Getting Rid of The Mask??

Bamalady · Post by **Bamalady** » Mon Jul 16, 2007 6:46 pm

Will this work, ya think? At the very least, it looks as if different/new methods of providing therapy is being looked at, and as far as I am concerned, that is a good thing.

In the new method -- which uses a standard nasal cannula - "the nose is the mask," Dr. Schneider said.

"Treatment with nasal insufflation," as the method is called, could be more acceptable to patients than CPAP, which has an extremely low adherence rate, the researchers noted in the second July issue of the American Journal of Respiratory and Critical Care Medicine.

"We developed a simplified method for increasing pharyngeal pressure by delivering warm and humidified air at a continuous high flow rate through the open nasal cannula," they said.

To see the entire article:

http://tinyurl.com/3ywg9t

roster · Post by **roster** » Mon Jul 16, 2007 6:53 pm

My wife and I are going to Raleigh Thursday. I will ask her to drive. It is a three-hour drive. It is very humid here. I will nap with my head out an open window, nostrils facing forward. Let you guys know how I feel.

Better use sunscreen and goggles.

Bamalady · Post by **Bamalady** » Mon Jul 16, 2007 7:01 pm

Sunscreen, goggles and a cannula!

RosemaryB · Post by **RosemaryB** » Mon Jul 16, 2007 7:07 pm

Bamalady wrote:Sunscreen, goggles and a cannula!

Plus, mouth taping

Babette · Post by **Babette** » Mon Jul 16, 2007 7:18 pm

I personally think they are just now figuring out that the Nasal Aire II is the best choice for masks ever.

What about the concept of "seal"? No more seal? I predict lots of pissed off Mask Roulette players...

What keeps the cannula in the nose? O2 cannulas slip out all the time. Will you have to tape it in place?

Really would like to read more about this. The "doctor interview" is a PPV site. grrrr.....
B.

Bamalady · Post by **Bamalady** » Mon Jul 16, 2007 8:09 pm

Babette-

I thought of you when I read the article...I read much more than I post. They say a seal is not necessary.

Since the mask is the difficult piece of the equipment when it comes to treatment, I would think their method would be accepted really well if all the bugs are worked out. More research is on the way.

socknitster · Post by **socknitster** » Mon Jul 16, 2007 8:17 pm

I wish they would have had a pic with this report. Very interestin!

Jen

Bamalady · Post by **Bamalady** » Mon Jul 16, 2007 8:20 pm

Jen...so do I. I'm wondering what they are using for a flow generator.

roster · Post by **roster** » Tue Jul 17, 2007 5:28 am

The results were underwhelming:

" * Reduced the mean apnea-hypopnea index from 28 to 10 events per hour, which was significant at P<0.01.
* Reduced the respiratory arousal index from 18 to eight events per hour (again significant at P<0.01).
* Reduced the apnea-hypopnea index to fewer than 10 events per hour in eight of 11 volunteers, and to fewer than five events per hour in four participants. "

An AHI of 10 is not what we are shooting for. They need to do some more tinkering.

roster · Post by **roster** » Tue Jul 17, 2007 5:35 am

[quote="rooster"]...........

An AHI of 10 is not what we are shooting for. They need to do some more tinkering.

Issac · Post by **Issac** » Tue Jul 17, 2007 7:41 am

Babette, you are correct in the fact that with the correct size (and that is key), the Nasalaire II is by far the most comfortable mask ever sold in my opinion. It's easy now that you can buy the whole kit of sizes for well under 100.00 , but when it first came out you had to buy the different sizes and hope you got the right one. That, along with the fact that the Nasalaire I and the Nasalaire II sizes were not the same , was a huge stumbling block for many. When the Swift pillow came on to the market with all 3 sizes, even though it was less comfortable by far, the convenience of having everything you need to be sized along with the ease of the headgear took a lot of attention away from Nasalaire . For a high pressure, you cannot beat the Nasalaire for comfort. Something about the smooth air flow without obstruction causes the air to feel you are taking a less pressure, when in fact you are not. I would love to see Innomed make more versions, possibly combining the simplicity of the Bravo headgear to their design, as well as copying whatever they did to the Bravo to make it so quiet.
I love breathing from my mouth whenever I want so I'm spoiled with a Hybrid mask currently.

Issac · Post by **Issac** » Tue Jul 17, 2007 7:48 am

Wasn't the simple cannula idea was tried about 10 years ago if I'm correct , without success? We need to look it up.

drummergirl410 · Post by **drummergirl410** » Tue Jul 17, 2007 8:19 am

My verdict is still out on this one... I haven't tried CPAP yet (tonight's my titration study, yes!) so I really don't have a reference to compare with. But I had to use a canula for oxygen while in the ER for my first bout with heart palpitations, and I didn't think it was very comfortable. Felt like I was going to sneese the whole time! Sctually did once! Not pleasant!

oceanpearl · Post by **oceanpearl** » Tue Jul 17, 2007 10:16 am

I think that there is a reason that it is called CONTINIOUS AND POSITIVE.
From what little I know about apnea, there is no way that a canula can be positive. It would be like a mask with a 70% continious leak. How would that keep the pipes from collapsing??