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Air Pressure CPAP Mask
from Bob: After 5 years with a nasal mask I am trying a full mask. With the nasal mask I can take my new increased pressure but with the face mask ,I find it difficult in adjusting with the full face mask. The air escapes. Any suggestions. I advise my doctor and he is decreasing the pressure. Do you think with time I will get used to it? Any advice will be appreciated. Thanks Bob
Views: 43
Replies to This Discussion
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Permalink Reply by Mary Z on
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Bob, I would think it would be easier to take the pressure with the FFM. What mask are you using? You may need a different style mask, or just keep adjusting until you get a better fit. The mask seems to be the achilles heel of PAP. Can you continue with the nasal mask, or did you have a compelling reason to switch?
Good luck.
Mary Z.
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Permalink Reply by Bob on
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With the nasal mask and chin strap in use, air would escape via mouth. The sound coming from my lips would wake up my wife. The was primary reason for change. Now, the issue with the ffm is air expelling out of the mask. AS of yesterday, I discovered the cause. With nasal congestion I can not take the pressure with the ffm, the excess has no other place to go but out through small portal valve and out the sides. With the nasal mask, there is a direct flow into the nose, forcefully opening the nasal passages. The mask also offers an alternative which is to mouth breath. I really would not like to revert back to this method. I just had the prescription changed to 5 to 20 with auto employed, previous prescription was 5 to 15 fixed, without auto activated. (Biflex at 3) I definitly sleep better last night with nasal. I also learned apnea events can be caused by to much air? My Dx is mixed apnea.
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Permalink Reply by RockRpsgt on
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Bob you have just became one of my favorites! Over titration can indeed cause events. FFM typically require higher pressures then nasal masks. this is due to the physics of the mask. A FFM mask puts pressure on your lower jaw pulling it back supporting obstructions. I have a few questions:
What was your in lab titrated pressure?
What is your median and 96th% pressure on your machine?
Why such a broad range on your auto? Are you being auto-titrated?
Bob said:With the nasal mask and chin strap in use, air would escape via mouth. The sound coming from my lips would wake up my wife. The was primary reason for change. Now, the issue with the ffm is air expelling out of the mask. AS of yesterday, I discovered the cause. With nasal congestion I can not take the pressure with the ffm, the excess has no other place to go but out through small portal valve and out the sides. With the nasal mask, there is a direct flow into the nose, forcefully opening the nasal passages. The mask also offers an alternative which is to mouth breath. I really would not like to revert back to this method. I just had the prescription changed to 5 to 20 with auto employed, previous prescription was 5 to 15 fixed, without auto activated. (Biflex at 3) I definitly sleep better last night with nasal. I also learned apnea events can be caused by to much air? My Dx is mixed apnea.
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Permalink Reply by sleepycarol on
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How did Bob stand using a nasal mask for 5 years when his treatment was escaping out his mouth?
Rock has asked some good questions I would be interested in reading the answers to. It seems that at that wide of pressure it would be difficult to get optimal therapy. I have always heard that a narrow range is far better -- but then the doc might have to actually take the time to read the patient info.
Did you have an additional sleep study for the pressure increase?
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