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feeling like not getting enough air
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Grover64 Offline

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Posts: 18
Joined: Mar 2016

Machine: RESMed Air Sense 10
Mask Type: Nasal pillows
Mask Make & Model: RESMed P10
Humidifier: RESMed
CPAP Pressure: 12 - 15
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Australia/Papua New Guinea

Post: #1
feeling like not getting enough air
Hi all

I have been on APAP therapy for 5 months now and I feel better starting to get to the gym and gradually improving quality of life. I had an issue with nasal decongestion and unfortunately I immediately jumped on the fast train of using decongestion on to find the train went nowhere and wasn't going to stop. So I managed to migrate to the Nasonex solution and set my humidifier up to 5 (6 was too high I ended up swimming). My AHI is averaging 1.3 which is great as my sleep study AHI was 67 with 80 when supine.

The only problem I seem to be having is the occasional time I might transition to a little sleep cycle and I awake with a feeling that I cant breathe almost like hyperventilating. It seems that I cant get enough air and after a few minutes I have to take the pillows off.

Does anyone have an ideas? or advice
07-14-2016 04:34 PM
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RedSkip Offline

Preferred Members

Posts: 20
Joined: Jul 2016

Machine: AirSense 10
Mask Type: Nasal pillows
Mask Make & Model: P10
Humidifier: Integral
CPAP Pressure: 6-15
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Pennsylvania, United States

Post: #2
RE: feeling like not getting enough air
I'm fairly new, so it may not be the proper advice. But i turned off my autoramp feature and bumped my starting pressure from 4 to 6 cm H20 from the start.

I had the same feeling, but it was immediate, perhaps this doesn't pertain to your circumstance.

Skip
07-14-2016 04:37 PM
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FrankNichols Offline

Advisory Members

Posts: 714
Joined: Mar 2016

Machine: AirSense 10 Autoset
Mask Type: Full face mask
Mask Make & Model: Resmed F10 and/or P10
Humidifier: Builtin
CPAP Pressure: 17-19
CPAP Software: ResScan SleepyHead Other Software

Other Comments: I've figured out how to get my AHI down to 5, I quit sleeping!

Sex: Male
Location: Live Oak, Florida

Post: #3
RE: feeling like not getting enough air
Most people that feel they are not getting enough air are using a setting around 4 on the low side, or are using ramp to start. I would turn off ramp and set the low pressure to 12 (as your profile indicates that is what you use.) I believe that will solve the "can't get enough air" issue. Then if you feel you can't exhale and it's keeping you awake, go back to fiddling with the ramp starting pressure (I stopped using Ramp the first day and so I don't recall what settings are available.) The Nasal pillows feel a little harder to exhale with than the full face mask, so be prepared to give it a night to become accustomed to exhaling against the pressure. I tried nasal pillows are couldn't deal with them at all. At home I tried them again and got use to them and love them, I don't notice the pressure at all when I wake up in the night - and I have to let them leak little to make everything is working - it just took a day or two.

I am not a Medical professional and I don't play one on the internet.
Started CPAP Therapy April 5, 2016
I'd Rather Be Sleeping
07-14-2016 04:52 PM
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green wings Offline

Advisory Members

Posts: 544
Joined: Feb 2016

Machine: Respironics System One RemStar Pro (460)
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10
Humidifier: integrated humidifier
CPAP Pressure: 13.0 cm
CPAP Software: SleepyHead

Other Comments: using CPAP since Jan. 2016

Sex: Undisclosed
Location: US

Post: #4
RE: feeling like not getting enough air
Another thing that can cause a feeling of not being able to get enough air with nasal pillows is if you are using a type of nasal pillow that has an inner and outer cone, sometimes the inner cone will collapse then you won't get enough air through it. If that happens, you can just flex it and it will pop back into shape.
07-14-2016 05:05 PM
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JudgeMental Offline

Advisory Members

Posts: 324
Joined: Feb 2012

Machine: Respironics DreamStation Auto-CPAP
Mask Type: Full face mask
Mask Make & Model: Respironics Amara View
Humidifier: Respironics
CPAP Pressure: 11-14
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Florida USA

Post: #5
RE: feeling like not getting enough air
Grover.. It appears to me that you have adjusted to the use of CPAP/APAP extremely well. Your avg. AHI-1.3 is very good and you have plenty of energy to go to the gym. Some folks do have an occasional feeling of stuffy nose or lack of air when they use pillows..
I don't know about your humidity condition in your location down-under but the humidifier setting of 5 might be a tad to high causing too much warm air which can also cause a feeling of lack of air. You might just try to drop the humidifier setting down a notch or so and try that.

Yesterday is history; Tomorrow is a mystery; Today is a gift; Thats why its called "The Present".
07-14-2016 05:24 PM
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PoolQ Offline

Advisory Members

Posts: 986
Joined: Jul 2015

Machine: AirCurve 10 VAUTO
Mask Type: Full face mask
Mask Make & Model: Amara View
Humidifier: Integrated
CPAP Pressure: 6.2, 15, PS4.0
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Sillicon Valley

Post: #6
RE: feeling like not getting enough air
If you are using ramp, there is a ramp start pressure setting that is different from you min therapy pressure setting. You can use ramp if you want and just increase this pre-therapy starting pressure, the default is 4 and that is too low for many people.

However if I read your post correctly unless you are stopping and restarting the machine, ramp should not be reactivated
07-14-2016 05:45 PM
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Crimson Nape Offline

Monitors

Posts: 1,327
Joined: Oct 2014

Machine: ResMed S9 Autoset
Mask Type: Other
Mask Make & Model: P-10 / F&P Simplus / DreamWear
Humidifier: H5i w/Climateline
CPAP Pressure: 8 - EPR 3
CPAP Software: SleepyHead

Other Comments: CMS-50F & 50IW

Sex: Male
Location: Georgia

Post: #7
RE: feeling like not getting enough air
Another consideration is pillow size. I started using the size based off of manufacturer's sizing guide. This felt like my nose was stopped up and I had flow restriction. I moved up to the next larger size and this corrected everything.

Statistics prove that people who have more birthdays live longer.
07-14-2016 06:44 PM
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pupcamper Online

Advisory Members

Posts: 399
Joined: Nov 2015

Machine: PR DreamStation CPAP Pro
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 Pillows; Quatro Air FFM
Humidifier: DreamStation Heated Humidifier
CPAP Pressure: 10.5 cmH2O; no ramp; no C-Flex
CPAP Software: SleepyHead EncorePro

Other Comments: Lung cancer survivor since 11/2004; CPAP since 11/2015

Sex: Male
Location: Van Buren, Arkansas, USA.

Post: #8
RE: feeling like not getting enough air
I had exactly the same problem with the P10. I found out it was condensation on the P10's vent screen partially blocking the vent which caused the co2 levels to go up in the mask. The P10 has a very fine screen built into the vent and is susceptible to blockage due to condensation caused by high humidity levels or cool room temperatures. If that is the case you may have to back off on the humidity or raise the room temperature to resolve it. If it happens again, try thoroughly drying the vent screen on both sides of the mask frame. If you are able to continue using the P10 after drying it you will know it was a moisture problem. It will probably occur again after a few minutes if the conditions remain the same.

"....respiration,—a troublesome practice, but one which custom has rendered necessary to our easy existence...." Oliver Twist, Charles Dickens- 1837

I use FlashPAP to load data from a FlashAir III wifi sd card in my machine to my computer and display it with SleepyHead .
robysue's Beginner's Guide to SleepyHead
07-14-2016 07:42 PM
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Grover64 Offline

Members

Posts: 18
Joined: Mar 2016

Machine: RESMed Air Sense 10
Mask Type: Nasal pillows
Mask Make & Model: RESMed P10
Humidifier: RESMed
CPAP Pressure: 12 - 15
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Australia/Papua New Guinea

Post: #9
RE: feeling like not getting enough air
Mitch

Thanks for that I will back off on the humidity and I checked at lunch time and one of the inner cones was pushed in so I straightened that (thanks green wings). I had the feeling that I couldn't exhale properly so I think you maybe right it certainly makes sense as my dr had told me to push the humidity up on the machine which I had done. I work in Papua New Guinea in the tropics and the room is air con so that could also affect it. I am on a 28 day stint up here and I don't have my back up Transcend with me or the Respironics pillows that I have so I will give that screen a good clean and see how it goes.

Thanks everyone for your replies

grover
07-14-2016 11:43 PM
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RedSkip Offline

Preferred Members

Posts: 20
Joined: Jul 2016

Machine: AirSense 10
Mask Type: Nasal pillows
Mask Make & Model: P10
Humidifier: Integral
CPAP Pressure: 6-15
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Pennsylvania, United States

Post: #10
RE: feeling like not getting enough air
28 Day Stint - Oilfield?
07-15-2016 06:17 AM
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