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change from pillow to nasal mask?
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normwolfe Offline

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Posts: 2
Joined: Jun 2012

Machine: ResMed S9 elite
Mask Type: Nasal pillows
Mask Make & Model:
Humidifier: S9
CPAP Pressure: 6.8
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #1
change from pillow to nasal mask?
i'm new and have had no professional help. i've used the S9 elite for over a month. after trial and error, i settled on a pressure of 7.0 and an EPR of 3. my average AHI is 2.6. last night i tried a nasal mask. i awoke after two hours with a mild headache so checked the AHI, and it was 44.2. (i had changed the setting from pillow to nasal) so i just stopped for the night.

there was no evidence of leakage.

now should i try this again in case it was just a fluke? or do i have to change the pressure? is this dangerous?

using resmed s9 elite
08-30-2012 09:15 AM
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PaulaO2 Offline
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Moderators

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: #2
RE: change from pillow to nasal mask?
Well, it could be just coincidence. There's not difference in therapy between a nasal pillow and nasal mask. They are just the interface between you and the air pressure from the machine. It really is personal fit and need rather than one works better than another in terms of therapy.

It could have been a bad night. A fault in the machine. Or a leak the machine did not pick up on.

If you are doing this on your own, my suggestion would be to trade that Elite for an Autoset. Supplier #2 may be able to trade it if you bought yours new and/or the hours are low. Autosets are perfect for what you are trying to do. Do not get an Escape Auto.

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.
08-30-2012 09:32 AM
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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: #3
RE: change from pillow to nasal mask?
In my case its congestion and stuffed nose as cannot get enough air to pass through the nose and have to mouth breathe using a nasal mask. Lately my nose working more efficiently, AHI below 1 and sleep quality getting better
08-30-2012 02:38 PM
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BabyDoc Offline

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Posts: 184
Joined: May 2012

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model:
Humidifier: ResMed H5i with Climateline Tubing
CPAP Pressure: 6.0 -16.0 CM
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Beachwood, OHIO

Post: #4
RE: change from pillow to nasal mask?
(08-30-2012 02:38 PM)zonk Wrote:  In my case its congestion and stuffed nose as cannot get enough air to pass through the nose and have to mouth breathe using a nasal mask. Lately my nose working more efficiently, AHI below 1 and sleep quality getting better

You should not mouth breath with a nasal mask any more than you should with nasal pillows. If you do, you won't get the pressure you need to overcome your OSA. If your nasal congestion reoccurs and persists, you probably should use a full face mask. If you are encountering nasal congestion, only when using the XPAP, be sure that the air is humidified. Humidification can lessen your nasal congestion significantly, but it may take a few days to see the improvement.
08-30-2012 04:41 PM
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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: #5
RE: change from pillow to nasal mask?
Hi normwolfe, First of all, WELCOME! to the forum.!
Next, what zonk and PaulaO2 said! Best of luck to you.

trish6hundred
(This post was last modified: 08-30-2012 04:48 PM by trish6hundred.)
08-30-2012 04:46 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: #6
RE: change from pillow to nasal mask?
BabyDoc - In my case it was blocked nose using nasal mask that causes jump in AHI. The OP case is entirely different. Its advisable to seek doctor advice and having a sleep study before adjusting the pressure but if doing it alone than its best done in small increment over a period of time and monitor the data using the software .
How to find the optimum pressure on your constant-pressure CPAP machine
http://www.apneaboard.com/adjust-cpap-pr...re-on-cpap
08-30-2012 06:08 PM
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kitley Offline

Preferred Members-2

Posts: 104
Joined: Mar 2012

Machine: resmed s9 elite
Mask Type: Nasal mask
Mask Make & Model:
Humidifier: resmed s9 elite
CPAP Pressure: 7
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Ontario, Canada

Post: #7
RE: change from pillow to nasal mask?
I switched several months ago from nasal pillows to nasal mask. My AH1 is usually far less then 1,0. I noticed when I switched masks that my AHI increased for a week or so, then dropped again. I am doing much better with a nasal mask...often sleeping right through the night. Best of luck to you!
08-30-2012 06:52 PM
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PaulaO2 Offline
Wiki Editor
Moderators

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: #8
RE: change from pillow to nasal mask?
I wonder why?

I guess maybe the throat gets used to how the pressure arrives. I know it is all the same pressure but air straight into my nostrils like two garden hoses at full blast would be different that the same amount of water (air) coming from a wider garden hose. So, just like when we start CPAP use, our bodies get used to one set of parameters.

But, still, it's the same air pressure.....Thinking-about

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.
08-30-2012 08:12 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: #9
RE: change from pillow to nasal mask?
(08-30-2012 04:41 PM)BabyDoc Wrote:  
(08-30-2012 02:38 PM)zonk Wrote:  In my case its congestion and stuffed nose as cannot get enough air to pass through the nose and have to mouth breathe using a nasal mask. Lately my nose working more efficiently, AHI below 1 and sleep quality getting better

You should not mouth breath with a nasal mask any more than you should with nasal pillows. If you do, you won't get the pressure you need to overcome your OSA. If your nasal congestion reoccurs and persists, you probably should use a full face mask. If you are encountering nasal congestion, only when using the XPAP, be sure that the air is humidified. Humidification can lessen your nasal congestion significantly, but it may take a few days to see the improvement.
I,m not sure to what you,re responding ..To the OP question or to the quote
08-31-2012 06:57 AM
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BabyDoc Offline

Preferred Members-2

Posts: 184
Joined: May 2012

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model:
Humidifier: ResMed H5i with Climateline Tubing
CPAP Pressure: 6.0 -16.0 CM
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Beachwood, OHIO

Post: #10
RE: change from pillow to nasal mask?
(08-31-2012 06:57 AM)zonk Wrote:  
(08-30-2012 04:41 PM)BabyDoc Wrote:  
(08-30-2012 02:38 PM)zonk Wrote:  In my case its congestion and stuffed nose as cannot get enough air to pass through the nose and have to mouth breathe using a nasal mask. Lately my nose working more efficiently, AHI below 1 and sleep quality getting better

You should not mouth breath with a nasal mask any more than you should with nasal pillows. If you do, you won't get the pressure you need to overcome your OSA. If your nasal congestion reoccurs and persists, you probably should use a full face mask. If you are encountering nasal congestion, only when using the XPAP, be sure that the air is humidified. Humidification can lessen your nasal congestion significantly, but it may take a few days to see the improvement.
I,m not sure to what you,re responding ..To the OP question or to the quote

I believe I was responding to you, not the OP. Forgive, me if I misuderstood what you were saying. It sounded like you switched from nasal pillows to a nasal mask because you couldn't breath through your nose. I just didn't see how that would help.
(This post was last modified: 08-31-2012 12:01 PM by BabyDoc.)
08-31-2012 12:00 PM
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