leaking. I find the F10 cushion design starts failing (for me) around 16 or so, at that point excessive messures are needed. If you do end up having to go the very tight straps route, I recommend a small pice (1"x1"x1" - 2.54x2.54x2.54cm) of memory foam (closed cell) that you wedge in the top corner of the F10 that fits down on the bridge of your nose. I found this foam will absorb the pressure from off your bridge and stop the "pain" and irritation many complain about.

Whose low pressure are you talking about? DugDale's pressure can go up to 20.

(08-04-2016 06:22 PM)FrankNichols Wrote:  PaytonA, my leakage with the liners goes up a little, but normally not over the 24 limit. However, what the liners do for me is STOP the burps, whistles, and squeaking. So, I can sleep through most of what would otherwise be a constant racket. (Also, it stops the mask noise from waking my wife, which is even more important). I have stop using the liners for now, and I am trying to address the leaks directly. I am trying to go at 15 CPAP instead of my normal 14-17 APAP. So far it is not working - my AHI is back up to around 6.5 - sigh. I am going to give it a while, then inch the pressure up slowly to see if I can get under AHI 5 and still not have wet use any foam or liners on the mask...

Yep Frank, that is my point exactly. Liners may fix some of the irritating problems with leaks but do not necessarily actually reduce the leaks.

Best Regards,

PaytonA
08-04-2016 11:11 PM
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