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worst night since starting therapy
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sleepybeaver Offline

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Posts: 81
Joined: May 2015

Machine: A 10 autoset
Mask Type: Nasal pillows
Mask Make & Model: airfit p10
Humidifier: built-in , with climate line
CPAP Pressure: 6 to 12
CPAP Software: SleepyHead

Other Comments: I'm not really a prist...and my wife is not a nun....Halloween Costumes

Sex: Male
Location: Northeast Ohio

Post: #1
worst night since starting therapy
Tonight for some reason I can't breathe out well enuff to feel comfortable. ..can't fall asleep...I have tried everything from changing exhalation setting from 3 to off....makes no difference. ..I have used it set at 2 or 3 since starting on the cpap with great results....I tried changing the temp on the climate line...tried increasing the humitiy from 3 to 4....has always worked great at 3 for 5 weeks of using the cpap.....could it be the pillow...have the p10....and using same one for 5 weeks....how often do people use them typically....help...tonight is the first night I can't use my cpap.

It's exactly like that. . . . only totally different. . . . Sleep-well
(This post was last modified: 07-02-2015 02:28 AM by sleepybeaver.)
07-02-2015 02:27 AM
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trish6hundred Offline

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Posts: 6,430
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: worst night since starting therapy
Hi sleepybeaver,
I'm sorry you had such a rough night, sometimes, no matter what you do you just can't get things to work out, better luck tonight.
As far as how long people use their pillows, some can use them for a long time and others, not so much.
Hang in there for more answers to your question and again, better luck tonight.

trish6hundred
07-02-2015 07:31 AM
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OpalRose Offline

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Posts: 3,164
Joined: Nov 2014

Machine: PR System One REMstar Auto 560 with A Flex
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 For Her
Humidifier: REMStar heated humidifier with heated hose
CPAP Pressure: Auto Cpap 10-13 AFLEX 1
CPAP Software: SleepyHead EncoreBasic

Other Comments: Started CPAP Therapy October 23, 2014

Sex: Female
Location: Northeast Ohio, USA

Post: #3
RE: worst night since starting therapy
I change out my pillow once a month, even though insurance will send me 2 replacements every month. They do tend to get soft.

When was the last time you washed your P10 mask? The vented area needs to be cleaned now and then. I use a soft toothbrush to gently clean the exhaust vent at least once a week.
Coffee

OpalRose
(This post was last modified: 07-02-2015 07:49 AM by OpalRose.)
07-02-2015 07:48 AM
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tedburnsIII Offline

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Posts: 196
Joined: Mar 2015

Machine: 3B RESmart APAP
Mask Type: Nasal mask
Mask Make & Model: Wisp nasal; ResMed FX nasal
Humidifier: came with unit-I vary it, currently set at '3', '5' is max
CPAP Pressure: 10 cm CPAP
CPAP Software: Other Software

Other Comments: Dx moderately severe OSA. Overnight pulse oximeter-CMS50D Plus

Sex: Male
Location: San Diego

Post: #4
RE: worst night since starting therapy
(07-02-2015 02:27 AM)sleepybeaver Wrote:   Tonight for some reason I can't breathe out well enuff to feel comfortable. ..can't fall asleep...I have tried everything from changing exhalation setting from 3 to off....makes no difference. ..I have used it set at 2 or 3 since starting on the cpap with great results....I tried changing the temp on the climate line...tried increasing the humitiy from 3 to 4....has always worked great at 3 for 5 weeks of using the cpap.....could it be the pillow...have the p10....and using same one for 5 weeks....how often do people use them typically....help...tonight is the first night I can't use my cpap.

Perhaps you did not write what you meant because setting EPR from 3 to a 0 would make it harder to exhale. So, with my limited knowledge of that area I would recommend EPR setting of '3' or more, if applicable to your machine. I had set Reslex to '3' on my machine when I had a bad URI and it make exhaling easier.
(This post was last modified: 07-02-2015 04:43 PM by tedburnsIII.)
07-02-2015 04:40 PM
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quiescence at last Offline

Advisory Members

Posts: 753
Joined: Nov 2014

Machine: REMstar System One with Autoflex
Mask Type: Full face mask
Mask Make & Model: Quattro AirFit F10
Humidifier: yes typical setting = 4
CPAP Pressure: 5-13 Autotritrating CPAP
CPAP Software: SleepyHead EncoreBasic

Other Comments: CMS-50F Plus oximeter /w SPO2 Assistant software. Avowed mouth-breather switching to nose-breathing

Sex: Male
Location: US

Post: #5
RE: worst night since starting therapy
As ted said, EPR increase usually helps exhale become easier. Lowering or turning EPR off -may- make exhale more difficult, but also sometimes makes sleeping less disruptive. Sorry you are have such a hard time with this.

I would look to humidity and to bedroom temperature to help with this. Sometimes humidity and heat can increase the airway resistance. Your nasal passages may have been assaulted by pollens and have moist moving snot, which can sometimes move to clog the nasal upper airway upon change of direction, either on exhale or inhale.

Good luck.

QAL

Dedicated to QALity sleep.
You'll note I am listed as an Advisory Member. I am honored to be listed as such. See the fine print - Advisory Members as a group provide advice and suggestions to Apnea Board administrators and staff concerning Apnea Board operation and administrative policies. 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.
07-02-2015 05:04 PM
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sleepybeaver Offline

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Posts: 81
Joined: May 2015

Machine: A 10 autoset
Mask Type: Nasal pillows
Mask Make & Model: airfit p10
Humidifier: built-in , with climate line
CPAP Pressure: 6 to 12
CPAP Software: SleepyHead

Other Comments: I'm not really a prist...and my wife is not a nun....Halloween Costumes

Sex: Male
Location: Northeast Ohio

Post: #6
RE: worst night since starting therapy
Thanks all for your input......I'm going to try to match the room temp to the climate line...and set the humitiy to 3.....wish me luck tonight.

It's exactly like that. . . . only totally different. . . . Sleep-well
07-02-2015 05:58 PM
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AlanE Offline

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Machine: ResMed AirSense 10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: P10 & Mirage Liberty backup
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CPAP Pressure: 10-14
CPAP Software: ResScan SleepyHead

Other Comments: ʕ•ᴥ•ʔ So Long, and Thanks for All the Fish

Sex: Male
Location: Southwest Florida

Post: #7
RE: worst night since starting therapy
Keep in mind setting an EPR of 3 may also make things worse. It did in my case. Once you set it, give it at least a week preferably 2 to adjust to the changes and re-evaluate. Unless it just made things terrible. If so, return to what you had it set to before and again re-evaluate.



Using FlashAir W-03 SD card in machine. Access through wifi with FlashPAP or Sleep Master utilities.

I wanted to learn Binary so I enrolled in Binary 101. I seemed to have missed the first four courses. Big Grinnie
07-02-2015 06:10 PM
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quiescence at last Offline

Advisory Members

Posts: 753
Joined: Nov 2014

Machine: REMstar System One with Autoflex
Mask Type: Full face mask
Mask Make & Model: Quattro AirFit F10
Humidifier: yes typical setting = 4
CPAP Pressure: 5-13 Autotritrating CPAP
CPAP Software: SleepyHead EncoreBasic

Other Comments: CMS-50F Plus oximeter /w SPO2 Assistant software. Avowed mouth-breather switching to nose-breathing

Sex: Male
Location: US

Post: #8
RE: worst night since starting therapy
AlanE - are you saying that EPR 3 has actually led you to feel that exhale is harder to accomplish?

Thanks,

QAL

Dedicated to QALity sleep.
You'll note I am listed as an Advisory Member. I am honored to be listed as such. See the fine print - Advisory Members as a group provide advice and suggestions to Apnea Board administrators and staff concerning Apnea Board operation and administrative policies. 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.
07-02-2015 09:34 PM
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vsheline Offline

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Posts: 1,907
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: #9
RE: worst night since starting therapy
(07-02-2015 02:27 AM)sleepy beaver Wrote:   Tonight for some reason I can't breathe out well enuff to feel comfortable. ..can't fall asleep...I have tried everything from changing exhalation setting from 3 to off....makes no difference.

Hi sleepy beaver,

Strange but true: sometimes increasing the Min Pressure setting can make it easier to breathe.

As I write this, your profile says your minimum pressure is only 5. After a few weeks of therapy many people (most, l think) find a Minimum Pressure setting of 5 is uncomfortably low.

The machine will always use least 4 cmH2O pressure during exhalation, even if EPR is enabled.

When operating at a pressure of 5, EPR settings of 1 or 2 or 3 will all be identical: the inhale pressure IPAP will be 5 and the exhale pressure EPAP will be 4 (the minimum).

For greatest amount of exhalation pressure relief when your machine is at its Min Pressure setting, raise the Min Pressure to 7 or higher and set EPR to 3, the max. (Meaning, for greatest difference between IPAP and EPAP when your machine is at its Minimum setting, raise the Min Pressure to 7 or higher and set EPR to 3, the max.)

If you try changing to a Min Pressure of 6 with EPR of 2, or Min Pressure of 7 with EPR of 3, I think you will find it easier to inhale and exhale.

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.
(This post was last modified: 07-03-2015 12:06 PM by vsheline.)
07-03-2015 02:10 AM
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quiescence at last Offline

Advisory Members

Posts: 753
Joined: Nov 2014

Machine: REMstar System One with Autoflex
Mask Type: Full face mask
Mask Make & Model: Quattro AirFit F10
Humidifier: yes typical setting = 4
CPAP Pressure: 5-13 Autotritrating CPAP
CPAP Software: SleepyHead EncoreBasic

Other Comments: CMS-50F Plus oximeter /w SPO2 Assistant software. Avowed mouth-breather switching to nose-breathing

Sex: Male
Location: US

Post: #10
RE: worst night since starting therapy
I concur. I did notice that the Respironics System ONE APAP does not engage in pressure relief until it reaches an inhale pressure of 6. This device also has a set 2 cmH2O pressure relief, and then an additional flex that allows a short term enhanced pressure relief at the beginning of the exhale only.

[Image: c-flexplus_pressure_profile.gif]

QAL

Dedicated to QALity sleep.
You'll note I am listed as an Advisory Member. I am honored to be listed as such. See the fine print - Advisory Members as a group provide advice and suggestions to Apnea Board administrators and staff concerning Apnea Board operation and administrative policies. 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.
07-03-2015 04:13 AM
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