Post Reply 
High Pressure PAPers
Author Message
PaytonA Offline
Wiki Editor
Monitors

Posts: 3,015
Joined: Dec 2013

Machine: ResMed S9 VPAP Auto
Mask Type: Full face mask
Mask Make & Model: Resmed Mirage Quattro
Humidifier: H5i(distilled-top up)
CPAP Pressure: VAuto MinE14.0 MaxI 20.6 PS4.0
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Orange County,California

Post: #1
High Pressure PAPers
Would anyone on the forum whose therapeutic pressure is around 20 cm H2O please let me know how you managed to reduce mask leakage to an acceptable level. I am getting very frustrated in this attempt. I am not new to VPAP but I went along for over a year thinking that I was reasonably leak free until I ran across this font of information (ApneaBoard.com) and learned what the data in the machine means.

I did find out the hard way that there was nothing that I could do to get the ffm that I had for a while to seal and the leaks were very irritating because they were directed right at my eyes. I went back to the nasal mask that I am still using and through some testing while awake found that I could completely seal off my mouth leaks with my tongue but when I did, I got a leak between my eyeball and my eye socket.

I just recently got the ruby red chin strap and I tried it last night but my leakage was not much better than with no chin strap. The leakage was 1.3 L/s versus my 1.4-1.7 L/s with no chin strap.

Any help or suggestions would be greatly appreciated.

Best Regards,

PaytonA
01-16-2014 04:56 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Peter_C Offline

Advisory Members

Posts: 1,308
Joined: Sep 2013

Machine: System One DS960HS
Mask Type: Full face mask
Mask Make & Model: Mirage Quattro "MED"
Humidifier: Attached
CPAP Pressure: Auto mode-script is:15/3/3
CPAP Software: EncoreBasic Other Software

Other Comments: Severe obstructive sleep apnea 1999/Just got an ASV machine

Sex: Male
Location: Akron, Ohio USA

Post: #2
RE: High Pressure PAPers
After 2+ years at a pressure of 17, I had my nose surgery done (throat surgery too), and that has helped a fair bit. No magic answers here, I used a nasa mask (this was years ago) and strapped it down tight. Perhaps one of the new FULL FACE masks (includes eyes) would help?

I did grab a new FFM, a 'Simplus',and at my current inhale pressure of 15-16 it is amazing, as is the 'Wisp' nasal mask. - Course, what works for one, may not work for a zombie.

*I* am not a DOCTOR or any type of Health Care Professional. My thoughts/suggestions/ideas are strictly only my opinions.

"Only two defining forces have ever offered to die for you. Jesus Christ and the American Soldier. One died for your Soul, the other for your Freedom."
01-16-2014 05:39 PM
Find all posts by this user Post Reply Quote this message in a reply
Airstream Offline

Advisory Members

Posts: 147
Joined: Feb 2013

Machine: Resmed S9 Autoset
Mask Type: Full face mask
Mask Make & Model: Resmed Mirage Quattro
Humidifier: Resmed H51
CPAP Pressure: 10-20
CPAP Software: SleepyHead

Other Comments: White Noise Aficionado

Sex: Male
Location: Smoky Mountains, East Tennessee

Post: #3
RE: High Pressure PAPers
I agree with Peter. When running high pressure there really is not way to prevent leaks other than having the mask tight. You may have to experiment with different masks in order to find one that you can live with having it tight. I guess that's why most of havw several, if not more, different masks some of which never get used.

To err is human, but to really mess things up, you need a computer.
01-18-2014 03:35 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
me50 Offline

Advisory Members

Posts: 2,559
Joined: Aug 2013

Machine: resmed S9 VPAP Auto
Mask Type: Nasal mask
Mask Make & Model: Wisp and Silicone Head gear
Humidifier: resmed H5i
CPAP Pressure: 18/8
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location: USA

Post: #4
RE: High Pressure PAPers
(01-18-2014 03:35 PM)Airstream Wrote:  I agree with Peter. When running high pressure there really is not way to prevent leaks other than having the mask tight. You may have to experiment with different masks in order to find one that you can live with having it tight. I guess that's why most of havw several, if not more, different masks some of which never get used.

using mask liners could help with leaks.
01-18-2014 04:12 PM
Find all posts by this user Post Reply Quote this message in a reply
PaytonA Offline
Wiki Editor
Monitors

Posts: 3,015
Joined: Dec 2013

Machine: ResMed S9 VPAP Auto
Mask Type: Full face mask
Mask Make & Model: Resmed Mirage Quattro
Humidifier: H5i(distilled-top up)
CPAP Pressure: VAuto MinE14.0 MaxI 20.6 PS4.0
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Orange County,California

Post: #5
RE: High Pressure PAPers
(01-16-2014 05:39 PM)Peter_C Wrote:  Perhaps one of the new FULL FACE masks (includes eyes) would help?

Peter_C,

I agree with you on the whole face mask(covers the eyes too). I went to Supplier #1 and they will not sell the whole face mask without a prescription for it. Is this a legal requirement? I also got with my DME and they want a prescription to "investigate" different masks. Does anyone know of a supplier that does not require a prescription for this (as long as the Rx is not a legal requirement)?

Thanks

PaytonA
01-18-2014 04:45 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
me50 Offline

Advisory Members

Posts: 2,559
Joined: Aug 2013

Machine: resmed S9 VPAP Auto
Mask Type: Nasal mask
Mask Make & Model: Wisp and Silicone Head gear
Humidifier: resmed H5i
CPAP Pressure: 18/8
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location: USA

Post: #6
RE: High Pressure PAPers
I would think if you have a script that says mask of your choice that would be good enough but I don't know what the DME's and/or suppliers think about that. There may be a regulation about a total face mask that I don't know about.
01-18-2014 04:58 PM
Find all posts by this user Post Reply Quote this message in a reply
Airstream Offline

Advisory Members

Posts: 147
Joined: Feb 2013

Machine: Resmed S9 Autoset
Mask Type: Full face mask
Mask Make & Model: Resmed Mirage Quattro
Humidifier: Resmed H51
CPAP Pressure: 10-20
CPAP Software: SleepyHead

Other Comments: White Noise Aficionado

Sex: Male
Location: Smoky Mountains, East Tennessee

Post: #7
RE: High Pressure PAPers
The mask liners suggested by me50 are a good idea. The most popular one I know of is not covered by insurance- at least mine.
Machines, masks, and humidifiers are classified as medical devices b the FDA. DME providers are required by this federal agency to sell only with a prescription.
Some people are able to buy from suppliers operating outside the law or assemble their own masks from parts purchased separately. Of course, you can always but from a private party (used).

To err is human, but to really mess things up, you need a computer.
(This post was last modified: 01-18-2014 07:24 PM by Airstream.)
01-18-2014 07:19 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
PaulaO2 Offline
Wiki Editor
Moderators

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: #8
RE: High Pressure PAPers
I know you asked for opinions from folks who have pressures of 20 but here's mine.

My 95% is currently around 17cmH2O but I hit the max of 18 a lot. I use nasal pillows. My leaks dropped tremendously (Swift LT) when I started using the Nuance. I was afraid I would have to go to a nasal mask or something the higher my pressure gets but the Nuance seems to be just fine. The Breeze handled the leaks fine, too, but it is basically held in place by the frame and can't move very far.

A medication I was on caused me to gain weight and I am having trouble losing it now that the medication is gone. This is why I have been having to raise my pressure higher. I've been tempted to just max it to 20 and see where it goes but my bet is it will still sit around 17 for the 95%.

PaulaO2
Apnea Board Moderator
www.ApneaBoard.com


Breathe deeply and count to zen.

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.
01-18-2014 07:31 PM
Find all posts by this user Post Reply Quote this message in a reply
Peter_C Offline

Advisory Members

Posts: 1,308
Joined: Sep 2013

Machine: System One DS960HS
Mask Type: Full face mask
Mask Make & Model: Mirage Quattro "MED"
Humidifier: Attached
CPAP Pressure: Auto mode-script is:15/3/3
CPAP Software: EncoreBasic Other Software

Other Comments: Severe obstructive sleep apnea 1999/Just got an ASV machine

Sex: Male
Location: Akron, Ohio USA

Post: #9
RE: High Pressure PAPers
Scripts are required in the US for new masks. One of the vendors on the list will sell 'parts' - a mask with no headgear, and then buy the headgear alone without a script, but you pay more for it. If the script states 'patient choice' - then you can try any mask you want. If your sleep doc is a pain, time for a new sleep doc in my book FYI? Any DR can fill and sign the script, and most will (if for supplies only) if handed to them.

*I* am not a DOCTOR or any type of Health Care Professional. My thoughts/suggestions/ideas are strictly only my opinions.

"Only two defining forces have ever offered to die for you. Jesus Christ and the American Soldier. One died for your Soul, the other for your Freedom."
01-18-2014 08:35 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
martinsr00 Offline

Preferred Members

Posts: 32
Joined: May 2013

Machine: Respironics DS760TS
Mask Type: Full face mask
Mask Make & Model: Mirage Quattro
Humidifier: Respironics
CPAP Pressure: 8/12
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Southern California

Post: #10
RE: High Pressure PAPers
My pressures are 17/22. Were 20/25 (Bipap).

At first (at the higher pressures), I had gobs of trouble getting a seal. For a couple of months.

Also, my nose was ulcerated by the mask. A local DME helped me out, and my mask size recommended by the sleep lab was too small. (Resmed Mirage Quattro). No more ulceration.

But leaks still.

When putting on the mask, I had to wiggle it side to side and up and down to find the place it wanted to be on my face. This helped dramatically. Good placement is important.

I then tried two types of mask liners. Settled on the Remzzzs because they didn't leave residue on my mask. This didn't stop the leaks, but it stopped the farting noises and made the mask more comfortable.

Then slowly, the leaks went away. Probably had something to do with training myself to avoid transient leaking. Can't say what it is I did, but whatever it was, leaks of enough size to cause problems occur only rarely.

So

Correct mask of the right size (experiment)
Placement/tightness on face
Mask liners
Train yourself
01-19-2014 12:53 AM
Find all posts by this user Post Reply Quote this message in a reply
Post Reply 


Possibly Related Threads...
Thread: Author Replies: Views: Last Post
  Events way too high! sfrasher 22 1,208 11-22-2016 06:35 PM
Last Post: sfrasher
  High AHI (7.5) and don't know why fotomatt1 15 672 11-20-2016 05:38 PM
Last Post: Sleeprider
  Which disturbs sleep most? High Pressure or Changing Pressure Rcgop 7 1,274 11-10-2016 07:37 PM
Last Post: Sleep2Snore
  [Pressure] Hypoxic- No Apneas- Pressure Too High? beardog 13 638 11-08-2016 06:19 PM
Last Post: PsychoMike
  Leaks (Too high?) sleepytimegal 9 442 11-06-2016 09:58 PM
Last Post: sleepytimegal
  Symptoms of pressure being too high?? MrEGuy 4 582 10-19-2016 06:32 PM
Last Post: EnigmaGrey
  Why Are AHI High When Wide Awake? Dreams of Green 7 666 10-18-2016 09:35 PM
Last Post: 0rangebear

Forum Jump:

Who's Online (Complete List)