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AHI levels (Nasal Pillows vs. Full Mask
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Premier1949 Offline

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Posts: 2
Joined: Apr 2012

Machine: REMstar Pro C-Flex+ AutoIQ
Mask Type: Full face mask
Mask Make & Model: Mirage Quattro
Humidifier: System One Heated Humidifier
CPAP Pressure: 10.5
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Indianapolis, Indiana

Post: #1
AHI levels (Nasal Pillows vs. Full Mask
I have a Remstar Pro with humidifier, been on it for almost 2 years. I started out with nasal pillows and it was making sores on my nose but AHI was 1.6 to 6 range. They set me up with a Quatro Mirage full mask and my AHI is in the high 30's to 40's. Any suggestions or ideas would be appreciated.
03-26-2013 04:57 PM
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trish6hundred Offline

Advisory Members

Posts: 6,449
Joined: May 2012

Machine: Resmed S9 AutoSet for Her
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: H5i Heated Humidifier
CPAP Pressure: 10 - 7-20 Cm H2O
CPAP Software: Not using software

Other Comments: I started CPAP in 2008. Totally blind since birth.

Sex: Female
Location: Missouri, USA

Post: #2
RE: AHI levels (Nasal Pillows vs. Full Mask
Hi Premier1949,
WELCOME! to the forum.!
If you should want to go back to a pillows mask, you could try getting some HPA Lanolin cream, (found in the baby isle of most stores,) and swav a "LITTLE" bit into your nostriles with a q-tip and that should help with the irritation and it will possibly, give you a better seal.
Best of luck to you.

trish6hundred
03-26-2013 05:10 PM
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DocWils Offline

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Posts: 1,271
Joined: Jul 2012

Machine: Philips Remstar series 60
Mask Type: Nasal pillows
Mask Make & Model: ResMed P10
Humidifier: same as machine
CPAP Pressure: 5-15
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Switzerland

Post: #3
RE: AHI levels (Nasal Pillows vs. Full Mask
It makes little sense, unless you have enough blockage in your nose or collapsing nasal walls. In such cases, since nasal pillows keep the air passage open in the nose that masks do not, you might see a change in your AHI level. Leaks of course will also show odd results. Either way, the jump you describe is massive and you should see your MD on this.....
(This post was last modified: 03-26-2013 07:40 PM by DocWils.)
03-26-2013 05:19 PM
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zonk Offline

Advisory Members

Posts: 7,908
Joined: Feb 2012

Machine: A10 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Activa LT
Humidifier: Integrated /ClimateLineAir
CPAP Pressure: 9/13
CPAP Software: ResScan

Other Comments: CPAP since Nov 2010

Sex: Male
Location: Australia

Post: #4
RE: AHI levels (Nasal Pillows vs. Full Mask
(03-26-2013 04:57 PM)Premier1949 Wrote:  I have a Remstar Pro with humidifier, been on it for almost 2 years. I started out with nasal pillows and it was making sores on my nose but AHI was 1.6 to 6 range. They set me up with a Quatro Mirage full mask and my AHI is in the high 30's to 40's. Any suggestions or ideas would be appreciated.
Nasal masks works better for most people, Try Trish suggestion HPA cream
Give it few more days as you get used to this mask. Full face mask makes me feel uncomfortable and claustrophobic

Whats the clear airways portion of total AHI

Your machine report total, vents leaks plus excess leak, so if you,re spending some time in large leaks that would invalidate the data

Look at SleeyHead, see when events occurred, spread thru the night, clustered, or as you about to fall asleep or on waking up in the morning

I had days with high AHI, usually when my nose congested or air feel cold
The right humidity setting is important, maybe more needed with full face mask as one tend to breathe thru nose or mouth
03-26-2013 05:54 PM
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PaulaO2 Offline
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Posts: 8,067
Joined: Feb 2012

Machine: S9 Autoset
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: H5i
CPAP Pressure: 14-20
CPAP Software: SleepyHead

Other Comments: Ehlers-Danlos Syndrome, Hypermobility Type; chronic sarcasm

Sex: Undisclosed
Location: western NC, USA

Post: #5
RE: AHI levels (Nasal Pillows vs. Full Mask
It could be the full face mask is leaking and giving the machine bad results.

PaulaO2
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www.ApneaBoard.com


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INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
03-26-2013 06:46 PM
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Shastzi Offline

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Posts: 1,174
Joined: Dec 2012

Machine: ResMed S9 Autoset
Mask Type: Full face mask
Mask Make & Model: FitLife Total face mask
Humidifier: F&P HC150 with Hybernite heated hose.
CPAP Pressure: 15cm-20cm H2O (auto)
CPAP Software: SleepyHead Other Software

Other Comments: CMS50-F wearable Oximeter; Software: SPO2 Assistant

Sex: Undisclosed
Location: Florida, USA.

Post: #6
RE: AHI levels (Nasal Pillows vs. Full Mask
Sounds like you need to try several masks, the one you have may not be working for you.

"With ordinary talent and extraordinary perseverance, all things are attainable." - Thomas Foxwell Buxton

Cool
03-26-2013 07:08 PM
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Sleepster Offline
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Posts: 4,995
Joined: Feb 2012

Machine: ResMed AirCurve10 VAuto
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: HumidAir and SlimLine Hose
CPAP Pressure: MaxI 13.6 | MinE 5.2 | PS 4.4
CPAP Software: ResScan SleepyHead

Other Comments: Diagnosed Nov 2011. Conquered aerophagia.

Sex: Male
Location: Houston, Texas

Post: #7
RE: AHI levels (Nasal Pillows vs. Full Mask
(03-26-2013 04:57 PM)Premier1949 Wrote:  I have a Remstar Pro with humidifier, been on it for almost 2 years. I started out with nasal pillows and it was making sores on my nose but AHI was 1.6 to 6 range.

Was that the only reason you switched to a FFM?

Quote:They set me up with a Quatro Mirage full mask and my AHI is in the high 30's to 40's. Any suggestions or ideas would be appreciated.

You might want to try a hybrid mask and some lanolin on the nostrils.

Sleepster
Apnea Board Moderator
www.ApneaBoard.com


INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
03-26-2013 07:17 PM
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bwexler Offline

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Posts: 563
Joined: Mar 2012

Machine: PRS 1 BiPAP autoSV Advanced, with Heated Tube humidifier
Mask Type: Nasal mask
Mask Make & Model: Sleepweaver √Član
Humidifier: Resperonics Heated Tube humidifier
CPAP Pressure: Max pressure 25.0 cm H20, Max
CPAP Software: SleepyHead EncorePro

Other Comments: CMS 50i with Software for SpO2

Sex: Male
Location: San Marcos, CA, USA

Post: #8
RE: AHI levels (Nasal Pillows vs. Full Mask
I have been on CPAP for over two years now.
I have switched to a different mask almost every time I have been allowed to get a mask.
I did not like nasal pillows because they irritated my nostrils.
I tried the Sleepweaver and Sleepweaver Elan and liked them both. The Elan was better than the original. The problem I had was my nose would get stuffed so I am now trying a Quatro FX FFM. It is less comfortable and friendly than the Elan but solves the issue of a stuffed nose. I WILL use and get used to the FX and probably switch back and forth with the Elan depending on how often my nose is stuffed.
The best mask I tried was the "No Mask". A custom molded dental appliance that supports the nasal pillows with no head gear or anything in front of the eyes. The sore nostrils were the downfall.
I doubt there is one good answer for anyone, let alone for everyone.
The perfect answer would be to stay young and healthy and fit, and not require CPAP at all.
CAN I PLEASE BORROW YOUR TIME MACHINE.
04-24-2013 08:54 PM
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u2canbuild Offline

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Posts: 47
Joined: Oct 2012

Machine: ResMed Air-Curve 10 ASV
Mask Type: Nasal pillows
Mask Make & Model: Sept 1 Nasal Pillows Swift FX
Humidifier: Res-Med
CPAP Pressure: 3-8
CPAP Software: SleepyHead Other Software

Other Comments: 4 months AHI = 0.2 !! Adding 1.5 to 2 Liter O2

Sex: Male
Location: Central Massachusetts, USA

Post: #9
RE: AHI levels (Nasal Pillows vs. Full Mask
I wonder if trying a Nasal Mask might be worth a try?

I started out with a Full Faced Mask, tried Nasal Pillows, back to Full Mask, and have switched to a Nasal Mask with good results.

A full month now with good values and better sleeping.

Because you were able to use Nasal Pillows, you will most likely be able to use a Nasal Mask........... (ie mouth breathing issues)

Using a Nasal Mask you would not have any sores in you nose.......

Cool
04-25-2013 07:43 AM
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