[Pressure] Help for a newbie: titration failed

[Sleeprider]

I would suggest nothing special for the first night, but we did notice a possible positional apnea problem earlier. That may still be in play if you didn’t take our suggestion of using a soft cervical collar

[SarcasticDave94]

If you have a preference for a certain mask for any reason, don't accept another. IMO next time you get a little voice that says "I don't care what you like; I'm the one who will be wearing it!!!" let it rip out nice and loud. I don't care what the reason is, if you like mask x but they're telling you no you can't have your choice, NO I've selected that one. Don't buy it can't work for high pressure of other lame excuses.

[lilymaebelle]

That's great advice, all!

I tried a cervical collar (Releaf) but find I'm taking it off in the middle of the night because it's uncomfortable. Actually uncomfortable is maybe too strong a word; it's not causing me pain, I just can't get used to the sensation of it pressing against my chin. I have a short, skinny (37 cm) neck, I don't know if that's what's causing me problems? I'd be willing to try another brand if it's possible it would make a difference.

Also, the nurse recommended that I sleep at a 45 degree incline to reduce the risk of aerophagia. Does that sound right???

P.S. Really liked the sleep medicine nurse so she's a keeper. PCP is getting dumped. I'm also really pleased so far with the DME I've selected. The RP ordered a machine for me before he had script & insurance approval in hand so I wouldn't have to wait the extra week for it to make it through the mail.

P.P.S. I was disappointed to learn that aside from disposable filters and chin straps, my insurance only covers new supplies once a year. I sure hope that face mask is in it for the long haul!

[Sleeprider]

Sleeping on an incline is a well known technique to reduce aerophagia, but it increases the likelihood of positional apnea. There are many collars out there, and they come in different heights, firmness and circumference. The first one you try, is often not the one you live with, and all I can say is they are relatively cheap, and you will eventually land on one that works. It's been a while since we saw a chart to see if the positional issue is still in play.

[SarcasticDave94]

45 degree might be a bit much, but the concept has merit.

[lilymaebelle]

I'd give you a chart if I had it but I'm still waiting on delivery of my machine!!!