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Advise on Pressure Change?
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FLcracker Offline

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Posts: 41
Joined: Oct 2014

Machine: Philips PR System One REMstar Auto 60 Series
Mask Type: Nasal pillows
Mask Make & Model: F&P Opus 360
Humidifier: Came Attached
CPAP Pressure: 9.5 - 12
CPAP Software: SleepyHead

Other Comments: Resident Thread Killer

Sex: Male
Location: Odessa FL

Post: #1
Advise on Pressure Change?
Hi Y'all...

Mizz Cracker decided to try a nasal pillow mask by F&P...It just arrived today.

Her pressures have been pretty steady the last few weeks, set at 10/14.5...and she's been pulling some pretty steady good low numbers using her FFM...but battling consistent air leaks....which is why she wants to try the pillows route.

Should I leave the machine set where it's at?...or is there a need to change pressure sets up or down, to get her comfortably started.

TIA!

FLc
01-26-2015 09:23 PM
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trish6hundred Offline

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Posts: 6,430
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: Advise on Pressure Change?
Hi FLcracker,
How did things go with Mizz Cracker's new mask?
Did you wind up changing her pressures? The only thing is, there might be different mask settings for nasal pillows so you might need to change that, but I don't know about the pressures.

trish6hundred
01-27-2015 11:50 PM
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saltydawg2 Offline

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Posts: 92
Joined: Sep 2014

Machine: Resmed S9 autoset
Mask Type: Full face mask
Mask Make & Model: F/P Flexi-fit 431
Humidifier: h5i
CPAP Pressure: 11.8 min-14 max
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: North Carolina

Post: #3
RE: Advise on Pressure Change?
What Trish said. Would not monkey around with anything for a few days, except maybe the mask type setting, so she can allow time to get used to the new mask; that is enough change to distort any other readings except leak rate, if more present with new mask.
01-28-2015 05:00 AM
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FLcracker Offline

Preferred Members

Posts: 41
Joined: Oct 2014

Machine: Philips PR System One REMstar Auto 60 Series
Mask Type: Nasal pillows
Mask Make & Model: F&P Opus 360
Humidifier: Came Attached
CPAP Pressure: 9.5 - 12
CPAP Software: SleepyHead

Other Comments: Resident Thread Killer

Sex: Male
Location: Odessa FL

Post: #4
RE: Advise on Pressure Change?
Thanks guys...

I'll look into the setup menu on the machine, and see if pillows are covered in the presets... I hope so, I don't really want to change her every night pressure settings...She's doing as well as she ever has these last few weeks...Last night she finally broke into the ONES!!, with a 1.7 AHI...Considering about 90+ days ago, she was regularly getting 50's and 60's.

I'm so proud and happy for her...Noting we could never have done this without all the good help and advise that many on here provide on a daily basis...We are so blessed to have you and this forum available to us.

The 'eye incident' is on the way to full recovery, albeit a surprised and unwanted extra expense, at least we are aware of damage that can be done if leaks aren't better controlled. Her vision is coming fully back in the offended eye, and she only has one more doctor visit coming next week, then she should be good to go.

We won't run trials on the new nasal pillow mask, until the coming Fri night, and through the weekend....She does not like to 'experiment' on regular work days.

Best to all! FLc
01-28-2015 06:00 AM
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Ghost1958 Offline

Advisory Members

Posts: 957
Joined: Aug 2014

Machine: PRS1 Series Sixty Auto Aflex
Mask Type: Nasal mask
Mask Make & Model: F&P Eson
Humidifier: PRS1 with Heated Hose
CPAP Pressure: 10.5 min 16 max
CPAP Software: SleepyHead EncoreBasic

Other Comments: Moderate to Severe SA Obstructive. Rapid O2 desat off the machine.

Sex: Male
Location: KY

Post: #5
RE: Advise on Pressure Change?
FLCracker. Which F&P pillows did she get??? There are x settings for pillows on your machine but the numbers are geared for Respironics masks. Look on the documentation with the mask she now has and see what its pressure resistance is.

Then use the web to find a respironics pillows mask with the same or very near same resistance and set the x setting according to that.

X1 is FFM and about all nasal masks but there are different x settings for pillows depending on size and resistance of the pillows.

If you list the pillows mask she has I and maybe some others here an help you make the comparison to get the right x setting.

Until you know Id probably set the machine to 0 in the resistance settings.

Using pillows or nasal mask youll probably find less leaks and likely lower pressures needed especially on the upper side.
01-29-2015 02:19 AM
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FLcracker Offline

Preferred Members

Posts: 41
Joined: Oct 2014

Machine: Philips PR System One REMstar Auto 60 Series
Mask Type: Nasal pillows
Mask Make & Model: F&P Opus 360
Humidifier: Came Attached
CPAP Pressure: 9.5 - 12
CPAP Software: SleepyHead

Other Comments: Resident Thread Killer

Sex: Male
Location: Odessa FL

Post: #6
RE: Advise on Pressure Change?
(01-29-2015 02:19 AM)Ghost1958 Wrote:  FLCracker. Which F&P pillows did she get??? There are x settings for pillows on your machine but the numbers are geared for Respironics masks. Look on the documentation with the mask she now has and see what its pressure resistance is.

Then use the web to find a respironics pillows mask with the same or very near same resistance and set the x setting according to that.

X1 is FFM and about all nasal masks but there are different x settings for pillows depending on size and resistance of the pillows.

If you list the pillows mask she has I and maybe some others here an help you make the comparison to get the right x setting.

Until you know Id probably set the machine to 0 in the resistance settings.

Using pillows or nasal mask youll probably find less leaks and likely lower pressures needed especially on the upper side.

Good Mornin' Sir!

The F&P Nasal Pillows mask is called the "Opus" model. I'm unsure where to find info on resistance...There is a print-out in the box that it came in, but I'm really pretty incapable of reading it without major magnification...I don't know how much smaller they could make the print on those pages without making it completely invisible! It also came with S/M/L seals.

The ad said it was capable of handling pressure up to 25...that's 5 more than her unit can deliver. That's about all the info I can provide right now....

I have already noted this morning that some form of proper lube around nostrils is generally good to use with these types.

It only seemed 'normal' to me that one would likely need to bring down the high pressure setting somewhat, as there's not as much space to fill, as in a FFM.

Thanks much for your input 'mah fren'.

FLc
01-29-2015 07:40 AM
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Ghost1958 Offline

Advisory Members

Posts: 957
Joined: Aug 2014

Machine: PRS1 Series Sixty Auto Aflex
Mask Type: Nasal mask
Mask Make & Model: F&P Eson
Humidifier: PRS1 with Heated Hose
CPAP Pressure: 10.5 min 16 max
CPAP Software: SleepyHead EncoreBasic

Other Comments: Moderate to Severe SA Obstructive. Rapid O2 desat off the machine.

Sex: Male
Location: KY

Post: #7
RE: Advise on Pressure Change?
(01-29-2015 07:40 AM)FLcracker Wrote:  
(01-29-2015 02:19 AM)Ghost1958 Wrote:  FLCracker. Which F&P pillows did she get??? There are x settings for pillows on your machine but the numbers are geared for Respironics masks. Look on the documentation with the mask she now has and see what its pressure resistance is.

Then use the web to find a respironics pillows mask with the same or very near same resistance and set the x setting according to that.

X1 is FFM and about all nasal masks but there are different x settings for pillows depending on size and resistance of the pillows.

If you list the pillows mask she has I and maybe some others here an help you make the comparison to get the right x setting.

Until you know Id probably set the machine to 0 in the resistance settings.

Using pillows or nasal mask youll probably find less leaks and likely lower pressures needed especially on the upper side.

Good Mornin' Sir!

The F&P Nasal Pillows mask is called the "Opus" model. I'm unsure where to find info on resistance...There is a print-out in the box that it came in, but I'm really pretty incapable of reading it without major magnification...I don't know how much smaller they could make the print on those pages without making it completely invisible! It also came with S/M/L seals.

The ad said it was capable of handling pressure up to 25...that's 5 more than her unit can deliver. That's about all the info I can provide right now....

I have already noted this morning that some form of proper lube around nostrils is generally good to use with these types.

It only seemed 'normal' to me that one would likely need to bring down the high pressure setting somewhat, as there's not as much space to fill, as in a FFM.

Thanks much for your input 'mah fren'.

FLc


The pressure drop or resistance thru that mask is 1.2 cmh20 at flow rate of 50 liters per minute. 50 liter flow rate occurs at 23 cmh2o which is three higher than your machine is capable of.

Use some google fu and find respironics pillows mask with a similar resistance at the flow of 50 liters per min near the 20 cmh20 and use that x setting.

If you dont want to fool with that you can just set the machine on 0 resistance setting. Your only talking a 1.2 cm drop at your machines max output pressure. Your watching software anyway so youll see any pressure changes she needs as she goes.
01-29-2015 11:05 PM
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FLcracker Offline

Preferred Members

Posts: 41
Joined: Oct 2014

Machine: Philips PR System One REMstar Auto 60 Series
Mask Type: Nasal pillows
Mask Make & Model: F&P Opus 360
Humidifier: Came Attached
CPAP Pressure: 9.5 - 12
CPAP Software: SleepyHead

Other Comments: Resident Thread Killer

Sex: Male
Location: Odessa FL

Post: #8
RE: Advise on Pressure Change?
Follow Up...for anyone interested...

Last night was her first all night trial run with the pillows... She chose the medium size to start out with...After a shakedown cruise for an hour or so in the living room sans card in the machine...she tells me they are much more comfortable to use then either of her FFM's, lighter weight and they seem to stay in place real well.

I set the resistance to zero, and as suggested, dropped both pressures 1/2 click, then eventually put the low start pressure back to where it was (her request) at 10. The low pressure of 10 is where the unit says it wants her to be at, and she seems uncomfortable with anything less.

There was some leakage that I heard in the very early AM, but she was sound asleep and seemed to not notice... So I gently gave her a little shove, and after she got up off the floor and back into bed (jk!!), the leakage quit...I assume it was due to the mouth breathing factor that we're both guilty of.

Final result is: even with some leakage, she still turned in a 2.4 ... For her first night! ... and she says she is very happy and fully wishes to continue with the new pillows.

We are going to try a few different methods of keeping the mouth closed when fully asleep, until we improvise a more permanent method of a fastened to the headgear comfortable chin-strap....

Thanks so much again, to all the kind folks who have contributed, both directly and indirectly, to helping us get her on the road to wellness. The changes in her in the last several weeks, are pretty incredible!

FLc
02-01-2015 10:22 AM
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