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[Pressure] Problem exhaling
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unofon Offline

Members

Posts: 13
Joined: Aug 2016

Machine: resmed 10
Mask Type: Nasal mask
Mask Make & Model: resmed
Humidifier: resmed
CPAP Pressure: auto
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: UK

Post: #1
Problem exhaling
Hi
I have been using Resmed Airsense 10 Autoset with nasal pillows since 29 July all was wall until 1 October when I started waking up unable to breathe out only through the mouth it seems worst after about 4 am looking on sleepy head results
rage Hours per Night 07:50 08:14 07:47 07:52 07:52
Compliance 100% 100% 100% 100% 100%
Therapy Efficacy
Apnoea Hypopnea Index 3.45 3.28 2.24 1.95 1.95
Obstructive Index 3.32 2.83 1.72 1.33 1.33
Hypopnoea Index 0.00 0.26 0.27 0.30 0.30
Clear Airway Index 0.00 0.16 0.23 0.29 0.29
Leak Statistics
Average Leak Rate 0.61 1.62 2.18 2.64 2.64
90% Leak Rate 0.00 4.80 6.00 0.00 0.00
% of time above Leak Rate threshold 0.00% 0.95% 1.97% 2.16% 2.16%
Pressure Statistics
Average Pressure 7.18 7.70 7.90 7.87 7.87
Min Pressure 4.02 4.02 4.02 4.02 4.02
Max Pressure 12.22 12.22 13.30 13.30 13.30
90% Pressure 9.40 10.24 9.94 0.00 0.00
Average EPAP 5.18 6.41 6.82 6.85 6.85
Min EPAP 4.02 4.02 4.02 4.02 4.02
Max EPAP 9.22 11.12 11.86 12.22 12.22

any advise help greatly appreciated
10-17-2016 04:12 AM
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Sleeprider Online
Wiki Editor
Advisory Members

Posts: 3,376
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: #2
RE: Problem exhaling
Unofon, it looks like you are using open pressure settings 4-20 and EPR at 1. I think you will find your machine more comfortable in Auto mode with a minimum pressure of 7, maximum pressure of 14 and EPR at 3. Your problem is perceived exhale resistance, and these settings will help with that. Except for the past week, your leak results are great. Clean the mask well so you have a good seal, and let's see if the higher EPR and starting pressure helps.

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10-17-2016 09:19 AM
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trish6hundred Offline

Advisory Members

Posts: 6,449
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: #3
RE: Problem exhaling
Hi unofon,
WELCOME! to the forum.!
Good luck to you with your CPAP therapy and getting it better adjusted to meet your needs, hang in there for more responses to your post.

trish6hundred
10-17-2016 05:48 PM
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robysue Online
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Advisory Members

Posts: 1,236
Joined: Oct 2013

Machine: PR Dreamstation BiPAP Auto
Mask Type: Nasal pillows
Mask Make & Model: Swift FX
Humidifier: PR Dreamstation humidfier
CPAP Pressure: min EPAP = 4; max IPAP = 9;
CPAP Software: SleepyHead EncoreBasic EncorePro

Other Comments: Papping since September 2010

Sex: Female
Location: Buffalo, NY

Post: #4
RE: Problem exhaling
(10-17-2016 04:12 AM)unofon Wrote:  Hi
I have been using Resmed Airsense 10 Autoset with nasal pillows since 29 July all was wall until 1 October when I started waking up unable to breathe out only through the mouth it seems worst after about 4 am
Rather than giving us the statistical summary data, can you post the detailed data graphs for a night where you wake up feeling like you cannot exhale properly?

We need to see the following graphs:
Flow rate
Pressure
Leak Rate

Questions about SleepyHead?
See my Guide to SleepyHead
10-19-2016 08:18 PM
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unofon Offline

Members

Posts: 13
Joined: Aug 2016

Machine: resmed 10
Mask Type: Nasal mask
Mask Make & Model: resmed
Humidifier: resmed
CPAP Pressure: auto
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: UK

Post: #5
RE: Problem exhaling
    woke up and unable to sleep after 530 ish
10-20-2016 05:38 AM
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cate1898 Offline

Advisory Members

Posts: 784
Joined: Aug 2015

Machine: PR System One 560BT Auto
Mask Type: Nasal pillows
Mask Make & Model: P10's/backup-DreamWear
Humidifier: PR attached
CPAP Pressure: 8.5 - 13. A-Flex 3
CPAP Software: SleepyHead

Other Comments: Began CPAP Therapy Sept. 11, 2015. Hx Hypertension, Post Graves Disease, chronic migraines.

Sex: Female
Location: Southern Ontario//SW Florida

Post: #6
RE: Problem exhaling
Hi and welcome to the forum unofon!

Based on my own experiences, could the early wakenings be the result of a spike in apneas due to REM sleep stage? I'm sure others with lots more knowledge and experience can tell you why this is happening. Good luck and keep us posted!

APNEABOARD - A great place to be if you're a hosehead!! Rolleyes

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EVERY ACCOMPLISHMENT BEGINS WITH THE DECISION TO TRY!
10-20-2016 08:15 AM
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Sleeprider Online
Wiki Editor
Advisory Members

Posts: 3,376
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: #7
RE: Problem exhaling
Unofon, what mask are you using precisely? Your machine is setup for a nasal pillows mask.

______________________________________________
Organize your SleepyHead Data
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Robysue's Beginner's Guide to Sleepyhead
10-20-2016 08:41 AM
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unofon Offline

Members

Posts: 13
Joined: Aug 2016

Machine: resmed 10
Mask Type: Nasal mask
Mask Make & Model: resmed
Humidifier: resmed
CPAP Pressure: auto
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: UK

Post: #8
RE: Problem exhaling
Hi
I am using the nasal pillows
10-20-2016 08:58 AM
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robysue Online
Wiki Editor
Advisory Members

Posts: 1,236
Joined: Oct 2013

Machine: PR Dreamstation BiPAP Auto
Mask Type: Nasal pillows
Mask Make & Model: Swift FX
Humidifier: PR Dreamstation humidfier
CPAP Pressure: min EPAP = 4; max IPAP = 9;
CPAP Software: SleepyHead EncoreBasic EncorePro

Other Comments: Papping since September 2010

Sex: Female
Location: Buffalo, NY

Post: #9
RE: Problem exhaling
(10-20-2016 05:38 AM)unofon Wrote:  woke up and unable to sleep after 530 ish
My best guess is that your wake up was a normal post-REM wake, and that the problem is more along the lines of needing to train your body that it's ok to not worry about being awake in the early morning for a few minutes.

It's also possible that since this wake occurred 6 hours after you went to bed, that your body felt as though you'd gotten enough high quality sleep and it just didn't need much more sleep. If you were used to sleeping longer hours before starting CPAP, it's important to remember that those extra hours of sleep were not particularly restful.

As for why these early morning wakes started in Oct when you started PAPing in late July: It may be that in August and September your body was in active recovery mode----as in craving the extra sleep that it no longer thinks it needs.

Is there a problem with just getting up and starting your day at 5:30ish when you wake up and can't get back to sleep?

Questions about SleepyHead?
See my Guide to SleepyHead
10-20-2016 09:19 AM
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unofon Offline

Members

Posts: 13
Joined: Aug 2016

Machine: resmed 10
Mask Type: Nasal mask
Mask Make & Model: resmed
Humidifier: resmed
CPAP Pressure: auto
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: UK

Post: #10
RE: Problem exhaling
Thanks all for your comment I feel that i wake up several times to go to the toilet and the later it is thats when i stuggle to get to sleep i am also tired in the afternoon now like I was prior to starting with the CPAP might try a full mask tonight
10-20-2016 09:28 AM
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