Join Our Newsletter

New? Free Sign Up

Then check our Welcome Center to a Community Caring about Sleep Apnea diagnosis and Sleep Apnea treatment:

CPAP machines, Sleep Apnea surgery and dental appliances.

CPAP Supplies

Latest Activity

Andy posted a discussion

Resmed S10 AirSense - Anyone have one? Any feedback?

Hi All,I've just ordered a new Resmed S10 AirSense, and I was wondering if anyone here has used one?Any information or input would be appreciated!See More
Sep 29
Andy replied to Andy's discussion Resmed S8 AutoSet II - No Longer Collecting Data??
"Hi All, Well, I went to the sleep doc today, and he ordered a new S10 for me! I still don't know why my S8 is not tracking data anymore. Anyone have any ideas?"
Sep 29
Oscar Lemus updated their profile
Sep 25
liz4cps commented on liz4cps's group Prince William Co, VA support group
"Just found they have a Facebook for the REMedy event, 1st Class Sleep REMedy Wellness Health Fair."
Sep 25
liz4cps commented on liz4cps's group Prince William Co, VA support group
"Reminder: REMedy event is this Saturday, 10 am to 2pm.  Topics include: Nutrition and Weight Management with Sarah Kelly, Registered Nutritionist/Dietitian Oral Appliance Therapy for Sleep Apnea with Drs. Rena Vakay & Lara…"
Sep 25
Kay Day left a comment for Kay Day
"September 1, 2014 My apologies to Sleep Guide for not participating in a long time. In January 2012 I started classes at the local community college (my husband is an instructor there, and my tuition is refunded when my grades are above a C. My…"
Sep 1
Mary Z posted a discussion

Sleep apnea increases risk of osteoporosis

Sleep apnea/osteoporosis study finds “increased” health riskA recently published study may have found a connection between obstructive sleep apnea (OSA) and osteoporosis, marking yet another health…See More
Aug 23
Mary Z replied to ZolliStar's discussion Non-invasion approach that can relieve mild sleep apnea
"Hi ZolliStar, I've heard before that speech therapy, or singing lessons can help sleep apnea.  The problem at that time was there was no way to determine which exercises help.  Getting research done, rather than anecdotal would be…"
Jul 28
ZolliStar posted a discussion

Non-invasion approach that can relieve mild sleep apnea

Some people report that singing -- singing! -- really helps their sleep apnea. Dr. Stephen Park said that myology (which are exercises to strengthen muscles around the inside of one's mouth area) helps some. I think singing would be better.  If you read all the FAQs on this (click below), I think you'll agree that it makes sense for some. Maybe you.http://www.singingforsnorers.com/index.htmSee More
Jul 28
ZolliStar posted a discussion
Jul 20
liz4cps commented on liz4cps's group Prince William Co, VA support group
"I talked to Kimberlie at the Novant Sleep lab last week (at Prince William Hospital) and she said they would not be holding any meetings this year but are planning to start holding meetings again next year.  I'll let you know when we have…"
Jul 14
richard graham posted a status
"I just have mask called the Wisp. Hope it works. Anybody have experience with it. I have an ultra mirage nasal mask and get leaks at brid"
Jul 9
Andy posted a discussion

Resmed S8 AutoSet II - No Longer Collecting Data??

Hi All,First off, my apologies for not checking in for a long time.I've been using my Resmed S8 AutoSet II for almost 3 years! I feel great, have lost almost 30 lbs, am no longer sleepy during the day, sleep through the night, and have my short-term memory back.Yay!I've told my doctors that I'm the "poster child" for Sleep Apnea and CPAPs! It's been, and continues to be, such an amazing experience that I want everyone to know!Everything has been going well in CPAP-land, but in the last few…See More
Jul 7
hifay replied to richard graham's discussion mouth breathing
"What type of chin straps?"
Jul 6
Ginny Edmundson replied to Ginny Edmundson's discussion Scheduled for evaluation and possible procedure next day
"No real improvement in sleep study.  Just not having to use cervical neck color.  What a bummer. Surgeon wants another sleep study in about a month or so (home one) Not sure if will do or not. "
Jun 22
Mary Z replied to Ginny Edmundson's discussion Scheduled for evaluation and possible procedure next day
"Ginny, how are you doing after the tongue procedure?"
Jun 22
Mary Z posted a discussion

AHI finally under five.

I have been on CPAP since March 2008 and had a good AHI when I started therapy (under 5).Then my AHI started getting worse- for a while it stayed in the 20's, then we got it to the high teens.  Nothing we did would help.  My doctor said it was due to the meds I take.  For a couple of years I just tolerated the high AHI.  I did another sleep study and changed to an ASV machine.  For two years I still had a AHI around 11-13.  Then all of a sudden - a month ago I noticed my AHI was running five or…See More
Jun 22
ZolliStar replied to richard graham's discussion mouth breathing
"FWIW, I've been alternating between my mouth device and my APAP. I haven't used humidity at all when I use the APAP -- and don't miss it, either. "
Jun 14
richard graham replied to richard graham's discussion mouth breathing
"I still use humidity but less of it. It seems to be working OK.."
Jun 14
ZolliStar replied to richard graham's discussion mouth breathing
"I rarely use the humidifier. I think it's less necessary during the summer when there is humidity.   I also switch between my mouth device and the APAP.  I like each for different reasons. Not sure with which I sleep better, though.…"
May 21

How To Properly Fit a Mask. From a Techs Point of View.

First get your bed comfortable. Gather all of your creature comforts and make your nest. this reduces unwanted trips out of bed after the you have the mask on. This is important as you could wake your self up.

TURN YOUR MACHINE ON. Your mask should be filled with air when fitting.

Next I prefer to put the mask on sitting upright. Put the mask on just so that it rest on your face. It should be leaking at this time. (if you have a Resmed adjustable mask crank it out so that the forehead is pushed out as far as possible.)

Now I lay down on my back and listen to my mask leak for a second. Doing this trains your mind to hear them. Adjust the bottom straps first. Undue them and pull them straight out from the mask(the mask will want to slide down the straps). this is to even out the straps. If they are not even stop and fix it! Now evenly tighten the mask down just enough to form seal around your mouth(FFM) or the bottom of your nose(nasal).

Next do the sam with the top straps. Remember the top strap is more of an ancher. It should rest on your forehead rather than dig into it.(At this time if you have a Resmed adjustable mask crank it down. it should hug the bridge of your nose and finsh the seal).

Stop listen. you should not be uncomfortable and you should not here any leaks. The mask should be resting on your face at this point not digging or rubbing but resting. If it hurts loosen it.

If you hear leaks you have to options. 1 pull it straigh up off of your face and set it back down. this will sometimes fix it.
2 you can run your finger in between the seal and your skin all the way around the mask to ensure that the seal is folded under to do its job.

once you have these steps down the others are easy. Turn on your right, and left sides and adjust to rid leaks as well. This is important because the seal won't be the same on your sides as it is on your back. Set your self up for success and adjust for all positions.

Remember it only has to be as tight as you can handle comfortably. If you can't form a comfortable seal then you need a different mask.

Tags: cpap, fitting, mask, proper, tech

Views: 5266

Reply to This

Replies to This Discussion

It so helps w/that first self-fitting to have a second pair of hands and who can see that the fit is balanced equally on both sides. But we CAN do it ourselves w/a little more time and patience (and sometimes cussing) as we try to get each side equal. Practice makes perfect. And when you get it exactly where you want it, where the fit is comfortable and leak free - don't make any further adjustment, take your mask off in a manner that doesn't affect the fitting you've made.
Rock,
Great job! I always use the finger thing, but did not know it had a name.(Kudos to Judy) I would like to reproduce this on my blog with your permision. You would be a "Guest Author". I think it would really help my readers. Let me know.
Post away Jim. If it helps spread it around. I tried to visit your blog the other day and could not.

Jim Nadolny, BS, CRT said:
Rock,
Great job! I always use the finger thing, but did not know it had a name.(Kudos to Judy) I would like to reproduce this on my blog with your permision. You would be a "Guest Author". I think it would really help my readers. Let me know.
I don't get to experience this much, but when I do have a pt that is a long time PAP user they usually don't make any adjustments. they put it on like it was a sock cap move it around a little and are ready to go. Also if my pt is a veteran I won't even try to fit the mask for them. this way I can see if they are doing it right, and also it show s me if they are having problems with leaks. I do however Talk to my vets about any problems they might be having. I will let them try on any mask they want to try. I try to show them newer versions of their own as well as the ones that might be different. I will usually run a vets titration with the humidity set at one. Almost everyone wakes up surprised that they are not stuffy like I am some kind of miracle worker. You would not believe how many vets don't know they can change the humidity level.

Judy said:
It so helps w/that first self-fitting to have a second pair of hands and who can see that the fit is balanced equally on both sides. But we CAN do it ourselves w/a little more time and patience (and sometimes cussing) as we try to get each side equal. Practice makes perfect. And when you get it exactly where you want it, where the fit is comfortable and leak free - don't make any further adjustment, take your mask off in a manner that doesn't affect the fitting you've made.
Small glitch on the site Thursday, all is well now.

Rock Hinkle said:
Post away Jim. If it helps spread it around. I tried to visit your blog the other day and could not.

Jim Nadolny, BS, CRT said:
Rock,
Great job! I always use the finger thing, but did not know it had a name.(Kudos to Judy) I would like to reproduce this on my blog with your permision. You would be a "Guest Author". I think it would really help my readers. Let me know.
Rock, thanks for the good info on fitting CPAP mask (I prefer to call them C-CRAP).
My husband uses a full-face, but I can not tolerate this type, due to extreme claustaphobia..(can't spell TODAY)

I have a nasal pillow, with two straps across my head. I also cannot wear a cap, headband, or anything on my head without developing a headache. I fear the loosening I have to do on the straps may be causing leakage, but trying to go to sleep with a pounding headache will not happen.

I can not stand anything to cover my face, so I guess I am doomed.
L McClure, you would be surprised what you can adjust to when you realize your actual life is at risk if there is no other alternative. It just takes an attitude adjustment from I can't stand .... to I'll do it, by hook or by crook, I'll do it. I'm not saying it is easy or will be easy, what I am saying it CAN be done IF you make kup your mind to do it.

It may take months of a few hours today and a few more tomorrow and every day just sitting reading a book or magazine, working a crossword or jigsaw puzzle, kintting or crocheting, watching TV, whatever in the living room or family room, w/your mask on and CPAP turned on, SOMETHING to occupy your mind w/something other than "I've GOT to get to sleep!"

Or you can investigate whether you are a true candidate for surgery and what kind of surgery - or go for the ONLY CURE - a tracheotomy.
Thanks, Judy. No, no, a thousand times no, I do not want surgery and I probably made my non-compliance sound worse than it truly is. I do not want to wake up dead!!

I have many other illnesses, disorders, syndromes that contribute to my insomnia. The air from my CPAP makes my chronic dry eyes worse and also dry mouth. I have been told I do not have Sjorgens, but I sure have all the symptoms.
Also have very bad Fibromyalgia, bi-polar disorder and hypothyroidism, to name the top 3.

As a former college library research assistant, I certainly know that knowledge is power, and I research every condition and aliment I have, as well as family and friends. I am curious by nature and have to know everything about everything.

Linda
Is it a "given" that higher pressures make a mask more prone to leaks? I've not had any leak issues in the couple of months I've been using my CPAP, and know how fortunate I am for that. My CPAP is auto, and my pressure usually hovers around 6. Is that why I've been so lucky? If my pressure has to increase for some reason, will leaks be more of an issue?

I'm soon going for my next follow up with my therapist, my last appointment was 30 days ago. In my fist 30 days of treatment my leak rate was always zero. I haven't been checking my daily data, I have to start doing that, I just never think about it, but after my next check in, I don't go again for three months. It'll be time for me to start my own moitoring.... Little bird... fly on your own!!!! :-)
i think it depends on the mask. Some mask will actually develop a lower leak as you pump air into them.

Moe-jo said:
Is it a "given" that higher pressures make a mask more prone to leaks? I've not had any leak issues in the couple of months I've been using my CPAP, and know how fortunate I am for that. My CPAP is auto, and my pressure usually hovers around 6. Is that why I've been so lucky? If my pressure has to increase for some reason, will leaks be more of an issue?

I'm soon going for my next follow up with my therapist, my last appointment was 30 days ago. In my fist 30 days of treatment my leak rate was always zero. I haven't been checking my daily data, I have to start doing that, I just never think about it, but after my next check in, I don't go again for three months. It'll be time for me to start my own moitoring.... Little bird... fly on your own!!!! :-)
Ah, Linda. You do have a tough row to hoe. But, heck, if you've been able to cope w/all that .... You'll make it w/CPAP too.. Someone, I can't remember who, has mentioned that they use a black sleep mask over their eyes and under their CPAP mask which works great for them to protect their eyes and the bridge of their nose. For the dry mouth I assume you have tried Biotene or similar? And most deifinitely you should have a humidifier w/your CPAP. Adjust it as high as you need. Effective CPAP therapy should help improve the FM symptoms somewhat.Our RRTs and RPSGTs will cringe at this suggestion buy MANY CPAPpers use it quite successfully. "Tape" your mouth shut. Actually, you can use a very thin layer of PoliGrip Denture Gel on yur lips, or PoliGrip Denture Strips. It won't hurt or irritate your lips, it does a pretty good job of keeping your mouth shut, but you can easily open your mouth if you need to, and its just a mater of licking your lips to moisten them to "tape" your mouth shut again.Or you could probably acclimate yourself to a chin strap as well as the CPAP mask. You will find we have all kinds of tips to get acclimated to CPAP and mask we are more than happy to share..
Congratulations, Moe-Jo. Most of us have a devil of a time and go thru several masks before we get those leaks under control. You are right, tho, it does help to have a low pressure setting. Quite often the higher the pressure the greater the tendency to leaks. But once having mastered sleeping w/a mask and finding one with a good fit if you do have to go to a higher pressure you shouldn't have much trouble w/leaks.

Reply to Discussion

RSS

© 2014   Created by The SleepGuide Crew.

Badges  |  Report an Issue  |  Terms of Service