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What to do about three o'clock in the morning panic attacks?
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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

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Sex: Male
Location: Orange County,California

Post: #31
RE: What to do about three o'clock in the morning panic attacks?
FFM works well for me.
08-11-2014 10:59 AM
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Terry Offline

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Posts: 553
Joined: May 2014

Machine: Philips Respironics RemStar Auto with A-Flex (560P)
Mask Type: Nasal pillows
Mask Make & Model: P/R Nuance & Pap Cap
Humidifier: Integrated
CPAP Pressure: Auto
CPAP Software: SleepyHead

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Sex: Male
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Post: #32
RE: What to do about three o'clock in the morning panic attacks?
(07-14-2014 03:47 AM)Dolla Bill Wrote:  My S9 seems to be working properly though I am thinking about replacing my Swift FX with a Resmed P10.

It's a low probability, but worth a check.

Make sure the exhaust is working properly on your mask, and that you're actually breathing properly. CO2 retention can cause anxiety and panic.

Terry
(This post was last modified: 08-11-2014 01:32 PM by Terry.)
08-11-2014 01:32 PM
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Dolla Bill Offline

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Posts: 72
Joined: Feb 2012

Machine: ResMed AirSense Autoset S10
Mask Type: Nasal pillows
Mask Make & Model: Swift Air fit P10 nasal pillow
Humidifier: Airsense 10 Humidifier
CPAP Pressure: avg. 10.1
CPAP Software: ResScan SleepyHead Other Software

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Sex: Male
Location: Atlanta

Post: #33
RE: What to do about three o'clock in the morning panic attacks?
(08-11-2014 01:32 PM)tcarmen Wrote:  
(07-14-2014 03:47 AM)Dolla Bill Wrote:  My S9 seems to be working properly though I am thinking about replacing my Swift FX with a Resmed P10.

It's a low probability, but worth a check.

Make sure the exhaust is working properly on your mask, and that you're actually breathing properly. CO2 retention can cause anxiety and panic.

Terry


How would I know? I have it set on Smartset, but sometimes it is hard to get it started. I set the EFR from 1 to 3 last night, don't really understand if that helps. My biggest glitch is getting the chinstrap working with the Resmed Airfit.

It is so uncomfortable that last night I just tossed the chinstrap, ditched one of my two pillows and went to sleep.

The only way I can really tell is something is off is if I wake up with a dry mouth at my usual time or if I have the 3 am crazies. The average AHI is always under 5 and usually under 2.

There are no adjustements on the Airfit.
08-11-2014 04:08 PM
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Terry Offline

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Posts: 553
Joined: May 2014

Machine: Philips Respironics RemStar Auto with A-Flex (560P)
Mask Type: Nasal pillows
Mask Make & Model: P/R Nuance & Pap Cap
Humidifier: Integrated
CPAP Pressure: Auto
CPAP Software: SleepyHead

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Sex: Male
Location:

Post: #34
RE: What to do about three o'clock in the morning panic attacks?
(08-11-2014 04:08 PM)Dolla Bill Wrote:  How would I know? I have it set on Smartset, but sometimes it is hard to get it started. I set the EFR from 1 to 3 last night, don't really understand if that helps. My biggest glitch is getting the chinstrap working with the Resmed Airfit.

You can tell if the exhaust port is working by checking to see if you feel air blowing from the exhaust port on the mask. (it's supposed to).

It should also show up in Sleepyhead on the "leak rate" graph.

I have no idea what "smartset" is.

Terry
(This post was last modified: 08-11-2014 04:18 PM by Terry.)
08-11-2014 04:16 PM
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retired_guy Offline

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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: #35
RE: What to do about three o'clock in the morning panic attacks?
Suggestions:
Ditch the "smartstart." The machine has a cute little on/off button on it that works very well. "Smartstart" could decide to turn off the machine because of a big leak or something. Then turn it back on when you breath. But a few seconds of not so great pressure as a result could, were it me, cause quite a bit of anxiety. Are you using a "ramp?" That would really weird it out.

Define "uncomfortable" with the chinstrap. Some certainly are, and any of them will be if they're too tight. That's why I always say the chinstrap's goal is to "gently encourage" the jaw to stay forward. It's really not even so much about keeping the mouth shut, because once you have the correct "technique" using the tongue against the roof of the mouth to control the airway, your mouth isn't a very big concern.

As I recall you didn't feel the chinstrap I recommended could work. So which one did you get? Some of them are way too hot, some way too scratchy. But some are ok, when used UNDER the P10 mask.
08-11-2014 04:26 PM
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