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Mouth breathing
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mikeh99 Offline

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Posts: 52
Joined: Jul 2012

Machine: PR REMstar Auto A-Flex
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10 Pillows
Humidifier: PR System One Heated
CPAP Pressure: 16-20
CPAP Software: SleepyHead EncoreBasic Other Software

Other Comments:

Sex: Male
Location: Northern NH

Post: #1
Mouth breathing
I have been fine with a P10 nasal pillow mask for a while now. But I recently completed a new sleep study. The result of the study was an increase to 16-20. The pressure is fine but I have started mouth breathing. I went back to a chin strap but I still wake up with Sahara mouth, a sure symptom. Does anyone know of a technique other than a chin strap to stop mouth breathing? Duct tape comes to mind:grin:. Tonight I am trying a FFM but hate the thought. I have facial hair and have not have too much luck with FFM. Suggestions?

Mike
08-10-2015 09:40 PM
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trish6hundred Online

Advisory Members

Posts: 6,447
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: Mouth breathing
Hi mikeh99,
If you just can't get a chinstrap to work for you, you might consider an FFM.
Hang in there for other ideas.

trish6hundred
08-10-2015 09:49 PM
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pholynyk Offline

Advisory Members

Posts: 306
Joined: Mar 2015

Machine: ResMed AirSense 10 APAP
Mask Type: Full face mask
Mask Make & Model: Amara View
Humidifier: included
CPAP Pressure: 11-17
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Ontario, Canada

Post: #3
RE: Mouth breathing
I suspect that if you use the duct tape you won't have to worry about the facial hair for very long. Then the FFM will work just fine.

:-)

Phil
08-10-2015 09:56 PM
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surferdude2 Offline

Advisory Members

Posts: 1,077
Joined: Jul 2014

Machine: ResMed S9 AutoSet
Mask Type: Full face mask
Mask Make & Model: Mirage Quattro & Optilife
Humidifier: ResMed H5i @ #3 if nose breathing & #5 if mouth breathing
CPAP Pressure: 12 ~ 20 & 11 ~12 if nasal mask
CPAP Software: ResScan SleepyHead

Other Comments: Late stage 2 emphysema

Sex: Male
Location: Mousetown, Southern Illinois

Post: #4
RE: Mouth breathing
I suggest that you throttle the pressure back down to where you were previously able to tolerate it and then follow a regimen of slowly increasing the pressure until you get to a level that provides effective therapy. Learn how to adjust your pressure and use software to monitor your progress so you can take control of your treatment and accomplish what is needed without being subjected to radical changes that make the therapy ineffective. You may make the goal without any further change in gear but that remains to be seen. Slow change may make for tolerance as is usual with cpap treatment. Doctors often aren't able to micro-manage their patients so they give ultimate goals and bow out. You can do it better!

Dude
(This post was last modified: 08-10-2015 10:15 PM by surferdude2.)
08-10-2015 10:09 PM
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mikeh99 Offline

Preferred Members

Posts: 52
Joined: Jul 2012

Machine: PR REMstar Auto A-Flex
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10 Pillows
Humidifier: PR System One Heated
CPAP Pressure: 16-20
CPAP Software: SleepyHead EncoreBasic Other Software

Other Comments:

Sex: Male
Location: Northern NH

Post: #5
RE: Mouth breathing
(08-10-2015 10:09 PM)surferdude2 Wrote:  I suggest that you throttle the pressure back down to where you were previously able to tolerate it and then follow a regimen of slowly increasing the pressure until you get to a level that provides effective therapy. Learn how to adjust your pressure and use software to monitor your progress so you can take control of your treatment and accomplish what is needed without being subjected to radical changes that make the therapy ineffective.

Dude
Good idea (surprised I did not think of this). I'll give it a try and report back.
Thanks!

Mike
08-10-2015 10:14 PM
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Sleepster Offline
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Moderators

Posts: 4,994
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: #6
RE: Mouth breathing
(08-10-2015 09:40 PM)mikeh99 Wrote:  Tonight I am trying a FFM but hate the thought.

I also dreaded switching to a FFM because when I started out my nasal masked leaked so much I switched to pillows. I was delighted when I switched to a FFM though because I found it comfortable. Time must have made the difference.

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.
08-10-2015 11:01 PM
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mikeh99 Offline

Preferred Members

Posts: 52
Joined: Jul 2012

Machine: PR REMstar Auto A-Flex
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10 Pillows
Humidifier: PR System One Heated
CPAP Pressure: 16-20
CPAP Software: SleepyHead EncoreBasic Other Software

Other Comments:

Sex: Male
Location: Northern NH

Post: #7
RE: Mouth breathing
Probably a stupid question, but why in general isn't pressure always set to start quite low and have the machine adjust it as needed.

Mike
08-10-2015 11:46 PM
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surferdude2 Offline

Advisory Members

Posts: 1,077
Joined: Jul 2014

Machine: ResMed S9 AutoSet
Mask Type: Full face mask
Mask Make & Model: Mirage Quattro & Optilife
Humidifier: ResMed H5i @ #3 if nose breathing & #5 if mouth breathing
CPAP Pressure: 12 ~ 20 & 11 ~12 if nasal mask
CPAP Software: ResScan SleepyHead

Other Comments: Late stage 2 emphysema

Sex: Male
Location: Mousetown, Southern Illinois

Post: #8
RE: Mouth breathing
The response time of the machine is a factor in achieving a pressure level adequate to suppress a perceived breathing restriction. The machines react to OA's and Hypopneas after the fact and thus are always behind the curve. That means the pressure never gets raised until after the event has already occurred, making treatment less effective than it could be. In the case of Hypopneas (think baby OA's), the idea is to have the machine respond to them quickly enough to prevent any further ones and thereby also prevent any possible resultant OA's. The real advantage of a higher minimum is when the machine detects a significant reduction in tidal volume (no Hypopnea yet), which can be a precursor to a Hypopnea or OA. In order to provide the quickest reaction to that restricted breathing, it is desirable to start with a pressure level close to the effective therapy level. Perhaps 1 cm H2o below is a nice starting point. That may work to prevent an OA that would have required a higher pressure and in doing so keep the machine from raising your pressure any higher than necessary. At least it gives the best shot at handling your therapy with minimum pressure. Starting from a higher minimum point also prevents any radical changes in pressure that are disruptive to many users.

Dude
08-11-2015 08:17 AM
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BKeeper Online

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Posts: 24
Joined: Apr 2015

Machine: ResMed Airsense 10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: P-10
Humidifier: ResMed Airsense
CPAP Pressure: 15-17
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location:

Post: #9
RE: Mouth breathing
Dude, best concise explanation of function of autoset machines I've seen so far. Thank you. (Like your "handle")
Dick
08-11-2015 08:27 AM
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Sleepster Offline
Wiki Editor
Moderators

Posts: 4,994
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: #10
RE: Mouth breathing
Actually, auto CPAP machines can also respond in advance of events and prevent them from ever happening. The shape of the flow rate graph is used to determine what they call flow limitation, which is an indication that the airway is about to collapse.

Look at flow rate graph just prior to times when the pressure went up. You will sometimes see chair-shaped peaks, and a corresponding rise in the flow limitation graph.

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.
08-11-2015 09:38 AM
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