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Removing Mask Unconsciously
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MaryTee Offline

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Posts: 1
Joined: Mar 2015

Machine: ResMed S9
Mask Type: Full face mask
Mask Make & Model: unsure
Humidifier: ResMed
CPAP Pressure: 10
CPAP Software: ResScan

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Sex: Female
Location:

Post: #1
Removing Mask Unconsciously
Hi all - This may be impossible to solve, but thought I'd try. I'm a CPAP newbie - have been using it for about 3 months. For the past two weeks I wake up in the morning without the mask on but I don't remember doing it. I have a humidifier and use a full-face mask if that is important. Is there any way to deal with this?

Thanks for any ideas you may have or experiences you can share.
03-13-2015 04:28 PM
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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: #2
RE: Removing Mask Unconsciously
Hi Mary,

Staples?

Actually this is a fairly common thing to have happen. Lots of theories as to why. My favorite theory is something happens where you don't think you're getting enough air. For instance power goes out as an extreme example. If your machine is set to "auto off" then if you had a significant leak in the night the machine may have automatically turned off, causing your cute little body to think it wasn't getting any air, which would be pretty much true. So if autostart/autoff are turned on, turned them off and just use the machine with the cute little power button. Another example might be if you're running a low pressure, and the mask is leaking too much, you could have a problem.

I think the first thing to do is to see where you are at in your treatment. What is your AHI experience, and what does the software tell you about leaks and such?
03-13-2015 05:00 PM
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herbm Offline

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Posts: 852
Joined: Jan 2014

Machine: ResMed AutoSet S9
Mask Type: Oral
Mask Make & Model: ResMed Airfit P10 Nasal Pillow
Humidifier: ResMed H5i
CPAP Pressure: 11-16
CPAP Software: ResScan SleepyHead

Other Comments: Backup Mask: Innomed Hybrid FFM -- Oral+Nasal Pillows

Sex: Male
Location: Austin, TX

Post: #3
RE: Removing Mask Unconsciously
Tape it -- don't tape it so you CANNOT take it off, but enough that it will be a nuisance to remove and require you to wake up more to do it.

Also, you are wearing a full face mask so maybe you would be (a lot) more comfortable in something simpler like nasal pillows.

Sweet Dreams,

HerbM
Sleep study AHI: 49 RDI: 60 -- APAP 10-11 w/AHI: 1.5 avg for 7-days (up due likely to hip replacement recovery)

"We can all breathe together or we will all suffocate alone."
03-13-2015 05:17 PM
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trish6hundred Offline

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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: #4
RE: Removing Mask Unconsciously
Hi MaryTee,
WELCOME! to the forum.!
Sometimes, it takes quite a while to get used to CPAP therapy. You might try wearing your mask and using your machine as you read or watch tv during the evening, as this may help your body get used to this relatively new way of sleeping for you.
Hang in there for more answers and suggestions.
Much success to you as you continue and fine tune your CPAP therapy.

trish6hundred
03-13-2015 09:06 PM
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DeepBreathing Offline
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Posts: 2,296
Joined: Sep 2013

Machine: Resmed S9 VPAP Adapt
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Resmed H5i
CPAP Pressure: EPAP: 9 - 15 PS: 3 - 10
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Perth, Western Australia

Post: #5
RE: Removing Mask Unconsciously
Hi MaryTee, welcome to Apnea Board.

As the others have said, this is a very common problem - I still do it after well over a year on the hose. With some / all of the S9 machines you can set a large leak alarm which might help. It will beep loud enough to rouse you (or your partner) and you can put the mask back on. In my case I found I became adept at hitting the power button first, so there was no alarm. Sad It might work for you though.

DeepBreathing
Apnea Board Moderator
www.ApneaBoard.com


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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.
03-14-2015 03:28 AM
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lab rat Offline

Advisory Members

Posts: 138
Joined: Nov 2014

Machine: Airsense 10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed Airsense 10 Autoset
CPAP Pressure: 8-16
CPAP Software: Not using software

Other Comments: Satisfied Resmed customer since March 1996

Sex: Male
Location: Australia

Post: #6
RE: Removing Mask Unconsciously
(03-13-2015 04:28 PM)MaryTee Wrote:  Hi all - This may be impossible to solve, but thought I'd try. I'm a CPAP newbie - have been using it for about 3 months. For the past two weeks I wake up in the morning without the mask on but I don't remember doing it. I have a humidifier and use a full-face mask if that is important. Is there any way to deal with this?

Thanks for any ideas you may have or experiences you can share.

I wanna give you a big hug.

When I started CPAP it really was a continous pressure at the same rate all night. None of your new fangled responsive airflow thing. And humidifiers were not really understood, recommended or used. Plus I also had a clunky face mask with forehead pads.

The reason you pull the mask off is that you can feel it on your face and it's not meant to be there. Took me a FULL 6 MONTHS before I woke up with the mask still on, having not removed it during the night.

Now I am not sure why you were given a full face mask but what I found over the last 18 years is the nasal masks and even the pillow masks are much easier to put up with because you don't feel them as much.

So hang in there, you're only half way it does get better Smile

And perhaps ask your DME or doctor to see if you can get away with less facial hardware.
03-15-2015 08:55 AM
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49er Offline

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Posts: 239
Joined: Apr 2012

Machine: VPAP-S
Mask Type: Nasal mask
Mask Make & Model: Sleep Weaver Elan Soft Cloth Nasal Mask
Humidifier: H5i
CPAP Pressure: 13.6/9.6
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location:

Post: #7
RE: Removing Mask Unconsciously
(03-13-2015 04:28 PM)MaryTee Wrote:  Hi all - This may be impossible to solve, but thought I'd try. I'm a CPAP newbie - have been using it for about 3 months. For the past two weeks I wake up in the morning without the mask on but I don't remember doing it. I have a humidifier and use a full-face mask if that is important. Is there any way to deal with this?

Thanks for any ideas you may have or experiences you can share.

Hi MaryTee,

Are you limited to full face masks? The reason I am asking is I did this constantly when I wore them due to extreme discomfort. Once I switched to the Sleep Weaver Elan Mask, the problem ceased except for one time which was a fluke.

I would also check the sleepyhead software to make sure your therapy is optimal and you aren't ditching the mask due to a high AHI.

Best of luck.

49er
03-15-2015 02:49 PM
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eseedhouse Online

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Posts: 882
Joined: Dec 2014

Machine: ResMed Airsense 10 Autoset
Mask Type: Full face mask
Mask Make & Model: SimPlus
Humidifier: ResMed
CPAP Pressure: 7-10
CPAP Software: SleepyHead

Other Comments: Also on supplemental O2 at 3L/min. while sleeping.

Sex: Male
Location: Victoria, British Columbia

Post: #8
RE: Removing Mask Unconsciously
(03-15-2015 02:49 PM)49er Wrote:  I would also check the sleepyhead software to make sure your therapy is optimal and you aren't ditching the mask due to a high AHI.

Yes, definitely check this. I think it fairly likely that you will see a fairly long lasting apnea event at some point, and that may be where you are tearing that mask off.

Ed Seedhouse
VA7SDH

I am neither a Doctor, nor any other kind of medical professional.

Actually you know, it is what it isn't.
03-15-2015 03:28 PM
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Kladeios Offline

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Posts: 24
Joined: Dec 2014

Machine: ResMed AirSense 10 Elite
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: unsure
CPAP Pressure: 10
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #9
RE: Removing Mask Unconsciously
When I first started my CPAP, I had the same issue. It's usually a reflex to being uncomfortable. If the room is too warm, or you are not getting enough air, the mask will come off. Try keeping the room cool and/or increase the ramp pressure.

Also, if the mask doesn't fit well while you are asleep, you likely won't be wearing it when you wake up.
03-17-2015 12:01 PM
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terwin Offline

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Posts: 1
Joined: Mar 2015

Machine: unsure
Mask Type: Nasal mask
Mask Make & Model: unsure
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CPAP Pressure: unsure
CPAP Software: Not using software

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Sex: Female
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Post: #10
RE: Removing Mask Unconsciously
(03-13-2015 04:28 PM)MaryTee Wrote:  Hi all - This may be impossible to solve, but thought I'd try. I'm a CPAP newbie - have been using it for about 3 months. For the past two weeks I wake up in the morning without the mask on but I don't remember doing it. I have a humidifier and use a full-face mask if that is important. Is there any way to deal with this?

Thanks for any ideas you may have or experiences you can share.

I do the same thing and I wake up so tired. I have been using the machine for a long time and I have no ideas on how to stop. Let me know what you have found that works for you.
03-17-2015 12:03 PM
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