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Getting new machine!
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Weebee Offline

Members

Posts: 10
Joined: Mar 2013

Machine: ResMed Escape II
Mask Type: Full face mask
Mask Make & Model: ultra mirage full face
Humidifier: Hi4
CPAP Pressure: 17
CPAP Software: Not using software

Other Comments:

Sex: Male
Location: Newark NY

Post: #1
Getting new machine!
After using the clunky Escape II unit for over 6 years it is time to move along. I am picking up a Airsense 10 with auto set Tuesday. My question is this. I've always used a full face mask. And was wondering about the pros and cons on using a nasal pillow instead. They look much more comfortable and much smaller. Any advice would be great.
Thanks!
03-19-2016 03:17 AM
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OMyMyOHellYes Offline

Advisory Members

Posts: 915
Joined: Mar 2013

Machine: Respironics 560 Auto
Mask Type: Nasal mask
Mask Make & Model: Resmed Mirage FX
Humidifier: Respironics System One (no heated hose)
CPAP Pressure: 08.0-15.0 cm/H2O
CPAP Software: EncoreBasic

Other Comments:

Sex: Male
Location: Texas

Post: #2
RE: Getting new machine!
First and most important thing to consider:
Why were you using a full face mask? Most of the time those are really only used if you can't keep our mouth shut (your mouth gapes open when asleep).

If that is the case, a nasal mask or pillows are not going to work. What goes in the nose will come right out the mouth, providing no PAP therapy to keep the throat open and you breathing.

OMMOHY
(This post was last modified: 03-19-2016 06:21 AM by OMyMyOHellYes.)
03-19-2016 05:15 AM
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DeepBreathing Offline
Wiki Editor
Moderators

Posts: 2,296
Joined: Sep 2013

Machine: Resmed S9 VPAP Adapt
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Resmed H5i
CPAP Pressure: EPAP: 9 - 15 PS: 3 - 10
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Perth, Western Australia

Post: #3
RE: Getting new machine!
My experience with pillows (P10) is that they are hopeless at higher pressures. That's just the P10 which has a bit of lacky band instead of a proper headgear, so you might have better luck with one of the other models.

Congrats on the new machine!

DeepBreathing
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03-19-2016 05:27 AM
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OMyMyOHellYes Offline

Advisory Members

Posts: 915
Joined: Mar 2013

Machine: Respironics 560 Auto
Mask Type: Nasal mask
Mask Make & Model: Resmed Mirage FX
Humidifier: Respironics System One (no heated hose)
CPAP Pressure: 08.0-15.0 cm/H2O
CPAP Software: EncoreBasic

Other Comments:

Sex: Male
Location: Texas

Post: #4
RE: Getting new machine!
Re: pillows (nasal prong, booger blaster mask) - I tried em and didn't like them.

Felt pressure was, in a purely anecdotal sense, about twice what the pressure felt using only a nasal mask. It was comparatively uncomfortable. I have always used a nasal mask and would not consider swapping that for nasal pillows because of the feeling of increased pressure. And because I do so well with nasal masks - zero zip nada null problems.

Now, there are other reasons I don't think pillows would be a good solution for me. I sleep in about five different positions:
  • Supine (much better for my back)
  • Prostrate (on my belly) with neck turned sideways
  • Left side
  • Right side
  • Partially on my right side, but partially on my belly, in the "recovery position" with left knee pulled up and sleeping with head on right arm

I don't think that the nasal prong masks will stay in position as well through the night as does the nasal mask. Ex-pecialy if I change posiions.

WRT to handiness, I think the nasal mask is a lot less bulky than the Full Face Mask (FFM), and probably only marginally more so than the booger blaster mask. There again, unless you are wearing the FFM to eliminate mouth leaks. In which case neither the nasal mask or the booger blaster will work or you.

OMMOHY
(This post was last modified: 03-19-2016 06:36 AM by OMyMyOHellYes.)
03-19-2016 06:24 AM
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Sleeprider Online
Wiki Editor
Advisory Members

Posts: 3,381
Joined: Dec 2014

Machine: Resmed Aircurve 10 Vauto
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed Climateline
CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: Where they make Respironics

Post: #5
RE: Getting new machine!
Okay, you heard the negatives. I have used nasal pillows almost from the beginning of therapy in 2008. The current Resmed Airfit P10 is the best of the bunch, and is a quiet, comfortable interface that does not blow air on me or my wife. It opens congested nasal sinuses and airways and has always provided me with good results.

The main prerequisite is that you contain pressure applied to your airway, and don't have pressure leaking into your mouth. Most people can do this, some can't. If it works out for you, you'll love it. If not, just take advantage of a 30 day return period most supplier allow for exchange. And as we like to say for the Airfit P10, "resistance is futile".

______________________________________________
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Robysue's Beginner's Guide to Sleepyhead
03-19-2016 08:51 AM
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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: #6
RE: Getting new machine!
I join the ranks of the positive for the P10 mask, although I don't use a high pressure, so not sure how that would work for you.

Since your are progressing from a Cpap to an APAP, you may be able to start at a slightly lower pressure. If you can't make a nasal pillow work, you still have the full face to go back to. You won't know if you don't try. Smile

OpalRose
03-19-2016 09:28 AM
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DariaVader Offline
Apnea Board Facebook Editor
Monitors

Posts: 1,827
Joined: Nov 2014

Machine: Resmed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10 for Her
Humidifier: H5i humidifier with ClimateLine heated hose
CPAP Pressure: 8-15
CPAP Software: SleepyHead

Other Comments: diabetes II, Thyroidectomized, Primary Immune Deficiency, and the list goes on :P

Sex: Female
Location: Oregon

Post: #7
RE: Getting new machine!
another p10 cultist... my max pressure is 15. I have had a couple of nights where it stayed between 14 and 15 all night (atypical and I know the cause) and the pillows were great at that pressure. I simply cannot imagine using anything else Smile It was my second mask, the first being an earlier resmed nasal pillows mask (swift fx) which vented too strongly and kept hitting me in the eyes (bounced off sheets?) causing extreme eye swelling.

If you are a mouth breather, you may still require either a chinstrap or FFM... but if you can master the tongue suck technique you will be able to use a nasal or pillows mask which should be less leaky and more comfy (for most YMMV)

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
Tongue Suck Technique for prevention of mouth breathing:
  • Place your tongue behind your front teeth on the roof of your mouth
  • let your tongue fill the space between the upper molars
  • gently suck to form a light vacuum
Practising during the day can help you to keep it at night

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
03-19-2016 11:22 AM
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Luvmyzzz Offline

Preferred Members

Posts: 82
Joined: Mar 2016

Machine: ResMed Airsense 10 Autoset
Mask Type: Nasal mask
Mask Make & Model: Philips Wisp
Humidifier: Built In
CPAP Pressure: 9-13
CPAP Software: SleepyHead

Other Comments: First diagnosed with essential hypertension @ age 25 (precursor to CHF)

Sex: Female
Location: This side of the MilkyWay

Post: #8
RE: Getting new machine!
I have only had my New CPAP a week (my replaced machine is OVER 10 years old)
What difference this New equipment has made on energy, & attitude [ask my husband! :-) ]
The neat part is I can see how many episodes of apnea I have each night
although when registering for this forum, the question of software came up, how do I find it???
I've looked every where, the shipping box, the machine, the user guide(so I guessed)... I'm sure there
is such a creature, as I can receive daily reports of my sleep status, does any one know??

I enjoy being with a group who like to share their "Hosehead" experiences, to remind me I am not alone.
(This post was last modified: 03-19-2016 11:41 AM by Luvmyzzz.)
03-19-2016 11:40 AM
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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: #9
RE: Getting new machine!
I really wanted to use the P10 everyone said how great it was so I bought the parts and tried it. For some reason I had even more trouble sleeping with it (this was at the very start of CPAP). I talked with the one good person at me DME about it and she said "won't work for you, you have a problem exhaling into pressure" who knew.

Everything else was great. Like any other mask I tried had a learning curve about getting it put on right. Wish I could use it, but no.
03-19-2016 11:40 AM
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pupcamper Offline

Advisory Members

Posts: 401
Joined: Nov 2015

Machine: PR DreamStation CPAP Pro
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 Pillows; Quatro Air FFM
Humidifier: DreamStation Heated Humidifier
CPAP Pressure: 10.5 cmH2O; no ramp; no C-Flex
CPAP Software: SleepyHead EncorePro

Other Comments: Lung cancer survivor since 11/2004; CPAP since 11/2015

Sex: Male
Location: Van Buren, Arkansas, USA.

Post: #10
RE: Getting new machine!
Welcome, Weebee!
I'm another pillow mask convert. I started out with full face masks and moved to a Nuance Pro. There were some challenges I had to overcome, though. I am a mouth breather as well as an active sleeper who changes sleeping positions several times a night. The ever versatile Ruby chin strap solved both problems for me. It helps me keep from breathing through my mouth and by wearing it over the headgear of my mask it helps keep the mask from slipping around and causing leaks during my most active nights. As Daria pointed out, the Nuance does have a tendency to vent cold air an my wife and me as well as make noise when the vented air hits nearby objects. I see myself becoming another P10 convert in the near future.

"....respiration,—a troublesome practice, but one which custom has rendered necessary to our easy existence...." Oliver Twist, Charles Dickens- 1837

I use FlashPAP to load data from a FlashAir III wifi sd card in my machine to my computer and display it with SleepyHead .
robysue's Beginner's Guide to SleepyHead
03-19-2016 11:53 AM
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