I wish there were a perfect CPAP mask. ..in fact, I wish I could
invent the perfect mask and retire early! All kidding aside, it is important to follow fitting and adjusting instructions for each style of mask, as the practice of "just slap it on and tighten the straps" is asking for problems. The masks are designed and produced by experts, and at times the instructions for effective fitting can be quire specific to an individual mask. If your mask was dispensed by a respiratory therapist or assistant, or other health care worker, most likely they have attended workshops offered by the manufacturers specifically for the purpose of fitting the masks. Most masks also have instructions enclosed in the package; another good option is checking the manufacturer's website, as some even offer video clips on fitting, adjusting, cleaning, and reassembly.
I have had patients/customers decide that a particular mask had been designed incorrectly and had either covered or enlarged the exhalation ports on the mask, made their own homemade headgear, or, my favorite, used package string to change the shape of the mask cushion "so it will work better".
The engineers who design the masks are the experts, please don't try modifications!
If a problem exists with CPAP mask usage, it's best to first make sure that is it being used and adjusted correctly. The health care worker trained in the mask fitting can be a useful resource. For example, a very common problem especially for a new user is pressure at the bridge of the nose resulting in redness and a sore spot that, if not corrected, can actually result in an open wound. This usually, but not always, happens due to overtightening of the headgear. Some masks do have means of adjusting the fit of the forehead pad so that pressure can be relieved.
By: Martha J. Powell, RRT, CEO
Strategic Medical Sales, LLC
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