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[Equipment] AIRFIT P10 problems -- too much pressure / can't exhale
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genieangel Offline

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Posts: 6
Joined: May 2016

Machine: Airsense 10 Autoset for Her
Mask Type: Nasal pillows
Mask Make & Model: Respironics Comfortlite 2
Humidifier: Airsense comes with humidifier
CPAP Pressure: 6-20
CPAP Software: Other Software

Other Comments:

Sex: Female
Location:

Post: #1
Sad AIRFIT P10 problems -- too much pressure / can't exhale
So I finally received the airfit P10 I couldn't wait to get seeing it was so small and my friend recommended it.

With the Airfit 10 way too much air pressure is pushing through, hurting my nose. It also makes alot of noise and is not that comfortable on my nostrils. Also, it's hard to exhale which I hate! When I put my hand out of the tiny mesh vents I try to feel the air exhaling I can't feel much. I feel alot with the other masks each I time I exhale.

I have been using 2 masks on and off, a nose mask, and the Respironics Comfortlite 2 which is a nose pillow but has large headgear. The nose mask causes irritation on the sides of my nose. However, on both of these I can barely notice air coming in and they are so quiet, in fact I have to open my mouth to be sure it's on. I can barely detect they're on my face whereas the P10, despite it's small size I can feel every second of it being on.

This is a brand new mask. Has anyone experienced this with this mask and do you get used to it? Do you think I got a defective one?

Do you think I should switch to the Nuance Pro?
05-13-2016 05:50 PM
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palerider Offline

Preferred Members-

Posts: 440
Joined: Nov 2014

Machine: s9 vpap auto
Mask Type: Nasal pillows
Mask Make & Model: p10
Humidifier: none
CPAP Pressure: 18/13+
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Dallas(ish)

Post: #2
RE: AIRFIT P10 problems -- too much pressure / can't exhale
your old mask (and, indeed most masks) have a direct vent, which produces a hard jet of air, the p10 and a few other new masks have a diffused vent, they vent just as much air, but it's going in all directions, not in a single stream.

make sure you've got the p10 on properly, the smooth part where the size shows goes down, against your upper lip. it's got that smooth section so you can feel it in the dark.
05-13-2016 06:18 PM
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Rcgop Offline

Advisory Members

Posts: 215
Joined: May 2016

Machine: Resmed AirSense 10 autoset
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10
Humidifier: installed
CPAP Pressure: 6.0 - 10.0 / EPR 2
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Orlando Fl

Post: #3
RE: AIRFIT P10 problems -- too much pressure / can't exhale
I have the same mask. I am still trying to get used to the cpap experience but the p10 is not part of it.

I it takes about 5 minutes to get adjusted each night but once I have it in place I barely know it's there. Straps in back are spread as far apart to minimum pressure and I had a chin strap to control mouth leaks. I am using the chin strap less and less as I get more comfortable.

In addition, it came with 3 pillow sizes. The RT said I needed the small but I tried all 3 and like the medium best. The large even felt better than the small.

I am learning a lot about patience.

HuhDont-knowI am an accountant so any advice given here is not medical. If I give any financial advice, you can take it to the bank. However, you will have a hard time cashing it in. Okay
(This post was last modified: 05-13-2016 07:04 PM by Rcgop.)
05-13-2016 07:03 PM
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SaldusMiegas Offline

Advisory Members

Posts: 228
Joined: Apr 2015

Machine: ResMed AirSense 10 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: P-10, F&P Simplus
Humidifier: integrated
CPAP Pressure: Rx:14, Set:Auto 8.0-15.0
CPAP Software: ResScan SleepyHead

Other Comments: Woot! P-10 pillows plus Ruby chinstrap for side-sleeping mouth breathers

Sex: Male
Location: Virginia

Post: #4
RE: AIRFIT P10 problems -- too much pressure / can't exhale
hi genieangel,

welcome to the forum.

A lot of times when people are having trouble fitting the P10, the solution is to step up a size on the mask insert. The pillows should not be inserted into your nostrils, but rather they should be large enough to form a seal around the rims of the nostrils.

Make sure you have it seated with the correct side up or else it may be quite uncomfortable. When properly positioned, the outlets should be pointing slightly upward, the pillows form a gentle seal around the rim of the nostrils, and the mask is very quiet.

One other thing to note is that the air outlets have two layers of silicone. Some people have reported discomfort and noise when the two layers are bunched up from squeezing them while cleaning etc. So make sure the two layers are smooth with each other.

As for pressure, I have found my auto set uses lower pressure on P10 than on the FFM I used to use. Since your machine is in auto mode it will find the right pressure for you. And I suspect you may also find that it's lower than with a FFM.

There is also a setting in the CPAP machine, under My Options, called Mask. Set that to Pillows when you use pillows. I don't think that changes pressure but it alters the way the machine measures air flow for leaks to match the different ventilators of full face, nasal mask, or pillows.

hope this info is helpful. P10s are a wonderful thing in my experience. I love the light weight, greater comfort, lower air pressure, and lower leak rates over a FFM (in my case F10 or F&P Simplus). I sleep more better using P10s than using FFMs.

Saldus Miegas
05-13-2016 10:46 PM
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PoolQ Offline

Advisory Members

Posts: 986
Joined: Jul 2015

Machine: AirCurve 10 VAUTO
Mask Type: Full face mask
Mask Make & Model: Amara View
Humidifier: Integrated
CPAP Pressure: 6.2, 15, PS4.0
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Sillicon Valley

Post: #5
RE: AIRFIT P10 problems -- too much pressure / can't exhale
Some people have problems exhaling into pressure (me for one) and some don't. I can't us it, tried and it's not an option. I told the DME that I had tried it and they actually snorted, "that's not the mask for you". Look so nice, but no.

At least look at the Amara View, it has some tricks, but minimal face coverage
05-13-2016 10:56 PM
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trish6hundred Offline

Advisory Members

Posts: 6,450
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: #6
RE: AIRFIT P10 problems -- too much pressure / can't exhale
Hi genieangel,
WELCOME! to the forum.!
Good luck to you with getting a good fit with the P10. The mask is the most difficult part of this whole thing, so, if you just can't get used to the mask you are trying now, don't be shy about asking to try different ones, there are lots to choose from out there so, keep trying 'till you find one that works for you.
Much success to you with your CPAP therapy and hang in there for more responses to your post.

trish6hundred
05-14-2016 03:30 PM
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0rangebear Online

Advisory Members

Posts: 342
Joined: Jan 2016

Machine: ResMed AirSence 10
Mask Type: Other
Mask Make & Model: Amara View
Humidifier: HumidAire (Built-in)
CPAP Pressure: APAP 12.8-15 EPR 3 (cmH2O)
CPAP Software: ResScan SleepyHead

Other Comments: Ramp off

Sex: Male
Location: Brighton Colorado

Post: #7
RE: AIRFIT P10 problems -- too much pressure / can't exhale
(05-13-2016 05:50 PM)genieangel Wrote:  Also, it's hard to exhale which I hate! When I put my hand out of the tiny mesh vents I try to feel the air exhaling I can't feel much. I feel alot with the other masks each I time I exhale.

I have trouble exhaling when the EPR is off on every mask I have tried. When set to EPR3 it is easy. ERP2 is tolerable and gives me lower AHI

2004-Bon Jovi
it'll take more than a doctor to prescribe a remedy

Observations and recommendations communicated here are the perceptions of the writer and should not be misconstrued as medical advice.
05-14-2016 08:41 PM
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eseedhouse Online

Advisory Members

Posts: 882
Joined: Dec 2014

Machine: ResMed Airsense 10 Autoset
Mask Type: Full face mask
Mask Make & Model: SimPlus
Humidifier: ResMed
CPAP Pressure: 7-10
CPAP Software: SleepyHead

Other Comments: Also on supplemental O2 at 3L/min. while sleeping.

Sex: Male
Location: Victoria, British Columbia

Post: #8
RE: AIRFIT P10 problems -- too much pressure / can't exhale
(05-14-2016 08:41 PM)0rangebear Wrote:  ]I have trouble exhaling when the EPR is off on every mask I have tried. When set to EPR3 it is easy. ERP2 is tolerable and gives me lower AHI

Well, that's obviously true for you. And it's true for me as well.

But that doesn't make it true for everyone.

Ed Seedhouse
VA7SDH

I am neither a Doctor, nor any other kind of medical professional.

Actually you know, it is what it isn't.
05-14-2016 11:23 PM
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Jpl1953 Offline

New Members

Posts: 1
Joined: Mar 2012

Machine: Resmed Airsense 10
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10
Humidifier: Humidair
CPAP Pressure: Unsure
CPAP Software: Not using software

Other Comments:

Sex: Male
Location: London UK

Post: #9
RE: AIRFIT P10 problems -- too much pressure / can't exhale
(05-13-2016 10:46 PM)SaldusMiegas Wrote:  hi genieangel,
A lot of times when people are having trouble fitting the P10, the solution is to step up a size on the mask insert. The pillows should not be inserted into your nostrils, but rather they should be large enough to form a seal around the rims of the nostrils.
Saldus Miegas

This was my problem. I had previously used a Swift FX with medium and did the same with the P10 but was having problems with sore nostrils etc. so I decided to go up a size to large and now it fits like a dream.
05-15-2016 03:15 AM
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