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[Pressure] Pressures over 20?
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PaytonA Offline
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Machine: ResMed S9 VPAP Auto
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Location: Orange County,California

Post: #31
RE: Pressures over 20?
There seem to be different schools of thought about placement of the tongue when blocking air flow through the mouth. Some say the tongue should be on the roof of the mouth just behind the upper front teeth. Others feel that the tongue should be on the roof of the mouth towards the back of the mouth.

When awake I can prevent mouth leaks with the tongue seal at 20 cm/H2O with no problem. My problem is that I can not keep it that way while asleep. Keeping your lower jaw forward should help to keep your airway open but I am not sure what its effect on sealing the mouth is.

I have tried sealing my mouth with just my lips and I can not get it to work no matter how hard I try to press my lips together. So for me and I think for most it is tongue seal or nothing. In fact, I have to keep some semblance of tongue seal working with my FFM in order to keep down the dry mouth problem.

Best Regards,

PaytonA (Manning???) Laugh-a-lot Sad
03-07-2015 08:22 PM
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TiredToo Offline

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Joined: Mar 2015

Machine: ResMed AirSense 10 AutoSet
Mask Type: Full face mask
Mask Make & Model: Airfit F10 (also have a Simplus, Eson and P10)
Humidifier: Built-in
CPAP Pressure: 14-20
CPAP Software: SleepyHead Other Software

Other Comments: Started CPAP Feb 9th, 2015. Suffered for way too many years prior.

Sex: Male
Location: NW Indiana, USA

Post: #32
RE: Pressures over 20?
(03-07-2015 08:22 PM)PaytonA Wrote:  When awake I can prevent mouth leaks with the tongue seal at 20 cm/H2O with no problem. My problem is that I can not keep it that way while asleep.

That is the part I don't get about the tongue position either. I have no control over my entire body while I'm sleeping, let alone my tongue.
03-07-2015 08:44 PM
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retired_guy Offline

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Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
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CPAP Software: ResScan SleepyHead

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Location: Beautiful, albeit very wet Oregon Coast

Post: #33
RE: Pressures over 20?
(03-07-2015 08:22 PM)PaytonA Wrote:  I have tried sealing my mouth with just my lips and I can not get it to work no matter how hard I try to press my lips together. So for me and I think for most it is tongue seal or nothing. In fact, I have to keep some semblance of tongue seal working with my FFM in order to keep down the dry mouth problem.

Best Regards,

PaytonA (Manning???) Laugh-a-lot Sad

That's the problem with those big old ring piercings. Hmmm, maybe you should have gone for the belly-button option after all.
03-07-2015 10:47 PM
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justMongo Offline

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Machine: ResMed VPAP Auto (S9)
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Post: #34
RE: Pressures over 20?
(03-07-2015 10:47 PM)retired_guy Wrote:  That's the problem with those big old ring piercings. Hmmm, maybe you should have gone for the belly-button option after all.
OTOH -- pierced ears with hoop earrings can be used to hold a mask in place using a bungee cord!

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.
03-08-2015 05:51 AM
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TiredToo Offline

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Posts: 83
Joined: Mar 2015

Machine: ResMed AirSense 10 AutoSet
Mask Type: Full face mask
Mask Make & Model: Airfit F10 (also have a Simplus, Eson and P10)
Humidifier: Built-in
CPAP Pressure: 14-20
CPAP Software: SleepyHead Other Software

Other Comments: Started CPAP Feb 9th, 2015. Suffered for way too many years prior.

Sex: Male
Location: NW Indiana, USA

Post: #35
RE: Pressures over 20?
First night with the P10:

I decided to go back to APAP with a range of 12-20 with APR at 3 just to see what happened. The AHI was 2.49... not too shabby! But I do feel pretty tired this morning and my eyes keep crossing which was pretty common before CPAP. As a result, despite the good AHI, I would say I've felt better after a night of sleep with CPAP. I will definitely keep trying the P10 for a while though to see how it goes. It is very comfortable! I went with the large pillows which seemed to fit well, and other than my nostrils being a bit sore this morning, it went pretty well. I may give the mediums a shot to compare. The smalls felt too restrictive and seem like they'd be more likely to whistle.

I do show some large leaks, most of which seem to be mouth leak, but my wife did wake me up at one point because the nose pillows fell completely out and the machine turned off. A few hours later she woke me again to say that the machine had turned off again although the pillows were still in place. Initially I thought so too but when I pulled the pillows out of my nose it was obviously blowing pretty good and checking the machine confirmed that it was on. It had just been very quiet.

As with the nasal mask, the pressures bumped up to 20 several times so I guess I will raise my lower limit again as well. I had hoped a different mask style may allow for slightly lower pressures which would presumably help with occasional large leaks.
03-08-2015 08:44 AM
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justMongo Offline

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Posts: 3,853
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Machine: ResMed VPAP Auto (S9)
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quattro
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CPAP Pressure: 18 IPAPmax - 11 EPAPmin, PS=5
CPAP Software: Other Software

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Location: Калифорния

Post: #36
RE: Pressures over 20?
Did you set the mask type for pillows in the menu?
There is a setting in the 9 series -- so there must be one in the 10 series.
You might consider setting auto start to off.

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.
03-08-2015 10:21 AM
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PaytonA Offline
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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: #37
RE: Pressures over 20?
(03-07-2015 10:47 PM)retired_guy Wrote:  
(03-07-2015 08:22 PM)PaytonA Wrote:  I have tried sealing my mouth with just my lips and I can not get it to work no matter how hard I try to press my lips together. So for me and I think for most it is tongue seal or nothing. In fact, I have to keep some semblance of tongue seal working with my FFM in order to keep down the dry mouth problem.

Best Regards,

PaytonA (Manning???) Laugh-a-lot Sad

That's the problem with those big old ring piercings. Hmmm, maybe you should have gone for the belly-button option after all.

R_G, thanks for the clarification. I was beginning to wonder why there was air leaking out of my navel.
03-08-2015 11:29 AM
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gondolabob Offline

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Machine: Respirionics System One Auto CPAP With Humidifier
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Post: #38
RE: Pressures over 20?
(03-08-2015 11:29 AM)PaytonA Wrote:  
(03-07-2015 10:47 PM)retired_guy Wrote:  
(03-07-2015 08:22 PM)PaytonA Wrote:  I have tried sealing my mouth with just my lips and I can not get it to work no matter how hard I try to press my lips together. So for me and I think for most it is tongue seal or nothing. In fact, I have to keep some semblance of tongue seal working with my FFM in order to keep down the dry mouth problem.

Best Regards,

PaytonA (Manning???) Laugh-a-lot Sad

That's the problem with those big old ring piercings. Hmmm, maybe you should have gone for the belly-button option after all.

R_G, thanks for the clarification. I was beginning to wonder why there was air leaking out of my navel.

I am puzzled by all of the despair and effort in trying to keep air from escaping from the mouth. Keeping lips closed and using the tongue doesn't seem to be working. Nothing is working.

When other masks don't work for you why the resistance to using a full face mask? Air has no where to go unless it escapes under the pillow against your face, you will know that and can tighten the straps.

I have used one from the beginning and couldn't go to sleep with out it. The mask to me is like Linus's blanket is to him. Each morning when I get dressed I squirt some baby shampoo in the basin, rinse the mask, dry it and it's ready for when I go to bed.

Never had a problem and my mask fit rating is 100%.
(This post was last modified: 03-08-2015 12:45 PM by gondolabob.)
03-08-2015 12:43 PM
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PaytonA Offline
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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: #39
RE: Pressures over 20?
(03-08-2015 12:43 PM)gondolabob Wrote:  I am puzzled by all of the despair and effort in trying to keep air from escaping from the mouth. Keeping lips closed and using the tongue doesn't seem to be working. Nothing is working.

When other masks don't work for you why the resistance to using a full face mask? Air has no where to go unless it escapes under the pillow against your face, you will know that and can tighten the straps.

I have used one from the beginning and couldn't go to sleep with out it. The mask to me is like Linus's blanket is to him. Each morning when I get dressed I squirt some baby shampoo in the basin, rinse the mask, dry it and it's ready for when I go to bed.

Never had a problem and my mask fit rating is 100%.

No despair on my part. I use a full face mask (Mirage Quattro).

Best Regards,

PaytonA
03-08-2015 02:25 PM
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justMongo Offline

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Machine: ResMed VPAP Auto (S9)
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CPAP Software: Other Software

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Post: #40
RE: Pressures over 20?
(03-08-2015 02:25 PM)PaytonA Wrote:  No despair on my part. I use a full face mask (Mirage Quattro).

Best Regards,

PaytonA

Me too! Just looked at last night's data -- wow, I was really snoring in the early morning hours. That pinned my pressure up against IPAPmax.

Let's take a poll.

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.
03-08-2015 02:37 PM
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