trouble inhaling with nasal resmed mask and Philips tubing

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yarnknit

trouble inhaling with nasal resmed mask and Philips tubing

Post by yarnknit » Thu Dec 25, 2014 9:15 pm

Merry Christmas! I have just recently tried the resumed nasal for her mask with the short piece of tubing that it comes with which is attached to my original Philips Respironics tubing. I also tried the resmed nasal pillow mask and had the same problem. I feel like I have to work hard at inhaling. Don't know how else to describe the feeling. I am wondering if it is because the resumed tube is quite a bit narrower than the Phillips tubing. I tried to fit the mask into the Phillips tube but it doesn't work.
Has anybody else experienced this? Do I need to buy a fitting for the mask so that it will work with the Philips tubing? I like the mask but I am not sleeping well with it.

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Julie
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Re: trouble inhaling with nasal resmed mask and Philips tubing

Post by Julie » Thu Dec 25, 2014 9:28 pm

What are your pressures set at?

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Re: trouble inhaling with nasal resmed mask and Philips tubing

Post by Wulfman... » Thu Dec 25, 2014 9:33 pm

yarnknit wrote:Merry Christmas! I have just recently tried the resumed nasal for her mask with the short piece of tubing that it comes with which is attached to my original Philips Respironics tubing. I also tried the resmed nasal pillow mask and had the same problem. I feel like I have to work hard at inhaling. Don't know how else to describe the feeling. I am wondering if it is because the resumed tube is quite a bit narrower than the Phillips tubing. I tried to fit the mask into the Phillips tube but it doesn't work.
Has anybody else experienced this? Do I need to buy a fitting for the mask so that it will work with the Philips tubing? I like the mask but I am not sleeping well with it.
You haven't given us any smidgen of information about your equipment settings. So, I'm going to make a wild guess that your CPAP pressure settings are too low or your Ramp is set to a low pressure with a long Ramp time.

In other words, I doubt if it's the mask or the tubing.
But, on the other hand, I can't visualize what it is you're trying to describe with regard to the tubing.


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Re: trouble inhaling with nasal resmed mask and Philips tubing

Post by palerider » Thu Dec 25, 2014 10:02 pm

yarnknit wrote:Merry Christmas! I have just recently tried the resumed nasal for her mask with the short piece of tubing that it comes with which is attached to my original Philips Respironics tubing. I also tried the resmed nasal pillow mask and had the same problem. I feel like I have to work hard at inhaling. Don't know how else to describe the feeling. I am wondering if it is because the resumed tube is quite a bit narrower than the Phillips tubing. I tried to fit the mask into the Phillips tube but it doesn't work.
Has anybody else experienced this? Do I need to buy a fitting for the mask so that it will work with the Philips tubing? I like the mask but I am not sleeping well with it.
the short, small tubes that are attached to some nasal masks, and nasal pillow masks are for flexibility and comfort, they're meant to stay attached to the mask, and then the connector on the end plugs into the standard 22mm cpap tubing (doesn't matter what brand, all cpap tubing connections are the same size.)

you might need a bit more pressure for comfort, or, just get used to the different feeling that the nasal or pillow mask gives. you also might try a larger pillow size. I found the medium to be restrictive but the large felt fine with my p10 mask.

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yarnknit

Re: trouble inhaling with nasal resmed mask and Philips tubing

Post by yarnknit » Fri Dec 26, 2014 9:29 am

Hi. My pressure is set at 8 on my Philips Respironics machine and the mask is resumed for her size small. I think the ramp setting is at 0.00, flex type is c-flex +, CFlex +is 2, system one resistance is 0 and is turned to off. Thanks you for your help!
I am quite new to this,notated therapy last May.

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Re: trouble inhaling with nasal resmed mask and Philips tubing

Post by Guest » Fri Dec 26, 2014 9:32 am

Julie wrote:What are your pressures set at?
Hi,

It is at 8

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Re: trouble inhaling with nasal resmed mask and Philips tubing

Post by Tatooed Lady » Fri Dec 26, 2014 11:48 am

I have a respironics machine and hose as well and use a resmed swift fix nasal pillow. The cross branding mix works fine. I agree (like that means anything) that it's probably pressure related OR you need to try a larger nasal pillow size.

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Re: trouble inhaling with nasal resmed mask and Philips tubing

Post by yarnknit » Sun Dec 28, 2014 2:02 pm

I increased my pressure to 8.5 and the AHI went up to 2.8. Last night I switched back to my RESMED nasal mask and the AHI went to 3.0. My sinuses were quite blocked could that be why? I don't know where the AHI should be.

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Re: trouble inhaling with nasal resmed mask and Philips tubing

Post by bavinck » Sun Dec 28, 2014 4:18 pm

For me, anything less than a pressure if 8 and I feel like I can't inhale easily at all. My starting pressure is 9 and that is OK using the largest p10 pillows. Medium pillows fit better, but do seem to restrict my ability to inhale too much to be comfy. Lately I have moved to a nasal mask and it feels better. So people just notice the restriction of airflow on CPAP inhale more than others.

Regarding AHI, I wouldn't get worried about number below 5 (which is considered normal) unless you feel very tired. Data can be very helpful in identifying why you feel bad, but don't let it second guess your therapy if you are feeling good. If you feel good, and have regular AHI less than 5 and leaks look good, I would just enjoy the rest and not worry too much about what your AHI should be.
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yarnknit

Re: trouble inhaling with nasal resmed mask and Philips tubing

Post by yarnknit » Sun Dec 28, 2014 9:22 pm

Thank you good advice. I only recently discovered how to get the info off my machine. It was previously locked. In Ontario we are followed by companies like PrpResp amd are followed once a year. The woman I was under said she didn't want me any higher than 8 because I might end up with some sort of problem?? Not sure what she meant amd I didn't ask her because I was doing well. However I learned that there were so many more comfortable masks out there through this site. Although I like the comfort of them I find it difficult to inhale as I have previously mentioned. So if there is no harm in increasing my pressure I will try it.

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Re: trouble inhaling with nasal resmed mask and Philips tubing

Post by bavinck » Sun Dec 28, 2014 9:29 pm

yarnknit wrote:Thank you good advice. I only recently discovered how to get the info off my machine. It was previously locked. In Ontario we are followed by companies like PrpResp amd are followed once a year. The woman I was under said she didn't want me any higher than 8 because I might end up with some sort of problem?? Not sure what she meant amd I didn't ask her because I was doing well. However I learned that there were so many more comfortable masks out there through this site. Although I like the comfort of them I find it difficult to inhale as I have previously mentioned. So if there is no harm in increasing my pressure I will try it.
Before you go and increase your pressure I would try and post some data from your last couple of nights. Increasing pressure can cause other (rare) problems and it is best to rule that possibility out with getting a baseline. Lots of good folks here that love to interpret data.
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Re: trouble inhaling with nasal resmed mask and Philips tubing

Post by Wulfman... » Sun Dec 28, 2014 9:52 pm

yarnknit wrote:Thank you good advice. I only recently discovered how to get the info off my machine. It was previously locked. In Ontario we are followed by companies like PrpResp amd are followed once a year. The woman I was under said she didn't want me any higher than 8 because I might end up with some sort of problem?? Not sure what she meant amd I didn't ask her because I was doing well. However I learned that there were so many more comfortable masks out there through this site. Although I like the comfort of them I find it difficult to inhale as I have previously mentioned. So if there is no harm in increasing my pressure I will try it.
Thanks for the followup information.
Considering the pressures you're using, I seriously doubt that you would have any "problems" or issues.
But, if you DO, you could always set it back to where it was.
Some of those folks (needlessly) try to scare the users about tweaking their own machine pressures. As long as you're following the data (especially with software), you can always use that same data to validate your decisions to do the tweaking.


Den

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