My current pressure is 12. I use the Breeze nasal pillow mask and love it lots.
However, I have a feeling my pressure needs to be increased. Previously, the doc has gone up 2cmH2O each time. With the Autoset, I plan on putting it on 10 and 16. But I know the limit for nasal pillows is 15.
So if I have to go higher than 15, what happens? Is it that the pressure is too much being directed directly into the nose vs being buffered by the face? Or is it that the pillows lift away from the face?
The Breeze has a rigid headgear. There's a tightening nut on the nose piece. If I tightened this way tight, then it wouldn't lift off so I wouldn't have a problem. But if it is the other, I'm in trouble.
I cannot wear nasal masks. I've tried a lot of different kinds and they all leak at my eyes.
I tried a hybrid mask (The Liberty, I think) and it shredded my lips. I was like a skydiver with my mouth wide open, lips flapping in the breeze. My face was actually wind burned.
I really don't want to start trying new masks again. (insert sounds of me whining)
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Hi Paula, I use nasal pillows and have gone as high as 18cmH20. I don't use the same pillow system--mine is the ResMed Swift FX (For Her), but I've never had a problem with the pillows trying to blast off from my face or anything. And the clinic didn't see any problem with using nasal pillows at that pressure.
Just last week I asked that my upper (auto) pressure be adjusted from 18 (where it's been for six months) down to 17, only because at 18, there's an increased chance of the pressure causing my mouth to fall open during sleep. At 17, that doesn't happen.
The Swift FX has a completely flexible headgear that I really like. I've never tried the Breeze so I can't speak to that one. But I can't wear nasal masks either and this nasal pillow system feels like I don't have any mask on at all. :-)
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I agree with the Swift FX, to me it is like not having a mask on. My pressure is currently only eight though. The adjustment is very simple without having to remove the pillows. I'm not sure I could tolerate a Mask although I would try whatever it takes for effective therapy.
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