Any hybrid mask (or glasses wearing) users w/ high pressure?

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
dkeller
Posts: 12
Joined: Mon Feb 09, 2015 2:06 pm

Any hybrid mask (or glasses wearing) users w/ high pressure?

Post by dkeller » Thu Mar 05, 2015 2:19 pm

Hubby just got his titration study done. At a pressure of 15, they resolved the apnea and prescribed an APAP with pressure setting 6-17. He is a nose and mouth breather, wear glasses, and likes to be on his Ipad before drifting to sleep.

Of the full face masks at the Dr.'s sleep center, only 2 fit. Hubby tried both on and neither was ideal, but the AirFit F10 worked enough. The DME the doctor works with is going to be bringing in a few more to the doctor's office for a doctor refitting next week. We asked to try a hybrid like: "RespCare's Hybrid Full Face CPAP Mask with Nasal Pillows" or "ResMed's Mirage Hybrid". The DME said a hybrid wouldn't work for such a high setting and anyways they don't carry them anymore because nobody is getting them or being prescribed them because they don't work well period. He also said there isn't a full face mask out there that will allow for wearing glasses.

Any dissenting opinions out there are masks?

Thanks,
D

_________________
MaskHumidifier

Punchyandtired
Posts: 125
Joined: Mon Jan 12, 2015 12:12 pm

Re: Any hybrid mask (or glasses wearing) users w/ high pressure?

Post by Punchyandtired » Thu Mar 05, 2015 2:28 pm

I seemed to have settle in at a pressure of 15 and I wear glasses. I put the FFM on while wewring the glasses and then when im done reading, I have a technique to take the glasses off while keeping the mask on. I turn them a quarter turn up and then take them out by doing a sort of U movement. Have hubs practice this.

I'm currently using a F+P Simplus full face mask but I'm waiting for a sleepweaver anew cloth full face mask to arrive here to try. (Low expectations but I want to try it).
45 year old female
First AHI: 33.6 (including 2 desats less than 70%)
Pressure setting: min 13 max 20. 95% pressure has been around 15-16.
Trying to like the resmed p10 air pillows and headgear
Started therapy December 19, 2014

User avatar
Pugsy
Posts: 63941
Joined: Thu May 14, 2009 9:31 am
Location: Missouri, USA

Re: Any hybrid mask (or glasses wearing) users w/ high pressure?

Post by Pugsy » Thu Mar 05, 2015 2:52 pm

dkeller wrote:The DME said a hybrid wouldn't work for such a high setting
Probably perpetuating that old wives tale that people using higher pressures can't use nasal pillows and that's total hogwash.
People successfully use even the plain nasal pillow mask like I use at pressures over 20 all the time. I see 22 cm almost every night at some time or another and the nasal pillows don't blow out of my nose and go flying across the room
In fact I never know I hit those pressures unless I look at the software report and I think it's easier to keep the seal simply because there is less real estate to have to deal with.

The Hybrid type of mask can indeed be successfully used at higher pressures. May take a little bit of work but it can be done.
wiki/index.php/Hybrid_Mask_Modifications

Does your husband have nasal congestion issues that make it physically necessary to mouth breathe and that's why he is looking at a full face mask....or can he normally breathe through his nose just fine?
If his nose works...he can use a nasal pillow mask even at those higher pressures if he can keep his mouth shut.

If you do want to try the Hybrid type...get the Innomed/RespCare package because it includes the 3 sizes of mouth cushions and with the ResMed Liberty you have to decide on mouth cushion size at time of ordering....plus the RespCare product is considerably less expensive (at least it was the last time I looked)...and if thinking about ordering from cpap.com be sure to consider using their mask return insurance.

_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier
Additional Comments: Mask Bleep Eclipse https://bleepsleep.com/the-eclipse/
I may have to RISE but I refuse to SHINE.

If you want to try the Eclipse mask and want a special promo code to get a little off the price...send me a private message.

User avatar
M'ohms
Posts: 516
Joined: Fri Aug 09, 2013 2:44 pm
Location: Georgetown, Indiana

Re: Any hybrid mask (or glasses wearing) users w/ high pressure?

Post by M'ohms » Thu Mar 05, 2015 3:08 pm

I agree with Pugsy. I use the Hybrid occasionally (I prefer the Quattro FX as my go-to mask) and I also use the F10. I have found the softcap blue mesh headgear to be superior to the headgear that comes with these masks. It supports the mask better and doesn't stretch out around the back of my head. Strangely enough, it doesn't mess up my hair.

https://www.cpap.com/productpage/softca ... onics.html

Image

I have to modify the headgear somewhat because the straps are made to accommodate a forehead piece. Easy to do.

I am on ASV and see large pressure swings nightly ranging from 12 to 25. I have almost no leaks.

_________________
Mask: Quattro™ FX Full Face CPAP Mask with Headgear
Additional Comments: Supplemental oxygen at 2.5 lpm
AutoSV 960 with heated hose. Settings: EPAP Min-12, EPAP Max-17, PS Min-5.5, PS Max-13, Max Pressure-25, Rate-Auto, Rise Time 1. Use Sleepyhead and Encore Pro.

User avatar
BlackSpinner
Posts: 9745
Joined: Sat Apr 25, 2009 5:44 pm
Location: Edmonton Alberta
Contact:

Re: Any hybrid mask (or glasses wearing) users w/ high pressure?

Post by BlackSpinner » Thu Mar 05, 2015 3:16 pm

I use the innomed hybrid with glasses if I choose to read after masking up Also when having a cold or asthma breathing issues.

All I added was circlet of lingerie elastic across the nasal pillows. It is a wonderful mask but with so many fitting options that it is difficult to get it right but once you have all 6 -9 adjustments dialled in it is wonderful.

_________________
Machine: PR System One REMStar 60 Series Auto CPAP Machine
Mask: Hybrid Full Face CPAP Mask with Nasal Pillows and Headgear
Additional Comments: Quatro mask for colds & flus S8 elite for back up
71. The lame can ride on horseback, the one-handed drive cattle. The deaf, fight and be useful. To be blind is better than to be burnt on the pyre. No one gets good from a corpse. The Havamal

jacobsbd
Posts: 96
Joined: Mon Jan 24, 2011 1:50 pm

Re: Any hybrid mask (or glasses wearing) users w/ high pressure?

Post by jacobsbd » Thu Mar 05, 2015 5:03 pm

Both of the full face masks I have used and liked have worked fine with glasses. With my current mask I can even take them off without loosing the seal. (you have to think a little bit but I can do it). In this photo it looks like the seal is riding on the glasses near the bridge of the nose. They don't actually touch.

http://screencast.com/t/Oa0lhBRMFCaX

If someone needs proof I can make a video of me taking the glasses off without a leak. Currently I am using a RESMED quattro air size small. The older mask which I liked better was a ResMed ultra mirage (these are no longer made and I can not remove the glasses with them on without having a leak.)
...I understand you've been running from the man that goes by the name of the Sandman

User avatar
archangle
Posts: 9294
Joined: Sun Mar 27, 2011 11:55 am

Re: Any hybrid mask (or glasses wearing) users w/ high pressure?

Post by archangle » Thu Mar 05, 2015 9:33 pm

Higher pressures make it more likely you'll open your mouth and lose your pressure. Many of us have to deal with mouth leaks, and a FFM is one way to deal with it. Many DME's don't want to deal with it and foist FFM's on people just because they think that's the "final solution" and they won't have to find "the right" mask.

There are drawbacks to FFM's, including difficulty fitting and discomfort. They push on your lower jaw, which might cause some people's jaw to move back and make their apnea worse. However, sometimes, the FFM is the best choice.

_________________
Mask: Swift™ FX Nasal Pillow CPAP Mask with Headgear
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control
Additional Comments: Also SleepyHead, PRS1 Auto, Respironics Auto M series, Legacy Auto, and Legacy Plus
Please enter your equipment in your profile so we can help you.
Click here for information on the most common alternative to CPAP.
If it's midnight and a DME tells you it's dark outside, go and check for yourself.

Useful Links.

NMchop
Posts: 107
Joined: Sun Feb 01, 2015 5:46 am

Re: Any hybrid mask (or glasses wearing) users w/ high pressure?

Post by NMchop » Thu Mar 05, 2015 9:42 pm

MY sleep center titration wouldn't even let me try the nose pillows because my AHI, she said she knew I'd need high pressure.

I'm at 14....and I'm using the Simplus Full face mask too (which I like ok I guess).

I'm going to stick with the mask I guess because of good results but I understand the complaint...that piece of plastic kind of divides
your vision.

_________________
Mask: Simplus Full Face CPAP Mask with Headgear
Additional Comments: PR System One Remstar 60 series plus (I think) CPAP with Cflex

User avatar
BlackSpinner
Posts: 9745
Joined: Sat Apr 25, 2009 5:44 pm
Location: Edmonton Alberta
Contact:

Re: Any hybrid mask (or glasses wearing) users w/ high pressure?

Post by BlackSpinner » Fri Mar 06, 2015 12:10 am

NMchop wrote:MY sleep center titration wouldn't even let me try the nose pillows because my AHI, she said she knew I'd need high pressure.
There is no relationship between AHI and pressure required. I was extremely severe and my pressure never goes over 10, and actually 7-8 will keep me under 5.

_________________
Machine: PR System One REMStar 60 Series Auto CPAP Machine
Mask: Hybrid Full Face CPAP Mask with Nasal Pillows and Headgear
Additional Comments: Quatro mask for colds & flus S8 elite for back up
71. The lame can ride on horseback, the one-handed drive cattle. The deaf, fight and be useful. To be blind is better than to be burnt on the pyre. No one gets good from a corpse. The Havamal

User avatar
FreeIndeed
Posts: 73
Joined: Mon Jun 02, 2014 1:51 pm
Location: Iowa

Re: Any hybrid mask (or glasses wearing) users w/ high pressure?

Post by FreeIndeed » Fri Mar 06, 2015 12:38 am

I tried full face masks that wouldn't work for me and finally ended up finding the Mirage mask. I *had* it working perfectly and was at 18-20 every night. I had no problems and loved it. I think the Mirage is definitely a niche mask and will only be good for some people, but it really fills a void. They come with 3 sizes of nasal pillows, but they are either Small or Large for the mouth cushion/frame (which is too bad.) Anyway, it worked for me for a few months, then I had nasal surgery and messed with the mask and now I'm back to figuring out how to keep it from leaking. If your DME has one, it'd be worth trying on. I think it is perfect for people with a deep nose bridge and big cheeks - people who have problems with full face masks leaking air up into the eyes because of face/nose shape.
Machine: Resmed S9 Autoset
Humidifer: H5i
Hose: Resmed Climateline
Mask: Airfit F10
Cookies: Yes, please

User avatar
ElvishKnight
Posts: 72
Joined: Thu Feb 12, 2015 3:34 pm
Location: Cedar Park Texas

Re: Any hybrid mask (or glasses wearing) users w/ high pressure?

Post by ElvishKnight » Fri Mar 06, 2015 3:34 am

I feel for your hubby. I wear a full face mask....and whenever I have my contact lenses out due to allergies or whatever I hate having to wear glasses with cpap. I too like to watch tv or do stuff on my ipad with my mask on till I get sleepy.

_________________
Machine: ResMed AirSense™ 10 AutoSet™ CPAP Machine with HumidAir™ Heated Humidifier
Mask: Quattro™ FX Full Face CPAP Mask with Headgear
Additional Comments: Been on CPAP for 10 years. No Ramp. No EPR. Minimum pressure setting 8. I use a ClimateLineAir Heated Tube. Software: Resmed myAir & SleepyHead.
If he had a name, it's long since been lost. He would have been known only as a servant of evil. One of a number. One of Nine.

User avatar
winnie
Posts: 83
Joined: Tue Feb 24, 2015 1:48 am
Location: Canada

Re: Any hybrid mask (or glasses wearing) users w/ high pressure?

Post by winnie » Fri Mar 06, 2015 4:14 am

I'm in my second week of using CPAP. I used a nasal pillow mask last week, but there seemed to be leaks, and I kept breathing through my mouth which of course is a leak. So now I am trying a full face mask tonight for the first time. The nice thing is that I an wear glasses with this mask, and am wearing glasses with the mask as I type this on my tablet in bed.
I think this is the model (or very similar)
http://1800cpap.com/index.aspx/ImageGal ... uctId=1459

I haven't got to sleep yet but I find this ask more comfortable than the nasal pillow mask.

User avatar
winnie
Posts: 83
Joined: Tue Feb 24, 2015 1:48 am
Location: Canada

Re: Any hybrid mask (or glasses wearing) users w/ high pressure?

Post by winnie » Fri Mar 06, 2015 8:05 am

Oh dear. While the full face mask felt comfortable it has left red marks on my face. I hope they fade before I have to go to work. I wonder if it was because I was wearing it incorrectly.

dkeller
Posts: 12
Joined: Mon Feb 09, 2015 2:06 pm

Re: Any hybrid mask (or glasses wearing) users w/ high pressure?

Post by dkeller » Fri Mar 06, 2015 4:12 pm

Pugsy, I suppose I believed the old wives tale until realizing just now that there are folks with even higher pressure successfully using a nasal pillow. Good to know!
Hubby had a septoplasty last fall that made nose breathing easier for him, but also a uvulaplasty that utterly failed and closed his airway dramatically, making his apnea severe. So now, he has no choice but to try PAP therapy, which was what he was boldly trying avoid in the first place. Now he breathes however he can, depending on his position and the night.

From what I read, it seems as if veteran PAP users have several masks, and are often on the look out for new ones to add to their mix. I didn't realize that before. I guess I don't mind getting a mask that works for now while trying to find others that may end up a better fit.

M'ohms, that cap seems like it would address my husband's concern that his mask didn't quite feel secure. I think I will have him try a softcap. How interesting that the headgear can make or break a mask experience and that there are so many alternatives, not just the one that comes with the mask!

So many components to think about, yet access to try each out is so limited and expensive, even though this is equipment that most PAP users will have to personally use more than anything else in their lives. So frustrating to wrap one's head around it confidently.

thanks for your continued advice,
Dk

_________________
MaskHumidifier

Punchyandtired
Posts: 125
Joined: Mon Jan 12, 2015 12:12 pm

Re: Any hybrid mask (or glasses wearing) users w/ high pressure?

Post by Punchyandtired » Fri Mar 06, 2015 4:42 pm

jacobsbd wrote:Both of the full face masks I have used and liked have worked fine with glasses. With my current mask I can even take them off without loosing the seal. (you have to think a little bit but I can do it). In this photo it looks like the seal is riding on the glasses near the bridge of the nose. They don't actually touch.

http://screencast.com/t/Oa0lhBRMFCaX

If someone needs proof I can make a video of me taking the glasses off without a leak. Currently I am using a RESMED quattro air size small. The older mask which I liked better was a ResMed ultra mirage (these are no longer made and I can not remove the glasses with them on without having a leak.)

Yes, that is what i do wit my simplus FFM. I can take mine off without breaking the seal too. A couple of time i have fallen asleep with the glasses still in the mask lol.
45 year old female
First AHI: 33.6 (including 2 desats less than 70%)
Pressure setting: min 13 max 20. 95% pressure has been around 15-16.
Trying to like the resmed p10 air pillows and headgear
Started therapy December 19, 2014