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[Pressure] New to cpap and I need direction
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mountainsleep Offline

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Posts: 3
Joined: May 2015

Machine: respironics remstar pro c-flex +
Mask Type: Nasal mask
Mask Make & Model: wisp
Humidifier: system one heated humidifier
CPAP Pressure: 6
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location:

Post: #1
Exclaimation New to cpap and I need direction
Last night was my first night on cpap. I had to wear a chinstrap tight to keep air from blowing out my mouth. I had similar problem in sleep study but I did fall asleep. I will call doctor Monday but I would appreciate direction from others who have overcome this issue. I have Phillip's Remstar Pro C-Flex with humidifier and a nasal mask. My setting is a 6. I had great difficulty falling asleep. I felt like I had to keep my mouth forced closed or bursts of air would come out. I read about an auto device from Phillips and Resmed. Should I look into another system or do I just stick with this until I get used to this. Is this simply what we must go thru when we first start? Much thanks for any help.Unsure
05-02-2015 04:30 PM
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woozie38 Offline

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Posts: 248
Joined: Jan 2013

Machine: Fisher & Paykel Icon + Auto
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Integral
CPAP Pressure: 8 to 14
CPAP Software: SleepyHead Other Software

Other Comments: 17 years of CPAP + supp. oxygen @ 3 L/min

Sex: Male
Location: Toowoomba, Queensland Australia

Post: #2
RE: New to cpap and I need direction
(05-02-2015 04:30 PM)mountainsleep Wrote:  Last night was my first night on cpap. I had to wear a chinstrap tight to keep air from blowing out my mouth. I had similar problem in sleep study but I did fall asleep. I will call doctor Monday but I would appreciate direction from others who have overcome this issue. I have Phillip's Remstar Pro C-Flex with humidifier and a nasal mask. My setting is a 6. I had great difficulty falling asleep. I felt like I had to keep my mouth forced closed or bursts of air would come out. I read about an auto device from Phillips and Resmed. Should I look into another system or do I just stick with this until I get used to this. Is this simply what we must go thru when we first start? Much thanks for any help.Unsure

Many forum members have posted a lot of information on this particular problem, viz. therapy air exhausting via the mouth. It's a common problem & one which most of us have encountered. Among suggestions are use of a chinstrap, training the tongue, mouth taping and lastly,changing to a full face mask.
Out of these, I am convinced, the most effective solution is to change to a FFM such as F&P's "Simplus". In any event, if the situation is allowed to continue, your therapy will be compromised, you will have "dry mouth" & your dental health will deteriorate. I recommend changing your mask & I hope you do so soon. Good Luck

[Image: signature.png]Keep on breathin'
05-02-2015 06:17 PM
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mountainsleep Offline

New Members

Posts: 3
Joined: May 2015

Machine: respironics remstar pro c-flex +
Mask Type: Nasal mask
Mask Make & Model: wisp
Humidifier: system one heated humidifier
CPAP Pressure: 6
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location:

Post: #3
RE: New to cpap and I need direction
(05-02-2015 06:17 PM)woozie38 Wrote:  
(05-02-2015 04:30 PM)mountainsleep Wrote:  Last night was my first night on cpap. I had to wear a chinstrap tight to keep air from blowing out my mouth. I had similar problem in sleep study but I did fall asleep. I will call doctor Monday but I would appreciate direction from others who have overcome this issue. I have Phillip's Remstar Pro C-Flex with humidifier and a nasal mask. My setting is a 6. I had great difficulty falling asleep. I felt like I had to keep my mouth forced closed or bursts of air would come out. I read about an auto device from Phillips and Resmed. Should I look into another system or do I just stick with this until I get used to this. Is this simply what we must go thru when we first start? Much thanks for any help.Unsure

Many forum members have posted a lot of information on this particular problem, viz. therapy air exhausting via the mouth. It's a common problem & one which most of us have encountered. Among suggestions are use of a chinstrap, training the tongue, mouth taping and lastly,changing to a full face mask.
Out of these, I am convinced, the most effective solution is to change to a FFM such as F&P's "Simplus". In any event, if the situation is allowed to continue, your therapy will be compromised, you will have "dry mouth" & your dental health will deteriorate. I recommend changing your mask & I hope you do so soon. Good Luck
ThanksI appreciate your help.
05-02-2015 06:42 PM
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truetopath Offline

Preferred Members-2

Posts: 421
Joined: Feb 2015

Machine: PR system one 560p auto with a flex
Mask Type: Full face mask
Mask Make & Model: Resumed F10
Humidifier: PR system one
CPAP Pressure: 11
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Lake View, NY

Post: #4
RE: New to cpap and I need direction
You shouldn't really have to cinch down the chin strap. As R_G says it should gently encourage your jaw to stay forward. As far as popping your mouth open, I found auto mode causes more problems for me. Best of luck to you!
05-02-2015 07:11 PM
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trish6hundred Offline

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Posts: 6,451
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: #5
RE: New to cpap and I need direction
Hi mountainsleep,
WELCOME! to the forum.!
You shouldn't have to wear your chinstrap so tight. The idea is to gently move your jaw forward so as to help keep your mouth closed.
Hang in there for more suggestions and much success to you with your CPAP therapy and fine tuning it.

trish6hundred
05-02-2015 07:44 PM
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trailrider Offline

Preferred Members-2

Posts: 304
Joined: Feb 2015

Machine: A10 Autoset for Her
Mask Type: Nasal mask
Mask Make & Model: Eson or P10
Humidifier: autoset
CPAP Pressure: 6-12 DME, 7-13 me
CPAP Software: SleepyHead

Other Comments: engineer. EPR at 3, unheated hose, humidity at 2. Routine hose entanglement.

Sex: Female
Location: Ontario

Post: #6
RE: New to cpap and I need direction
My thought is that 6 is too low for you to breathe in comfortably and you are opening your mouth to get more air in. This messes up the inhale and exhale with the machine and it all gets frustrating. If needed don't be afraid to turn the pressure up a couple of notches to 6.4 or 6.8 or 7.
05-02-2015 09:09 PM
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worn_out_in_lebanon Online

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Posts: 271
Joined: Jan 2015

Machine: Resmed A10 Autoset
Mask Type: Full face mask
Mask Make & Model: F20 (newest Resmed ffm)
Humidifier: Included, ClimateLine tubing
CPAP Pressure: 13-15, EPR:0
CPAP Software: SleepyHead

Other Comments: I.T. Project Manager. Started CPAP therapy March 16, 2015. Untreated AHI 39.

Sex: Male
Location: TN

Post: #7
RE: New to cpap and I need direction
(05-02-2015 06:17 PM)woozie38 Wrote:  Many forum members have posted a lot of information on this particular problem, viz. therapy air exhausting via the mouth. It's a common problem & one which most of us have encountered. Among suggestions are use of a chinstrap, training the tongue, mouth taping and lastly,changing to a full face mask.

I can totally relate, and am in the same process, and have tried all of the above.

Another option to add to the list is a hybrid mask. It has nasal pillows mounted on top of a mouth-only mask. I'm finding this is easier to get a seal than a full face mask, and more comfortable to wear too. It solves the problem of air escaping through the mouth.

Currently I have the Respcare/Innomed hybrid, and will be trying the Mirage Liberty soon. The Liberty has "dual-wall" nasal pillows like the P10 that I'm accustomed to.
05-02-2015 09:32 PM
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Moriarty Offline

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Posts: 270
Joined: Jul 2012

Machine: Respironics REMStar 50 Series Auto
Mask Type: Nasal pillows
Mask Make & Model: Fisher & Pakel Pilairo Q
Humidifier: Respironics System One
CPAP Pressure: 8.5-20 (average 9.4)
CPAP Software: SleepyHead

Other Comments: Image above is my CPAP machine...

Sex: Male
Location: Toowoomba - Qld - Australia

Post: #8
RE: New to cpap and I need direction
(05-02-2015 04:30 PM)mountainsleep Wrote:  Last night was my first night on cpap. I had to wear a chinstrap tight to keep air from blowing out my mouth. I had similar problem in sleep study but I did fall asleep. I will call doctor Monday but I would appreciate direction from others who have overcome this issue. I have Phillip's Remstar Pro C-Flex with humidifier and a nasal mask. My setting is a 6. I had great difficulty falling asleep. I felt like I had to keep my mouth forced closed or bursts of air would come out. I read about an auto device from Phillips and Resmed. Should I look into another system or do I just stick with this until I get used to this. Is this simply what we must go thru when we first start? Much thanks for any help.Unsure

First night could be the hardest...

I did try a chinstrap when I first went to Nasal Pillows - i was told it was essential. I found for me the strap did not help one bit. It kept my jaw shut but did nothing to keep my lips shut. I experimented with what it took to breath through my nose while I was awake and found that tongue placement was critical for me. It seems counter-intuitive but when I got it right I found that the pressure actually locked my tongue in place holding the seal against the inside of my gums....
Its difficult to describe and can be different for different folks but it is worth persevering to see if its possible for you.

Good luck.

cheers

David

Disclaimer: The 'Advisory Member' title is a Forum thing that I cannot change. I am not a doctor and my comments are purely my opinion or quote my personal experience. Regardless of my experience other readers mileage may vary.
05-02-2015 10:18 PM
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mountainsleep Offline

New Members

Posts: 3
Joined: May 2015

Machine: respironics remstar pro c-flex +
Mask Type: Nasal mask
Mask Make & Model: wisp
Humidifier: system one heated humidifier
CPAP Pressure: 6
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location:

Post: #9
RE: New to cpap and I need direction
Thanks to all for the input!
05-03-2015 09:44 AM
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