Nasal pillow question

[chunkyfrog]

Using FX with 14 cm. --not even aware of the pressure unless there is a leak.
Specs say this mask is rated up to 20 cm. If this was derived from an impartial test--I do not know.

[roster]

At both the original study and titration they kept making me turn to my back. Also, for the titration they gave me a nasal mask even though I asked for a full-face because I have a deviated septum and am a mouth breather. So I wonder if my titration pressure of 14 is really correct for me at home, sleeping on my side and with a full-face mask?

Donna

Positional Sleep Apnea (PSA) and Lower Pressure Requirements

Titrations are done on the back so that the pressure covers the worse case. I was titrated by a sleep lab at 19 cm on my back. This was a pressure that I could not tolerate, primarily because of gastric insufflation.

At home, I restricted my sleeping to tummy and side and began to lower the pressure one-half cm each night. Each morning I would check my Encore Daily Details Report. My AHI stayed around 2.0 or less all the way down to 7.5 cm. When I lowered it to 7.0 or 6.5 cm, the AHI crept up.

So now I use a strategy to totally avoid backsleeping and 7.5 cm does a very good job of controlling my apnea.

You can try the same. Note that it took me several weeks of trial and error and verification to feel sure that 7.5 cm was a good pressure for me. Also, if I make a mistake and roll onto my back during the night, my AHI shoots through the roof.

Now not everyone has PSA and not everyone with PSA will have such a wide range of pressure requirements.

Positional Sleep Apnea Primer (PSA Primer)

[Sillyme]

[quote="roster"][quote="djr1215"]
Also, if I make a mistake and roll onto my back during the night, my AHI shoots through the roof.
When I was trying to find ways NOT to go on CPAP I found an idea for a vest with a foam noodle inserted down the back to make it difficult to sleep that way. I also sent for a mouth piece to hold the lower jaw forward. I wonder if either of these would work well in conjunction with CPAP. Didn't have time to try either one before my neuro explained my test results. If this thread doesn't continue I might start a new one with this question.

[Sillyme]

Donna[/quote] Also, if I make a mistake and roll onto my back during the night, my AHI shoots through the roof.[/quote]

When I was trying to find ways NOT to go on CPAP I found an idea for a vest with a foam noodle inserted down the back to make it difficult to sleep that way. I also sent for a mouth piece to hold the lower jaw forward. I wonder if either of these would work well in conjunction with CPAP. Didn't have time to try either one before my neuro explained my test results. If this thread doesn't continue I might start a new one with this question.

[roster]

I wear a small backpack (modified Camelbak) to prevent rolling onto my back.

Yes, some people will find that a mandibular advancement device (MAD) will help with CPAP treatment.