This is the segment promised in this video: ruclips.net/video/ePQN9luP5-0/видео.html Does the pillows, nasal, or full face settings matter for the F40? What do you think? Thank you for watching!!! You can now purchase the NEW ResMed F40 at cpapsupplies.com: bit.ly/38yPlXk Or the Hurricane Dryer.....or the VCOM. Discount Code: LEFTY20 Links: 1. Have a PAP Analysis with me at: axgsleepdiagnostics.com 2. As an Amazon Associate, I earn on Qualified Purchases: amzn.to/3drPax1 Video Sponsor: cpapsupplies.com/lefty Use my CPAPSupplies.com (affiliate link): bit.ly/38yPlXk April Discount...20% off AND 100 Loyalty Reward Points: LEFTY20 Don't forget discount code: LEFTY20 if all else fails! Check out my new Amazon Store: www.amazon.com/shop/thelankylefty27 (or....use my Amazon affiliate link every time you shop Amazon. Thanks!) Join this channel to get access to perks: ruclips.net/channel/UCg_Rj5qrxlCo4OX6MMq08gQjoin
When my Airsense 11 was set to full face I was having trouble getting enough when ramp was on at pressure level 4. When it was set to Pillows it was providing more airflow and was a lot easier to breath at pressure level 4.
I also read that it's the hose. There are other masks that have the hose... the Evora comes to mind. I believe it's to make the response punchier during breathing transitions, something you'd have to read *at the mask*, not at the machine. Like a different algorithm or rise rate when switching from exhale in inhale. Just a WAG.
An extra foot on a 6 foot hose is roughly 15% extra length, which equates to a reasonable extra flow resistance, especially at higher pressures. Pressure is measured only in the machine and drops along the hose so the mask pressure shown in OSCAR is a calculation based on known factors, e.g. length and diameter of hose, flow rate, temperature and humidity; but also on some estimates and assumptions such as intended leak, mask resistance (with pillows having higher resistance than full face) and maybe mask volume. So it does seem likely that the pillows setting is to overcome the extra resistance of the tube. I use an Evora Full and found I needed a higher (BiLevel) pressure support than with a Vitera. I had originally attributed it to mask volume, but the tube resistance now makes more sense to me. I have not tried pillows setting with lower PS yet, but it is something I will do after my next review with my specialist.
@@flowsy5294 Because I use a BiLevel, my pressure support (and therefore IPAP) is set 1 cm higher than I think I need with a Vitera. EPAP is unchanged. I have yet to experiment with reducing PS by 1 and using pillows mask setting instead. I have a different test running at present.
I use a Resmed F3 mask and I find the change from Full Face to Pillow lengthens the ramp up time to fill the mask and improve the seal. That is shown in your Oscar readings.
I've been wondering this for a long time! It's always (slightly) bothered me if I should be using the pillow setting on the Brevida. I tried similar testing and ended up thinking the same thing. It probably does have something to do with pressure change response rate or leakage calculation. Or maybe it's simply a way to lock us in to ReMed masks 😀.
Remember how old the machines are and what masks were available when they came out. That is what any algorithms should be taking into account at the time. As this is a new mask I would say this one doesn’t match the profile of ‘full face’ at the time the machines were released. So they have said the best match to profile they have available to them
After switching from F30 to the F40 the resmed 10 stopped auto shutting off after I removed the mask in the morning, had to manually shut off the machine, switched to the pillow setting and now it once again shuts off automatically.
Jason, I commented on your other video about using the pillows for this mask and it seems I was getting more air,than usual. I’ve switched back to full face,so unless they tell me it’s harmful,I’ll be staying with full face
The only way it’s going to be harmful is if the pressure delivery is changed somehow. (Too little too much). This brings up the question of what someone would do it they are using the FPbSleepStule that doesn’t have this adjustment.
Hey Mr. difficult, I can so relate! I wonder if it has a bigger impact on leak response in APAP mode. It won’t matter for us because although difficult, I do listen to advice. 😂 buuuuuuuut could be the hidden gem.there must be a reason. 😊
I remember from various vids with Dr. William Noah, that for pillows they tell everyone to set machine for FF, to build EPAP. Dunno how that factors in going the other way thou.
When I saw Nick's video explaining that the F40 needed to be set to pillows due to the short tube, I switched from Nasal to Pillows for the Bleep Eclipse, since it also has a short tube and the same logic should still apply. After I switched, the leak rates were still the same (literally 0.0 leak throughout the night no matter if it was set to nasal or pillows). However, there was a slight reduction in what the machine said my AHI was after I switched to pillows. I know that the machine's calculation of AHI is probably inaccurate, but I am just reporting what MyAir tells me. I am on a fixed pressure of 10, so the machine's auto algorithm isn't a factor here.
I can see this being affected. I’m so jaded against all flagged events that this really isn’t something that I considered. But I think you may be correct. I’ll have to look at my data with it…..but it’s so inconsistent anyway! 😂
@@Freecpapadviceit would be interesting to see what you find. Since Resmed apparently also suggests setting the N20 to nasal, you might consider doing a similar comparison of the N20 at different mask settings as you did for the F40.
Given that you have reduced variability by doing this under optimum conditions, you might expect the resists to ne essentially the same. The difference in settings may be the range over which the system will believe things are ‘normal’ and not throw an error code. I suspect that the pillows setting has the widest tolerance and full face the least with nasal somewhere in between. Just a thought… nice video. Tnx for sharing it
My experience is that the F40 sounds like it's leaking, but it isn't leaking, checked with the one finger test while mostly asleep. Verified per Oscar in the morning. Thinking there's a leak while asleep makes me slap my face; strangely, this wakes me up. The F40 also doesn't have plastic parts like a regular FFM; it's mostly silicon. Maybe this has something to do with the "pillows" setting.
Jason, I'm curious to know what size mask you're using with the F40. I have a facial profile similar to yours and find the fitting guide wants me in a S-W size mask though I'm 6'5" and 220lbs. So far I've become a fan of the F40 although the leak rate is higher than the F30i that I'll use some nights. When I get tired of the noise with the F30i, I'll switch out to the F40 for a few nights.
I’m wondering if pillow setting will fix my auto start/stop problem. I use an evora full and my ResMed air sense 10 will auto start but not auto stop. The auto start/stop works fine when I use my f20 mask, but the evora full won’t work with stopping (it starts fine). This theory developed after I saw the f40 video you did the other day. I still need to test it.
I love the fit of the F40, but feel too much back pressure when I exhale causing me to inhale more deeply and breathe more rapidly. I can breathe more freely with the F30i but do have leak problems. There is clearly more venting with the F30i. I can’t feel any air exiting the mask with the F40. Anyone else have this problem.?
I like mine i got it two days ago, it just feels like i'm not getting enough air through ny nostrils, maybe I have it too tight who knows. Then again I also just went from a full face mask to this F40 mask. The f40 feels more comfortable but I still get a dry mouth even on high humidity setting. Meh.
Evora FF doesn't even mention what setting to use at all. The F40, F30, F30i, all don't have XS masks and the head frame in small is way too big. You told me to switch to full face for leaks (and didn't mention my head looking abnormally small for a woman 😁) so I'm pretty sure it's not me. Resmed just forgot women need different sizes.
You're probably tucking your chin while you sleep. Try a soft cervical collar. It worked for me and after almost 5 years of cpap I realized I don't need it anymore. It was a huge problem for me at first. Zero leaks but my AHI was sky high until I tried the collar. Best of luck!@@screamtoasigh9984
This is the segment promised in this video: ruclips.net/video/ePQN9luP5-0/видео.html
Does the pillows, nasal, or full face settings matter for the F40? What do you think? Thank you for watching!!!
You can now purchase the NEW ResMed F40 at cpapsupplies.com: bit.ly/38yPlXk
Or the Hurricane Dryer.....or the VCOM. Discount Code: LEFTY20
Links:
1. Have a PAP Analysis with me at: axgsleepdiagnostics.com
2. As an Amazon Associate, I earn on Qualified Purchases: amzn.to/3drPax1
Video Sponsor: cpapsupplies.com/lefty
Use my CPAPSupplies.com (affiliate link): bit.ly/38yPlXk
April Discount...20% off AND 100 Loyalty Reward Points: LEFTY20
Don't forget discount code: LEFTY20 if all else fails!
Check out my new Amazon Store: www.amazon.com/shop/thelankylefty27
(or....use my Amazon affiliate link every time you shop Amazon. Thanks!)
Join this channel to get access to perks:
ruclips.net/channel/UCg_Rj5qrxlCo4OX6MMq08gQjoin
The auto shutoff doesnt work in full face mode but works in pillow mode. The F40 is by far the best mask I have ever used.
My skin seems to be sensitive to the silicone used on these... Went back to the air touch f20 with the large headgear from my f40
When my Airsense 11 was set to full face I was having trouble getting enough when ramp was on at pressure level 4. When it was set to Pillows it was providing more airflow and was a lot easier to breath at pressure level 4.
Great video. I work at a DME and specifically asked our RESMED rep this question and she sent me a bunch of materials i haven't read yet.
😂 Let me know if you find any pearls of wisdom in there.
@@Freecpapadvicewill do! I'll take a look tomorrow and see what I find!
@@jamierick79 how did it turn out?
@@novimon There was absolutely nothing useful in the documents the sales rep sent me.
@@jamierick79😂
I also read that it's the hose. There are other masks that have the hose... the Evora comes to mind. I believe it's to make the response punchier during breathing transitions, something you'd have to read *at the mask*, not at the machine. Like a different algorithm or rise rate when switching from exhale in inhale. Just a WAG.
An extra foot on a 6 foot hose is roughly 15% extra length, which equates to a reasonable extra flow resistance, especially at higher pressures. Pressure is measured only in the machine and drops along the hose so the mask pressure shown in OSCAR is a calculation based on known factors, e.g. length and diameter of hose, flow rate, temperature and humidity; but also on some estimates and assumptions such as intended leak, mask resistance (with pillows having higher resistance than full face) and maybe mask volume. So it does seem likely that the pillows setting is to overcome the extra resistance of the tube.
I use an Evora Full and found I needed a higher (BiLevel) pressure support than with a Vitera. I had originally attributed it to mask volume, but the tube resistance now makes more sense to me. I have not tried pillows setting with lower PS yet, but it is something I will do after my next review with my specialist.
What setting on a resmed do you use for the Evora Full Face? I have the same mask.
@@flowsy5294 Because I use a BiLevel, my pressure support (and therefore IPAP) is set 1 cm higher than I think I need with a Vitera. EPAP is unchanged. I have yet to experiment with reducing PS by 1 and using pillows mask setting instead. I have a different test running at present.
I use a Resmed F3 mask and I find the change from Full Face to Pillow lengthens the ramp up time to fill the mask and improve the seal. That is shown in your Oscar readings.
Can you verify what mask you use? I’m not familiar with ResMed F3, unless you meant F30 or F30i? Thank you
I've been wondering this for a long time! It's always (slightly) bothered me if I should be using the pillow setting on the Brevida. I tried similar testing and ended up thinking the same thing. It probably does have something to do with pressure change response rate or leakage calculation. Or maybe it's simply a way to lock us in to ReMed masks 😀.
I had my machine on nasal for the full face but it wouldn't auto start. Once I put it on full it started right up
You delivered, as promised. Thank you.
Great doing the consult w/you today!
Remember how old the machines are and what masks were available when they came out. That is what any algorithms should be taking into account at the time. As this is a new mask I would say this one doesn’t match the profile of ‘full face’ at the time the machines were released. So they have said the best match to profile they have available to them
After switching from F30 to the F40 the resmed 10 stopped auto shutting off after I removed the mask in the morning, had to manually shut off the machine, switched to the pillow setting and now it once again shuts off automatically.
Jason, I commented on your other video about using the pillows for this mask and it seems I was getting more air,than usual. I’ve switched back to full face,so unless they tell me it’s harmful,I’ll be staying with full face
The only way it’s going to be harmful is if the pressure delivery is changed somehow. (Too little too much).
This brings up the question of what someone would do it they are using the FPbSleepStule that doesn’t have this adjustment.
Hey Mr. difficult, I can so relate! I wonder if it has a bigger impact on leak response in APAP mode. It won’t matter for us because although difficult, I do listen to advice. 😂 buuuuuuuut could be the hidden gem.there must be a reason. 😊
I remember from various vids with Dr. William Noah, that for pillows they tell everyone to set machine for FF, to build EPAP. Dunno how that factors in going the other way thou.
When I saw Nick's video explaining that the F40 needed to be set to pillows due to the short tube, I switched from Nasal to Pillows for the Bleep Eclipse, since it also has a short tube and the same logic should still apply. After I switched, the leak rates were still the same (literally 0.0 leak throughout the night no matter if it was set to nasal or pillows). However, there was a slight reduction in what the machine said my AHI was after I switched to pillows. I know that the machine's calculation of AHI is probably inaccurate, but I am just reporting what MyAir tells me. I am on a fixed pressure of 10, so the machine's auto algorithm isn't a factor here.
I can see this being affected. I’m so jaded against all flagged events that this really isn’t something that I considered. But I think you may be correct. I’ll have to look at my data with it…..but it’s so inconsistent anyway! 😂
@@Freecpapadviceit would be interesting to see what you find. Since Resmed apparently also suggests setting the N20 to nasal, you might consider doing a similar comparison of the N20 at different mask settings as you did for the F40.
Given that you have reduced variability by doing this under optimum conditions, you might expect the resists to ne essentially the same. The difference in settings may be the range over which the system will believe things are ‘normal’ and not throw an error code. I suspect that the pillows setting has the widest tolerance and full face the least with nasal somewhere in between. Just a thought… nice video. Tnx for sharing it
My experience is that the F40 sounds like it's leaking, but it isn't leaking, checked with the one finger test while mostly asleep. Verified per Oscar in the morning. Thinking there's a leak while asleep makes me slap my face; strangely, this wakes me up.
The F40 also doesn't have plastic parts like a regular FFM; it's mostly silicon. Maybe this has something to do with the "pillows" setting.
Jason, I'm curious to know what size mask you're using with the F40. I have a facial profile similar to yours and find the fitting guide wants me in a S-W size mask though I'm 6'5" and 220lbs. So far I've become a fan of the F40 although the leak rate is higher than the F30i that I'll use some nights. When I get tired of the noise with the F30i, I'll switch out to the F40 for a few nights.
I want up with a lot of head pressure in the morning. I’m using my doctors recommendations what do you think causes this? Allergies?
I would love to know how I could lengthen my tube 3 inches. Somehow, you lengthened yours by a foot! You da man!!!
I’m wondering if pillow setting will fix my auto start/stop problem. I use an evora full and my ResMed air sense 10 will auto start but not auto stop. The auto start/stop works fine when I use my f20 mask, but the evora full won’t work with stopping (it starts fine).
This theory developed after I saw the f40 video you did the other day. I still need to test it.
Should your cpap level change by going to pillows
I love the fit of the F40, but feel too much back pressure when I exhale causing me to inhale more deeply and breathe more rapidly. I can breathe more freely with the F30i but do have leak problems. There is clearly more venting with the F30i. I can’t feel any air exiting the mask with the F40. Anyone else have this problem.?
Mask pressure settings are only relevant for EPR modes....thought you knew that Jason! 😉😋
IF…….thats true…the ResMed rep is duped by it too! 😂
Jason as a fellow registered sleep tech could make a video about explaining about Inspire? It’d be an interesting video
Tried this mask, returned it after three days, hurt my nose too much.
So how is everyone doing on their F40s? I may be ordering one today.
I love it. I hope you like your F40 as much as I like mine.
I like mine i got it two days ago, it just feels like i'm not getting enough air through ny nostrils, maybe I have it too tight who knows. Then again I also just went from a full face mask to this F40 mask. The f40 feels more comfortable but I still get a dry mouth even on high humidity setting. Meh.
@@AncientAli3n777 I've been using the F40 for about a week now. I love it. I tape my mouth shut with 3M tape to keep from getting dry mouth.
@@gosman949 I'm curious why you would be using a hybrid face mask (F40) when you're taping your mouth. Why not just go with a nasal mask?
@@dmcmaster3544 I don't like air blowing up my nose. Nasal maskes are like that. My pressure at deep sleep gets up to 20psi!!
Maybe this has more to do with apnea or hypopnea detection? Someone would have to use it overnight with the other settings…
I’m thinking you’re right. That said I did use it overnight with different settings. The arbitrary events don’t make sense to me anyway! 😂
Sorry about gonzaga
Honestly….sweet 16 was outstanding for them. Going out to Purdue is nothing to be ashamed of. UConn or Purdue?
Evora FF doesn't even mention what setting to use at all. The F40, F30, F30i, all don't have XS masks and the head frame in small is way too big. You told me to switch to full face for leaks (and didn't mention my head looking abnormally small for a woman 😁) so I'm pretty sure it's not me. Resmed just forgot women need different sizes.
Your advice on switching to FF mask and raising to a specific pressure worked for leaks but my RHI hasn't changed 🤷🏼
You're probably tucking your chin while you sleep. Try a soft cervical collar. It worked for me and after almost 5 years of cpap I realized I don't need it anymore. It was a huge problem for me at first. Zero leaks but my AHI was sky high until I tried the collar. Best of luck!@@screamtoasigh9984
@@screamtoasigh9984 remember it’s always about reducing arousals and not the artificially flagged events.
Should the f30 be set to pillows as well?
Full face mask no idea why Pillows is an "option"
Actually the F40 is considered a hybrid mask that doesn't cover the nose though allowing air to access the nares for breathing.