Those that wear Hybrids and have Higher pressure?

[katiemo]

I just switched this week to the Mirage Quattro mask. My pressure is 17 and I struggled after my pressure was adjusted from 13 up to 17. This mask is working well so far. I agree with the comment about not adjusting close to bedtime and at full pressure. My wife help do the final adjustments for me last night and we did all the adjustments and testing with me lying down. Last night, I had virtually no leaks and slept great. Perhaps the mask size provided to you was not right to accomodate your nose.

I don't understand all the discussions in this thread about nasal pillows. The initial query was about a FF mask. Unless I'm not understanding something, I believe there are no nasal pillows.

RickE

I had written in a previous thread about my struggle with a Medium Quattro being to big and getting into my eyes, so I have switched Quattro sizedown to a small, the bridge of my nose is wider than average, so it's going to be tough to fit, I even have a tough time with eye glasses

[robertmarilyn]

I don't understand all the discussions in this thread about nasal pillows. The initial query was about a FF mask. Unless I'm not understanding something, I believe there are no nasal pillows.
RickE

I realized I didn't even know what a hybrid was so followed some links of the hybrids to get an idea. If I understand correctly, a hybrid is a mask that has nasal pillows AND also covers your mouth (so no mouth leaks or taping). A full face mask would be one that covers the mouth and nose (without using nasal pillows). Correction per pusgy's post: a hybrid or a nasal pillow mask that covers the mouth too, IS a full face mask. Glad I'm not being tested on this...I need more time to cram.

So, since the title of the thread mentions hybrids, the talk about nasal pillows would certainly pertain to hybrid masks. Unless I'm confused.

BTW, a hybrid sounds like something I would like to try since I like using nasal pillows but have to tape my mouth when I use them.

mar

[Pugsy]

I don't understand all the discussions in this thread about nasal pillows. The initial query was about a FF mask. Unless I'm not understanding something, I believe there are no nasal pillows.

The Hybrid and the Liberty are both considered Full Face masks but they both use nasal pillows instead of the traditional over the nose mask along with the their mouth covering systems.

Some DME people tell their patients that the nasal pillow part of the Hybrid or Liberty do not do well at higher pressures because they think the nasal pillows won't seal or will tend to blow out of the nostrils. Neither is the case.
See nothing goes up on the nasal bridge.

[roster]

The Hybrid mask was the first full face mask with nasal pillows: http://www.mergenetsolutions.com/hybrid ... t_info.htm .



ResMed made a similar product later called Liberty.

[katiemo]

Surly it can't be that easy!?!?! I took the Hybrid outa the box tried the set up the way it came swapped it for a small cushion and large pillows, went into the bathroom and got everything adjusted, set my APAP at 14/14 to test that I won't have any blowouts at full pressure, I only had one small leak by the mouth, tightened a little bit and was good to go, I rolled around like I used to before Apap, no leaks, I rubbed my nose to see if the pillows would come loose, nope, I tried opening and closing my mouth, yep you got it no leaks!!!! I had this on and hour messing around to see if I could dislodge it and to get a feel for the air up my nose like that, I can say that it blows the Quattro out of the water for comfort,

[roster]

.......I took the Hybrid outa the box ......... I can say that it blows the Quattro out of the water for comfort,

I am glad to see you saying that. Sometimes I feel odd because so many people use the Quattro and shun the Hybrid. Like you, I find the Quattro very uncomfortable and the Hybrid very comfortable (as far as CPAP masks go).

[katiemo]

I think we have a winner with the Hybrid, I have not slept this well in about 15 years. This is the kind of sleep I was hoping out of my therapy, now just for the software to get here, any day now

[jasminechichi]

I just received my Hybrid about a week ago. I do like it. Definitely like it better than the full face mask.

The only thing I am having problems with is the head gear. I believe this is the "new/improved" head gear, but it is too large (and I am not a dainty person). I have to cinch the straps up so much that the end of the strap runs out of room and the velcro only latches on part way. I am going to have to cut the length off, but that is not ideal. One more thing, and I don't know if anybody else has the problem, but when I do remove the gear...the gear becomes twisted when I am ready to put in on the following evening. The latches allow the straps to twist, and it does take a few minutes to twist the straps back into place. I wish it were more user friendly, my other masks do not have that kind of problem.

Has anybody else experienced my kind of problems?

[Muse-Inc]

...too large (and I am not a dainty person). I have to cinch the straps up so much that the end of the strap runs out of room and the velcro only latches on part way...

I'm planning on using it as pattern and shortening the straps 'cause it's too large for my head too (my top of the head straps overlap the ones from the top of the shell). But, I've been intending to do this since end of July and haven't gotten to it yet .

...when I do remove the gear...the gear becomes twisted when I am ready to put in on the following evening....

I unhook the headgear for daily washing of the cushion, shell, and pillows, so I haven't had that challenge as I hafta hook the headgear on each night after re-assembly of the mask.

[roster]

........ but when I do remove the gear...the gear becomes twisted when I am ready to put in on the following evening. The latches allow the straps to twist, and it does take a few minutes to twist the straps back into place. I wish it were more user friendly, my other masks do not have that kind of problem.

....

When removing the mask, only the two bottom straps should be unclipped. Then pull the headgear from behind and up and over the crown of your head. Pull it down you face so that the nasal pillows drop straight down from your nostrils.

Place the mask with headgear attached by the two top straps carefully in a drawer to minimize tangling of the bottom two straps.

[jinroh]

I need feedback from those that wear Hybrid type masks with a pressure of 14 and above, do you have problems with the pillows blowing out? I am having alot of problems accomidating my wide nose bridge, I wear a small mask, but need more room width wise for the bridge of my nose, and I don't see being able to afford a nose job:lol:

I had the same problem, BiPAP 18/14, Resmed Liberty, medium mask, small nose pillow. My nose pillows blow out every night. The pitch is so loud, wakes up my wife, but not me
After a week I gave up, my DME fedex me a resporonics FullLife, now I am busy dealing with other issues.

[cflame1]

I don't have problems with blowout on the pillows at all... plus I only undo 1 lower strap.

[concerned mom]

My daughter uses extremely high pressures with the hybrid mask, but with an LTV950 ventilator instead of a CPAP or BIPAP. Those machines did not offer enough pressure for her. She retains CO2 and must receive higher pressures. We never experienced the nasal pillows "Blowing out" of her nose with the hysbrid the way we had with the Liberty one. The trick is finding the correct size pillows as well as the correct HEIGHT of the pillows. We use the lowest possible setting inside the cushion which gives the pillows an accordion type effect. Once they are placed inside her nostrils they haven't come out, and her nostrils are very narrow. I put the harness onto her head with the straps free. Before I hook the straps onto the mask, I put the mask in front of her face and place the pillows inside her nostrils and gently rock the mask back and forth very slightly to get the correct fit inside her nose. Then I hook the straps onto the shell. This has worked for us. I would say keep trying different sizes until you find the right one. When she used the Liberty, we tried all kinds of configurations to keep those pillows in with different straps, tape, etc., and nothing worked. I really hope that one day all of us can use something that works almost perfectly for each and every one of us so that we don't have all these problems!

[Crickette]

I'm so glad to see so many positive comments on the hybrid mask. I started out with the Mirage Quattro, but had to switch because the forehead support made it feel like I had been knocked in the head. I went from that to the another full face mask (I forgot which one it is). I had all sorts of leaks on that one. I then went to the FullLife mask and I ended up with a sore on the bridge of my nose and between my eyes that were about the size of Texas (okay, so I may have exaggerated on that). I called my DME after doing some reading on the net and asked if I could try the hybrid. It was ordered last Friday and I am still waiting to get it. I had to end up going back to the Quattro until the hybrid comes in. Now not only does it feel like I bumped my head, but I have skin breakdown. Why oh why can't the figure a way to mold a mask to each individuals face? I guess that might be asking for too much and it may knock out someones profit...

[millich]

Why oh why can't the figure a way to mold a mask to each individuals face? I guess that might be asking for too much and it may knock out someones profit...

I, for one, would glad pay more for a custom leak-free mask!