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AirFit P10 nasal mask fitting problems
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SandysSpot Offline

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Posts: 27
Joined: Jul 2014

Machine: ResMed S9 AutoSet
Mask Type: Nasal mask
Mask Make & Model: ResMed AirFit P10
Humidifier: H5i
CPAP Pressure: 7-15
CPAP Software: ResScan SleepyHead

Other Comments: I'm a nerd and proud of it :)

Sex: Female
Location: Florida Panhandle

Post: #51
RE: AirFit P10 nasal mask fitting problems
I don't particularly expect to ever have a completely "leak-less" night as much as I can toss and turn - but as long as I am within the acceptable threshold for leaks, I'm pleased. I actually don't have a huge leak problem. As Webbie mentioned above, I've also found I keep the hose under the covers with me as well, but can't honestly say if that's keeping my leaks down, but it just seems more "comfortable". It's funny some mornings I'm actually holding onto the hose, cradled in my arm like a security blanket LOL!

Still loving my P10's - staying with my Mediums (fitted for XS) for the same reason as retired_guy.... that whole "easier to breathe" thing because the openings are bigger!

Sandy
08-25-2014 12:47 PM
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retired_guy Offline

Preferred Members-2

Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #52
RE: AirFit P10 nasal mask fitting problems
(08-25-2014 12:47 PM)SandysSpot Wrote:  I don't particularly expect to ever have a completely "leak-less" night as much as I can toss and turn - but as long as I am within the acceptable threshold for leaks, I'm pleased. I actually don't have a huge leak problem. As Webbie mentioned above, I've also found I keep the hose under the covers with me as well, but can't honestly say if that's keeping my leaks down, but it just seems more "comfortable". It's funny some mornings I'm actually holding onto the hose, cradled in my arm like a security blanket LOL!

Still loving my P10's - staying with my Mediums (fitted for XS) for the same reason as retired_guy.... that whole "easier to breathe" thing because the openings are bigger!

I agree with you too Sandy. I worry when someone actually does report zero leaks. I think they well may be tightening their mask too much. That could result in short or long term ouchies. (I know, I know-- I keep using those medical terms)

As to sleeping with the hose under the covers: The other benefit of doing that (especially if you are using the non-climateline sorts of hoses) is it helps reduce the possibility of getting a nose full of water due to condensation in the hose. Or, as we whom prefer medical terms might say, "self-induced waterboarding."

As to the hose being something nice to cuddle up with? Nah, not so much. But it's ok.
08-25-2014 01:01 PM
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RicaLynn Offline

Members

Posts: 13
Joined: Aug 2014

Machine: ResMed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: ResMed AirFit P10
Humidifier: ResMed H5i
CPAP Pressure: 6-9
CPAP Software: Not using software

Other Comments:

Sex: Female
Location: On the nose of Montana

Post: #53
RE: AirFit P10 nasal mask fitting problems
Wish I could get into my photobucket account and post a pic of my homegrown hose buddy system. Cost me all of 30 cents...
08-25-2014 11:22 PM
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Clementine Offline

Preferred Members-2

Posts: 208
Joined: Sep 2013

Machine: ResMed VPap Auto
Mask Type: Nasal pillows
Mask Make & Model: ResMed AirFit P10
Humidifier: ResMed H5i--not using currently
CPAP Pressure: Auto -- 8/13.2 PS 3.2
CPAP Software: SleepyHead

Other Comments: Began with machine on 7/7/14.

Sex: Female
Location: eastern Iowa

Post: #54
RE: AirFit P10 nasal mask fitting problems
Hi again, could y'all take a look at this? This is from last night. My AHI is better, but the leaks are getting crazy. I'm using the lanolin on my nose and I thought it was helping --- the few nights I've used it, I've not been awakened much by the mask moving. But apparently it is moving anyway. Lots of leaks.

So, do I stress about the leaks if the AHI looks good? Although the AHI has been above 5 for the most part; yesterday it was 11.

I just need some advice from the pros . . . .

AHI 4.72 6.97
Obstructive Apnea Index 4.56 5.71
Hypopnea Index 0.00 0.08
Clear Airway Apnea Index 0.16 1.18
Leak Statistics
Average Leak Rate 10.78 4.27
90% Leak Rate 31.20 13.20
% of time above Leak Rate threshold 13.40% 0.51%
Pressure Statistics
Average EPAP 6.86 7.16
Min EPAP 5.00 4.02
Max EPAP 10.20 11.00
Average IPAP 10.86 11.43
90% IPAP 13.04 13.88
Min IPAP 9.00 8.14
Max IPAP 14.20 15.00
08-26-2014 08:05 AM
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PaytonA Offline
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Monitors

Posts: 3,013
Joined: Dec 2013

Machine: ResMed S9 VPAP Auto
Mask Type: Full face mask
Mask Make & Model: Resmed Mirage Quattro
Humidifier: H5i(distilled-top up)
CPAP Pressure: VAuto MinE14.0 MaxI 20.6 PS4.0
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Orange County,California

Post: #55
RE: AirFit P10 nasal mask fitting problems
First, I am not a pro but here goes.

Your leaks do not look terribly bad. High leakage can have an effect on the machines ability to detect apnea events. I would not stress about it. Just work on the leaks. Could you be mouth breathing/leaking? Maybe it is not the mask. Do you use a chin strap? If not, it might be time to try one.

Best Regards,

PaytonA
08-26-2014 01:48 PM
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Gabby Offline

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Posts: 664
Joined: Dec 2013

Machine: ResMed AirSense 10 AutoSet For Her
Mask Type: Nasal pillows
Mask Make & Model: Philips Nuance Nasal Mask
Humidifier: ResMed AirSense 10 For Her
CPAP Pressure: 8-14
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Sunshine Coast, Qld., Australia.

Post: #56
RE: AirFit P10 nasal mask fitting problems
Hi Clementine, I am a faithful P10 user and was having the same problems as you in the last few weeks.
The forum advised me to obtain a chinstrap which I did and started to notice a difference in my leak results almost immediately.
Was good for a short while and then started to play up again.
I was alternating between three different pillows.
Anyway last night, I went to bed with one, could not settle, put a second one in, that leaked also, so I wasn't even going to be bother trying the third one.
I just got up went and opened a brand new one put it in, bingo!
My AHI was 1.82 and leaks were 6.00.
I know 6 is not fantastic but compared to what they have been the last few days 6 is great.
Also some of these leaks still could have come from my mouth even though I do wear a chinstrap, I have noticed my mouth being open of late.
Looks like I will have to tighten it as I had loosened it a few days back.
I have to say I feel like I am strung up at night with it on and not very comfortable.
But we have to do what we have to do.

Anyway the long and the short of it Clementine, maybe try a chinstrap or wash or change your pillow.

Sleep Tight...
Gabby
08-26-2014 07:16 PM
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kfujioka Offline

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Posts: 63
Joined: Aug 2014

Machine: Bipap system one auto
Mask Type: Nasal mask
Mask Make & Model: Air fit P10 and The Hybrid
Humidifier: System One heated humidifier & heated tube
CPAP Pressure: 12/07 for bipap
CPAP Software: SleepyHead

Other Comments: New to sleep apnea however think I have had it for a year because started having symptoms a year ago

Sex: Female
Location: Oahu, Hawaii

Post: #57
RE: AirFit P10 nasal mask fitting problems
Hi. I use the same nasal mask as you and oddly enough my leak rate is exactly as yours 5.18. I think I may have the same problem. I use the small. But the respiratory therapist said to use the medium but when I did it,seemed a little large. I would never consider the large size cause it would be outside my nostrils. However when the therapist was at my house and I tipped my head back while using the mask he said my nostrils flared out and the larger size seemed to work. So it is hard to tell what size works until trying it, I guess.
Don't have a good answer except that I think the leak rate of 5.18 is ok.
One more thing, I have been using this mask for a month and the band is really stretched out which I think makes the nasal things fall out a little.
I ordered a second mask and I am going to wash the old band while using the new one. Unfortunately this band ( headgear) is not so adjustable if you have a small head. ( a loose band can make leaks too.)
Unfortunately,I have not found a replacement band to buy for this nasal mask. It's too bad because this band stretches so much!

Kimberly from HonoluluSleep-well
(This post was last modified: 09-20-2014 05:26 PM by kfujioka.)
09-20-2014 05:23 PM
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surferdude2 Offline

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Posts: 1,077
Joined: Jul 2014

Machine: ResMed S9 AutoSet
Mask Type: Full face mask
Mask Make & Model: Mirage Quattro & Optilife
Humidifier: ResMed H5i @ #3 if nose breathing & #5 if mouth breathing
CPAP Pressure: 12 ~ 20 & 11 ~12 if nasal mask
CPAP Software: ResScan SleepyHead

Other Comments: Late stage 2 emphysema

Sex: Male
Location: Mousetown, Southern Illinois

Post: #58
RE: AirFit P10 nasal mask fitting problems
FYI, You can get a new headgear for the P10 from any of several suppliers. The price is $25 on all that I have ever seen. I favor Supplier #18 but others have it too.
(This post was last modified: 09-20-2014 06:13 PM by surferdude2.)
09-20-2014 05:54 PM
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herbm Offline

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Posts: 852
Joined: Jan 2014

Machine: ResMed AutoSet S9
Mask Type: Oral
Mask Make & Model: ResMed Airfit P10 Nasal Pillow
Humidifier: ResMed H5i
CPAP Pressure: 11-16
CPAP Software: ResScan SleepyHead

Other Comments: Backup Mask: Innomed Hybrid FFM -- Oral+Nasal Pillows

Sex: Male
Location: Austin, TX

Post: #59
RE: AirFit P10 nasal mask fitting problems
I have been known to have runs of essentially leak-free nights, average 0, 95% 0 or near 0, and even max at 15 or less -- using a P10.

(Not lately however -- since my hip replacement surgery for whatever reasons. BTW: I have been off all narcotics and even NSAIDs for a couple of weeks, surgery was 4 1/2 weeks ago.)

Sweet Dreams,

HerbM
Sleep study AHI: 49 RDI: 60 -- APAP 10-11 w/AHI: 1.5 avg for 7-days (up due likely to hip replacement recovery)

"We can all breathe together or we will all suffocate alone."
09-20-2014 07:05 PM
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Webbie73 Offline

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Posts: 32
Joined: Aug 2014

Machine: Resmed 9 auto
Mask Type: Nasal pillows
Mask Make & Model: Res med air fit p10
Humidifier: Resmed
CPAP Pressure: 8-14
CPAP Software: Not using software

Other Comments:

Sex: Female
Location:

Post: #60
RE: AirFit P10 nasal mask fitting problems
(09-20-2014 07:05 PM)herbm Wrote:  I have been known to have runs of essentially leak-free nights, average 0, 95% 0 or near 0, and even max at 15 or less -- using a P10.

(Not lately however -- since my hip replacement surgery for whatever reasons. BTW: I have been off all narcotics and even NSAIDs for a couple of weeks, surgery was 4 1/2 weeks ago.)

WTG Herbm, I also had a hip replacement and was off all drugs by 3 weeks.
How did you manage your sleep apnea in the hospital? I will be having my other hip done sometime in the near future. With the first hip I was not on cpap.
09-20-2014 07:18 PM
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