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  • In search of the ideal mask.

    Hi
    Have been looking in for a while and its about time I said Hi

    Have had my CPAP kit since February this year and it looks as if the problems I have had with masks are not unusual.

    They say every man should have a hobby. Well I already have several and not looking for another, however it looks as if I am now starting a collection of CPAP masks . To date I have four , not bad in 8 months !! and from what I have read I would guess that there must be draws full of unused masks all over the UK.

    The mask I am at present using is the Flexi Fit 432, (which was the second one I was issued with ) and Is the most comfortable except for over the bridge of the nose and that the outer shell is touching my eye lids most of the time. It was also leaking into my eyes, a problem I have now solved by tapping a piece of mask liner to the outside of the mask and over the bridge, very Heath Robinson but it seems to work. Incidentally, how on earth are you expected to refit those mask liners in the way they are intended to be used in the dark and when still half asleep, I gave up after the first night.

    Now convinced that trying a new mask for five minutes , while sitting in a chair at the side of the Nurses desk is not the way to find the correct one. They feel fine until you put them to the real test.

    So my questions.
    At present I am managing on average about four hours a night, which I think I feel better for and from what the clinic said is about the same as many other users. Would be interested to know if many of you manage to go through a full night ? and should twice the CPAP use make you feel twice as good ?

    I also seem to suffer from a dry mouth, which is what often wakes me. Other than the obvious of keeping it shut do you have any suggestions ?

    Must look into the Resmed fitting sessions that I have seen mentioned on here. Any feedback on them and did you find a better mask as a result.
    Also seen mention of Truefit made to measure masks in Australia, which sounds interesting. Can they be obtained in the UK and has anyone tried them ?

    Should I continue to add to my mask collection in pursuit of the perfect one or am I being unrealistic and should just be happy to live with the one that is nearly ok ?

    Not that this will help to solve my problem but why are masks that are still serviceable not put back into the system ? I fully understand the need for hygiene control but almost every thing else in the NHS is sterilised and reused . Why not masks ?

    Apologies if I have rambled on a bit but any advice you can give would be helpful.

    Steve

  • #2
    Hi Steve, welcome!

    First of all, are you set on a Full Face mask then, like the 432?

    Regarding your questions:

    The moment you sleep without CPAP, OSA is back. So if you manage 4 hours of sleep with CPAP, you only sleep 4 hours per night, which means sleep-deprivation in most people. The other hours are worthless, you may as well be up. (OK, that depends a bit on things like OSA severity, whether it's REM or position related etc.) So you should aim for every night, all night long. And yes, that will make you feel better.

    Dry mouth = you need a humidifier. Problem solved. A chin strap can also do the trick, and then you can possibly move to a nasal mask too, which tend to be easier to fit.

    You are in Kent, but you may want to try and make it to Oxford for the SATAday (see www.sleep-apnoea-trust.org) There you can get hands-on with pretty much every make and model in one day.

    No custom masks in the UK, so add flights to that price and work out whether that's a good option or not!

    No need ot add to the collection, IF your current state of functioning is acceptable. But I suspect that with 4 hours of CPAP only (barely scraping together the mimimum compliance) your body isn't very happy just yet. If there other 4 hours are moderate-severe OSA filled, you are still under considerrable stress and get plenty of oxygen starvation. Untreated OSA (which you have half of the time) can possibly lead to a list of nasties. So I'd push it further and aim to go 6 hours a night at least. If that means another mask, it will be worth it.

    Some masks are cleaned and handed out again. It depends on the facilities and funding the clinics have.

    Comment


    • #3
      I can do as many hours as I need now, regularly 6-8, more on a saturday (my lie in!)

      I've built up a small collection too, but I have two regulars, the sleepweaver (ultimate comfort, nasal only) and the Quattro FX (full face, light and comfortable, no mask marks!)

      I used the F&P for a while but like you I found it's a nightmare to reassemble at night, and I found it clumsy and noisy too.

      Comment


      • #4
        Thank you for your replies

        James
        Thank you for the link to SATA have emailed them for details, will probably turn it into a short break and spend a couple of days in the area.

        I was first given a nasal mask (not certain which one) on the night that I stayed at the clinic but could not get on with it. Have certainly found the 432 to be the least uncomfortable of those I have tried to date. Have also been using the humidifier every night which certainly helps, will get a chin strap and also try a nasal mask again when we go to Oxford.

        Just seems crazy that the NHS are prepared to drip feed users with masks without a proper trial to establish that you go home with the one that’s best for you.

        Steve

        Comment


        • #5
          James

          Just had the following reply from SATA

          Should I assume from this reply that you meant attending the conference as the way to get to try the masks ? Which is fine if that's what it takes and the cost is not OTT.

          Steve

          *********


          Thanks for contacting us.

          I'm not sure where you got your information from but it wrong. We are only a charity not a manufacturer.

          we do however organise a conference every year where 6 main manufacturers' attend and this is an ideal place for you to try before you buy.

          The conference is scheduled for 15th October in Oxford. Ticket prices not set yet.

          RESMED offices in Abingdon may well have a try before you buy policy but you will need to contact them directly..

          kindest regards

          Heather Holt
          Admin Assistant

          Comment


          • #6
            Dry mouth. Comes with the therapy. I have always used a humidifier, and heated hose and still get a dry mouth when I manage to get over four hours with any of the dozens of masks I have bought which is not very often as I have learned how to take the mask off when asleep. It is now a pernicious habit. Checking the stats on my Sleep Cube - I usually do this within 30 minutes of falling asleep. When I wake up I don't remember doing it.

            Now and again I succumb to taking Zopiclone (sleeping pill) when I really need a good night's sleep. However they are addictive so I never use them for more than a couple of nights a month, and never consecutively. They also have a rebound effect of vivid and often disturbing dreams the next night..

            It is now over two years since I began this therapy and I still can't get on with it.
            DeVilbiss Sleep Cube DV54 Auto
            Sleepweaver

            Comment


            • #7
              Is there such a things as a perfect mask?
              If you do find it, please let me know.

              To date the best for me is the sleep weaver but it isn't perfect. The new headgear is a huge improvement but mine still leaks.

              Good luck in your search.

              Lorraine
              APAP: F & P Iconaax auto
              Masks: Resmed Swift FX, Sleep Weaver, Mirage Liberty and most other makes and models.

              Comment


              • #8
                Originally posted by dravidio View Post
                Now and again I succumb to taking Zopiclone (sleeping pill) when I really need a good night's sleep. However they are addictive so I never use them for more than a couple of nights a month, and never consecutively. They also have a rebound effect of vivid and often disturbing dreams the next night..
                The various US forums recommend melatonin if you've got a long term disturbance in your sleep pattern - you can get them from amazon as a "dual release" tablet - i've tried them, they work for me!

                Comment


                • #9
                  Has anyone tried this?



                  I was considering getting it but if anyone has any comments I would appreciate it.
                  I have just ordered the oximeter and am forever in search of sleep nirvana. Thanks for the advice about which one Symmit.

                  Tried melatonin from the GP but it did nothing for me.


                  Lorraine x
                  APAP: F & P Iconaax auto
                  Masks: Resmed Swift FX, Sleep Weaver, Mirage Liberty and most other makes and models.

                  Comment


                  • #10
                    Originally posted by symmit View Post
                    The various US forums recommend melatonin if you've got a long term disturbance in your sleep pattern - you can get them from amazon as a "dual release" tablet - i've tried them, they work for me!
                    I have used melatonin in the past - they were available without prescription when I worked in Hong Kong. Thanks for reminding me of them...
                    DeVilbiss Sleep Cube DV54 Auto
                    Sleepweaver

                    Comment


                    • #11
                      SATA indeed doesn't make the masks, but runs SATAday where we and a bunch of maks manufacturers attend with their ranges of masks so you can try them.

                      Regarding Melatonin, note that with something as simple as sun light, or artifical sunlight (we do the Litebook), you can manipulate the serotonin - melatonin balance and thereby regulating your sleep patterns.

                      Comment

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