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Air Fit P10 - fitting question / leaks
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Nananeedssleep Offline

Members

Posts: 10
Joined: Aug 2015

Machine: ResMed AirSense 10
Mask Type: Nasal pillows
Mask Make & Model: AirFit p10
Humidifier: HumidAir integrated
CPAP Pressure: 5-12
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Virginia

Post: #1
Air Fit P10 - fitting question / leaks
So, I'm reading the forums (and enjoying and learning) every night. I'm almost 3 weeks into being a hose head! Yea! I find myself looking forward to bedtime.

My leak rate is 24, my smiley is always green. But I have leaks, I hear leaks, I feel leaks. My mouth is dry. I got a new bite guard (wore out the other), and I tried a chin strap using an ace bandage. The best improvement I got was 22.

After reading all 16 pages tonight of the review for the P10, I now wonder if the XS is too small for my nostrils. Just how tight is the seal supposed to be? I couldn't find the post about how they were supposed to fit that someone mentioned in the reviews.

Any thoughts? A link? How far/tight[/size][/font] into your nose do these guys go? I do sleep all over, back, side, face down, on a feather pillow. I tried a memory foam pillow, but it made me hot. Maybe I am just knocking the mask?

On bright side, trips to bathroom down to one around 5 am. And I am averaging 9 hours of sleep. I WAS so tired. I know it's helping, but I'm determined to stop the leaks if possible.

Still too novice with Sleepyhead to make heads or tails of what's happening when. Any help is appreciated!
09-02-2015 08:38 PM
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trish6hundred Offline

Advisory Members

Posts: 6,453
Joined: May 2012

Machine: Resmed S9 AutoSet for Her
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: H5i Heated Humidifier
CPAP Pressure: 10 - 7-20 Cm H2O
CPAP Software: Not using software

Other Comments: I started CPAP in 2008. Totally blind since birth.

Sex: Female
Location: Missouri, USA

Post: #2
RE: Air Fit P10 - fitting question / leaks
Hi Nananeedssleep,
WELCOME! to the forum.!
You might try the next size up on your pillows, they shouldn’t go very far into your nostriles.
It’s good to hear that you are noticing improvements with your CPAP therapy, now if you could get your leaks lower, and I know you are really trying, that will be even better for you.
Hang in there for more suggestions and answers to your questions and much success to you as you continue your CPAP therapy.

trish6hundred
09-02-2015 09:37 PM
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pholynyk Offline

Advisory Members

Posts: 308
Joined: Mar 2015

Machine: ResMed AirSense 10 APAP
Mask Type: Full face mask
Mask Make & Model: Amara View
Humidifier: included
CPAP Pressure: 11-17
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Ontario, Canada

Post: #3
RE: Air Fit P10 - fitting question / leaks
ResMed has some fitting videos on their site. My recollection of the one about pillows was that you hold it up just under your nose while facing a mirror. The right size will have the prongs/cones/whatever centered nicely under each nostril. I guess that's your starting point, because lots of pillow users seem to go up to the next larger size to get more air flow.

HTH - Phil
09-02-2015 10:52 PM
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Nananeedssleep Offline

Members

Posts: 10
Joined: Aug 2015

Machine: ResMed AirSense 10
Mask Type: Nasal pillows
Mask Make & Model: AirFit p10
Humidifier: HumidAir integrated
CPAP Pressure: 5-12
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Virginia

Post: #4
RE: Air Fit P10 - fitting question / leaks
Last night I was pretty careful, used lanolin, chin strap, and tightened down more. Leak was 22. Still a small improvement. But, my event number was 1.6, lowest yet.
09-03-2015 06:36 AM
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AnalogDog Offline

Members

Posts: 4
Joined: Sep 2015

Machine: none
Mask Type: Not using mask
Mask Make & Model: none
Humidifier: none
CPAP Pressure: none
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #5
RE: Air Fit P10 - fitting question / leaks
XS is too small for most folks, in my experience. Go up at least to small, see what your leak readout is.
You want the largest size that will fit comfortably.
09-03-2015 12:23 PM
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Nananeedssleep Offline

Members

Posts: 10
Joined: Aug 2015

Machine: ResMed AirSense 10
Mask Type: Nasal pillows
Mask Make & Model: AirFit p10
Humidifier: HumidAir integrated
CPAP Pressure: 5-12
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Virginia

Post: #6
RE: Air Fit P10 - fitting question / leaks
I will move up a size tonight, and keep everything else I am doing the same. I was pleased with event reduction, but just not leak number. I realize this is a slow process of elimination and trial and error, and I'm trying to be patient.
09-03-2015 04:23 PM
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OpalRose Offline

Monitors

Posts: 3,181
Joined: Nov 2014

Machine: PR System One REMstar Auto 560 with A Flex
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 For Her
Humidifier: REMStar heated humidifier with heated hose
CPAP Pressure: Auto Cpap 10-13 AFLEX 1
CPAP Software: SleepyHead EncoreBasic

Other Comments: Started CPAP Therapy October 23, 2014

Sex: Female
Location: Northeast Ohio, USA

Post: #7
RE: Air Fit P10 - fitting question / leaks
Hi Nananeedssleep,
The P10 mask should not be worn too tight, and the nasal pillows should just sit under nostrils and inserted just a little. Once the machine is turned on, the pillows will inflate a bit and you can jiggle them just a little to make sure you have a good seal.

If you are experiencing a lot of leaks, it it more than likely you are pushing the mask sideways as you move around. This can happen with any type mask.

My DME told me to use a size X small, but I found the size small to work better.

Give it time, some adapt right away, and others take longer.

OpalRose
09-03-2015 05:30 PM
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Adoniscmj Offline

Advisory Members

Posts: 168
Joined: May 2015

Machine: Resmed AirSense10 Autoset for her
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Integrated
CPAP Pressure: 6 to 9
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Everett, Washington

Post: #8
RE: Air Fit P10 - fitting question / leaks
(09-02-2015 08:38 PM)Nananeedssleep Wrote:  So, I'm reading the forums (and enjoying and learning) every night. I'm almost 3 weeks into being a hose head! Yea! I find myself looking forward to bedtime.

My leak rate is 24, my smiley is always green. But I have leaks, I hear leaks, I feel leaks. My mouth is dry. I got a new bite guard (wore out the other), and I tried a chin strap using an ace bandage. The best improvement I got was 22.

After reading all 16 pages tonight of the review for the P10, I now wonder if the XS is too small for my nostrils. Just how tight is the seal supposed to be? I couldn't find the post about how they were supposed to fit that someone mentioned in the reviews.

Any thoughts? A link? How far/tight[/size][/font] into your nose do these guys go? I do sleep all over, back, side, face down, on a feather pillow. I tried a memory foam pillow, but it made me hot. Maybe I am just knocking the mask?

On bright side, trips to bathroom down to one around 5 am. And I am averaging 9 hours of sleep. I WAS so tired. I know it's helping, but I'm determined to stop the leaks if possible.

Still too novice with Sleepyhead to make heads or tails of what's happening when. Any help is appreciated!

I was using the same mask and had no leaks. I would try the next size up in pillows and see if that works. The P10 is a great mask but the head gear is terrible as in my case it wasn't ever tight enough to stay on my head when I rolled onto my side. It may be that the head gear is to loose on you causing a leak. I had to switch to the FX and now I get through the night with the mask on but the FX is noisy and has a jet stream of air that is irritating to say the least.
09-06-2015 12:42 PM
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Nananeedssleep Offline

Members

Posts: 10
Joined: Aug 2015

Machine: ResMed AirSense 10
Mask Type: Nasal pillows
Mask Make & Model: AirFit p10
Humidifier: HumidAir integrated
CPAP Pressure: 5-12
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Virginia

Post: #9
RE: Air Fit P10 - fitting question / leaks
I switched to the small size pillows, and left off the chin strap. My event number was 1.5. That night of sleep didn't feel restful at all and the leak rate was 22. The next night I sleep wonderfully, leak rate was 20, but the even number was 4.5! Higher than anything in the last two weeks. So last night, leaks held at 20, and my event number was 2.5. Sleep was not as good as the night before, but still good, sleeping 6 hours before awaking.

Who knew this would be such an up and down thing, and I'd sleep great with low numbers, and vice versa. I'm still hoping to wake up and have those leaks closer to 10, but who knows. Tonight I may move to the medium pillows and check that out.

I've wondered it my pressure should be higher? It's 5-10. ? When I look at the pressure graphs it seems to me I'm in the upper half of the graph most of the night. However, I'm not comfortable at the analysis. Would appreciate thoughts on that. Will more pressure cause more leaks? I hate to change another variable. I think I have ruled out the need for the chin strap.
09-06-2015 07:16 PM
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WSHenry Offline

Preferred Members

Posts: 62
Joined: Jan 2014

Machine: PR System One REMStar DS560S
Mask Type: Nasal pillows
Mask Make & Model: ResMed AirFit P10
Humidifier: PR System One + Heated Tube
CPAP Pressure: 6-15 cm H2O
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Washington State, USA

Post: #10
RE: Air Fit P10 - fitting question / leaks
(09-06-2015 07:16 PM)Nananeedssleep Wrote:  I switched to the small size pillows, and left off the chin strap. My event number was 1.5. That night of sleep didn't feel restful at all and the leak rate was 22. The next night I sleep wonderfully, leak rate was 20, but the even number was 4.5! Higher than anything in the last two weeks. So last night, leaks held at 20, and my event number was 2.5. Sleep was not as good as the night before, but still good, sleeping 6 hours before awaking.

Who knew this would be such an up and down thing, and I'd sleep great with low numbers, and vice versa. I'm still hoping to wake up and have those leaks closer to 10, but who knows. Tonight I may move to the medium pillows and check that out.

I've wondered it my pressure should be higher? It's 5-10. ? When I look at the pressure graphs it seems to me I'm in the upper half of the graph most of the night. However, I'm not comfortable at the analysis. Would appreciate thoughts on that. Will more pressure cause more leaks? I hate to change another variable. I think I have ruled out the need for the chin strap.

Hi,

Have used the P10 for over a year now, and found it works fine for me. Your AHI numbers may vary from night to night. As long as the unintentional leak rate is low and you're feeling rested, then your good to go.

Yes, more pressure will cause higher leaks, both intentional and unintentional.

Stay with it!
09-06-2015 07:27 PM
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