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Leaks with Swift FX nasal pillow
#1
It seems that my primary problem with getting effective therapy is leaks with my Swift FX nasal pillow. I use a S9 Autoset (min pressure = 6; max= 15; AHI = 1.9 [0.5 when I sleep at 5000-7500 feet?]; actual max seldom exceeds 9). However, mask leaks wake me several times each night. I've started trying a bit of lanolin in the nostrils and that helps to some extent. I've also seen suggestions for using kids silicone earplugs to form a nasal gasket and also a suggestion for using diver's mask seal. I really like the nasal pillow except for the leaks. Any suggestions?
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#2
Two questions - is the pillow too small or large? second is is the strap correctly adjust to hold the mask in the correct position? Too tight will cause as many leaks as too loose.
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#3
I am currently using a medium pillow but plan to try a large. In so far as I can determine, the straps are adjusted properly. For most of the night, the leaks are close to zero. But several times each night they will jump up into the 18-27 range (I'm using a ResMed S9 Autoset). After those jumps I usually wake up - I know correlation is causation, but I suspect that my waking may be caused by the leaks. I've been on the CPAP for a little over a month now and except for this issue, things are going well.
(06-15-2013, 06:48 PM)SleepRunner Wrote: I am currently using a medium pillow but plan to try a large. In so far as I can determine, the straps are adjusted properly. For most of the night, the leaks are close to zero. But several times each night they will jump up into the 18-27 range (I'm using a ResMed S9 Autoset). After those jumps I usually wake up - I know correlation is causation, but I suspect that my waking may be caused by the leaks. I've been on the CPAP for a little over a month now and except for this issue, things are going well.

I meant, of course, that correlation is NOT causation. Thanks for the reply. It is great to have someone to bounce questions off of.
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#4
Large may do the trick. I recently moved to Large after I noticed the Medium pillows were sort of slipping higher into the nose late at night, causing leakages by creating openings where material buckled. I still get the odd leak now, usually because I shift around at night and the pillows are pulled out of position.
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#5
Also check your hose routing as it can cause pulling or tugging on the nose pillow. I try and arrange it so the hose has a small U shape under my chin This way if I roll over I'm only moving a small amount of hose and not pulling against the whole length of the hose.
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#6
I hang my hose with enough slack to not pull as I toss and turn (which I do).
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#7
I took both nasal pillows and a Wisp mask to my titration study last night (after 2 months on APAP). I started with the nasal pillows, since I prefer them. Halfway through the night the technologist woke me up to have me change to the Wisp mask. In the morning he said that my leaks were much lower with the Wisp and that I had far fewer arousals. He said that he is does not recommend nasal pillows for anyone as they tend to leak, and this leak is not necessarily picked up by your APAP machine.
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#8
Mine works best if it's really loose.
Get the free SleepyHead software here.
Useful links.
Click here for information on the main alternative to CPAP.
If it's midnight and a DME tells you it's dark outside, go and check it yourself.
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#9
My personal experience with the pillows is that they are one shape. There are a thousand different nostril shapes! You have to be lucky to get a good comfortable fit. Mmaybebtrybthevsame FX in the same FX mask, nasal, not pillows. That mask is one of the best
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#10
Hi SleepRunner

I am currently using the Swift FX Nano, but previously used the Swift FX, which both use the same headgear assembly. Since fixing the leakage issue with my new Nano mask, I have also tried the trick on the Swift FX, and also got a much better seal & AHI with the lose mask fit, compared to using the standard velcro straps.
Here is my solution from another post:
Improving Swift & Nano FX Headgear

gjw
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