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Re: The lipid pneumonia question
Posted: Fri Oct 28, 2022 3:52 pm
by lynninnj
mom put petroleum jelly on her eyelids for years if you want anecdotes.
To the OP you might instead look at Ayrs nasal saline gel with aloe for your nose.
https://www.riteaid.com/shop/ayr-saline ... D7EALw_wcB
$4 at wally world
Re: The lipid pneumonia question
Posted: Fri Oct 28, 2022 10:59 pm
by chunkyfrog
lynninnj wrote: ↑Fri Oct 28, 2022 3:45 pm
iirc petroleum jelly can cause silicone to break down.
In my humble opinion, this is more a rumor than a proven fact.
No one has linked to an actual study proving the assertion.
Silicone gaskets are everywhere, and aside from staining
by organic pigments/dyes, nothing appears to affect them.
Re: The lipid pneumonia question
Posted: Sat Oct 29, 2022 8:54 am
by lynninnj
chunkyfrog wrote: ↑Fri Oct 28, 2022 10:59 pm
lynninnj wrote: ↑Fri Oct 28, 2022 3:45 pm
iirc petroleum jelly can cause silicone to break down.
In my humble opinion, this is more a rumor than a proven fact.
No one has linked to an actual study proving the assertion.
Silicone gaskets are everywhere, and aside from staining
by organic pigments/dyes, nothing appears to affect them.
I'm just going to leave this here. YMMV
Sometimes applying Vaseline to the inside rim of your nose may reduce the soreness.
Petroleum-based products will damage the mask so avoid direct contact.
https://www.med.unc.edu/neurology/wp-co ... p-unit.pdf
Edit: besides that, the Ayrs with aloe is designed to go IN the nose, if needed and only costs about $4.
The lipid pneumonia question
Posted: Sat Oct 29, 2022 11:22 am
by ChicagoGranny
Please see: htttps:wwm.cpaptalk.con/viewtopic/t1864531/The-sopping-olive-oil-with-bread-question.html
Re: The lipid pneumonia question
Posted: Sun Oct 30, 2022 5:12 pm
by tisket
It's interesting because I have read people here recommend Neosporin for nasal sores, and that contains....petrolatum.
I am trying KY jelly (with no improvement so far) but since I see my primary later this week I'll ask her to take a look at it. I will try the Ayr.
The same spot gets sore off and on ever since I started cpap in early 2017. I think I have a piece of cartilage there that sticks out enough for the nasal pillow to rub against it, haven't had a problem anywhere else. So it seems like a permanent problem. I think I will try a nasal cushion mask instead of nasal pillows.
Re: The lipid pneumonia question
Posted: Sun Oct 30, 2022 8:01 pm
by lynninnj
tisket wrote: ↑Sun Oct 30, 2022 5:12 pm
It's interesting because I have read people here recommend Neosporin for nasal sores, and that contains....petrolatum.
I am trying KY jelly (with no improvement so far) but since I see my primary later this week I'll ask her to take a look at it. I will try the Ayr.
The same spot gets sore off and on ever since I started cpap in early 2017. I think I have a piece of cartilage there that sticks out enough for the nasal pillow to rub against it, haven't had a problem anywhere else. So it seems like a permanent problem. I think I will try a nasal cushion mask instead of nasal pillows.
I didn’t realize that neosporin had petrolatum. Never use the stuff except rarely and not on my face. Good catch.
I use the N30 and I love it. Not sure where the boo boo is but it’s pretty gentle (n30).
Edit: I have a hard time with P10 due to a similar sounding issue so I feel your pain if that’s the case.
Re: The lipid pneumonia question
Posted: Mon Oct 31, 2022 8:03 am
by lazarus
tisket wrote: ↑Sun Oct 30, 2022 5:12 pm
I have read people here recommend Neosporin for nasal sores,
I believe that routine repeated use of topical antibiotics has somewhat fallen out of favor with dermatologists in recent years because of the risks of contact allergic reactions and resistance:
"Repeated or long-term use of topical antibiotics and an existing skin barrier defect are risk factors for the development of CA [contact allergies]. In many cases, topical antibiotic treatment is not necessary with the use of modern antiseptics. Therefore, the indication must always be critically questioned not only because of the sensitization potential but also because of the unfavorable and potentially consequential resistance problem."--
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8822519/
My understanding as a layman is that temporary topical use of pertroleum products may be no big deal and a fairly common practice. However, putting them inside the nose every night (which is what some were doing) could be considered another beast entirely, since that would technically not be topical and thus not in medical harmony with the instructions that come written on the products.
My use of nasal pillows was helped dramatically by using the o-ring mod I read about in this forum:
That, for me, has allowed for a better seal with a looser mask and with no need to replace the pillows for months/years.
Re: The lipid pneumonia question
Posted: Mon Oct 31, 2022 10:27 am
by lynninnj
lazarus wrote: ↑Mon Oct 31, 2022 8:03 am
tisket wrote: ↑Sun Oct 30, 2022 5:12 pm
I have read people here recommend Neosporin for nasal sores,
I believe that routine repeated use of topical antibiotics has somewhat fallen out of favor with dermatologists in recent years because of the risks of contact allergic reactions and resistance:
"Repeated or long-term use of topical antibiotics and an existing skin barrier defect are risk factors for the development of CA [contact allergies]. In many cases, topical antibiotic treatment is not necessary with the use of modern antiseptics. Therefore, the indication must always be critically questioned not only because of the sensitization potential but also because of the unfavorable and potentially consequential resistance problem."--
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8822519/
My understanding as a layman is that temporary topical use of pertroleum products may be no big deal and a fairly common practice. However, putting them inside the nose every night (which is what some were doing) could be considered another beast entirely, since that would technically not be topical and thus not in medical harmony with the instructions that come written on the products.
My use of nasal pillows was helped dramatically by using the o-ring mod I read about in this forum:
That, for me, has allowed for a better seal with a looser mask and with no need to replace the pillows for months/years.
Tell me more about this oring mod please? What does it do and how does it do it and how do you make it do it?
Re: The lipid pneumonia question
Posted: Mon Oct 31, 2022 10:49 am
by lazarus
This old thread lists "awards" for old mask mods. Scroll down to "Swift LT" then "oldtimer47":
viewtopic/t15104/LINKS-to-Lab-Rat-Trophy-awards.html
That's where I learned about using o-rings. The idea is to put something firm and stable on the "necks" of the pillows to lessen slightly the "trampolining" of the pillows as they age so that they don't travel and compress and give too much and move around needlessly during the night.
I think Janknitz may be the expert. But you just find the right size of o-ring and then roll it over the pillow down onto the neck, one (or two, if necessary) below each pillow, as seen in the pictures in my post above.
Re: The lipid pneumonia question
Posted: Mon Oct 31, 2022 10:58 am
by lynninnj
lazarus wrote: ↑Mon Oct 31, 2022 10:49 am
This old thread lists "awards" for old mask mods. Scroll down to "Swift LT" then "oldtimer47":
viewtopic/t15104/LINKS-to-Lab-Rat-Trophy-awards.html
That's where I learned about using o-rings. The idea is something firm and stable to lessen slightly the "trampolining" of the pillows as they age so that they don't travel and compress too much and move around needlessly during the night.
I think Janknitz may be the expert. But you just find the right size of o-ring and then roll it over the pillow down onto the neck, one (or two, if necessary) below each pillow.
Hmmmm well how about that.
Funny reading those old threads. I know it wasn't that long ago but our masks werent even invented then I dont think.
I half picture everyone standing around the water cooler with bell bottoms and pointed collars talking about this.
Re: The lipid pneumonia question
Posted: Mon Oct 31, 2022 11:06 am
by lazarus
Going back to read old threads and posts by -SWS and Rested Gal was how I spent my time during my first year when I first arrived here.
Well worth it. A true education. And better than a combination drama/mystery/comedy/history novel that plays out in real time. Often PG-13, but highly entertaining back in those wild-west-gunslinger times in forums where genius coexisted simultaneously with the flash riots and guest flames.
I mention the mod in this thread because a looser mask may prevent soreness of nares for some pillows users who tend to overtighten in an attempt to maintain a seal. That, in turn, may lessen the perception of needing a lubricant:
tisket wrote: ↑Fri Oct 28, 2022 1:27 pm
So a spot in my nose is hurting, and I have read some older threads about using vaseline around the rim of your nares to prevent nasal pillow chafing.
Re: The lipid pneumonia question
Posted: Sat Nov 05, 2022 7:33 am
by tisket
Well three nights of the N30i and so far so good. No large leaks to speak of, which amazes me, given I could not get the P30i to stop massive leaking when I tried it.
And the pressure is finally off that sore!
Re: The lipid pneumonia question
Posted: Sat Nov 05, 2022 7:44 am
by lazarus
tisket wrote: ↑Sat Nov 05, 2022 7:33 am
Well three nights of the N30i and so far so good. No large leaks to speak of, which amazes me, given I could not get the P30i to stop massive leaking when I tried it.
And the pressure is finally off that sore!
Excellent! May you continue to make progress with any remaining leak issue. Sounds like you're on the right track.