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New F&P Simplus user
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Roy289 Offline

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Posts: 77
Joined: Apr 2016

Machine: ResMed AirSense™ 10 AutoSet™ for Her CPAP w/ HumidAir™ Humidifier
Mask Type: Nasal mask
Mask Make & Model: P&S 405
Humidifier: Climateline
CPAP Pressure: 7-14
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Canada

Post: #1
New F&P Simplus user
Began CPAP on April 8 2016 and quickly realized was mouth breather. Always waking up with very dry mouth. Tried numerous ffm but finally went back to my original F&P 405 nasal mask. Good AHI around 1 but in the presence of 20% large leaks most nights. Finally arrived at F&P Simplus.

First night used head strap as set by DME. First session 3h 15m with lot of leakage into right eye. Found pushing the mask down would minimize the eye leaks. Many periods of LL and very sore bridge of nose.

Second session adjusted the forehead straps to allow the pillow to fill with air around bridge of nose. Also loosened the side straps so pillow not compressed to face. This resulted in virtually no leakage but had about 4 OA two lasting 33 sec while I normally have 0 OA during the night.

My pressure range is 7 to 14 with average of 9.5 but on second session hit the 14 mark with average 10.5. Would like to hear other experiences with the Simplus
10-13-2016 08:16 AM
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FrankNichols Offline

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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: #2
RE: New F&P Simplus user
I am not familiar with that mask, but assuming you have no leaks, then the issue is not the mask. I would let things settle down for a week or so with little to no leaks - focus on the leaks. Then I would slowly start adjusting - adjusting low end up a little first, maybe to 9 and then 11 or so. But slowly allowing a week between each adjustment.

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
10-13-2016 09:12 AM
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PaulaO2 Offline
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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: #3
RE: New F&P Simplus user
With no leaks, both from your mouth and the mask, then you are getting the true AHI. Like Frank said, just concentrate on the mask for now, making it work.

I use the Simplus (I switch between it and the Nuance). I use Remzz liners to help with leaks. The Simplus fits better when it rides low on the face.

PaulaO2
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10-13-2016 03:07 PM
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Roy289 Offline

Preferred Members

Posts: 77
Joined: Apr 2016

Machine: ResMed AirSense™ 10 AutoSet™ for Her CPAP w/ HumidAir™ Humidifier
Mask Type: Nasal mask
Mask Make & Model: P&S 405
Humidifier: Climateline
CPAP Pressure: 7-14
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Canada

Post: #4
RE: New F&P Simplus user
Second night using Simplus ffm had unusual results as in attachment. In the first 3h 30m session had numerous OA in a cycle with typical OA duration 40 sec. followed by approx. 10 breathes then another OA , this went on for one hour. The pressure had risen to its max of 14.
   

No major leaks in the first session but often around 20. In the second session had a major leak which was likely mask moving up so leaking out of my mouth from under mask.

Would increasing pressure max be recommended or try to get to improve the mask seal?
10-14-2016 08:01 AM
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Sleeprider Online
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Posts: 3,317
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: #5
RE: New F&P Simplus user
Roy, I'd be reluctant to make any suggestion on a single data point that you say is unusual. What is typical for you? Are these clusters of OA something you have seen previously? You have increased pressure before; were the results better or worse?

Just need more to go on, and I agree this is pretty unusual.

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10-14-2016 08:21 AM
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Roy289 Offline

Preferred Members

Posts: 77
Joined: Apr 2016

Machine: ResMed AirSense™ 10 AutoSet™ for Her CPAP w/ HumidAir™ Humidifier
Mask Type: Nasal mask
Mask Make & Model: P&S 405
Humidifier: Climateline
CPAP Pressure: 7-14
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Canada

Post: #6
RE: New F&P Simplus user
Sleeprider, using my older F&P 405 seldom got any OA but around 14 CA during entire night. Attached is another cluster of OA from the second session and has the same cyclic mode.

   

I believe the cyclic pattern is caused by the high pressure, perhaps like PB due to CO2 sat?

Certainly odd results!
10-14-2016 10:13 AM
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Roy289 Offline

Preferred Members

Posts: 77
Joined: Apr 2016

Machine: ResMed AirSense™ 10 AutoSet™ for Her CPAP w/ HumidAir™ Humidifier
Mask Type: Nasal mask
Mask Make & Model: P&S 405
Humidifier: Climateline
CPAP Pressure: 7-14
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Canada

Post: #7
RE: New F&P Simplus user
forgot to mention that during the second cluster of OA the Leakage is quite low.
10-14-2016 10:30 AM
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Sleeprider Online
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Advisory Members

Posts: 3,317
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: #8
RE: New F&P Simplus user
If you don't mind trying something on a wild guess, I'm going to suggest turning EPR down to 1 and increase max pressure to 15. Try that first and see if there is any difference in a couple nights. Next step if we don't get results we want is going to be an increase in minimum pressure to 9.0 based on current median pressure. I suspect this is a positional apnea problem, or could be REM sleep stage. If it is positional, we can work with sleeping position or some other tricks, but the point of all this is to make the therapy work and for you be comfortable and rested. So, we don't want to manipulate you into less comfortable sleeping positions if we can avoid it. For now, the EPR experiment is just to rule out its influence, and it's the simplest change you can make.

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10-14-2016 10:36 AM
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Roy289 Offline

Preferred Members

Posts: 77
Joined: Apr 2016

Machine: ResMed AirSense™ 10 AutoSet™ for Her CPAP w/ HumidAir™ Humidifier
Mask Type: Nasal mask
Mask Make & Model: P&S 405
Humidifier: Climateline
CPAP Pressure: 7-14
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Canada

Post: #9
RE: New F&P Simplus user
Tonight will set EPR down to 1 and max pressure 15. Most of the night in the supine position but try to go on my right side and manage any leakage.

The Simplus leaks around my right eye but this can be eliminated by pulling the head band away from my forehead. Looking at finding some foam to place between forehead and the front head straps which hopefully will solve the leakage. Many users of the Simplus recommend pushing the mask down but in my case this results in pressure and tenderness on my nose. i.e. too much compression of the mask pillow.
10-14-2016 10:58 AM
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PaytonA Offline
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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: New F&P Simplus user
If you loosen up the top straps the forehead stabilizer should move away from your forehead. Some Simplus users recommend that the forehead stabilizer should be a finger's width away from your forehead. I find that it depends on your facial topography.

Best Regards,

PaytonA
10-14-2016 12:15 PM
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