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Noob Help.....
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MattyRetro Offline

Members

Posts: 5
Joined: May 2016

Machine: DreamStation by Philips Respironics
Mask Type: Nasal pillows
Mask Make & Model: RESMED AIRFIT P10
Humidifier: Dreamstation DSXH
CPAP Pressure: 6.0
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #1
Noob Help.....
Hi all...Ive done some reading and have run into a few issues with my new setup. Ive only had it since Tuesday. Its the Philips Dreamstation with the Resmed Airfit P10 pillows. Two issues..Im a restless sleeper. I have RLS and it kicks into high gear at night. The last 3 nights, I have taken off the P10 in the middle of the night without even knowing. Last night was the worst. I only logged 2.55 hours on the machine. Should I try a different mask? I do like the P10. It is comfortable and very non obtrusive but Im thinking it may not be "sturdy" enough to stay on my face all night.

Also, What exactly is AHI? Mine has gone up over the past 3 nights. 7.2, 8.8 and last night was 9.2. Should I just call the company that supplied me with the equipment? I really want this to work...Sad

Thanks in advance guys!!
05-22-2016 02:37 PM
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green wings Offline

Advisory Members

Posts: 547
Joined: Feb 2016

Machine: Respironics System One RemStar Pro (460)
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10
Humidifier: integrated humidifier
CPAP Pressure: 13.0 cm
CPAP Software: SleepyHead

Other Comments: using CPAP since Jan. 2016

Sex: Undisclosed
Location: US

Post: #2
RE: Noob Help.....
Hi Matty. AHI stands for apnea hypopnea index. You can read about it here: http://www.apneaboard.com/wiki/index.php...ndex_(AHI)

It's normal for your AHI to not be exactly the same every night, because your sleep isn't exactly the same each night.

Yours is a little high, though. It may be that you need a pressure higher than 6.0 to treat your apnea. If you are interested in looking at what types of apnea events you are having and if they are evenly spaced out over your sleeping time or occurring in clusters, there's a link at the top of the page to the SleepyHead software.

As far as your problem with your mask goes, well, you might get different opinions about that.

My experience so far has been that I tend to take the mask off in my sleep when there's been a change in routine and I'm adjusting. Beginning to sleep with a CPAP machine is definitely one of those periods. I mostly stopped taking off my mask after a couple of weeks of sleeping with the machine.

I switched from a nasal mask to nasal pillows last week, and I pushed aside the nasal pillows for a hour or so on the first night that I used them.

I probably would stick with the P10 nasal pillows for a little while longer until you find out if you're taking off the mask because of everything being new and unfamiliar to you.

I'm basing that opinion on your only being able to have one mask. If that's not the case, then yeah, sure, you could get a nasal mask that's harder to dislodge.
05-22-2016 04:58 PM
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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: #3
RE: Noob Help.....
(05-22-2016 02:37 PM)MattyRetro Wrote:  Also, What exactly is AHI? Mine has gone up over the past 3 nights. 7.2, 8.8 and last night was 9.2. Should I just call the company that supplied me with the equipment? I really want this to work...Sad

It's the average number of events per hour. The change you're seeing is not significant. It's more important to know the types of events and look into what can be done to get the AHI below 5.

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.
05-22-2016 05:38 PM
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MattyRetro Offline

Members

Posts: 5
Joined: May 2016

Machine: DreamStation by Philips Respironics
Mask Type: Nasal pillows
Mask Make & Model: RESMED AIRFIT P10
Humidifier: Dreamstation DSXH
CPAP Pressure: 6.0
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #4
RE: Noob Help.....
Thank You Green Wings and Sleepster for the help! I guess Im just going to push forward and do the best that I can with it. I really like how easy it is for me to fall asleep with the machine on. I feel like it calms me and helps me fall asleep. Its just when Im asleep that I lose control over it! Im expecting a call on Monday from the Supply Co. that I got my equipment from. I'll talk to them a bit about my issue as well.
05-22-2016 05:51 PM
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OpalRose Offline

Monitors

Posts: 3,180
Joined: Nov 2014

Machine: PR System One REMstar Auto 560 with A Flex
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 For Her
Humidifier: REMStar heated humidifier with heated hose
CPAP Pressure: Auto Cpap 10-13 AFLEX 1
CPAP Software: SleepyHead EncoreBasic

Other Comments: Started CPAP Therapy October 23, 2014

Sex: Female
Location: Northeast Ohio, USA

Post: #5
RE: Noob Help.....
Hi MattyRetro, it's possible that you pull the mask off due to feeling as if your not getting enough air. You may do that with a nasal mask as well.
Stick with the P10 awhile longer. You may feel air starved and need an adjustment in pressure.
The changes shouldn't be made without looking at your data and seeing what the breakdown of your AHI is.
I suspect you need a little higher pressure. The goal should be to get your AHI under 5.

Download the SleepyHead software and let us know the breakdown of AHI, like Hypopneas, Obstructives, clear airways.
http://sleepyhead.jedimark.net/

OpalRose
05-22-2016 06:13 PM
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trish6hundred Offline

Advisory Members

Posts: 6,448
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: #6
RE: Noob Help.....
Hi MattyRetro,
WELCOME! to the forum.!
Try masking up and using your machine during the evening as you read or watch tv, this will help you get used to this new way of sleeping.

Much success to you with your CPAP therapy and hang in there for more responses to your post.

trish6hundred
05-22-2016 08:56 PM
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JudgeMental Offline

Advisory Members

Posts: 324
Joined: Feb 2012

Machine: Respironics DreamStation Auto-CPAP
Mask Type: Full face mask
Mask Make & Model: Respironics Amara View
Humidifier: Respironics
CPAP Pressure: 11-14
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Florida USA

Post: #7
RE: Noob Help.....
I agree with the idea that your pressure is a bit too low at 6. That just might be giving you the suffocation feeling and the natural reflex is to remove your mask. The mask that you are using is extremely good mask and usually works well with most folks.
In the meantime, I suggest that you take a hairpin or something else to clip the straps of the mask to your hair. Should wake you up when you try to remove it in your sleep.

Yesterday is history; Tomorrow is a mystery; Today is a gift; Thats why its called "The Present".
05-22-2016 09:34 PM
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MattyRetro Offline

Members

Posts: 5
Joined: May 2016

Machine: DreamStation by Philips Respironics
Mask Type: Nasal pillows
Mask Make & Model: RESMED AIRFIT P10
Humidifier: Dreamstation DSXH
CPAP Pressure: 6.0
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #8
RE: Noob Help.....
So last night, the pressure went up to 10 and it was way to high. I woke up with a dry mouth and I could tell that it was pushing air out of my mouth for the last hour or so of sleep. Im hoping it will drop back down to 8 or so..Also my AHI was the highest at 13. Im gonna dig into the sleepyhead software and start using it. The dreammapper is pretty much useless..
05-23-2016 07:49 PM
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OpalRose Offline

Monitors

Posts: 3,180
Joined: Nov 2014

Machine: PR System One REMstar Auto 560 with A Flex
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 For Her
Humidifier: REMStar heated humidifier with heated hose
CPAP Pressure: Auto Cpap 10-13 AFLEX 1
CPAP Software: SleepyHead EncoreBasic

Other Comments: Started CPAP Therapy October 23, 2014

Sex: Female
Location: Northeast Ohio, USA

Post: #9
RE: Noob Help.....
(05-23-2016 07:49 PM)MattyRetro Wrote:  So last night, the pressure went up to 10 and it was way to high. I woke up with a dry mouth and I could tell that it was pushing air out of my mouth for the last hour or so of sleep. Im hoping it will drop back down to 8 or so..Also my AHI was the highest at 13. Im gonna dig into the sleepyhead software and start using it. The dreammapper is pretty much useless..


If air is coming out of your mouth, you are mouth breathing, and that is why you have a dry mouth.

It sounds like you may need a full face mask. You have to be able to control mouth breathing with a nasal or nasal pillow mask. Have you tried a chin strap?

Also, please confirm which DreamStation you have. Your profile states a pressure of 6. Are you using the auto machine with a pressure range set? How can it go to 10 otherwise?

OpalRose
(This post was last modified: 05-23-2016 09:36 PM by OpalRose.)
05-23-2016 09:32 PM
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