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Question on masks that will handle higher pressures like 27
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nanook683 Offline

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Posts: 3
Joined: Mar 2014

Machine: ResMed S9 VPAP COPD
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: ResMed S9 H5i System
CPAP Pressure: 27/17
CPAP Software: Not using software

Other Comments:

Sex: Male
Location: SE USA

Post: #1
Question on masks that will handle higher pressures like 27
I have recently had to switch from an APAP with settings of 20/10 to a BiPAP with settings of 27/21 (as originally prescribed). I couldn't tolerate the baseline pressure of 21 and have reduced it to 17 with consultation with my doc. At 21 it was filling me with air to the point of waking up in pain with a very distended gut. I am using a Fisher & Paykel Simplus mask. The cushion is so soft that I have had it "blow out" and begin leaking to the point that I had to take it off and start all over again. Does anyone have any experience with any masks that you can recommend which will help me tolerate the higher pressures without "blowing out"? Any recommendations would be most appreciated.
Thank you!
Nanook683
08-23-2016 09:52 AM
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justMongo Offline

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Posts: 3,840
Joined: Sep 2013

Machine: ResMed VPAP Auto (S9)
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quattro
Humidifier: ResMed H5i
CPAP Pressure: 18 IPAPmax - 11 EPAPmin, PS=5
CPAP Software: Other Software

Other Comments: μολὼν λαβέ

Sex: Male
Location: Калифорния

Post: #2
RE: Question on masks that will handle higher pressures like 27
Welcome

That's going to be tough one. There are several people who run around 20 cm-H2O -- but, 27 is the highest pressure I've seen on the forum.
By design, the sealing surface of the mask is soft and flexible as it is supposed to float on the face. There is usually a stiffer layer behind it to give it form.

First make sure your face is free of oil; and the mask seal is clean. That helps it "stick."

You might try the ResMed Mirage Quattro. I find the forehead brace and micrometer adjustment of the contact at the nasal bridge to be helpful; bit, I am still not near your pressure.

Let's see if some others have some ideas.

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.
08-23-2016 10:06 AM
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chill Offline

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Posts: 850
Joined: Mar 2016

Machine: DreamStation X500
Mask Type: Full face mask
Mask Make & Model: Walk-in Mask Closet
Humidifier: DreamStation
CPAP Pressure: 13-16
CPAP Software: SleepyHead

Other Comments: CPAP True Believer

Sex: Male
Location: Vancouver, Canada

Post: #3
RE: Question on masks that will handle higher pressures like 27
I am more than 10 below your pressure but I am also a Simplus user. I have found that the Simplus works great worn loosely at lower pressures. At higher pressures, I had to really tighten down the straps, top as well as the usual bottom) to prevent the sides from blowing out. I am not sure that it can be tightened enough to handle your pressure. The other thing is that I have oily skin and often need to get up about 4AM and wash my face with soap again and wipe off the mask for it to seal properly.
08-23-2016 10:33 AM
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PaytonA Offline
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Posts: 3,005
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

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Sex: Male
Location: Orange County,California

Post: #4
RE: Question on masks that will handle higher pressures like 27
I have been told that there are people using the PR Fitlife mask at a pressure of 40 cm/H2O.
08-23-2016 11:47 AM
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PaulaO2 Offline
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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: #5
RE: Question on masks that will handle higher pressures like 27
Yes, I was going to recommend the FitLife. It can handle the higher pressures. My Simplus and Nuance can handle my pressures of up to 20 although I have to use liners with the Simplus. The Nuance does much better. Not sure how it would do at 27, though.

As far as the bloating goes, no mask is going to help with that. Try raising the head of your bed. Either put something under the feet of the headboard, something under the mattress, or something under your pillow. You need to raise yourself up to assist gravity in keeping the air out of there and getting it back out.

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.
08-23-2016 03:06 PM
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Ghost1958 Offline

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Posts: 957
Joined: Aug 2014

Machine: PRS1 Series Sixty Auto Aflex
Mask Type: Nasal mask
Mask Make & Model: F&P Eson
Humidifier: PRS1 with Heated Hose
CPAP Pressure: 10.5 min 16 max
CPAP Software: SleepyHead EncoreBasic

Other Comments: Moderate to Severe SA Obstructive. Rapid O2 desat off the machine.

Sex: Male
Location: KY

Post: #6
RE: Question on masks that will handle higher pressures like 27
Plus one for Fitlife. I think.a Simplus would also if you tighten it down.

Dreamwear was designed to handle 30 cm.
Being a nasal cushion the more pressure there is the tighter it seals.
08-23-2016 04:42 PM
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icyura10 Offline

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Posts: 197
Joined: May 2016

Machine: RESMED AirCurve 10 VAUTO
Mask Type: Nasal pillows
Mask Make & Model: Phillips Respironiscs DreamWear under the nose nasal ma
Humidifier: INCLUDED
CPAP Pressure: IPAP (20); EPAP (12); PS (8)
CPAP Software: ResScan SleepyHead

Other Comments: I just dropped in to see what condition my condition was in!

Sex: Male
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Post: #7
RE: Question on masks that will handle higher pressures like 27
(08-23-2016 09:52 AM)nanook683 Wrote:  Does anyone have any experience with any masks that you can recommend which will help me tolerate the higher pressures without "blowing out"? Any recommendations would be most appreciated.
Thank you!
Nanook683

I'm at 20 / 12; My Dr specifically switched me from what I had been using (ResMed P 10's) to Phillips Respironiscs DreamWear under the nose nasal mask.

My sleep tech explained to me he was in on the "beta" test of the mask, and it was shared with him that mask had been designed to handle up to 30 cmH20.

I do know the mask Ive been switched to seems to easily handle the 20 cmH2O as long as I don't do stupid things in my sleep.... as I tend to do.

I've started using an astringent on my upper lip and my nose as well as the actual mask after washing it and it seems to help it "adhere" to my skin better...

I'm still experimenting to see what's going to work best.. but this mask seems to be meeting my needs for the most part.

Not an ad, not an endorsement, just my personal experience.

Good luck

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08-23-2016 05:57 PM
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Dawei Offline

Preferred Members-2

Posts: 342
Joined: Feb 2012

Machine: ResMed S9 AutoSet
Mask Type: Other
Mask Make & Model: Respironics "FitLife"
Humidifier: H5i
CPAP Pressure: 10-20
CPAP Software: ResScan SleepyHead

Other Comments: Began CPAP in 2006; spent the first 6 years with a "brick"

Sex: Male
Location: Western North Carolina

Post: #8
RE: Question on masks that will handle higher pressures like 27
I'd also suggest trying the Respironics FitLife mask. I've been using it for three plus years now and still like it. My pressure gets up to 19 point something now and then. I see that it's described as being made for CPAP and BiPap applications (e.g. higher pressures). The sealing surface is nice and flexible like FFMs, but its construction as well as the face plate is super durable. Earlier, I had a leaking across the forehead problem. So, I tried a suggestion from a board member and began placing a pencil-sized bead of silicone (made from silicone ear plugs) across the top sealing surface of the mask which did stop that leak problem. Recently, I tried using the mask straight, without the added piece of silicone and to my surprise, no leaking at the top or anywhere. I don't know if my face/forehead shape changed or why, but now I just put it on. I'd suggest trying the "large" size of the three sizes offered.
David
08-23-2016 07:19 PM
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trish6hundred Offline

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Posts: 6,430
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: #9
RE: Question on masks that will handle higher pressures like 27
Hi nanook683,
WELCOME! to the forum.!
Good luck to you as you continue your CPAP therapy and finding a mask that will work for you at higher pressure.

trish6hundred
08-23-2016 10:03 PM
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HairyReasoner Offline

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Posts: 2
Joined: Jul 2015

Machine: PR System One BiPAP Auto with Bi-Flex
Mask Type: Full face mask
Mask Make & Model: Airfit
Humidifier: Respironics System One Heated Humidifier with Heated Tube
CPAP Pressure: 16.5 / 15
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location:

Post: #10
RE: Question on masks that will handle higher pressures like 27
My pressure is only 17, but I find leaks difficult with some masks even at that pressure. Currently, I'm going back and forth between the Airfit F10 and Amara View full face masks. The View seems to seal better (once you've played around with it a bit to get a good seal), but I've noticed my AHI seems to average a bit higher with it (in the 2 range, so still not bad). The Airfit seems to seal fairly well as long as the cushion isn't too old.

My recommendation is like one of the other posters. Wash your face to remove oils before going to bed. This not only helps seal better, but increases the longevity of the cushion since your skin's oils aren't breaking it down.

Secondly, higher pressures require frequent cushion replacement. I find I need a new one at least every 30 days or I get leaks. Forget about trying to get extra life out of them. I even sometimes buy one before that (which is painful because insurance won't cover it).

And, despite what your DME says, the cushion can't just "float on your face" when you're at a higher pressure. You've got to tie it down.
08-27-2016 01:09 PM
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