Free CPAP Advice and Sleep Apnea Treatment Help Board • View topic - Mask panic on night three
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Unread post  Post subject: Mask panic on night three  |  Posted: Tue May 28, 2019 4:57 am
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Joined: Tue May 28, 2019 4:42 am
Posts: 1
PAP Mask: DreamWear Full Face Mask
PAP Machine: DreamStation Auto CPAP
Humidifier: DreamStation Humidifier with heated tube
Pressure Setting: Currently 4-20, changing to 9-20

I started using my CPAP three nights ago fully expecting it to be a very loud, very expensive, very uncomfortable disaster. First two nights, however, were great! Then came last night...

My whole body went into an absolute panic with the mask on, I've no idea why. It was like I had one of those facehuggers from Alien on my face. I was convinced no air was coming through (mask fit fine, no blockages anywhere) so I kept taking my mask off to prove air was coming through.

When I took my mask off, I was really sleepy, and as soon as that mask went on my face my adrenaline went through the roof.

I have realised that I need quite high pressure (well I don't really know what constitutes high pressure, just higher than it was on the first two nights) in order to convince myself it's doing something. Like many machines it was set to 4 with a ramp of 30 minutes. I noticed that around a pressure of 9 I actually started to feel the comfort factor that it was doing something.

Anyone else have totally irrational mask panic?

First night with CPAP: 25 May 2019

Unread post  Post subject: Re: Mask panic on night three  |  Posted: Tue May 28, 2019 6:13 am
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Joined: Wed Aug 02, 2017 8:01 pm
Posts: 1711
PAP Mask: Bleep/DreamPort nasal mask
PAP Machine: ResMed AirCurve 10 VAuto
Humidifier: ResMed AirSense/AirCurve 10
Pressure Setting: Depends on the machine as I actually have more than one

Panic attacks are fairly common. Don't let them rule your life. Work through them.

Unread post  Post subject: Re: Mask panic on night three  |  Posted: Tue May 28, 2019 2:17 pm
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Joined: Wed Mar 02, 2016 2:26 am
Posts: 2556
Location: Dallas(ish)
PAP Mask: Resmed P10
PAP Machine: Resmed S9 vpap auto
Pressure Setting: 18/13-25/19

You can change the ramp, and min pressures, and probably should.

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Unread post  Post subject: Re: Mask panic on night three  |  Posted: Tue May 28, 2019 4:53 pm

Joined: Sat Nov 03, 2018 11:08 am
Posts: 8

Change the minimum pressure to 9, and make sure the machine is set for the correct type mask you are using.

Unread post  Post subject: Re: Mask panic on night three  |  Posted: Tue Jun 11, 2019 12:35 pm

Joined: Thu Dec 06, 2018 12:25 pm
Posts: 104
Location: NH
PAP Mask: Dreamwear Nasal Cushion
PAP Machine: Resmed Airsense 10 Auto
Pressure Setting: Currently pressure 7 to 12

Started in October. First 3 months for me was torture, and I would try to tolerate it and then rip it off. Apnea tests were in the severe category so I knew I had to keep trying. The concept of having something over my face when I was trying to sleep was horrible. I thought I would need a full face mask because I am a mouth breather. Tried 4 different ones and then decided to try nasal. That has been so much better. I now use a dreamwear that just tucks under my nose and the hose attaches on top. One strap around my head. I can even take a sip of water with it on. I use a wedge type pillow under my chin (but not around my neck) to control mouth opening. It works great. I have learned to manage and titrate my own machine. Currently on 7-11.4 pressure. Also have turned the ramp right off as it doesn't help me and was giving me a feeling of air hunger. I am getting good numbers now, usually under 1. Still bumping up my high pressure slowly 0.2 at a time until I hit the sweet spot where it is totally controlled. Drastic changes do not work for me. I am not sure why people are started at 4 and 20 and not given adequate instruction to manage their own settings. I have found a lot of help on utube and on this site. Good luck!

Unread post  Post subject: Re: Mask panic on night three  |  Posted: Thu Jul 11, 2019 6:29 am

Joined: Sat Jun 29, 2019 6:57 am
Posts: 7
Location: UK
PAP Mask: F&P Simplus
PAP Machine: ResMed Lumis 150
Humidifier: Integral to above machine. I also have heated tubing.
Pressure Setting: Don't know these - Doc had ResMed machine "learn" me...

Had plenty of panics with the machines in hospital. But when given my Lumis 10, and it had "learnt" me, no panics at all. It was as comfortable and as reassuring as you like. Only recently has it started being a nuisance - old age creeping in; it is getting a little loose around the edges and the strap gear is tired and stretched. Time to get new, I suppose...

Unread post  Post subject: Re: Mask panic on night three  |  Posted: Mon Jul 15, 2019 7:49 am
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Joined: Mon Jul 15, 2019 7:34 am
Posts: 2
Location: London

It's a common problem when you start using it for the first time but you are going to get used to it with time. Don't worry, when I had my first panic attacks I couln't even sleep with a shirt, I was feeling like I was getting strangled by my shirt.. But with time I overcame these nonsense panic attacks. Although I'm still having them in stressful times. For example now I'm having very stressful days since I'm trying to buy real estate in Athens but when you think your CPAP is helping you to breath better it's getting easier, believe me.

Unread post  Post subject: Re: Mask panic on night three  |  Posted: Thu Jul 18, 2019 8:55 pm

Joined: Thu Jul 18, 2019 8:39 pm
Posts: 1

It takes a while for some people to get used to their mask. That is why it is important to have good communication with your sleep doctor and also a good cpap equipment provider and you should be able to try different masks until one day works best for you. I got the opportunity to try another mask after talking to my doctor and I am glad I did because the one I have now works better for me than the one I had been started with.

Unread post  Post subject: Re: Mask panic on night three  |  Posted: Fri Jul 19, 2019 4:07 am

Joined: Tue Sep 05, 2017 9:40 am
Posts: 584
Location: WI
PAP Mask: F & P Vitera
PAP Machine: Airsense 10 Autoset
Pressure Setting: 12-20

Saw this on another site... ... xJ0DmVx8DA

Unread post  Post subject: Re: Mask panic on night three  |  Posted: Sun Jul 28, 2019 6:39 pm
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Joined: Sat Oct 26, 2013 2:03 am
Posts: 40
Location: Brisbane, Australia
PAP Mask: Resmed Swift Fx, also tried a F&P Plairo
PAP Machine: Resmed S9 Autoset
Humidifier: H5i
Pressure Setting: 5 to 12cmH2O

Hi People...haven't been on for a long time :shock: ....when I first started I dreaded putting on a mask....never been claustrophobic before, and I'm only using a nasal pillow ;), but back to the reason I'm responding......

I waited until I was dead tired to go to bed so I'd fall asleep easier/quicker. :idea:

The main reason I stuck with it was that I'd lose my job if I didn't. That's motivation enough. ;)

As someone posted earlier, I wouldn't dream...or I even dread, the idea of trying to sleep without it. Noticed the other day that my S9 has now got 20 000 hrs on it. And the only noise I'll hear is when I'm drawing a breath in....but not enough to keep me awake.


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