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Change pressure settings for different masks?
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danielhopkins Offline

New Members

Posts: 1
Joined: Mar 2016

Machine: PR 60 Series RemStar Auto
Mask Type: Nasal mask
Mask Make & Model: Fisher & Paykel Eson
Humidifier: PR System One, heated tube
CPAP Pressure: 6.0-8.0
CPAP Software: Other Software

Other Comments:

Sex: Male
Location: Catonsville, MD

Post: #1
Change pressure settings for different masks?
Hi folks,

This is my first post on the forum, and I'm grateful for an opportunity to ask some questions of a learned audience.

I have been using a CPAP for 1.5 years (mild apnea diagnosis), and have had very successful AHI numbers with my Eson nasal mask (generally an average of around 2.5). I will admit, though, that my big challenge has always been just being comfortable using it. With that in mind, I also have an Opus nasal pillows mask that I have had limited success with, but like the comfort and convenience of it. I would like to use this mask if possible.

Unfortunately, when I use the pillows mask, my AHI's are all over the map, and well above 5 quite often. My question is this--is it possible that my pressure settings need to be adjusted to accommodate a different style mask? Or do I just need time to get used to the Opus?

Or should I just leave well enough alone and stick to my Eson??

Thanks in advance for your help!

Best,
Dan
03-10-2016 02:31 PM
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justMongo Offline

Monitors

Posts: 3,853
Joined: Sep 2013

Machine: ResMed VPAP Auto (S9)
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quattro
Humidifier: ResMed H5i
CPAP Pressure: 18 IPAPmax - 11 EPAPmin, PS=5
CPAP Software: Other Software

Other Comments: μολὼν λαβέ

Sex: Male
Location: Калифорния

Post: #2
RE: Change pressure settings for different masks?
Welcome

A difficult, but not uncommon question.
It could be a matter of selecting the proper size pillow.
Leak rate should also be investigated.

I'm no expert on PR machines; there is a mask resistance setting that may need to be changed for pillows.

BTW -- which series PR RemStar Auto A-Flex do you have?
[Image: which-remstar.jpg]
[Image: PR-model-1.jpg]
[Image: PR-model-2.jpg]

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.
(This post was last modified: 03-10-2016 02:44 PM by justMongo.)
03-10-2016 02:42 PM
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trish6hundred Offline

Advisory Members

Posts: 6,450
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: #3
RE: Change pressure settings for different masks?
Hi danielhopkins,
WELCOME! to the forum.!
Much success to you as you continue your CPAP therapy.
Masks are trial and error, you'll just have to try the different sized pillows to see how you do.
Hang in there for more suggestions and answers to your questions.

trish6hundred
03-10-2016 06:16 PM
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JudgeMental Offline

Advisory Members

Posts: 324
Joined: Feb 2012

Machine: Respironics DreamStation Auto-CPAP
Mask Type: Full face mask
Mask Make & Model: Respironics Amara View
Humidifier: Respironics
CPAP Pressure: 11-14
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Florida USA

Post: #4
RE: Change pressure settings for different masks?
Sounds to me like your leaks are the culprit in this situation. Though you may not feel the leaks themselves, there seems to be a difference in the mask type fittings on your face. There is no way to change the pressures on your machine from one mask to another ,unless, the mask or Respironics. And, even then, your model of machine may not even have that adaption. Don't change pressures to try to accommodate different masks.. That's not going to work. As Mongo suggested, I think a mask fitting or a change of the size of the pillows would help if you like the Opus pillows mask

Yesterday is history; Tomorrow is a mystery; Today is a gift; Thats why its called "The Present".
03-10-2016 09:03 PM
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Jim Bronson Offline

Advisory Members

Posts: 264
Joined: Dec 2014

Machine: ResMed Airsense 10 Elite
Mask Type: Nasal mask
Mask Make & Model: ResMed Mirage FX
Humidifier: Built-in
CPAP Pressure: 9.2
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: California

Post: #5
RE: Change pressure settings for different masks?
In the clinical settings menu on my Airsense 10, there's a setting for the type mask I'm using. I always thought that tailored the pressure to the mask.
03-10-2016 09:52 PM
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justMongo Offline

Monitors

Posts: 3,853
Joined: Sep 2013

Machine: ResMed VPAP Auto (S9)
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quattro
Humidifier: ResMed H5i
CPAP Pressure: 18 IPAPmax - 11 EPAPmin, PS=5
CPAP Software: Other Software

Other Comments: μολὼν λαβέ

Sex: Male
Location: Калифорния

Post: #6
RE: Change pressure settings for different masks?
PR machines have a "resistance setting" that actually does make a small delta in pressure. It think it's like x1,x2, x3.
But, the resistance setting for pillows is not obvious like on ResMed.

Someone on here knows the setting -- perhaps, Sleeprider.

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.
03-10-2016 10:10 PM
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AshSF Offline

Advisory Members

Posts: 356
Joined: Oct 2014

Machine: PRS1 D560TS
Mask Type: Nasal pillows
Mask Make & Model: ResMed P10, Bkup: Airfit F10 & Quattro Air
Humidifier: PRS1 60 series with Heated Tube
CPAP Pressure: 8 - 8 w/ Aflex 3
CPAP Software: SleepyHead

Other Comments: Using APAP mode with fixed pressure

Sex: Male
Location:

Post: #7
RE: Change pressure settings for different masks?
I have seen my pressure need reduce when going from FFM to nasal pillows. It may increase for some people. The only way to find out is to increase the range of your apap from 6-8 to something like 6-10 to begin with, and then evaluate how the pressure waveform for the night looks, in the case of a pillow vis-a-vis nasal mask.

The x1,x2,x3 settings do a minor tweak and is not as important as set pressure in this.

Started APAP 4-20, Closed range to 7.5-14, then straight 8.0 w/ Aflex 3
RDI always below 1. But sleep much much better at straight pressure.
Started on F10, Tried Quattro Air successfully. Finally settled on P10.
03-10-2016 10:56 PM
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Mr Nifty Offline

Preferred Members

Posts: 31
Joined: Jan 2016

Machine: ResMed AirCurve 10 VAuto
Mask Type: Nasal mask
Mask Make & Model: Mirage Activa LT
Humidifier: ResMed Climateline
CPAP Pressure: IPAP 22 EPAP 16
CPAP Software: ResScan SleepyHead

Other Comments: Darth Vader used a vpap

Sex: Male
Location: South Dakota

Post: #8
RE: Change pressure settings for different masks?
Finding the perfect mask for you can be a real challenge. Keep looking and you shall find one. My personal favorite nasal mask is the mirage activa lt. You have to wear it loose for it to even work properly. I'm on a bipap with a pressure of 22 and 16.

[Image: sztVpew.jpg]

Sleeping better since 01/13/2016 Smile

Masks I have tried to date
AirFit F10-FFM, AirFit N10-Nasal, Mirage Liberty-Hybrid FFM, Mirage Quattro-FFM, Swift FX Nano-Pillow, Mirage Activa LT-Nasal, ComfortGel Blue-FFM, Amara View -FFM, Pilairo Q -Pillow
03-10-2016 11:01 PM
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pupcamper Offline

Advisory Members

Posts: 401
Joined: Nov 2015

Machine: PR DreamStation CPAP Pro
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 Pillows; Quatro Air FFM
Humidifier: DreamStation Heated Humidifier
CPAP Pressure: 10.5 cmH2O; no ramp; no C-Flex
CPAP Software: SleepyHead EncorePro

Other Comments: Lung cancer survivor since 11/2004; CPAP since 11/2015

Sex: Male
Location: Van Buren, Arkansas, USA.

Post: #9
RE: Change pressure settings for different masks?
Someone posted a chart for the PR System One mask resistance settings. I have been using them with My Deramstatio and they seem to work OK. They are X1- large pillows, X2- medium pillows and X4 small pillows.

"....respiration,—a troublesome practice, but one which custom has rendered necessary to our easy existence...." Oliver Twist, Charles Dickens- 1837

I use FlashPAP to load data from a FlashAir III wifi sd card in my machine to my computer and display it with SleepyHead .
robysue's Beginner's Guide to SleepyHead
03-10-2016 11:12 PM
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