r/CPAPSupport

Airsense 11 EPR

Had an airsense 10 and loved it. I recently got an 11. Each night it takes 10-15 breaths for the EPR to kick in and let me exhale normally. I believe my EPR setting is on 3.

With the 10 EPR just worked quickly. Is this normal on the 11?

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u/BigNavy505 — 11 hours ago

AirTouch F30i diffuser

I just started using the F30i AirTouch mask and I like it much better than the AirFit. It solves the sweaty face problem! Unfortunately, the diffuser falls out in the middle of the night. How do I get it to stay?

u/Horror_Lab1204 — 16 hours ago

Is anyone else getting indentions on their face that take hours to go away?

I have tried adjusting the headpiece everyway from Sunday and I get these huge indentions on the sides of my face. I even use this thick satin cloth type mask and they still happen.

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u/ThunderBella — 16 hours ago

Happy 4th from r/CPAPSupport! breathe easy and sleep well tonight!

Happy 4th everyone in the US!

Hope you all have a safe night, enjoy the fireworks, and hopefully get some solid sleep when it’s all over. This little community has grown into something I’m really proud of, and I appreciate everyone here who helps, shares data, answers questions, and supports the people still trying to figure this therapy out. :)

u/RippingLegos__ — 1 day ago

Can you recommend any chin straps that dont give you an overbite and pull your jaw back?

Hey there, im looking for a new chin strap, I tend to wear.mine wrkng and stretch them.

Ive been looking at some and most if not all I see pull your jaw back into an overbite and im trying to avoid that.

I get thay the strap still holds your mouth up but I dont want one thay also pulls it back.

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u/craiganater — 18 hours ago

Hi, littlebitbrain here. What are all of these unclassified apneas? What should I do?

I managed to record some data in the past few days. It's been a struggle since I keep taking my mask off even after chaging the type of mask I use (I got a p30i). I found tying my hands helps a little bit. I don't know what to make of this though. What should I change?

https://sleephq.com/public/ae3ed262-51ca-49bc-99b9-332fd6a84cde

https://sleephq.com/public/f424e286-305a-47ad-9abf-a1cf51726917

u/littlebitbrain — 19 hours ago

New APAP user

About a week into APAP therapy (started end of June) for diagnosed OSA — baseline ODI-4 was 8/hr. AHI is now sitting under 5 most nights, which I'm happy with, but a large share of my remaining events are flagging as CA (central) rather than obstructive, and I'm trying to understand whether that's something to act on or just ride out. Another issue is that I am getting very low deep sleep numbers like 30 mins or less per night.

SleepHQ link: https://sleephq.com/public/2112a697-e19d-4e60-8c4d-66e995df2b7b

Current setup: APAP 5–20, EPR 2 full-time. Pressure is running low (median ~5.3, 95th ~6.6) and leak is basically zero.

What I'm hoping to get your read on:

  1. Given I'm only ~1 week in, do these CAs look like treatment-emergent centrals that tend to settle on their own, or a pattern worth addressing now?

  2. With centrals in the mix, would you narrow the pressure range or move to a fixed pressure rather than wide-open APAP? My understanding is that chasing pressure can sometimes make centrals worse — is that what you'd watch for here?

  3. Does EPR 2 help or hurt in a case like this? I've read pressure support can aggravate central/loop-gain instability — curious what others have seen.

  4. Anything in the flow-rate traces that tells you these CAs are genuinely central vs. mislabeled?

u/aes3des — 1 day ago
▲ 8 r/CPAPSupport+2 crossposts

First Night on ASV – Need Advice

Hi again everyone

I just completed my first night with asv and tbh I really hoped for a better result. I woke up really tired and groggy and felt way worse than normal. I looked through my data on Oscars and immediately knew my settings where off. Im therefore writing this post in hope of some experienced asv users can help me with my therapy/progress.

Background:

  • Mild OSA/UARS.
  • My biggest issue seems to be long periods of waxing and waning ventilation (likely high loop gain), often triggered after flow limitation/arousals.
  • CPAP/BiPAP controls obstructive events fairly well but does very little for the unstable breathing.

BiPAP settings that I came from:

  • EPAP 6
  • PS 4 (IPAP 10)

Flow limitation improved only slightly compared with CPAP, but loop gain remained almost unchanged.

First ASV night:

  • Fixed EPAP: 5.6
  • PS min: 2.6
  • PS max: 9

Results: https://sleephq.com/public/9034f7ec-9fbd-4b61-b914-08b8ea768e78

  • Central apneas: essentially zero.
  • However, flow limitation became noticeably worse during waxing/waning periods.
  • I ended up with more hypopneas than on BiPAP.
  • Subjectively I felt much worse.

Looking at OSCAR, the ASV algorithm is clearly changing pressure and trying to follow my minute ventilation, but it doesn't seem to stabilize the oscillations enough. It almost feels like once unstable breathing starts, my upper airway also becomes more unstable.

My questions are:

  1. Does this sound like poor initial titration rather than ASV simply not working?
  2. Would you consider increasing EPAP slightly if hypopneas appear during these periods, or would you leave EPAP alone and instead focus on the PS range?
  3. How do you decide on the optimal PS minimum? I understand ASV needs room to both increase and decrease pressure, so I don't want to set PS min unnecessarily high.
  4. Has anyone with UARS/high loop gain experienced that ASV required a lot of tuning before it became effective?
  5. When you titrate ASV, what metrics do you prioritize in OSCAR? Minute ventilation, IPAP behavior, flow limitation, respiratory rate, or something else?

For context, I'm also planning to try EERS once my equipment arrives, since acetazolamide (125 mg) had only a very small effect for me.

I'd really appreciate hearing from people who have successfully titrated ASV for unstable breathing rather than primarily central sleep apnea.

Thanks!

I have to push through with BiPAP

I have an auto-BiPAP that was set up following a tutorial. I gave up on the full-face mask almost immediately. With nasal pillows, I managed to sleep for one night, but with poor success because I kept opening my mouth. Please tell me some tips and what pressure settings I should use. It's a ResMed AirCurve Auto.

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u/aReliableSatyr1977 — 1 day ago
▲ 4 r/CPAPSupport+1 crossposts

Bleep Eclipse - huge leak rate or machine is confused?

I have been on ASVAuto with an Airsense 10 for over a year with a full face mask Airtouch F20. Last night, I swapped to the Bleep Eclipse nasal mask for the first time. I like it a lot but acknowledge I need to tune my settings to get the best sleep I can. I have another post on whether to choose “full face”, “pillow”, or “nasal” setting so I’ll mess with that. Last night, I had the machine on the “nasal” setting with the bleep eclipse and found in my sleep data that my leak rates registered as crazy high like up to 60 or 70. I’m going to assume my machine is just “drunk”? There’s no way there’s that much leak with the bleep eclipse which is touted as being almost leak free.

Is there some machine setting to help it properly track leak rate?

Also, I’m open to folks recommending setting changes based on my data here:

https://sleephq.com/public/teams/share_links/81c7aae8-5374-4633-a974-6ed15b9e447c

u/bgross2012 — 2 days ago

Resmed AirSense 11 on a red-eye flight?

Have a cross-country US domestic 5 hour red-eye flight. Anyone have any experience using an AirSense 11 onboard?

Luckily I’ll be in First Class but I’m wondering how unwieldy this will be anyway even if I’m using a battery bank with a USB-C cable for power. Planning on running it dry with the tube heating and humidifier off. I do have a window seat so nobody will have to climb over it at least. My mask is an F30i.

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u/reedog117 — 2 days ago
▲ 29 r/CPAPSupport+1 crossposts

Need Help Passing FAR — I’ve Failed 5 Times

Hi everyone. I’m looking for some advice. I’ve failed the FAR exam five times, and I’m trying to figure out what study approach might actually work for me. I’ve been using Becker for a long time, and recently I bought UWorld, but I still feel like I’m not understanding the material well enough to make progress.

I’ve been studying consistently for the past three weeks, but my scores for Chapter 1 and the part of Chapter 2 I’ve completed are still below 50%. I’m honestly feeling stuck and unsure of how to improve. For those who have been in a similar situation, what would you recommend I do? How can I study more effectively so I can finally move forward?

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u/Realistic-Anybody-99 — 3 days ago

First week on CPAP. What changes do people think I could make

I've just had my first week of CPAP and wondering what changes people think I could make. I'm still having bursts of apneas. I'm not really sure what to change, my apneas appear to still be happening even at higher pressures. I could obviously just set the machine higher but would love an extra set of eyes. How much higher do I go. Do i just bring my min pressure up or increase the max (or both)?

I've messed with my settings little over the days and tried EPR for the first time last night as I've been having some trouble getting used to the pressure. The 30 - 60 minutes every night is me awake reading in bed with the machine on.

Overall I feel like I'm sleeping better, I've woken up a few times when I wouldn't normally and either forced myself back to sleep with the mask or removed it.

My sleep study had my AHI at 18.

I'm currently using a nasal mask only

Appreciate anybody's input or general discussion.

u/The_Ingster — 3 days ago
▲ 14 r/CPAPSupport+2 crossposts

Airfit x30i leakage

As the title states, anyone here experience leakage with using the airfit x30i? I changed the nasal pillows from medium to large to see if that helped which it slightly did. When it is max pressure about 15 I can feel it leaking out of the side of my mouth and nose. My humidifier runs out of water by the middle of the night so I have to refill it. Hopefully someone here can give me some advice unless it’s trial and error with other masks. My next mask I will probably try is the airfit f30i.

u/One_Injury_1463 — 3 days ago
▲ 4 r/CPAPSupport+1 crossposts

Possible central sleep apnea? AHI suddenly up to 30-60 per night, waking up feeling like I am forgetting to breathe

Over the past week, I’ve noticed my AHI has skyrocketed from less than 10 to 30-60 an hour. I’ve also been having difficulty falling asleep due to waking up gasping for breath as though my cpap isn’t doing its job.

I have a beard and it is longer right now, but I usually don’t have this problem when my beard gets long. I’m also sleeping 10-13 hours a day and still feel tired.

I’m sure it’s against the subreddit’s rules to ask for medical advice, so I won’t do that. Just trying to brain storm any other variables I should eliminate before jumping straight to “Do I have CSA (central sleep apnea)?”

I’m getting my beard cut in the next day or two. My machine is about 4 1/2 years old. Resmed autosense 10. No allergies or cold symptoms causing nasal congestion. Pressure settings are 6.0-12.0 inH2O.

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u/taekwonlibra — 3 days ago
▲ 5 r/CPAPSupport+1 crossposts

Feeling defeated

Incoming wall if text.

have been on cpap just over a month after initial moderate sleep apnea diagnosis(26 ahi and 76 lowest O2). The first couple nights were awful but after that things started improving pretty quick and I was feeling really good but about 2ish weeks in my allergies became really bad and I started getting frequent sinus pain, headaches, and pressure sensitivities and I started regressing. After a week and a half of trying different medications and discovering astepro/flonas3 the allergies have largely faded but im still experiencing a ton of sinus problems(congestion and headaches) and it's becoming more difficult to fall asleep, stay asleep, and keep the head gear on. I have used saline rinses, nasal gels(neilmed and air one of which caused me nose to bleed at night when i used it before putting the cpap on, nasal sprays, increased humidity and hose temp, and I do my daily and weekly cleanings but im still having issues and it's making it to where I can barely sleep wethee I wear the mask or not. If I wear the mask it takes forever to fall asleep and I wake up with headaches, if I don't wear the mask my sinuses get so congested I cant breath. I have been heavily using sleepHQ to look at ny data and have my pressures dialed in to 8-10 and in my sleeping hours have got it to where im experiencing 0 to .16 ahi but cant stay asleep and when im awake feel like I've got a constant head cold. For masks o have tried f20, n20, p30i, and n30i. The f and n20 I struggle sleeping in and the p30i and n30i are way more comfortable but I still cant keep them on super long and still wake up after a few hours with head/sinus pain and pressure(Its not ideal but I have been living on advil and tylenol). Im not showing any major signs of sinus infection but occasionally blow out chunky old blood looking scabs from my nose. I saw a sleep doctor last week and she was largely unhelpful. Does anyone have any other advice or tips because im desperate. At this point I feel worse than I did before starting cpap and feel stuck.

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u/Living_Parsnip_2144 — 3 days ago

Compliance Period

I'm at about six months on my Airsense 11. I bought an Airmini today on sale and had a few questions:

(1) Am I okay on compliance period? and

(2) If not, how many days away from the Airsense trips any sort of problem.

TIA!

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u/MisterSofteePSSD — 3 days ago
▲ 6 r/CPAPSupport+1 crossposts

I honostly don't know where to go from here

Discovered a year ago I have OSA (25 AHI, of which 5 were CAs, plus 42 ''spontaneous'' arousals every hour);

I have been on an Autoset 10 for Her for almost a year with these results: https://imgur.com/a/3QiCHVr (I had to restart the ramp multiple times because I had difficulty with breathing, I had aerophagia, and I didn't feel rested)

Recently switched to an airbroken machine, first I tried VPAP: I got rid of all the flow limitations (at least in the FL graph) but I had still a lot of breathing instability and fatigue.

Switched to bilevel-s, still a lot of breathing instability and fatigue even if the statistics are looking good: https://imgur.com/a/Nsk77f8

Tried to change settings last night, apparently even worse results: https://imgur.com/a/2JX4Hoh

My sleephq charts: https://sleephq.com/public/65934899-b131-4aec-96db-5c11f3c45216

u/PiedinoLoZar — 4 days ago