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Mask question
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bobrguitar Offline

Members

Posts: 4
Joined: Dec 2014

Machine: Phillips Respironics AutoSV Advanced System One
Mask Type: Nasal pillows
Mask Make & Model: Swift FX
Humidifier: system one
CPAP Pressure: 1 to 15
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #1
Mask question
First of all Thank you for allowing me to be part of this forum. I have used a CPAP for a decade without feeling any less sleepy! I should say that I struggle with Fibromyalgia & Occipital Neuralgia as well.

I have been using pillows for quite a while and really enjoy being less "closed in" However, My new sleep doc determined I would do better w/ a full face mask. I am willing to try so just received the new mask. Tried it last night but ran into some problems. I use a Bipap system w/ ASV. When I got fitted for the new mask I had settings changed (up) Anyway, when I tried the mask the pressure was more than I could bear. However, when I switched to the Swift the pressure "seemed" much less.

My question is .... Why is that?

I appreciate any ideas.

Bob
12-30-2014 06:43 PM
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Sleeprider Offline
Wiki Editor
Advisory Members

Posts: 3,309
Joined: Dec 2014

Machine: Resmed Aircurve 10 Vauto
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed Climateline
CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: Where they make Respironics

Post: #2
RE: Mask question
Curious what your doctor saw that would suggest a change in mask systems. In the absence of leaks or evidence of mouth breathing, I don't get it. ASV is capable of pressures and flows those of us with CPAP systems don't experience, so I could be missing something. Interesting question.

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12-30-2014 07:01 PM
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justMongo Offline

Monitors

Posts: 3,839
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: Mask question
I don't know how it works on PR machines -- but on ResMed machines, the mask type must be set in the menu.
Perhaps this is causing your discomfort.

It's not that an ASV is capable of higher flows and pressure. They are used to force ventilate people for whom central apnea is a problem.
Since the airway is open during a central, the machine can inflate the lungs at a timed rate; simulating breathing.

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: 12-30-2014 07:14 PM by justMongo.)
12-30-2014 07:11 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: #4
RE: Mask question
Hi bobrguitar,
WELCOME! to the forum.!
Hang in there for more responses to your post.
Much success to you as you continue your CPAP therapy.

trish6hundred
12-30-2014 07:28 PM
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bobrguitar Offline

Members

Posts: 4
Joined: Dec 2014

Machine: Phillips Respironics AutoSV Advanced System One
Mask Type: Nasal pillows
Mask Make & Model: Swift FX
Humidifier: system one
CPAP Pressure: 1 to 15
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #5
RE: Mask question
Thanks for the replies. I am going to chk where the setting is for mask on the cpap machine. As to what the doctor saw... I am not sure . Although I have been using CPAP for 10 yrs I have not been that active a patient. Just did what I was told.
12-30-2014 09:04 PM
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justMongo Offline

Monitors

Posts: 3,839
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: #6
RE: Mask question
See if your machine's setup manual is available via email. Look for the link at the top that says, "CPAP Setup Manuals."

IIRC: The PR machines do not have a setting by mask type. They have some mask vent rate setting that is a little more abstruse than ResMed saying: Full Face, Nasal, et cetera.

We really need a person familiar with PR machines to get involved in this thread.

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.
12-30-2014 09:56 PM
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Peter_C Offline

Advisory Members

Posts: 1,308
Joined: Sep 2013

Machine: System One DS960HS
Mask Type: Full face mask
Mask Make & Model: Mirage Quattro "MED"
Humidifier: Attached
CPAP Pressure: Auto mode-script is:15/3/3
CPAP Software: EncoreBasic Other Software

Other Comments: Severe obstructive sleep apnea 1999/Just got an ASV machine

Sex: Male
Location: Akron, Ohio USA

Post: #7
RE: Mask question
My understanding is if you are not using a PR mask, to leave the setting at the default of zero. The PR machine does not have settings for mask type, but rather each PR mask has a numerical number to input into the machine settings.

Hopefully one of the expert ASV guys will be along shortly.

*I* am not a DOCTOR or any type of Health Care Professional. My thoughts/suggestions/ideas are strictly only my opinions.

"Only two defining forces have ever offered to die for you. Jesus Christ and the American Soldier. One died for your Soul, the other for your Freedom."
12-31-2014 01:29 AM
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bobrguitar Offline

Members

Posts: 4
Joined: Dec 2014

Machine: Phillips Respironics AutoSV Advanced System One
Mask Type: Nasal pillows
Mask Make & Model: Swift FX
Humidifier: system one
CPAP Pressure: 1 to 15
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #8
RE: Mask question
I just wanted to thank you all for your responses. Turns out you were right - It WAS the Resistance settings (why exactly do I pay my Home Medical Equipment company?) . Anyway... Thanks very much!
01-01-2015 01:33 PM
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brianwood619 Offline

Advisory Members

Posts: 171
Joined: Jan 2014

Machine: ResMed S9 VPAP Auto
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: H5i Heated Humidifier
CPAP Pressure: 16-22cm/h2o
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Peaceful Acres

Post: #9
RE: Mask question
And then it could be the Asv kicking the pressure up to compensate for apnea
01-01-2015 10:24 PM
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Ghost1958 Offline

Advisory Members

Posts: 957
Joined: Aug 2014

Machine: PRS1 Series Sixty Auto Aflex
Mask Type: Nasal mask
Mask Make & Model: F&P Eson
Humidifier: PRS1 with Heated Hose
CPAP Pressure: 10.5 min 16 max
CPAP Software: SleepyHead EncoreBasic

Other Comments: Moderate to Severe SA Obstructive. Rapid O2 desat off the machine.

Sex: Male
Location: KY

Post: #10
RE: Mask question
For a standard ffm you can run either 0 resistance setting or you can run X1. X1 can also be ran with most nasal masks. Pillows are where you really get much difference in resistance settings.

They arent based on the vent rate. They are based on the inlet resistance to the mask. Pillows offer more so the machine has to push a higher pressure to get the prescribed pressure into the patient. If a mask has a standard inlet that a regular pap hose hooks onto either 15 mm or 22 mm x1 is fine. As long as the machine knows which size tubing you are using. Or 0. Personally I get a little better numbers running X1 than 0 with the F&P Simplus or Eson
01-02-2015 12:09 AM
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