singingkeys

It might not be as expensive as others, but for me this one worked great and I got it because it is wrist worn and won't just fall off. Of course, a piece attached to the wrist part still has a wire on it and goes over the index finger. You can hook it up to the computer and use the SPO2 Assistant program to look at your results. Just make sure that whatever one you buy...it should come with the finger sleeve.

https://www.ebay.com/itm/CONTEC-CMS50F-WRIST-PULSE-OXIMETER-SPO2-MONITOR-OLED-USB-SOFTWARE/143326810430?epid=24029950356&hash=item215ef1913e:g:IHQAAOSwd01dJ2ok

That DreamWear mask actually looks surprisingly comfortable for a full face mask, but nearly half as much more than other masks. I just wonder how tight it would need to be to work at 9cm pressure. Every single night, I see that my exact pressure is 8.9.

My understanding is that these oral appliances move the teeth and need frequent adjustments to help the teeth stay reasonably in the same place. What about a small full face mask so that your mouth is the same pressure as the nasal passages? They make some smaller ones that look pretty nice. Just a bit expensive.

I've tried the cervical collar already. Worst thing I've ever worn. It made me uncomfortable all night long.

Using ResMed Air Sense 10 Auto. Max pressure needed never goes above 8 or 9 and it varies. I want to get one and see how it is compared to the P10 nasal mask. Pretty sure I'm a mouth breather and don't want to tape lips.

I'm going to attempt a headgear change. The flimsy straps for my P10 mask are driving me crazy. If I put one on top of the head and one behind the head, it is too loose. If I put both behind the head, it is still a bit loose and comes off during the night after an hour or two. The cheap little clips for the straps are worthless and pop off. I tied the straps and then put the clips on top of the knots and that helped me to keep it on for about 4 hours, so that seemed to help. I think that the issue is the straps are simply too thin width-wise and not physically strong enough. Plus the whole design of the straps being so close together is horrible in and of itself. I see that some people have converted various masks with different types of headgear.

I've found posts that reference switching the P10 mask headgear with the Swift FX headgear, but there seems to be several different types/models of headgear. Is there a particular kind that will work best with the connections on the P10? I know that I'm going to have to rig it to connect it, there's no question about that. Just trying to make sure that I can get it to line up as closely as possible and be of sort of similar design so that I can make it happen. Any particular model that would work best for this?

Nothing different from what I've normally seen. How many events per hour of obstruction and central are acceptable? Is it typically the 1-2 AHI for each?

So last night I tried these settings:

Autoset for her Max Pressure 9.0 Minimum Pressure 8.0 Start Pressure 7.0

So last night under those settings, I pulled it off after an hour and 12 minutes. 1.6 events per hour. 25L/min leak. 0.8 total AI and 0.8 CA.

I think I'm going to order that Swift FX headgear to hold it on better, as well.

I'm still trying to figure out the "sweet spot" for my settings. I'm getting rather frustrated. Every single night, I either pull the mask off right around 3 hours into wearing it or I do something like I did this morning. Woke up for a bathroom break, took the mask off/turned the APAP off temporarily and I was so exhausted that I didn't even make it up for the bathroom break and went back to sleep until time to get up for work.

Initial AHI was 5.2. Depending on how good the night goes, over the 3 hours I'll average somewhere around 1-2 AHI. However, Centrals continue at 1+. I feel like I can confirm those central events because it does feel like my body just doesn't want to breathe and just stops here and there even when sleeping with the mask sometimes. Not very often, but it happens. I sort of noticed that before I did the APAP, however. So I'm not sure if that's the pressure aggravating that or if the OSA is now suppressed and the CA is left and showing up now.

I have the For Her Autoset version. I started out a few nights trying the For Her mode, but it was ramping up to 9+ on the pressure and had so many events that it just stayed ramped for sometimes 30+ minutes per event. So I switched over to regular APAP mode before bed last night.

I started out with 5-ish starting pressure, minimum ramp of 6 and max of 10. It was ramping up to nearly 10. Eventually I tried 6 starting pressure and minimum of 7 with a max of 10 in an effort to stop the big ramps and already have the pressure at a reasonable amount to bring the event numbers down. But the Centrals remain. Only one or two seem to show up, however.

No matter what, ramps still go up to 8-9 and stay there for a long time on each ramp. Switching from For Her Mode to regular doesn't seem to have improved that. Between those long ramps and I keep pulling the bleeping mask off around the 3 hour mark, I'm not getting much done. Granted, the other day when I had 3 hours with the mask on and I slept about 6.5 hours, I still felt way more energetic than normal. Then I had bad nights again.

I keep seeing that I'm having "large mask leaks" noted and I don't know of a time when I've yanked the mask off that I didn't stop the machine. I'm using the medium nasal pillows on the P10 mask. I thought that because they go slightly into the nostrils that the large might be better, but the large ones don't seal well and I switched them back to medium as soon as I put them up to my nose and saw that they wouldn't work.

The mask and pillows seal well until it gets into the upper 8's and 9's in pressure, then it is probably starting to get bigger leaks. What can I do to make it kick back down once the event is over? I'm probably yanking the mask off because it is staying on too high of a pressure for too long and now my CA's are kicking up. This was either due to higher pressure or maybe I have a little central apnea showing its head after the OSA was kept in check, as well.

Anybody got anymore advice? I know that 3 hours isn't a lot to work with. Every single night, I pull it off at 3 hours.