High Pressure Question

WORN_OUT@44 · Post by **WORN_OUT@44** » Thu Sep 07, 2006 8:24 am

My doctor put me on a pressure of 19 yesterday and it made for a very bad night for me I could not keep my mask from whistling and vibrating on my cheeks. Any suggestions on how to deal with this high of pressure?

NightHawkeye · Post by **NightHawkeye** » Thu Sep 07, 2006 8:59 am

Get a different mask. Seriously, if adjusting your mask hasn't worked for you, then life's too short. Regular nasal masks and full-face masks are generally not the best at handling high pressures.

The Activa and ComfortLite 2 are a couple of alternative interfaces that a lot of folks here like. I use the Comfort Curve, which I think can also work well at higher pressures, but many folks don't like it.

Regards,
Bill

Snoredog · Post by **Snoredog** » Thu Sep 07, 2006 9:26 am

I'd get a different doctor, the guy needs his head examined putting a patient on 19cm pressure with a straight cpap.

you should be a on a bi-pap machine better yet a auto bi-pap.

duct tape your hose to his chair, plug it in when he sits down, he'll get the idea.

Wulfman · Post by **Wulfman** » Thu Sep 07, 2006 9:39 am

WORN_OUT@44 wrote:My doctor put me on a pressure of 19 yesterday and it made for a very bad night for me I could not keep my mask from whistling and vibrating on my cheeks. Any suggestions on how to deal with this high of pressure?

Try to get them to swap out your machine for one that will record nightly statistics so you can monitor your therapy (either the Pro or the Auto model).
Then get the software and card reader to monitor your therapy.
Ask your doctor to lower your pressure to something you can tolerate while you get used to the machine....it'll be more air than you were getting before you started on CPAP, AND they may have gotten your titration wrong to begin with......IT HAPPENS!
And, a different mask may be necessary. You may have to tape your lips to prevent mouth leaks.

Best wishes,

Den

Wulfman · Post by **Wulfman** » Thu Sep 07, 2006 9:45 am

Snoredog wrote:I'd get a different doctor, the guy needs his head examined putting a patient on 19cm pressure with a straight cpap.

you should be a on a bi-pap machine better yet a auto bi-pap.

duct tape your hose to his chair, plug it in when he sits down, he'll get the idea.

Snoredog,

I agree. My ex-wife (who lives in a different state) was put on a straight CPAP (REMstar Pro 2) at a pressure of 20 earlier this year! Makes you wonder about some of these "practitioners".....

Den

Joker · Post by **Joker** » Thu Sep 07, 2006 12:43 pm

Sue your doctor for attempted murder/homicide with damages![/quote]

WORN_OUT@44 · Post by **WORN_OUT@44** » Thu Sep 07, 2006 1:00 pm

Thank you all for your comments, the doc wants me back next week for a Bilevel titration test and has reduced my pressure to 15 for now.

TXKajun · Post by **TXKajun** » Thu Sep 07, 2006 2:47 pm

That's great news! Hopefully you were able to get through to him with the wonderful info from this forum. Great job!

Kajun

DaveMunson · Post by **DaveMunson** » Thu Sep 07, 2006 7:31 pm

You use a different mask. The Activa works great at high pressures. Pillows did not for me. Kept blowing out. The Activa seals better at high pressures.

You tell the doctor "it is difficult to breath out against the pressure" and end up with a machine that has "C-Flex". Tell him that the DME said C-Flex works at higher pressure. Show the doctor the C-Flex stuff. (Worked for me). Remember "it is difficult to breath out against the pressure". Practise saying "it is difficult to breath out against the pressure". Research. You may actually have to talk to the DME - get brochures. Read.

When your mouth starts leaking, research tape stories on this board. (I use duct tape).

DaveMunson · Post by **DaveMunson** » Thu Sep 07, 2006 7:40 pm

I forgot. You will need a heated humdidifier.

Moogy · Post by **Moogy** » Thu Sep 07, 2006 8:31 pm

I suspect you need a bilevel machine. Try to get an auto bipap, since that will allow you to spend much of the night at lower pressures. This makes it MUCH easier to be compliant. (With my auto bipap, I hit 20-21 cm some nights, but my average is still 15 or below.)

The advice above was good. Tell the doctor that you cannot breathe out against the high pressure. Tell him you are concerned about getting ANY machine that only goes to 20 cm, if you currently need 19! What if you need more pressure later? The Respironics Auto BIPAP goes to 25 cm.

If your pressure needs are high, you can often get your insurance to pay for a bipap, especially if you tried a cpap and it didn't work. You DON'T want to keep an inadequate machine long enough that your insurance will pay for it (instead of renting) because then they will be more reluctant to purchase another unit for you.

Moogy .

Mask	Humidifier

Additional Comments: SleepyHead, ResScan 3.16, ClimatelLne Tube, Hosehuggie in Plaid (it's so cool)

High Pressure Question

High Pressure Question

Re: High Pressure Question