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What's the best mask for a BiPap at 22/13 pressure?
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Panama Jim Offline

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Posts: 3
Joined: Dec 2014

Machine: ResMed BiPap
Mask Type: Full face mask
Mask Make & Model: Quattro blue gel
Humidifier: same
CPAP Pressure: 22/13
CPAP Software: ResScan

Other Comments:

Sex: Male
Location:

Post: #1
What's the best mask for a BiPap at 22/13 pressure?
I've only had my BiPAP two months. There are times when it and I are out of sync and my mask leaks. I have the blue gel seal with a flap of silicone. Surely there are better full face seals for a higher pressure like my 22?

PS: This machine has saved my life.
12-20-2014 12:01 AM
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DeepBreathing Offline
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Posts: 2,296
Joined: Sep 2013

Machine: Resmed S9 VPAP Adapt
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Resmed H5i
CPAP Pressure: EPAP: 9 - 15 PS: 3 - 10
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Perth, Western Australia

Post: #2
RE: What's the best mask for a BiPap at 22/13 pressure?
G'day Jim, welcome to the forum.

The received wisdom is that a smaller mask (eg a nasal mask) is better than a full face for high pressures. This makes sense considering the mechanics, as the smaller mask exerts a smaller force on the headgear and also has a smaller length of seal to keep leak-free. Following this logic, nasal pillows would be even better.

This raises the question of whether you need the full face mask?

DeepBreathing
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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.
12-20-2014 12:32 AM
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PaulaO2 Offline
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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: #3
RE: What's the best mask for a BiPap at 22/13 pressure?
The mask you have is rather low end so you can do lots better, yes.

Do you wear full face because you mouth breathe in your sleep? Or was it just given to you? A full face mask will leak because of how much face it has to cover. A nasal mask is better because it covers less. You may have better luck with a nasal mask and a chin strap if you are opening your mouth in your sleep.

The Eson might work. Any mask with really good headgear would.

PaulaO2
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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.
12-20-2014 12:43 AM
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Panama Jim Offline

New Members

Posts: 3
Joined: Dec 2014

Machine: ResMed BiPap
Mask Type: Full face mask
Mask Make & Model: Quattro blue gel
Humidifier: same
CPAP Pressure: 22/13
CPAP Software: ResScan

Other Comments:

Sex: Male
Location:

Post: #4
RE: What's the best mask for a BiPap at 22/13 pressure?
I had such nasal problems I couldn't breath through my nose.
Putting grapefruit seed extract in my humidifier has opened up
my passages, reducing my mucus levels there and in my lungs.
My lung capacity is up from 60 to 70% according to MD. So I'm
breathing better than ever all day. I might be able to handle a
nasal mask now.

Is 22 too high for a nasal?

Does the chin strap make you feel claustrophobic?

thanks for your reply
12-20-2014 12:51 AM
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Galactus Online

Advisory Members

Posts: 1,388
Joined: Jan 2014

Machine: Phillips Respironics System One PRS1 DS760P Auto BiPAP
Mask Type: Nasal pillows
Mask Make & Model: ResMed Airfit P10 Nasal Pillow
Humidifier: System One Heated Humidifier + Climate Line
CPAP Pressure: E/I 13/20 PS 4/7 BiFlex 3
CPAP Software: SleepyHead EncoreBasic

Other Comments: Sleep can be a good thing.

Sex: Male
Location: USA

Post: #5
RE: What's the best mask for a BiPap at 22/13 pressure?
Hi there, I'm 13-21 with a PRS1 BiPAP and I use the Resmed P10 Nasal pillow mask, and I love it. Have also used the wisp FX nasal pillow mask and I liked that one as well, though I find the P10 better. As our pressures are about the same I'd have to say you're not too high to use pillows. I do not use a chin strap, after years of marriage it was easy to keep my mouth shut on command Big Grin

If everyone thinks alike, then someone isn't thinking.
Everyone knows something, together we could know everything.
12-20-2014 01:33 AM
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trish6hundred Offline

Advisory Members

Posts: 6,450
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: #6
RE: What's the best mask for a BiPap at 22/13 pressure?
Hi Panama Jim,
WELCOME! to the forum.!
It's good to hear that your machine is helping you.
Hang in there for more suggestions.
Much success to you as you continue your CPAP therapy and finding a new mask that will work for you.

trish6hundred
12-20-2014 09:23 AM
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Panama Jim Offline

New Members

Posts: 3
Joined: Dec 2014

Machine: ResMed BiPap
Mask Type: Full face mask
Mask Make & Model: Quattro blue gel
Humidifier: same
CPAP Pressure: 22/13
CPAP Software: ResScan

Other Comments:

Sex: Male
Location:

Post: #7
RE: What's the best mask for a BiPap at 22/13 pressure?
Awesome Galactus! I'll give the P10 a try.
Yes, I've been married to the same wonderful woman for 41 yrs.
I know when to shut my mouth or when it's time to apologize for not.
The whole house is quieter now that I'm not snoring all night or getting
up every hour.
Have a great Christmas ALL. Sweet dreams cause your breathing!
12-20-2014 12:06 PM
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PaytonA Offline
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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: #8
RE: What's the best mask for a BiPap at 22/13 pressure?
I need to ask a question PJ. Your 22/13 pressure - is that your bilevel inhalation/exhalation pressure or is that a range for auto mode as in max IPAP/min EPAP. It strikes me as a range for your auto mode. If this is the case, what is your 95% pressure.

I guess the first question I should have asked is what model is your Resmed S9. Is it a VPAP S or a VPAP Auto?

Best Regards,

PaytonA
12-20-2014 01:23 PM
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OpalRose Offline

Monitors

Posts: 3,181
Joined: Nov 2014

Machine: PR System One REMstar Auto 560 with A Flex
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 For Her
Humidifier: REMStar heated humidifier with heated hose
CPAP Pressure: Auto Cpap 10-13 AFLEX 1
CPAP Software: SleepyHead EncoreBasic

Other Comments: Started CPAP Therapy October 23, 2014

Sex: Female
Location: Northeast Ohio, USA

Post: #9
RE: What's the best mask for a BiPap at 22/13 pressure?
:unsure:Has anyone out there tried a Hybrid Mask? I love my P10 for her nasal pillow mask, but I suffer from nasal congestion, and am also becoming a mouth breather. So it seems that a Hybrid mask may solve those issues, without going full face.

OpalRose
12-20-2014 10:23 PM
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Ghost1958 Offline

Advisory Members

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: #10
RE: What's the best mask for a BiPap at 22/13 pressure?
Another suggestion seldom brought up if you need to go FFM is the Fitlife total face. Itll withstand high pressures, and does away with the pressure sore problems. I wore one for about a month and half starting out and cant find any complaints with it.

Went from it to a Simplus to a Eson nasal. All are excellent masks. I just have better numbers with a nasal and worked training myself on FFMs to get to the point I can use one. Fitlife looks big and intimidating but its really a very comfortable mask you can side or back sleep with.
12-20-2014 10:57 PM
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