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forced air causing mask leak.
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twdc33 Offline

Members

Posts: 14
Joined: Aug 2014

Machine: respironics remstar pro
Mask Type: Full face mask
Mask Make & Model: red med air
Humidifier: unsure
CPAP Pressure: 12.5
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #1
forced air causing mask leak.
I am continuing to try to set up my used res med S9 auto so I can send my PR back for warranty repairs.

I pretty much gave up on auto settings as I was just having to many arousals no matter how I set the machine. Now I am sleeping pretty well and ahi is back down but. ..

Since putting the machine on CPAP mode it seems that the inspiration pressure is very jerky. I have to breath in slow, smooth inhalations our the machine jumps the air in jerks. ( this is difficult to follow up on while asleep). This added pressure, or should I say intermittent jerky pressure is causing my mask seal to break an I am back to the old days of fighting with my mask all night.

Can you suggest a menu setting that will smooth out the ipap so it is less jerky? Has anyone had this before also? My pressure is 12.5 and EPR is 3. Thank you.
08-20-2014 06:20 PM
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zonk Offline

Advisory Members

Posts: 7,908
Joined: Feb 2012

Machine: A10 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Activa LT
Humidifier: Integrated /ClimateLineAir
CPAP Pressure: 9/13
CPAP Software: ResScan

Other Comments: CPAP since Nov 2010

Sex: Male
Location: Australia

Post: #2
RE: forced air causing mask leak.
(08-20-2014 06:20 PM)twdc33 Wrote:  Can you suggest a menu setting that will smooth out the ipap so it is less jerky? Has anyone had this before also? My pressure is 12.5 and EPR is 3. Thank you.
Have you reported the "jerky breathing" to your doctor?
Lower EPR or turn off and see how does it feel
EPR is comfort feature, some use it and some don,t
08-20-2014 06:31 PM
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twdc33 Offline

Members

Posts: 14
Joined: Aug 2014

Machine: respironics remstar pro
Mask Type: Full face mask
Mask Make & Model: red med air
Humidifier: unsure
CPAP Pressure: 12.5
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #3
RE: forced air causing mask leak.
I have not reported the jerky breathing to t the doctor. It has only been since changing the res med from auto to CPAP. It was not an issue with the Phillips. Nor the res med on auto. I will try your advice and change our drop the epr.
08-20-2014 07:31 PM
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surferdude2 Offline

Advisory Members

Posts: 1,077
Joined: Jul 2014

Machine: ResMed S9 AutoSet
Mask Type: Full face mask
Mask Make & Model: Mirage Quattro & Optilife
Humidifier: ResMed H5i @ #3 if nose breathing & #5 if mouth breathing
CPAP Pressure: 12 ~ 20 & 11 ~12 if nasal mask
CPAP Software: ResScan SleepyHead

Other Comments: Late stage 2 emphysema

Sex: Male
Location: Mousetown, Southern Illinois

Post: #4
RE: forced air causing mask leak.
Consider also that when you were using AutoSet you were generally getting a lower pressure when you were awake. Now you have the maximum press right from the start and using EPR at the 3 setting makes it critical of your particular breathing pattern when awake.

If you chose your pressure setting from what you saw as the maximum when using AutoSet, you might want to set it a tad lower for straight CPAP. Perhaps 11 might work and set the EPR to 2. If that works for the chugging you are getting, then you can bump the pressure back up slowly, if need be, and see where the problem begins.

That's the beauty of AutoSet, you dodge a whole bunch of issues about pressure since you rarely are awake when the high pressure is applied.
08-20-2014 10:16 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: #5
RE: forced air causing mask leak.
Zonk and Surfie got this TW. Lower the EPR setting and the jerky stuff should go away. Probably 2 will do it.
08-21-2014 12:03 AM
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Clementine Offline

Preferred Members-2

Posts: 208
Joined: Sep 2013

Machine: ResMed VPap Auto
Mask Type: Nasal pillows
Mask Make & Model: ResMed AirFit P10
Humidifier: ResMed H5i--not using currently
CPAP Pressure: Auto -- 8/13.2 PS 3.2
CPAP Software: SleepyHead

Other Comments: Began with machine on 7/7/14.

Sex: Female
Location: eastern Iowa

Post: #6
RE: forced air causing mask leak.
how does one change the epr on the machine?
08-21-2014 09:08 AM
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justMongo Offline

Monitors

Posts: 3,855
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: #7
RE: forced air causing mask leak.
(08-21-2014 09:08 AM)Clementine Wrote:  how does one change the epr on the machine?

You do not have EPR on your VPAP Auto. For your machine, the rough equivalent of EPR is the switch from IPAP to EPAP. The difference in those two pressures is PS. So, your PS setting is roughly equivalent to EPR.

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.
08-21-2014 09:35 AM
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Clementine Offline

Preferred Members-2

Posts: 208
Joined: Sep 2013

Machine: ResMed VPap Auto
Mask Type: Nasal pillows
Mask Make & Model: ResMed AirFit P10
Humidifier: ResMed H5i--not using currently
CPAP Pressure: Auto -- 8/13.2 PS 3.2
CPAP Software: SleepyHead

Other Comments: Began with machine on 7/7/14.

Sex: Female
Location: eastern Iowa

Post: #8
RE: forced air causing mask leak.
ah, I see. My PS is set at 4. I really haven't noticed the problem of "jerky" breathing; just other problems.
08-21-2014 09:40 AM
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