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Nasal Pillows and high pressure
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PaulaO2 Offline
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Posts: 8,065
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: #1
Nasal Pillows and high pressure
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)

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.
11-09-2012 10:35 PM
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soferet Offline

Preferred Members

Posts: 20
Joined: Nov 2012

Machine: Fisher & Paykel Icon Auto
Mask Type: Nasal pillows
Mask Make & Model: ResMed Swift FX for Her - size XS
Humidifier: Fisher & Paykel Icon built-in
CPAP Pressure: 10-17cmH2O
CPAP Software: Other Software

Other Comments: Using F&P InfoSmart software. Mixed apnea (OSA/CSA) & severe hypopnea, dx'd February 2012

Sex: Female
Location: Minnesota

Post: #2
RE: Nasal Pillows and high pressure
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. :-)

Soferet [so- FEHR- et; Hebrew; feminine] noun: writer, author

"I love sleep. My life has the tendency to fall apart when I'm awake, you know?"
—Ernest Hemingway
11-10-2012 01:54 PM
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2Tim215 Offline

Preferred Members-2

Posts: 283
Joined: Oct 2012

Machine: S9 ResMed AutoSet
Mask Type: Nasal pillows
Mask Make & Model: Swift FX Nasal Pillow - Medium
Humidifier: ResMed H5i w/Climate Hose
CPAP Pressure: 6cm-12cm
CPAP Software: ResScan SleepyHead

Other Comments: OSA, Fibromyalgia, Rheumatoid Arthritis, Osteoarthritis, Gout, PTSD, & Meralgia paresthetica.

Sex: Male
Location: Finger Lakes Region, NY

Post: #3
RE: Nasal Pillows and high pressure
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.

Tim
Finger Lakes Region, NY
11-10-2012 02:28 PM
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PaulaO2 Offline
Wiki Editor
Moderators

Posts: 8,065
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: #4
RE: Nasal Pillows and high pressure
I looked at the pics of the Swift FX and I don't think that's one I have used.

I've used:
Mirage Swift
Swift LT
Comfort Lite

And I think there was another one or two but I didn't see it on the site I visited.

Glad to hear I don't have to change masks!

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.
11-10-2012 02:54 PM
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zonk Offline

Advisory Members

Posts: 7,908
Joined: Feb 2012

Machine: A10 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Activa LT
Humidifier: Integrated /ClimateLineAir
CPAP Pressure: 9/13
CPAP Software: ResScan

Other Comments: CPAP since Nov 2010

Sex: Male
Location: Australia

Post: #5
RE: Nasal Pillows and high pressure
(11-09-2012 10:35 PM)PaulaO2 Wrote:  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.
This is only my opinion ... of course you and others might differ ... but at the end "all roads lead to Rome"
I would set the minimum 8 or 9 and keep the maximum pressure at 12 (for now) also turn off Ramp and EPR if using any.
You can always see what ResScan graph look like, for example if pressure stayed at the upper pressure all night long and tons of obstructive apnea recorded ... than you know it has to a bit higher. I prefer to be at the lowest pressure possible without compromising the treatment
Its going take some timmmme finding that sweet spot in terms of comfort, sleep quality and numbers crunching (give and take sort of thing)
Sleep-well
11-10-2012 03:27 PM
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PaulaO2 Offline
Wiki Editor
Moderators

Posts: 8,065
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: #6
RE: Nasal Pillows and high pressure
Yes, that's why I thought to go to 16. Not too high but high enough that I will have usable data in a few weeks. And I don't think I would feel like I am getting enough air less than 10. It's why I turned off the ramp.

It gets here Wednesday.

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.
11-10-2012 04:01 PM
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archangle Offline
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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: #7
RE: Nasal Pillows and high pressure
(11-09-2012 10:35 PM)PaulaO2 Wrote:  I really don't want to start trying new masks again. (insert sounds of me whining)

[Image: images?q=tbn:ANd9GcS_ovQyPBQZdOZDnQ5JLGR...uWwDJSZ36P]

The 15 cm limit for nasal pillows seems to be a bit of a myth, but any kind of mask tends to have more problems at higher pressure. Try it and see if it works for you.

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.
11-10-2012 06:30 PM
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PaulaO2 Offline
Wiki Editor
Moderators

Posts: 8,065
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: Nasal Pillows and high pressure
Too-funnyLaugh-a-lot

Yep, that'd be me!

I feel good knowing I most likely won't have to change masks.

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.
11-10-2012 09:37 PM
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