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Problems with new pressures
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landyz Offline

Members

Posts: 9
Joined: Mar 2014

Machine: ResMed S9 Auto And RemStar M
Mask Type: Full face mask
Mask Make & Model: F&P SimPlus
Humidifier: none
CPAP Pressure: 18 to 20cmH20 (Auto)
CPAP Software: ResScan SleepyHead

Other Comments: Diabetic Type 1

Sex: Male
Location: Esher , UK

Post: #1
Problems with new pressures
Hi all,

The doctors have changed the pressures that I use to 18-20 cmH20. There are a few problems have came up with them.

1) In the morning my mouth is very dry and very very bad breath

2) I'm finding it hard to get a mask that will stay sealed

Can anyone help with ether or both these problems Dont-know

Thank you
08-24-2014 04:12 AM
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trish6hundred Offline

Advisory Members

Posts: 6,446
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: Problems with new pressures
Hi landyz,
I notice in your profile, you say you aren't using a humidifier. Maybe for your dry mouth, you might consider using just a little humidity.
Hang in there and someone will be along with more suggestions.

trish6hundred
08-24-2014 08:20 AM
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justMongo Offline

Monitors

Posts: 3,851
Joined: Sep 2013

Machine: ResMed VPAP Auto (S9)
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quattro
Humidifier: ResMed H5i
CPAP Pressure: 18 IPAPmax - 11 EPAPmin, PS=5
CPAP Software: Other Software

Other Comments: μολὼν λαβέ

Sex: Male
Location: Калифорния

Post: #3
RE: Problems with new pressures
I have the same mask; and my pressure sometimes hits 19.
There is a thread somewhere on how to fit the Mirage Quattro. It can be done.
Some might recommend a mask liner -- sort of a gasket between mask seal and face.
I've never tried it. Some people say it's their solution to leaks.

You are diabetic; and that may account for some of your dry mouth.
If you are breathing through your mouth, that will also cause dry mouth -- even with a humidifier.

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08-24-2014 11:05 AM
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retired_guy Offline

Preferred Members-2

Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #4
RE: Problems with new pressures
(08-24-2014 04:12 AM)landyz Wrote:  Hi all,

The doctors have changed the pressures that I use to 18-20 cmH20. There are a few problems have came up with them.

1) In the morning my mouth is very dry and very very bad breath

2) I'm finding it hard to get a mask that will stay sealed

Can anyone help with ether or both these problems Dont-know

Thank you

Actually it's the same problem. The leaks need to be fixed. Why did they jump the pressures so high?

I forgot to look and see if you mentioned what kind of mask you use, but I'm guessing a full face? You can use a liner to help with the leaks. Basically just cut a "gasket" sort of thing from the back of an old t-shirt. (I don't know why I always say "old" t-shirt... A new one would work fine too!) Sort of trace around the t-shirt an area a little larger than the mask cushion. Cut it out, and cut out the middle where Mr. Nosie goes and you're all set.
08-24-2014 11:10 AM
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landyz Offline

Members

Posts: 9
Joined: Mar 2014

Machine: ResMed S9 Auto And RemStar M
Mask Type: Full face mask
Mask Make & Model: F&P SimPlus
Humidifier: none
CPAP Pressure: 18 to 20cmH20 (Auto)
CPAP Software: ResScan SleepyHead

Other Comments: Diabetic Type 1

Sex: Male
Location: Esher , UK

Post: #5
RE: Problems with new pressures
Quote:Actually it's the same problem. The leaks need to be fixed. Why did they jump the pressures so high?

I forgot to look and see if you mentioned what kind of mask you use, but I'm guessing a full face? You can use a liner to help with the leaks. Basically just cut a "gasket" sort of thing from the back of an old t-shirt. (I don't know why I always say "old" t-shirt... A new one would work fine too!) Sort of trace around the t-shirt an area a little larger than the mask cushion. Cut it out, and cut out the middle where Mr. Nosie goes and you're all set.

They changed the pressure as they said before the S9 could go as low as (4) and the lowest pressure my breathing goes to is 18. At the same time they changed the mask to F&P SimPlus as it has a double membrane thing, they said it should help with leaks.

Quote:You are diabetic; and that may account for some of your dry mouth.
If you are breathing through your mouth, that will also cause dry mouth -- even with a humidifier.

I have never had a dry mouth before due to the diabetics . Its only since may lower pressure was raised .

An other problem is that I'm back to being extremely tired all the time and sleep when I can
(This post was last modified: 08-24-2014 12:03 PM by landyz.)
08-24-2014 11:52 AM
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PaytonA Online
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Monitors

Posts: 3,012
Joined: Dec 2013

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: #6
RE: Problems with new pressures
(08-24-2014 04:12 AM)landyz Wrote:  Hi all,

The doctors have changed the pressures that I use to 18-20 cmH20. There are a few problems have came up with them.

1) In the morning my mouth is very dry and very very bad breath

2) I'm finding it hard to get a mask that will stay sealed

Can anyone help with ether or both these problems Dont-know

Thank you

My pressure is 20 and I use the ResMed Mirage Quattro FFM. It keeps my leaks that are sensed by my S9 Auto good and low. I do have to keep the straps rather tight to keep the leaks down but it does work. Of course, there are those that can't keep this mask from leaking but many of us that have higher pressures use this mask. My feeling about mask liners is that they do not reduce leaks, they just diffuse the leak and make it more bearable especially at higher pressures.

If you are getting air coming out of your mouth into the mask it does not effect your therapy but can give you dry mouth. I use Biotene mouthwash for dry mouth just before bed. It might help some. A heated humidifier might help. Tell your doctor about your dry mouth and maybe he will get one for you. Another thing that might help is a chin strap to help keep your mouth closed in addition to the FFM.

Keep working at it. It is well worth it.

Best Regards,

PaytonA
08-24-2014 12:31 PM
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vsheline Offline

Advisory Members

Posts: 1,908
Joined: Jul 2012

Machine: S9 VPAP Adapt (USA Model# 36007, not better 36037 or 36067)
Mask Type: Full face mask
Mask Make & Model: F10 or SimPlus w/ 2Liners. MirageQuatro & Gecko gel pad
Humidifier: H5i
CPAP Pressure: 15 EPAP, PS 5-10
CPAP Software: ResScan

Other Comments: Marfan Syndrome, chronic bradycardia, occasional Cheyne-Stokes Respiration

Sex: Male
Location: California, USA

Post: #7
RE: Problems with new pressures
(08-24-2014 04:12 AM)landyz Wrote:  The doctors have changed the pressures that I use to 18-20 cmH20.

Obstructive Sleep Apnea is usually highly dependent on sleep position.

Usually the supine position (flat on the back) is the worst position.

If you can make sure you will never be rolling onto your back while asleep, this may reduce considerably how much pressure you need.

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. The Advisory Member group provides advice and suggestions to Apnea Board administrators and staff on matters concerning Apnea Board operation and administrative policies - not on matters concerning treatment for Sleep Apnea. I think it is now too late to change the name of the group but I think Voting Member group would perhaps have been a more descriptive name for the group.
08-25-2014 12:01 AM
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