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[Equipment] mask choices
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Barryt Offline

New Members

Posts: 2
Joined: Dec 2012

Machine: Resmed s8 elite II
Mask Type: Nasal mask
Mask Make & Model: Mirage Activa lt
Humidifier: Resmed h4i
CPAP Pressure: 11
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #1
mask choices
Is there a professional guide to identify the best mask choice to address specific concerns?

My wife has had unsuccessful in adjusting to the two masks which the supplier has suggested. CPAP is being used to improve blood oxygenation and the prescribed air pressure is very low (5.0). Problems are:
- she hated the nasal pillow (ResMed Mirage Swift Nasal Pillow Mask for Her)
- she is not adjusting to Mirage FX Nasal Mask, based on a short trial period

Problems/needs:

- suffocation sensation
- claustrophobia
- nasal congestion (a pre-existing problem)
- uncomfortable pressure around the nose
- she has low tolerance and willingness to persist, notwithstanding a strong medical need
- need to wear reading glasses while wearing the mask, preferably on top of the mask
- due to her interrupted sleep pattern, she needs to be able to put on the mask while watching TV in bed in the evening and leave it on til morning, notwithstanding waking up several times during the night to read or watch TV. Her attempts with the two masks mentioned above has worsened her sleep pattern.

I have identified SleepWeaver as a possibility.

She is using a ResMed S9 machine.
06-08-2013 03:01 PM
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cbramsey Offline

Advisory Members

Posts: 900
Joined: Mar 2012

Machine: ResMed S9 Autoset
Mask Type: Nasal mask
Mask Make & Model: ResMed Mirage FX
Humidifier: ResMed H5i with ClimateLine
CPAP Pressure: 6 - 12
CPAP Software: ResScan

Other Comments: Supreme Overlord of Web Darkness

Sex: Male
Location: NC, USA

Post: #2
RE: mask choices
There is no professional guide that I am aware of.

Unsure

However, this Wiki Page might be of benefit to you and your wife.

You also need to work with your DME using the criteria you listed to see what mask might work.

Sleep-well

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.
06-08-2013 03:24 PM
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Sleepster Offline
Wiki Editor
Moderators

Posts: 4,994
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: #3
RE: mask choices
She can try different masks but it doesn't sound like that'll be productive. Her issue is simply acclimation to the mask. She can try wearing it while she's awake and doing things other than trying to fall asleep.

The nasal pillows should help with the nasal congestion. NeilMed sinus rinse is also a good idea for nasal congestion.

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.
06-08-2013 03:43 PM
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trish6hundred Offline

Advisory Members

Posts: 6,446
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: #4
RE: mask choices
Hi Barryt,
WELCOME! to the forum.!
What cbramsey and Sleepster said.
Hang in there for more responses to your post andbest of luck to you and your wife.

trish6hundred
(This post was last modified: 06-08-2013 03:50 PM by trish6hundred.)
06-08-2013 03:47 PM
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Tez62 Offline

Monitors

Posts: 837
Joined: Feb 2013

Machine: Resmed S9 Autoset
Mask Type: Full face mask
Mask Make & Model: Resmed Mirage Quattro
Humidifier: Resmed
CPAP Pressure: 5-15
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Melbourne, Australia

Post: #5
RE: mask choices
Barryt, I have heard the sleepweaver works well at low pressures like your wifes, it's worth a try, good luck.
06-08-2013 05:29 PM
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archangle Offline
Wiki Editor
Advisory Members

Posts: 3,159
Joined: Feb 2012

Machine: ResMed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: ResMed Swift FX
Humidifier: ResMed S9 H5i
CPAP Pressure: 16-20
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments: Happy PAPper

Sex: Undisclosed
Location: USA

Post: #6
RE: mask choices
Supplier number 1's web site on the supplier list is a good place to look at mask pictures.

A nasal pillow mask like the Swift FX only touches the end of the nose, and doesn't block the glasses. Sometimes you have to toughen up the nose a bit. When I switched, I would wear it a few hours a night, then switch to my older mask, and sometimes I'd just use the old mask all night. Now, the Swift FX feels like part of me.

If she can't handle the nasal congestion, a full face mask may be necessary. One of the "hybrid" types can avoid the glasses problems.

I don't think Sleepweaver is necessarily that good for use with glasses.

My ComfortGel Blue mask worked pretty well with glasses, but I had to put the glasses on first and then put the mask on, and I couldn't take the glasses off without removing the mask. This might or might not work based on your particular face shape, mask size, and glasses.

Does she have sleep apnea?

Suffocating feeling is often a sign that the CPAP pressure is too low.

We need to know which ResMed S9 machine she has. It should say something next to the power button.

Get the free SleepyHead software here.
Useful links.
Click here for information on the main alternative to CPAP.
If it's midnight and a DME tells you it's dark outside, go and check it yourself.
06-08-2013 08:01 PM
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bwexler Offline

Advisory Members

Posts: 563
Joined: Mar 2012

Machine: PRS 1 BiPAP autoSV Advanced, with Heated Tube humidifier
Mask Type: Nasal mask
Mask Make & Model: Sleepweaver Élan
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: #7
RE: mask choices
I have used the original SleepWeaver and the sleepWeaver Élan which I really like, but it does not work well with nasal congestion. It is the MOST comfortable mask I have used.
I frequently watch TV with the Élan and I could but don't usually wear my glasses with it.
I find all the nasal pillow puff prong masks irritate my nostrils.
06-13-2013 12:44 PM
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Shastzi Offline

Advisory Members

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: #8
RE: mask choices
Has she tried the Quattro FX yet?
That is a full face mask but keeping the nose open is not as important.

Wink

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

Cool
06-13-2013 02:07 PM
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