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[Equipment] New Mask - Horrible Night!
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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: #1
New Mask - Horrible Night!
Hi,
I've been on CPAP Therapy for three months and using a full face mask with great success. I decided to get a PR Nuance Pro as an alternative. I believe the pillow size and strap tensions are correct. At bedtime, I made sure the tension was just snug enough to provide pillow contact with my nostrils and then went "lights out". The contact pressure on my right nostril was painful! I tried using a water-based lubricant, which provided some relief, but just made the pillows more likely to slide out of position. Tightening the straps to correct this only lead to more pressure on my nostrils while allowing the pillows to slide out of position.

The pressure and slippage issues became so intense last light that I ripped the make off and went back to my full face mask after five hours of struggling.

My machine is in APAP mode, with pressures typically 6-7 cm H2O.

Has anyone on this forum had a "first night" experience like this? If so, what did you do to correct this? If this is just "normal", does the pain//irritation just go away after a while?
02-26-2014 11:33 AM
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trish6hundred Offline

Advisory Members

Posts: 6,430
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: New Mask - Horrible Night!
Hi WSHenry,
WELCOME! to the forum.!
You might try some HPA lanolin cream, it's a bit thicker and will not allow your pillows to slide out of place. You can find that at most stores in the baby isle, it is for nursing mothers but lanolin can be use by anyone and it won't break down your pillows because it doesn't have patrolium in it.
You just take a cotton swav and put a "VERY LITTLE" on it and swav it into your nostriles.
I hope this helps you.
Best of luck to you with your CPAP therapy.

trish6hundred
02-26-2014 11:45 AM
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JohnNJ Offline

Preferred Members-2

Posts: 103
Joined: Oct 2013

Machine: ResMed S9 AutoSet & ResMed Power Station II
Mask Type: Nasal pillows
Mask Make & Model: Respironics Wisp & ResMed Swift FX
Humidifier: ResMed H5i & ClimateLine (distilled / fresh daily)
CPAP Pressure: 9.4 - 10
CPAP Software: ResScan SleepyHead

Other Comments: First night - November 25, 2013

Sex: Male
Location: New Jersey, USA

Post: #3
RE: New Mask - Horrible Night!
Read this to help with fitting the mask properly.

http://maskarrayed.wordpress.com/swift-fx-fitting-guide/
02-26-2014 02:05 PM
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herbm Offline

Preferred Members-2

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: #4
RE: New Mask - Horrible Night!
(02-26-2014 11:33 AM)WSHenry Wrote:  Hi,
I've been on CPAP Therapy for three months and using a full face mask with great success. I decided to get a PR Nuance Pro as an alternative. I believe the pillow size and strap tensions are correct. At bedtime, I made sure the tension was just snug enough to provide pillow contact with my nostrils and then went "lights out". The contact pressure on my right nostril was painful! I tried using a water-based lubricant, which provided some relief, but just made the pillows more likely to slide out of position. Tightening the straps to correct this only lead to more pressure on my nostrils while allowing the pillows to slide out of position.

The pressure and slippage issues became so intense last light that I ripped the make off and went back to my full face mask after five hours of struggling.

My machine is in APAP mode, with pressures typically 6-7 cm H2O.

Has anyone on this forum had a "first night" experience like this? If so, what did you do to correct this? If this is just "normal", does the pain//irritation just go away after a while?

This Google search led to numerous hits:

youtube PR Nuance Pro mask fitting

...the first one (for me) was:

Philips Respironics Nuance and Nuance Pro Mask Fitting ... - YouTube
http://www.youtube.com/watch?v=Kio9YMGYyyA 6min15sec

I had a pretty ineffective experience (2 actually) with a different 2nd mask, gave it a couple of hours each time and went back to my working mask.

If it had been my only mask I would have just found a way to make it work.

Third try, I got that torture device mask to "work" -- well enough it could work in an emergency (nose stopped up, it's an Oracle Oral Mask.)

Good luck. Hang in there. Get 'er done!

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."
02-26-2014 03:10 PM
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Franklyspeaking Offline

Preferred Members

Posts: 68
Joined: Feb 2014

Machine: Resmed S10 autosense
Mask Type: Nasal mask
Mask Make & Model: Respironic blue gel mask
Humidifier: Resmed S10 autosense
CPAP Pressure: 4-18
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Longview, Texas

Post: #5
RE: New Mask - Horrible Night!
(02-26-2014 11:33 AM)WSHenry Wrote:  Hi,
I've been on CPAP Therapy for three months and using a full face mask with great success. I decided to get a PR Nuance Pro as an alternative. I believe the pillow size and strap tensions are correct. At bedtime, I made sure the tension was just snug enough to provide pillow contact with my nostrils and then went "lights out". The contact pressure on my right nostril was painful! I tried using a water-based lubricant, which provided some relief, but just made the pillows more likely to slide out of position. Tightening the straps to correct this only lead to more pressure on my nostrils while allowing the pillows to slide out of position.

The pressure and slippage issues became so intense last light that I ripped the make off and went back to my full face mask after five hours of struggling.

My machine is in APAP mode, with pressures typically 6-7 cm H2O.

Has anyone on this forum had a "first night" experience like this? If so, what did you do to correct this? If this is just "normal", does the pain//irritation just go away after a while?

Yes and I switched to a nasal gel mask. The pillows drove me crazy.
02-26-2014 05:11 PM
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olmate Offline

Preferred Members

Posts: 26
Joined: Nov 2013

Machine: ResMed S9 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Mirage™ FX Nasal-Standard
Humidifier: none
CPAP Pressure: 6-20
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Australia

Post: #6
RE: New Mask - Horrible Night!
I just had my third night with a cpap

I have a Mirage™ FX Nasal-Standard I don't even know i have it on

Good luck
02-26-2014 05:23 PM
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eviltim Offline

Advisory Members

Posts: 408
Joined: Aug 2013

Machine: Resmed S9 VPAP
Mask Type: Full face mask
Mask Make & Model: Resmed AirFit F10
Humidifier: H5i heated humidifer
CPAP Pressure: 5 exhale/9 inhale
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location:

Post: #7
RE: New Mask - Horrible Night!
I've *never* had a good first night with a mask that I can recall. Definitely play with the tightness a little, and some lanolin on the nostrils can really help with soreness and leakage on the pillows. Other than that, give it some time!
02-26-2014 08:31 PM
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eviltim Offline

Advisory Members

Posts: 408
Joined: Aug 2013

Machine: Resmed S9 VPAP
Mask Type: Full face mask
Mask Make & Model: Resmed AirFit F10
Humidifier: H5i heated humidifer
CPAP Pressure: 5 exhale/9 inhale
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location:

Post: #8
RE: New Mask - Horrible Night!
Oh and, this is just my personal experience, but I didn't care for the Nuance Pro at all. I much preferred the Resmed Swift FX or Airfit P10. The gel inserts on the Nuance Pro mainly seemed to make it fit worse than the other pillows I've tried.
02-26-2014 08:34 PM
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Peter_C Offline

Advisory Members

Posts: 1,308
Joined: Sep 2013

Machine: System One DS960HS
Mask Type: Full face mask
Mask Make & Model: Mirage Quattro "MED"
Humidifier: Attached
CPAP Pressure: Auto mode-script is:15/3/3
CPAP Software: EncoreBasic Other Software

Other Comments: Severe obstructive sleep apnea 1999/Just got an ASV machine

Sex: Male
Location: Akron, Ohio USA

Post: #9
RE: New Mask - Horrible Night!
Just a few random thoughts? I've been on CPAP well over a dozen years now. I HATE trying new masks period~! It's a crap shoot, a roll of the dice, there is no way to know in advance of actual use whether or not you will like a mask, or hate it.

I've had some that I learned in 10 minutes that they would not work, and a few that lasted multiple hopeful days before I determined they would not work.

If you have insurance, I highly suggest getting a new mask as often as is allowed! When you find a mask that really works OK for you, buy spares of it. Buy spare parts for it too - as the company that makes it will surely (in time) change the mask to make it better which will then ruin it for you.

This is an issue that is never ending. I can find 10 hoseheads that think like me, that use the same mask as I do, that all love new mask XYZ, and yet I will hate it.

I am many others, love the "Wisp' nasal mask - you may well hate it. I finally found a FFM that I can wear nightly, every night, but that doesn't mean anything for you as it could be your worst nightmare.

*I* am not a DOCTOR or any type of Health Care Professional. My thoughts/suggestions/ideas are strictly only my opinions.

"Only two defining forces have ever offered to die for you. Jesus Christ and the American Soldier. One died for your Soul, the other for your Freedom."
02-27-2014 12:59 PM
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JimZZZ Offline

Advisory Members

Posts: 370
Joined: Dec 2013

Machine: ResMed S9 AutoSet
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: ResMed H5i (not using)
CPAP Pressure: 9 - 14
CPAP Software: ResScan SleepyHead

Other Comments: CareFusion PureSom Ultra Chinstrap

Sex: Male
Location: Western North Carolina

Post: #10
RE: New Mask - Horrible Night!
I find that my nose will not allow anything anywhere near it. The nasal mask cushions crowd my nostrils, convincing me that they are about to block my access to air and heaven forbid I would try pillows. So...I use the F&P Simplus full face mask which allows my nose plenty of personal space. Just sayin...
03-04-2014 07:50 AM
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