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pdbabb66 Offline

Preferred Members

Posts: 34
Joined: May 2015

Machine: Resmed S9 Autoset
Mask Type: Full face mask
Mask Make & Model: Resmed Quattro
Humidifier: H5i
CPAP Pressure: 9-20
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Jenks, Oklahoma

Post: #1
New to the forums
Hello, fellow CPAPiers!

I'm new to both the apneaboard forum and CPAP therapy.

Background: My GF works for a sleep doc and she complained of my snoring for quite a while. I went to my dentist and he fitted me with an oral appliance. It worked well for a while, but ultimately, my snoring continued. GF did a sleep study and found that I was having over 20 events per hour, with each event lasting up to, or longer than, 1 minute.

Fast forward to January of this year. Having already done the sleep study, I purchased a new ResMed 9 Autoset with humidifier, along with a ResMed Quattro Air full face mask, size small. My total AHI numbers went from 8-9 the first week, down to 3.3 or so after that.

I recently went to Vegas for a few days with my buddies and shared a room with another CPAP user. He uses the same mask but medium size. I tried his on and found that it fit better than my small mask. (a bit more comfortable) I decided to purchase a medium mask and give it a shot. My AHI numbers have not been as low as with the other mask, and on occasion, quite a bit higher.

I realize the standard answer will be, "hey, just go with the old mask," but the other has a better fit. Question: Should I give it more time, or go back to the other mask. (It's only been a couple of weeks)

Thank you in advance for your responses.

Paul
06-17-2015 10:49 AM
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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: #2
RE: New to the forums
Hi pdbabb66,
WELCOME! to the forum.!
You may need to try several different masks and even different types of masks 'till you find what works for you.
Hang in there for more answers to your questions and much success to you as you start your CPAP journey.

trish6hundred
06-17-2015 11:06 AM
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Sleeprider Offline
Wiki Editor
Advisory Members

Posts: 3,331
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: #3
RE: New to the forums
Stick with what makes you feel best. Sometimes the lowest number is not the best sleep. Can you compare the leak rate of the two masks? You can get that data if you're using sleepyhead. If it's comparable, you might just adjust to the larger mask. If leaks are greater in one mask or the other, that may be a source for error in the AHI comparison. There are a lot of masks out on the market, and finding the right one for you can be the hardest part of therapy.

______________________________________________
Organize your SleepyHead Data
Post your SleepyHead Data from Imgur
Robysue's Beginner's Guide to Sleepyhead
06-17-2015 11:09 AM
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pdbabb66 Offline

Preferred Members

Posts: 34
Joined: May 2015

Machine: Resmed S9 Autoset
Mask Type: Full face mask
Mask Make & Model: Resmed Quattro
Humidifier: H5i
CPAP Pressure: 9-20
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Jenks, Oklahoma

Post: #4
RE: New to the forums
Thank you for the quick responses. I feel better with the smaller mask, but the tightness of the mask seems to be too tight. I have marks on my face for about 30 minutes after I wake up every morning.
06-17-2015 11:21 AM
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Sleeprider Offline
Wiki Editor
Advisory Members

Posts: 3,331
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 to the forums
You might try loosening the mask or using liners to reduce the marks. Mask liners are pretty good for people with FFM and mask discomfort, They may also make the difference in your medium size mask and give you a better fit there as they would take up a small amount of space. Give them a try.

Disclaimer: I am a nasal pillow user, and always have been. By far more comfortable if you can avoid the mouth breathing.

______________________________________________
Organize your SleepyHead Data
Post your SleepyHead Data from Imgur
Robysue's Beginner's Guide to Sleepyhead
06-17-2015 11:30 AM
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quiescence at last Offline

Advisory Members

Posts: 753
Joined: Nov 2014

Machine: REMstar System One with Autoflex
Mask Type: Full face mask
Mask Make & Model: Quattro AirFit F10
Humidifier: yes typical setting = 4
CPAP Pressure: 5-13 Autotritrating CPAP
CPAP Software: SleepyHead EncoreBasic

Other Comments: CMS-50F Plus oximeter /w SPO2 Assistant software. Avowed mouth-breather switching to nose-breathing

Sex: Male
Location: US

Post: #6
RE: New to the forums
I do FFM. Situation on FFM is that there is a lot of couped up air volume, you can deduce the larger mask has more volume. the amount of total trapped volume does have some effect on AHI, amount of pressure you feel on your face, the amount the mask moves toward and away from your face during pressure swings (inhale vs exhale pressure when in A flex or EPR). many of the added effects impact your sleep quality.

AHI at some pressure setting is usually somewhat higher between nasal mask and full face mask, more difference between pillows and full face mask. This has been talked about throughout the forum as a good reason to go to pillows, usually mentioning that AHI control is possible at a lower pressure band.

So what can be reason for going to a larger size FFM? If you are using CPAP you might actually be more comfortable with the larger mask. If your EPR is above 1, I would guess you'll be more interrupted, distracted, or aroused due to larger fluctuations and mask motion.

QAL

Dedicated to QALity sleep.
You'll note I am listed as an Advisory Member. I am honored to be listed as such. See the fine print - Advisory Members as a group provide advice and suggestions to Apnea Board administrators and staff concerning Apnea Board operation and administrative policies. Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment.
06-17-2015 02:31 PM
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pdbabb66 Offline

Preferred Members

Posts: 34
Joined: May 2015

Machine: Resmed S9 Autoset
Mask Type: Full face mask
Mask Make & Model: Resmed Quattro
Humidifier: H5i
CPAP Pressure: 9-20
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Jenks, Oklahoma

Post: #7
RE: New to the forums
QAL,

My EPR setting is 3. I purchased the larger mask because it felt better on my face. Should I set my EPR down to 2, or possibly 1?
(This post was last modified: 06-17-2015 03:29 PM by pdbabb66.)
06-17-2015 03:28 PM
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eseedhouse Offline

Advisory Members

Posts: 879
Joined: Dec 2014

Machine: ResMed Airsense 10 Autoset
Mask Type: Full face mask
Mask Make & Model: SimPlus
Humidifier: ResMed
CPAP Pressure: 7-10
CPAP Software: SleepyHead

Other Comments: Also on supplemental O2 at 3L/min. while sleeping.

Sex: Male
Location: Victoria, British Columbia

Post: #8
RE: New to the forums
(06-17-2015 03:28 PM)pdbabb66 Wrote:  My EPR setting is 3. I purchased the larger mask because it felt better on my face. Should I set my EPR down to 2, or possibly 1?

No reason not to try lowering it and if you don't like that you can put it back up. I prefer the 3 level myself, but then I'm not you...

Ed Seedhouse
VA7SDH

I am neither a Doctor, nor any other kind of medical professional.

Actually you know, it is what it isn't.
06-17-2015 07:32 PM
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quiescence at last Offline

Advisory Members

Posts: 753
Joined: Nov 2014

Machine: REMstar System One with Autoflex
Mask Type: Full face mask
Mask Make & Model: Quattro AirFit F10
Humidifier: yes typical setting = 4
CPAP Pressure: 5-13 Autotritrating CPAP
CPAP Software: SleepyHead EncoreBasic

Other Comments: CMS-50F Plus oximeter /w SPO2 Assistant software. Avowed mouth-breather switching to nose-breathing

Sex: Male
Location: US

Post: #9
RE: New to the forums
yep. a drop in EPR would be a good test. For me, the bouncing around was disruptive. either of the following helped and both were really good.

1) reducing the EPR, and/or 2) inserting a thin cloth liner between mask and face.

1 reduced the bouncing, and 2 reduced the amount I felt it.

QAL

Dedicated to QALity sleep.
You'll note I am listed as an Advisory Member. I am honored to be listed as such. See the fine print - Advisory Members as a group provide advice and suggestions to Apnea Board administrators and staff concerning Apnea Board operation and administrative policies. Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment.
06-17-2015 10:11 PM
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pdbabb66 Offline

Preferred Members

Posts: 34
Joined: May 2015

Machine: Resmed S9 Autoset
Mask Type: Full face mask
Mask Make & Model: Resmed Quattro
Humidifier: H5i
CPAP Pressure: 9-20
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Jenks, Oklahoma

Post: #10
RE: New to the forums
Thanks, guys. I dropped my EPR to 2 last night, loosened my lower straps just a bit, and set off on my nightly sleep journey. My AHI last night was 4.8, which is the lowest it's been with the larger mask. I'm hoping that the number drops just a little bit more, but under 5 is still good.

Thanks for all the help!

Paul
06-18-2015 08:00 AM
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