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Determining if mask fits
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IloveZ Offline

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Posts: 3
Joined: Jul 2013

Machine: ResMed S9 Apap
Mask Type: Nasal pillows
Mask Make & Model: Swift FX
Humidifier: ResMed
CPAP Pressure: 8-14
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location:

Post: #1
Determining if mask fits
Hello all,
I have just started PAP treatments, received my machine a little over a week ago. This forum has been super helpful for reviewing the machines before I saw my DME and for making sure I have all the information from my Sleep Doctor. Thank You.

My question relates to mask leakage and how do you know if the mask is the best fit for you. I am using the Swift FX for Women, and I have tried both the small and medium pillows with Lanolin. It is overall fairly comfortable to wear, but I am having trouble with it as the night goes on. It seems that I have to readjust it a few times in the night, as the pillow will move and sometimes cause a whistle in different position. It seem especially to do this if I switch from my side to my back, although when I first put the mask on I have no problem on my back.

Overall, my SleepyHead numbers seem good. I had one bad AHI night over 12, which has skewed my averages. But most nights I am have an AHI between 2-5. My average leaks is .15 and my 95% leaks are 3.6.

Huhsign As this is all so new, I have no idea if this just happens with masks or if I should try a switch out?
Thanks in advance for your thoughts.
07-17-2013 04:28 PM
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trish6hundred Offline

Advisory Members

Posts: 6,436
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: Determining if mask fits
Hi IloveZ,
WELCOME! to the forum.!
You might try a different mask. It's not uncommon to try many different masks 'till you find just the right one that works for you.
Hang in there for more answers to your questions and best of luck with CPAP therapy.

trish6hundred
07-17-2013 04:34 PM
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Zorki1c Offline

Preferred Members-2

Posts: 134
Joined: Jun 2013

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: ResMed Swift FX
Humidifier: H5i
CPAP Pressure: 6
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Pacific Northwest United States

Post: #3
RE: Determining if mask fits
One thing I have discovered on the Swift FX is that if I scrub the pillows EVERY day with soap and water I have less leak problems--I haven't tried Lanolin. Most of my leaks occur in the last 1 1/2 hours of the night when I tend to be more restless. I'm fortunate in I haven't had to try a lot of other masks--the Pilaro being the only other. My AHI is usually below 1, BUT I have to admit I'm not sure what all the numbers mean as I felt more rested this morning than most with a 1.35 AHI -- the difference being I only woke up once during the night and slept 6 hours straight (usually I wake up at least two times a night).

"Sometimes the magic works . . . and sometimes it doesn't" -- Chief Dan George in the movie Little Big Man
07-17-2013 04:59 PM
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zonk Offline

Advisory Members

Posts: 7,908
Joined: Feb 2012

Machine: A10 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Activa LT
Humidifier: Integrated /ClimateLineAir
CPAP Pressure: 9/13
CPAP Software: ResScan

Other Comments: CPAP since Nov 2010

Sex: Male
Location: Australia

Post: #4
RE: Determining if mask fits
Is the whistling coming from exhaust vent holes or from the pillows?
The pillows should rest on the nostrils, not in them. Turn down humidifier setting and insulate the hose may help if the whistle from moisture in the pillows. Have you seen the fitting guide http://www.resmed.com/us/products/swift_...s&sec=true
07-17-2013 06:49 PM
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PaulaO2 Offline
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Moderators

Posts: 8,065
Joined: Feb 2012

Machine: S9 Autoset
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: H5i
CPAP Pressure: 14-20
CPAP Software: SleepyHead

Other Comments: Ehlers-Danlos Syndrome, Hypermobility Type; chronic sarcasm

Sex: Undisclosed
Location: western NC, USA

Post: #5
RE: Determining if mask fits
Nasal pillows should fit nicely within the nostrils, usually only one "bulge" deep. You want the straps tight enough that it holds it in place but no so tight it feels like you are stretching the nostrils wider. LOL It's hard to describe!

It is common for a new mask to go through some breaking-in in regards to fit. If air is coming out the nostrils, you will feel it. Sometimes you can gently trace a finger around where the nostril and the pillow meet and you'll feel any leaks.

Keep playing with the headgear to find the best tension.

It is also common for new users to go through a LOT of masks before they find one that fits. No two nasal pillows are the same. They may look like it in the pictures online, but in Real Life, they can fit very differently.

They have what they call "intentional leak" and that is what is coming out the vent holes in the mask. You want that to happen. "Unintentional leaks" are from all the others. The machine can accommodate unintentional leaks up to a certain level, depending on the type of mask, the pressure, and alien influence.

PaulaO2
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www.ApneaBoard.com


Breathe deeply and count to zen.

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
07-17-2013 07:16 PM
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RonWessels Offline

Preferred Members-2

Posts: 465
Joined: Jun 2013

Machine: REMstar Auto AFlex DS560TS
Mask Type: Nasal mask
Mask Make & Model: ComfortGel Blue
Humidifier: REMstar Heated Tube DS6T
CPAP Pressure: 11 - 20
CPAP Software: SleepyHead

Other Comments: CMS50F Pulse Oximeter

Sex: Male
Location: Ontario, Canada

Post: #6
RE: Determining if mask fits
Based on personal experience, it is also not uncommon to have to re-adjust your mask when you re-adjust your sleeping position. It soon gets to the point where the adjustment is essentially automatic in a semi-sleep state.
07-17-2013 07:47 PM
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PaulaO2 Offline
Wiki Editor
Moderators

Posts: 8,065
Joined: Feb 2012

Machine: S9 Autoset
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: H5i
CPAP Pressure: 14-20
CPAP Software: SleepyHead

Other Comments: Ehlers-Danlos Syndrome, Hypermobility Type; chronic sarcasm

Sex: Undisclosed
Location: western NC, USA

Post: #7
RE: Determining if mask fits
Yup! Exactly!

PaulaO2
Apnea Board Moderator
www.ApneaBoard.com


Breathe deeply and count to zen.

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
07-17-2013 08:27 PM
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IloveZ Offline

New Members

Posts: 3
Joined: Jul 2013

Machine: ResMed S9 Apap
Mask Type: Nasal pillows
Mask Make & Model: Swift FX
Humidifier: ResMed
CPAP Pressure: 8-14
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location:

Post: #8
RE: Determining if mask fits
Hi Zonk - no the whistling is from around the nose, I am pretty sure. It doesn't happen much and I understand what you are asking about the exhaust vent, that happens more frequently than from the nose. It only happens, 2-3 times per night.

Ron - it is good to hear you readjust. I just don't know what is "normal".

Paula - although I think my DME is ok, they only allow one mask switch. I have been hesitant to try another as I like the feel of the FX. I just want to make sure I am getting good results.
07-17-2013 10:52 PM
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PaulaO2 Offline
Wiki Editor
Moderators

Posts: 8,065
Joined: Feb 2012

Machine: S9 Autoset
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: H5i
CPAP Pressure: 14-20
CPAP Software: SleepyHead

Other Comments: Ehlers-Danlos Syndrome, Hypermobility Type; chronic sarcasm

Sex: Undisclosed
Location: western NC, USA

Post: #9
RE: Determining if mask fits
I am using the Swift LT for Her. When I use the Medium sized pillows, they whistle with each breath. I can't find a leak causing it. If I use the Small, the whistling stops. I think the Medium fits better but I cannot tolerate that whistle. Drives me nuts. So I use the small and am able to go to sleep, which is what matters!

PaulaO2
Apnea Board Moderator
www.ApneaBoard.com


Breathe deeply and count to zen.

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
07-17-2013 11:01 PM
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cbramsey Offline

Advisory Members

Posts: 900
Joined: Mar 2012

Machine: ResMed S9 Autoset
Mask Type: Nasal mask
Mask Make & Model: ResMed Mirage FX
Humidifier: ResMed H5i with ClimateLine
CPAP Pressure: 6 - 12
CPAP Software: ResScan

Other Comments: Supreme Overlord of Web Darkness

Sex: Male
Location: NC, USA

Post: #10
RE: Determining if mask fits
(07-17-2013 07:16 PM)PaulaO2 Wrote:  The machine can accommodate unintentional leaks up to a certain level, depending on the type of mask, the pressure, and alien influence.

Did someone say Aliens????

[Image: 9228_zpse4cc917e.jpg]

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
07-18-2013 04:01 PM
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