ASV for UARS Help with Settings Question

ive been taping my mouth with surgical tape to prevent mouth leak but it looks like air may still be leaking out

2Tired4This wrote:ive been taping my mouth with surgical tape to prevent mouth leak but it looks like air may still be leaking out

It doesn't take a very large opening for the air to get through if the tongue is not keeping the air out of the oral cavity.

Think of it this way: How big of a hole does a bike inner tub need to have for most of the air to escape the inner tube?

yes... the root of the problem to me seems to be the tongue obstruction.. but I am at a loss at how to control my tongue during sleep.
I've tried tongue exercises, 2 tongue retaining devices, OSB dental device..

2Tired4This wrote:yes... the root of the problem to me seems to be the tongue obstruction.. but I am at a loss at how to control my tongue during sleep.
I've tried tongue exercises, 2 tongue retaining devices, OSB dental device..

Where do you normally keep your tongue during the daytime when you are not thinking about it and you are not talking or eating?

Do you habitually breathe through your mouth during the daytime? Do you frequently catch yourself breathing through your mouth in the day time?

I know you don't want to switch to a FFM. So the question becomes: Can you train yourself to naturally keep your tongue up on the roof of your mouth without thinking about it? If you can do that during the daytime, once you get used to doing in the daytime, you might just start doing it at night.

I'll post this rebuttal to the tongue talk, from something I posted the other day, elsewhere.

people talk about tongues, and jaws, and such, but none of that actually matters. it's your nasopharynx in the back of your mouth that controls where the air goes.

I can put on my p10 mask turn on the machine, open my mouth and stick out my tongue, breathing through my nose, and no air comes out of my mouth.

I can conversely, in the same setup, can breath through my open mouth, without losing any cpap air.... or I can let the air blow in my nose and out my mouth.

if you can blow up a balloon without pinching your nose shut, then you're already using the air direction mechanism.

practice.

the alternative is taping your lips shut, or using a sweatband over them, because chinstraps don't do it in and of themselves, because teeth aren't airtight

2Tired4This wrote:I dont recommend others with uars to see krakow. His guidance was very inneffective for me.

Same story here. I am on ASV for UARS and keep waking up in REM. I think the machine fluctuates too much for me.

I was on FFM, but now trying nasal again. Nothing I try works. Are you finding straight cpap at 11 cm is helpful?

robysue wrote: Where do you normally keep your tongue during the daytime when you are not thinking about it and you are not talking or eating?

Do you habitually breathe through your mouth during the daytime? Do you frequently catch yourself breathing through your mouth in the day time?

I know you don't want to switch to a FFM. So the question becomes: Can you train yourself to naturally keep your tongue up on the roof of your mouth without thinking about it? If you can do that during the daytime, once you get used to doing in the daytime, you might just start doing it at night.

I used to be a mouth breather and when I first found out about this stuff a few years ago I did what I could to optimize my nasal breathing (septum/turbinate reduction/nasal valve surgery) and I did the myofunctional therapy for 9 months which is essentially tongue exercises to try and train your tongue. And one thing they focus on is keeping your tongue on the roof of your mouth all day with your mouth closed. So now I usually have my mouth closed and try to keep my tongue on roof of my mouth during the day... night time is a different animal

palerider wrote:I'll post this rebuttal to the tongue talk, from something I posted the other day, elsewhere.

people talk about tongues, and jaws, and such, but none of that actually matters. it's your nasopharynx in the back of your mouth that controls where the air goes.

I can put on my p10 mask turn on the machine, open my mouth and stick out my tongue, breathing through my nose, and no air comes out of my mouth.

I can conversely, in the same setup, can breath through my open mouth, without losing any cpap air.... or I can let the air blow in my nose and out my mouth.

if you can blow up a balloon without pinching your nose shut, then you're already using the air direction mechanism.

practice.

the alternative is taping your lips shut, or using a sweatband over them, because chinstraps don't do it in and of themselves, because teeth aren't airtight

how do you do this when you are unconscious though Palerider?

justinjustin wrote:

2Tired4This wrote:I dont recommend others with uars to see krakow. His guidance was very inneffective for me.

Same story here. I am on ASV for UARS and keep waking up in REM. I think the machine fluctuates too much for me.

I was on FFM, but now trying nasal again. Nothing I try works. Are you finding straight cpap at 11 cm is helpful?

I just started trying straight CPAP and some nights have felt better than ASV so far but I am still struggling with leaks and trying to figure out something that works consistently.

2Tired4This wrote:how do you do this when you are unconscious though Palerider?

2Tired4This wrote:And one thing they focus on is keeping your tongue on the roof of your mouth all day with your mouth closed.

how do you do THAT when you are unconscious?

palerider wrote:

2Tired4This wrote:how do you do this when you are unconscious though Palerider?

2Tired4This wrote:And one thing they focus on is keeping your tongue on the roof of your mouth all day with your mouth closed.

how do you do THAT when you are unconscious?

I don't and that is the problem. I can keep my tongue on the roof of my mouth with my mouth closed all day while Im awake... but dont seem to do it so well while sleeping.

2Tired4This wrote:

palerider wrote:

2Tired4This wrote:how do you do this when you are unconscious though Palerider?

2Tired4This wrote:And one thing they focus on is keeping your tongue on the roof of your mouth all day with your mouth closed.

how do you do THAT when you are unconscious?

I don't and that is the problem. I can keep my tongue on the roof of my mouth with my mouth closed all day while Im awake... but dont seem to do it so well while sleeping.

my point, which seems to have gotten lost, is that it's not the tongue. maybe tongue exercises or whatever can help people get their nasopharynx working right, so they can direct the air, and breath through their nose without it going out their mouth, but, if you try, you can open your lips, put your tongue anywhere, and still manage to breath. unless maybe I've got a tiny tongue.


if it was just the tongue, you couldn't blow up a balloon without holding your nose shut... and who does that??

perhaps it's more a 'getting used to breathing through your nose, not your mouth, so that becomes muscle memory, I dunno, I just can't see how 'tongue' really has anything to do with it.... logically, or, in my case, physically.

palerider wrote: my point, which seems to have gotten lost, is that it's not the tongue. maybe tongue exercises or whatever can help people get their nasopharynx working right, so they can direct the air, and breath through their nose without it going out their mouth, but, if you try, you can open your lips, put your tongue anywhere, and still manage to breath. unless maybe I've got a tiny tongue.

if it was just the tongue, you couldn't blow up a balloon without holding your nose shut... and who does that??

perhaps it's more a 'getting used to breathing through your nose, not your mouth, so that becomes muscle memory, I dunno, I just can't see how 'tongue' really has anything to do with it.... logically, or, in my case, physically.

thats very possible. I also suspect the possibility that if your tongue base obstructs your throat it doesn't matter if you are breathing through your mouth or your nose because the airway is still blocked further downstream.

here are two nights using ASV with open settings to see where my pressures fall. Looks like my mask leak is in control. Any suggestion on pressure settings? Thanks

2Tired4This wrote:here are two nights using ASV with open settings to see where my pressures fall. Looks like my mask leak is in control. Any suggestion on pressure settings? Thanks

the data suggests the machine's doing its job well..

the resmed asvs are generally pretty easy to set up and use, they're so automagic.

at this point, the question is how are you feeling?