Nasal Pillows and High Pressure

BrianRT · Post by **BrianRT** » Fri Aug 10, 2007 1:19 pm

Hey all, I was wondering how many of you are successfully using nasal pillows with high pressures (say 14cmH20+)?

I set up a patient this week with an Optilife and a pressure of 17cmH20. Though I had my reservations, the mask fitting was a success. He had used it during his titration study and had liked it.

So I was wondering if other people are making it work too.

Thanks all!

jasper · Post by **jasper** » Fri Aug 10, 2007 1:30 pm

Optilife works great at 14...

neverbetter · Post by **neverbetter** » Fri Aug 10, 2007 1:50 pm

nasalAire I and II work with 20c
Clip the inside nob off the I for noise reduction at high pressures

TxDreamseeker · Post by **TxDreamseeker** » Fri Aug 10, 2007 2:07 pm

I use the Aura at 20/16

rested gal · Post by **rested gal** » Fri Aug 10, 2007 2:17 pm

Ted (Titrator) used the Breeze/nasal pillows for several years, with a bipap set for IPAP 18 or 19, I think; and EPAP maybe 3 or 4 cm's lower.

Just for the heck of it, last year (I think it was) I experimentally tried these nasal pillows masks at a straight pressure of 20:

Breeze
ComfortLite 2
Headrest (Aura/Twilight NP)

They all took the pressure fine. Only problem I had was me! It was WORK trying to breathe out against that hurricane. LOL!! I did the experiment with each one only for a relatively short time...long enough to do some toss'n'turns to be sure they could handle it. They could.

I did have to put my homemade strap across the front of each mask, but I have to do that even at my usual pressure of around 10. Not because of the pressure per se, but just to "fit" the masks on me with more stability for turning side to side.

Hope your guy has a heated humidifier, Brian.

Shari · Post by **Shari** » Fri Aug 10, 2007 3:30 pm

Currently using the Optilife at 22/18

golmos · Post by **golmos** » Fri Aug 10, 2007 5:40 pm

I am currently using a Resmed Swift nasal pillow version I & and the latest II @ 12cms CPAP.

I have no problem what so ever

Golmos

hoover hosehead · Post by **hoover hosehead** » Fri Aug 10, 2007 7:03 pm

I'm using OptiLife at 15#. If I don't ramp it is a pretty hard blast to start with. I've been using since 7/17/07 and have been able to be 100% compliant. I am trying to switch to an APAP.

I really love this mask - the bigger ones squeaked and felt like a wet jellyfish stuck on my face.

The one drawback is the occasional time my badmate gets tangled in my hose and yanks which would feel great on my nostrils were I a masochist...but I'm not.

Guest · Post by **Guest** » Fri Aug 10, 2007 7:55 pm

RG
Oh yeah, everyone gets a humited headifier.

I think to not get one is a violation of the Constituition......you know....the part about cruel and unusual punishment

NomoreCrashcart · Post by **NomoreCrashcart** » Fri Aug 10, 2007 9:57 pm

rested gal wrote:Ted (Titrator) used the Breeze/nasal pillows for several years, with a bipap set for IPAP 18 or 19, I think; and EPAP maybe 3 or 4 cm's lower.

Just for the heck of it, last year (I think it was) I experimentally tried these nasal pillows masks at a straight pressure of 20:

Breeze
ComfortLite 2
Headrest (Aura/Twilight NP)

They all took the pressure fine. Only problem I had was me! It was WORK trying to breathe out against that hurricane. LOL!! I did the experiment with each one only for a relatively short time...long enough to do some toss'n'turns to be sure they could handle it. They could.

Recently... as in the last 30 days... I've had intermittant problem with my pillows and nares lining up right so I'm waking up occasionally to leaks-a-buzzing like lips on a trumpet mouthpiece. This is especially puzzling to me because I've used my Adam Circuit/nasal pillows assembly completely trouble-free for seven years. The only thing I can come up with is that my nose is changing somehow, or that maybe the last five pounds I gained are all in my FACE and that's skewing things up!
I'm really stumped! So until I figure it out, or lose that five extra (most recent extra) pounds to test that theory, I guess I'll just have to hope that more will be revealed.

Sleep well,
The Other Bill

rested gal · Post by **rested gal** » Sat Aug 11, 2007 12:57 am

BrianRT accidentally guested wrote:humited headifier

LOL !! I like that! Forevermore I'm gonna think of them that way. Words are fun, aren't they?

You're a good composer.

Humidifier

Additional Comments: Satisfied CPAP customer since 04/2000