High air flow with ResMed AirSense 10

[Parrott_head]

Hey folks,

I was put on a CPAP in late December, 2018. The unit came with a F&P Simplus and a medium mask. The mask seemed small so I went to a large. The first large I got developed a "whistle" when I exhaled and it was swapped out for another large, which does not whistle.

I have some pretty good nights right off the bat, lowering my AHI to <7 frequently.

However the last few nights have been a problem. Early in the morning the CPAP wakes me up by flooding me with supplied air. I will check the fit and roll on my back and modulated my breathing. The machine still supplies me like it is trying to blow start a B52. All the air is exiting out of the vent in the bride of the mask. I can extend my arm fully and feel a strong air current hitting my hand.

Any suggestions?

Seems I'm trying to reason in the hurricane season....

[LSAT]

The air coming out of the vent is your CO2 exhaust...all masks have CO2 vents. You need to position your sleeping position so the exhaust does not hit any part of your body or blanket/pillow. The higher your machine pressure, the higher the exhaust will feel.

[palerider]

However the last few nights have been a problem. Early in the morning the CPAP wakes me up by flooding me with supplied air. I will check the fit and roll on my back and modulated my breathing. The machine still supplies me like it is trying to blow start a B52. All the air is exiting out of the vent in the bride of the mask. I can extend my arm fully and feel a strong air current hitting my hand.

Seems I'm trying to reason in the hurricane season....

Rather than try and figure out what you mean by attempting to decipher all the colorful hyperbole in your post and possibly guess wrong, I'll ask.

WHAT ARE YOU TALKING ABOUT?

Please state the nature of your medical emergency, clearly, and without any reference to hurricanes, as evocative as that may be.

[Parrott_head]

However the last few nights have been a problem. Early in the morning the CPAP wakes me up by flooding me with supplied air. I will check the fit and roll on my back and modulated my breathing, the machine still (over) supplies me. All the air is exiting out of the vent in the bridge of the mask. I can extend my arm fully and feel a strong air current hitting my hand.

Seems I'm trying to reason in the hurricane season....(A line from a Jimmy Buffet song....fans of JB are known as Parrotheads.....a take off on Grateful Dead fans being known as Deadheads...)

[Pugsy]

The machine won't/can't increase the pressure like you are thinking it is doing when you have the big leak.
If you were to look at your reports you wouldn't see big pressure changes when you have the big leaks.
Air flow and pressure isn't necessarily the same thing.

You need to fix the leak problem...and the air flow problem will take care of itself.

[Dog Slobber]

However the last few nights have been a problem. Early in the morning the CPAP wakes me up by flooding me with supplied air. I will check the fit and roll on my back and modulated my breathing. The machine still supplies me like it is trying to blow start a B52. All the air is exiting out of the vent in the bride of the mask. I can extend my arm fully and feel a strong air current hitting my hand.

Any suggestions?

Seems I'm trying to reason in the hurricane season....

As a matter of fact there was a suggestion.

Somebody suggested that you try to explain your post because it's really not very descriptive.

However the last few nights have been a problem. Early in the morning the CPAP wakes me up by flooding me with supplied air. I will check the fit and roll on my back and modulated my breathing, the machine still (over) supplies me. All the air is exiting out of the vent in the bridge of the mask. I can extend my arm fully and feel a strong air current hitting my hand.

Seems I'm trying to reason in the hurricane season....(A line from a Jimmy Buffet song....fans of JB are known as Parrotheads.....a take off on Grateful Dead fans being known as Deadheads...)

Instead of making an attempt to better explain your problem, you repeat your original post using almost identical words and think it's more important to share with us the origins of your username.

Good luck with the modulated breathing in the hurricane of supplied air.

[djams]

Trying to read between the lines here. I'm guessing that you've awakened and found that the pressure is at a level that you're not comfortable with yet. This is the machine doing it's job, working to prevent events. Your body/brain gets used to this over time.

If this is the case, you can cycle the power on the machine to start over at your minimum pressure setting. No need to lay there and be uncomfortable.

[Pugsy]

Trying to read between the lines here. I'm guessing that you've awakened and found that the pressure is at a level that you're not comfortable with yet. This is the machine doing it's job, working to prevent events. Your body/brain gets used to this over time.

We don't know what pressure the machine was at because we can't see the pressure line when he was awakened by the leaks.
It may not have been higher pressures at all...it might simply have been the leaks that woke him up. He's equating the air flow from the leak to equal higher pressures (hurricane force pressures) and at this point we have no proof that the pressure even increased.
What we do know is that the air flow from the leak likely woke him up.

We really need to see the software reports to get any sort of real idea what is really going on and anything else is just a WAG.
A pressure setting of 5 will feel like hurricane force winds if the mask isn't sealing...and that's not a high pressure at all.

[Sissy63]

However the last few nights have been a problem. Early in the morning the CPAP wakes me up by flooding me with supplied air. I will check the fit and roll on my back and modulated my breathing, the machine still (over) supplies me. All the air is exiting out of the vent in the bridge of the mask. I can extend my arm fully and feel a strong air current hitting my hand.

Seems I'm trying to reason in the hurricane season....(A line from a Jimmy Buffet song....fans of JB are known as Parrotheads.....a take off on Grateful Dead fans being known as Deadheads...)

Dear Fellow Parrothead,
I wonder if you might not have the right mask for you. Is there a reason you need a full face mask? I had a horrible time with leaks when using a full face. It is possible your cushion is worn out? You would hope it would last more than 2 months, but due to a lot of variables, maybe it didn't last.

[djams]

We really need to see the software reports to get any sort of real idea what is really going on and anything else is just a WAG.

Yes of course. And reviewing the thread I now see that the OP already has SH up and running. A screenshot is definitely in order.

Was definitely a WAG(certainly not a SWAG). And I did qualify it as such.

I think that the wording of the posts brought out the puzzle solver/word game enthusiast in me. Thought I'd play.

[Pugsy]

I think that the wording of the posts brought out the puzzle solver/word game enthusiast in me. Thought I'd play.

Some days I am in the mood for puzzles and games....some days not so much.
Guess where I am at today.
All goes back to what you see me say often.....to fix a problem you first have to identify the problem.
We as a group here can't see what the machine is doing so we need the graphs to help us out to be able to offer any ideas based on fact and not WAGs.

All air flow out a leak is going to seem like a hurricane no matter what pressure the machine is using because of how the machine does air flow. Now maybe the pressure was horribly high...and maybe it wasn't....but the fix is "fix the leak" no matter what the pressure was doing. Fix the leak in the first place and the perceived force of the air flow will suddenly drop from those perceived hurricane force winds.

[palerider]

However the last few nights have been a problem. Early in the morning the CPAP wakes me up by flooding me with supplied air. I will check the fit and roll on my back and modulated my breathing, the machine still (over) supplies me. All the air is exiting out of the vent in the bridge of the mask. I can extend my arm fully and feel a strong air current hitting my hand.

Seems I'm trying to reason in the hurricane season....(A line from a Jimmy Buffet song....fans of JB are known as Parrotheads.....a take off on Grateful Dead fans being known as Deadheads...)

Repeating your hyperbole won't help.

You can tape up the vent if you like, though we won't be hearing from you anymore. (since, that's there to keep you from suffocating, and dying).

I, personally, am happy to have the vent on my mask.

[palerider]

Trying to read between the lines here. I'm guessing

Best not to guess... if people can't bother to try and communicate clearly, then they're not ready to seek help.

And, guessing, you may guess wrongly and give the wrong advice.

[Parrott_head]

Trying to read between the lines here. I'm guessing that you've awakened and found that the pressure is at a level that you're not comfortable with yet. This is the machine doing it's job, working to prevent events. Your body/brain gets used to this over time.

If this is the case, you can cycle the power on the machine to start over at your minimum pressure setting. No need to lay there and be uncomfortable.

Thank you. I did reset it one time and it restarted at the lower pressure. I have laid on my back and checked the fit of the mask and found no air leaks. If I put my hand out far from the vent I can feel a very strong air current. The SleapyHead software shows a brief spike on the leak chart but noting of any duration. It also showed that I was at the near max of my settings. But I had been at near max a few times previous in the night with no issue. I find it odd that after I have checked for leaks and determined there are none and I modulate my breathing the machine made no changes. My pressures are 4-20.

[Parrott_head]

Dear Fellow Parrothead,
I wonder if you might not have the right mask for you. Is there a reason you need a full face mask? I had a horrible time with leaks when using a full face. It is possible your cushion is worn out? You would hope it would last more than 2 months, but due to a lot of variables, maybe it didn't last.

The mask was the brand and style recommended by the sleep study. It came with a medium cup but It was not comfortable so I went to a large. The gauge sent with the equipment measured me at just the line where it switches from medium to large. I am a mouth breather when I sleep, have been my whole life as my sinuses seem to collect when I am horizontal, but if I sleep in a hammock, not problems with sinus drainage in the morning.

Thanks for your input.