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Nasal pillows P10: regressing
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Visitor Offline

Advisory Members

Posts: 164
Joined: Feb 2014

Machine: Resmed Airsense 10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed P10 nasal pillows
Humidifier: Resmed Airsense 10 and heated hose
CPAP Pressure: 9
CPAP Software: SleepyHead

Other Comments: Started APAP on May 26, 2014. Benefits kicked in on May 31 thanks to forum help (leakage resolved)

Sex: Male
Location:

Post: #1
Nasal pillows P10: regressing
I'm using the P10. The last few weeks, I'm regressing. I feel really bad when I wake up, the way I used to before discovering CPAP.

Pressure is at 9.

I feel as if I don't get enough air.

I suspect a lot of leaks (when I wake up I hear the whistling and have to adjust since the headstraps that shift when I sleep on my back).

I consistently get ahi between 0 and 1.

I feel as if I don't get enough air. Yet I clean the mask very regularly.

I'd like to find out whether I need to change something. Set the pressure lower? It was at 8.5 before.

Could frequent leaks cause this hassle? The Breas software seems to indicate that leaks are within range (when I compare it with the manual's intended range). Yet I know I find a leak whenever I wake.

I'm concerned at the regression as it is affecting me badly.

Before APAP: [Image: DARTH-VADER_zpsa57946df.png]

After APAP: See avatar: R2D2 for the win!

"Be kind, for everyone you meet is fighting a great battle"
--Ian Maclaren

I don't snore! I just make creepy noises so the aliens know I'm not someone to be messed with.
11-22-2014 01:13 PM
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retired_guy Offline

Preferred Members-2

Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #2
RE: Nasal pillows P10: regressing
Hey Visitor, nice to hear from you.

We have ups and downs with this stuff. When you have a down period, it's time to go back to the basics.

Start by washing your headgear in nice hot water and let it air dry. Don't wring it out, just let it do it's own thing. That should cause it to shrink back towards what it was when it was new.

Do you own a new set of pillows? It may be time to swap out your old ones. At least wash them up good if you can't replace them. Peek inside them to make sure the little inner cones don't get turned inside-out.

Now, about the sleeping arrangements. Could you have started breathing through your mouth a bit? Do you need to consider a chinstrap? What about humidity.... Seasons change and with it change humidity requirements. I don't know what your weather is doing on your side of the fish tank, but I have to adjust my humidity up a bit once I fire up the old furnaces.

Mostly, don't worry too much about this. This happens to all of us and like I said, it's just an opportunity to reevaluate everything and go again.
11-22-2014 01:26 PM
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Visitor Offline

Advisory Members

Posts: 164
Joined: Feb 2014

Machine: Resmed Airsense 10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed P10 nasal pillows
Humidifier: Resmed Airsense 10 and heated hose
CPAP Pressure: 9
CPAP Software: SleepyHead

Other Comments: Started APAP on May 26, 2014. Benefits kicked in on May 31 thanks to forum help (leakage resolved)

Sex: Male
Location:

Post: #3
RE: Nasal pillows P10: regressing
Thanks. I wear a chin strap (but again the head strap tends to slip off). I just washed the parts, but will do that again, letting it dry on its own. Seasons did change of course. I don't do well with the humidifier (keep it off, but the tank full, strangely that helps). Will try turning it on.

I react quite strongly to these changes. It's basically all or nothing: full of energy, zooming around or lethargic, fighting my way through the day, depending on how the night went. I wonder if I should change masks. The P10 is fantastic, but even after a clean, I feel I can't get enough air. On the other hand, this may be the machine too. Or me Smile

Before APAP: [Image: DARTH-VADER_zpsa57946df.png]

After APAP: See avatar: R2D2 for the win!

"Be kind, for everyone you meet is fighting a great battle"
--Ian Maclaren

I don't snore! I just make creepy noises so the aliens know I'm not someone to be messed with.
11-22-2014 03:53 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: #4
RE: Nasal pillows P10: regressing
I use the Philips Respironics Premium chin strap. It is the only one that I have found that does not come off during the night. I have tried 3 or 4 other chin straps and they all slide off during the night.

Best Regards,

PaytonA
11-22-2014 05:43 PM
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whc865 Offline

New Members

Posts: 1
Joined: Nov 2014

Machine: Resmed AirSense S10 Auto
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10
Humidifier: HumidAir
CPAP Pressure: 8
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #5
RE: Nasal pillows P10: regressing
I get the same feeling from my P10. When I first put on the mask to go to sleep it felt as if I could not get enough air. I found myself taking deep breaths with my mouth. I Also had the same issue when I woke up during the night to go to the bathroom. I am going to try it without the ramp tonight to see if it makes a difference. It was my first night using the device, i'm sure it will take some getting used to.

One other thing, it seems to me that the mask is too tight, the strap does not allow much adjustment, any suggestions on making the strap larger?

I've only been here for one day, already learning a lot of useful things.

Keep up the good work,

Walt C
11-22-2014 10:19 PM
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Galactus Offline

Advisory Members

Posts: 1,384
Joined: Jan 2014

Machine: Phillips Respironics System One PRS1 DS760P Auto BiPAP
Mask Type: Nasal pillows
Mask Make & Model: ResMed Airfit P10 Nasal Pillow
Humidifier: System One Heated Humidifier + Climate Line
CPAP Pressure: E/I 13/20 PS 4/7 BiFlex 3
CPAP Software: SleepyHead EncoreBasic

Other Comments: Sleep can be a good thing.

Sex: Male
Location: USA

Post: #6
RE: Nasal pillows P10: regressing
If you feel like you aren't getting enough air you might try raising the pressure and avoiding the ramp. The lower pressures do at times make people feel like they aren't getting enough air.

In regards to the headgear on the P10 it should loosen if you separate the head straps from each other.

If everyone thinks alike, then someone isn't thinking.
Everyone knows something, together we could know everything.
11-22-2014 10:28 PM
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Visitor Offline

Advisory Members

Posts: 164
Joined: Feb 2014

Machine: Resmed Airsense 10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed P10 nasal pillows
Humidifier: Resmed Airsense 10 and heated hose
CPAP Pressure: 9
CPAP Software: SleepyHead

Other Comments: Started APAP on May 26, 2014. Benefits kicked in on May 31 thanks to forum help (leakage resolved)

Sex: Male
Location:

Post: #7
RE: Nasal pillows P10: regressing
Well, I spent some time readjusting the position of the mask while lying down (as opposed to sitting up). I read this suggestion in another post and it worked great. *But* the headgear really should be adjustable in a better way to ensure the mask stays in position. The P10's headgear is not supporting the position very well. Don't get me wrong. I love the mask, when it works Wink If the trouble persists, I'll change masks.

Before APAP: [Image: DARTH-VADER_zpsa57946df.png]

After APAP: See avatar: R2D2 for the win!

"Be kind, for everyone you meet is fighting a great battle"
--Ian Maclaren

I don't snore! I just make creepy noises so the aliens know I'm not someone to be messed with.
(This post was last modified: 11-23-2014 05:10 AM by Visitor.)
11-23-2014 05:10 AM
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PaulaO2 Offline
Wiki Editor
Moderators

Posts: 8,065
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: #8
RE: Nasal pillows P10: regressing
Before you adjust the pressure, I suggest adjusting the EPR. Increase the exhale difference. For example, if the EPR is set to 1, set it to 2. I've had to do this with several masks. Each one is different even though they are the same type. For me, the P10 was one of the worse for feeling as if I was not getting enough air.

I think adjusting the treatment pressure because of a mask is not a good idea. If the smothering sensation was not there before and it is with a new mask, then the treatment pressure is not the problem. This is what lead me to look into the EPR.

Turn off the ramp, try adjusting the EPR, make sure the mask is seated correctly (had one mask that if it was not lined up right inside my nostril, I wasn't getting enough air, or felt like it at least), etc. Do all that before messing with the treatment pressure.

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.
11-23-2014 10:21 PM
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Visitor Offline

Advisory Members

Posts: 164
Joined: Feb 2014

Machine: Resmed Airsense 10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed P10 nasal pillows
Humidifier: Resmed Airsense 10 and heated hose
CPAP Pressure: 9
CPAP Software: SleepyHead

Other Comments: Started APAP on May 26, 2014. Benefits kicked in on May 31 thanks to forum help (leakage resolved)

Sex: Male
Location:

Post: #9
RE: Nasal pillows P10: regressing
Thanks Paula,

Unfortunately there is no EPR possibility on my Breas. Nor can I adjust the ramp (which is fixed at 5 minutes, very unpleasant).

Before APAP: [Image: DARTH-VADER_zpsa57946df.png]

After APAP: See avatar: R2D2 for the win!

"Be kind, for everyone you meet is fighting a great battle"
--Ian Maclaren

I don't snore! I just make creepy noises so the aliens know I'm not someone to be messed with.
11-25-2014 05:41 PM
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Visitor Offline

Advisory Members

Posts: 164
Joined: Feb 2014

Machine: Resmed Airsense 10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed P10 nasal pillows
Humidifier: Resmed Airsense 10 and heated hose
CPAP Pressure: 9
CPAP Software: SleepyHead

Other Comments: Started APAP on May 26, 2014. Benefits kicked in on May 31 thanks to forum help (leakage resolved)

Sex: Male
Location:

Post: #10
RE: Nasal pillows P10: regressing
As an update: the P10 (in my case) somehow does not (or no longer) fits right. One of the two air passages in the mask always feels blocked (as in no air reaching the nostril). I adjusted the mask slightly, which helped, but then it sagged again during sleep. The result was that only one nostril got air.

I taped a bit rolled up tissue on the skin below the mask to give it extra support (holding it in the right position) and it works like a charm.

Probably others won't have the exact same issue, but just in case it's of use, I post a solution here.

Before APAP: [Image: DARTH-VADER_zpsa57946df.png]

After APAP: See avatar: R2D2 for the win!

"Be kind, for everyone you meet is fighting a great battle"
--Ian Maclaren

I don't snore! I just make creepy noises so the aliens know I'm not someone to be messed with.
12-03-2014 02:59 AM
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