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Mask Issues help
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Melvap1 Offline

New Members

Posts: 1
Joined: Jul 2012

Machine: Resmed s9
Mask Type: Full face mask
Mask Make & Model:
Humidifier: S9
CPAP Pressure: 14
CPAP Software: Not using software

Other Comments:

Sex: Female
Location:

Post: #1
Mask Issues help
I am a first time user of the cpap machine. I have a full mask that covers my mouth and nose. I have had issues this week with the mask making short and long air sounds. It is like the machine is blowing bubbles. It has woken me up several time. There is also light air seepage on the sides and bottom sometimes. Please help. I am going today to hopefully replace this mask. I'm thinking that it is too big and is lifting off of my face. ANy suggestions out there???? mpp
07-09-2012 10:54 AM
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cbramsey Offline

Advisory Members

Posts: 900
Joined: Mar 2012

Machine: ResMed S9 Autoset
Mask Type: Nasal mask
Mask Make & Model: ResMed Mirage FX
Humidifier: ResMed H5i with ClimateLine
CPAP Pressure: 6 - 12
CPAP Software: ResScan

Other Comments: Supreme Overlord of Web Darkness

Sex: Male
Location: NC, USA

Post: #2
RE: Mask Issues help
Welcome to the forum!!!! We are glad you joined us!!! Welcome

How long were you using your mask? Did you work with a DME fitting your full face mask?

I would definitely get with whoever is providing the CPAP machine and mask to see about getting a different type or size of mask. My 2 cents worth.

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.
07-09-2012 12:10 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 Issues help
Welcome to the board, melvap1! Hopefully, you received a different mask by now or at least some tips from your DME about getting the mask properly sealed. You list your machine as an S9, but didn't indicate which S9 you have. If it is either the S9 Elite or AutoSet, there is an easy mask-fit check you can do using the S9's screen. It's described on p. 7 of the ResMed booklet of instructions for the S9. Apparently, this mask-fit check is not available on the S9 Escape or the S9 Escape Auto.
Selecting the best mask for you as well as finding the headgear tension and fit is a personal matter. What works for one person may not work for another. You'll also read here on the forum that having a mask too tight on your face may actually disturb its seal and create leaks. On the other hand, if it's too loose, that also leads to leaks. Hearing bubbles or other air leaking sounds other than air from the mask's exhale port certainly is not what you want. Not only is it annoying when you're trying to sleep, it also can mean that you are not getting the proper air pressure delivered from the machine.
07-09-2012 01:03 PM
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PaulaO2 Offline
Wiki Editor
Moderators

Posts: 8,068
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: Mask Issues help
The sounds may be from what is called 'rainout'. It is where condensation from either the humidifier or the user's exhalation gathers and makes noise as the user breathes (or as the machine blows if it is in the hose).

Do you use the humidifier? If you do, turn it down a notch. Consider also getting the ClimateLine hose. This heats the air as it goes through the hose, keeping it from forming condensation.

Some leaking in full face masks will happen. And like Dawai said above, over tightening can cause more leaks.

Which mask do you have? Have you tried any others? Why do you use a full face mask? Because you breathe through your mouth?

PaulaO2
Apnea Board Moderator
www.ApneaBoard.com


Breathe deeply and count to zen.

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.
07-09-2012 02:30 PM
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Sleepster Offline
Wiki Editor
Moderators

Posts: 4,995
Joined: Feb 2012

Machine: ResMed AirCurve10 VAuto
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: HumidAir and SlimLine Hose
CPAP Pressure: MaxI 13.6 | MinE 5.2 | PS 4.4
CPAP Software: ResScan SleepyHead

Other Comments: Diagnosed Nov 2011. Conquered aerophagia.

Sex: Male
Location: Houston, Texas

Post: #5
RE: Mask Issues help
(07-09-2012 10:54 AM)Melvap1 Wrote:  Please help. I am going today to hopefully replace this mask. I'm thinking that it is too big and is lifting off of my face. ANy suggestions out there???? mpp

Hello Melvap1, and welcome!

Going to your provider to see about getting the mask replaced is the right thing to do. Sometimes we have to go through several masks before we find one that fits us properly. Here's the best advice I can give you:

DON'T BE EMBARRASED ABOUT THIS!

It is perfectly normal. Providers and insurance companies have easy return policies on masks because they know it's very hard to fit a patient with a mask that doesn't leak. And it's normal to try the mask for a night or more before discovering that it just won't work for you.

There are also hybrid masks with separate parts that cover the mouth and nostrils. You may prefer one of those.

Do you know why you've been given a full face mask instead of a nasal mask? Nasal masks don't cover the mouth, and so are easier to fit.

Sleepster
Apnea Board Moderator
www.ApneaBoard.com


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.
07-09-2012 03:04 PM
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dfhudson53 Offline

Preferred Members

Posts: 18
Joined: Jun 2012

Machine: ResMed S9
Mask Type: Nasal mask
Mask Make & Model:
Humidifier: H5i
CPAP Pressure: 7-18
CPAP Software: ResScan SleepyHead

Other Comments: wine-maker, Guillain-Barre patient

Sex: Male
Location: Minneapolis, MN

Post: #6
RE: Mask Issues help
Melvap1 -

Welcome to the forum. Sometimes it's just a matter of adjusting the strap tension - a little tighter or a little looser might fix the problem. Or it might be that the particular mask isn't a good fit for you. There are a lot of mask styles and models made by a variety of companies - some of them are pretty likely to work well for you, although they might not be the first thing you try.

Unless you are sure you need a full-face mask, I'd encourage you to try the ResMed Mirage FX nasal mask, which is what I use with my S9. I'm sure there are other good alternatives, but this is a ResMed product (so the DME that provided the S9 will probably carry this model), and I've had a good experience with it so far. And nasal masks, being a bit smaller than full-face masks, are likely to be a bit easier to fit.

As mentioned already, DMEs are usually willing to let you try different styles/models to see which works well for you - this is normal, so you should not feel reluctant to keep trying different masks until you find something that works.
07-09-2012 03:32 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: #7
RE: Mask Issues help
Its quite normal to try several types and sizes of masks to find one that works for you all night every night. Are you fitting the mask at the set pressure 14? If you fit it at the ramp pressure it,ll start to leak as the pressure increases. Try the mask lying down and don,t over tighten the straps it doesn't work this way and the cushion ought to be filled with air and inflate in order to seal properly.
Mask liner can help get a better seal and mask farts noises. You may find a nasal mask and chinstrap to keep mouth closed works better as it only cover the nose (nasal pillows have the least contact with face as the pillows rest on the nostrils) but have to breathe through the nose all night which should not be a problem if you don,t have a drastic issue with nose. Full face mask should be the last resort and is good to have as spare to use when congested.
Hope you may find this information guide from Respironcis helpful
http://sleepapnea.com/sleep_patients/new...tings.aspx
07-09-2012 05:03 PM
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trish6hundred Offline

Advisory Members

Posts: 6,453
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: #8
RE: Mask Issues help
Hi Melbap1, First, Welcome! to the forum. It's good that you are going to your DME to talk to them about a different mask. Don't be shy about asking to try as many different masks as you need to. Sometimes it takes a while to get just the right one. Good luck on your quest to find just the right mask for you.

trish6hundred
07-09-2012 05:14 PM
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