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Mask leaks, very strange, help!
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Eurika Offline

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Posts: 92
Joined: Nov 2014

Machine: Airsense10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: P10 & Nuance Gel
Humidifier: Intergrated
CPAP Pressure: 5 to 11.4
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Singapore

Post: #1
Mask leaks, very strange, help!
Hi Guys
Long story short, I've been using three different pillow masks and finally settled on the P10.
AHI around 3.5 few leaks so liveable with. Then........

I went to the UK for 5 weeks used a new P10 and was amazed at the lack of leaks and my AHI was down to 1.5 or so. So at this point I'm feeling that I am set now.

On my return to Singapore, and using the original P10 I started getting massive leaks and have done for the last 2 weeks and am getting the red face mask fit on the A10.

My conundrum is that there is nothing different between UK and here in Singapore except the P10, and my bed pillow. Singapore P10 7 weeks of use, UK P10 5 weeks of use, both purchased fro USA. Both bed pillows are are foam type pillows so they are fairly firm.

This is really odd, as I get 5 weeks with great results then 2 weeks of terrible results on the leak front, with no apparent difference in the equipment used.

Has anybody got any suggestions or experienced similar?

I could do with getting this fixed so I can get decent sleep again so any suggestions are more than welcome.

Thanks
D

Failure is NOT an option.
02-01-2015 11:26 PM
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trish6hundred Offline

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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: Mask leaks, very strange, help!
Hi Eurika,
It could be that your pillow on the older P10 is a bit worn. When they wear out, they get a little soft and you don't get as good of a seal. The newer pillow is firmer, thus giving you a better seal.
Hang in there for more suggestions.

trish6hundred
02-01-2015 11:45 PM
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me50 Offline

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Posts: 2,559
Joined: Aug 2013

Machine: resmed S9 VPAP Auto
Mask Type: Nasal mask
Mask Make & Model: Wisp and Silicone Head gear
Humidifier: resmed H5i
CPAP Pressure: 18/8
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location: USA

Post: #3
RE: Mask leaks, very strange, help!
what Trish said
02-02-2015 12:43 AM
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Eurika Offline

Preferred Members

Posts: 92
Joined: Nov 2014

Machine: Airsense10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: P10 & Nuance Gel
Humidifier: Intergrated
CPAP Pressure: 5 to 11.4
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Singapore

Post: #4
RE: Mask leaks, very strange, help!
I don't think that the pillows are worn as they seem fairly firm and only been used for 7 weeks max, but will try new replacement pillows to see if that really is the problem.

Failure is NOT an option.
02-02-2015 02:36 AM
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PaytonA Offline
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Posts: 3,005
Joined: Dec 2013

Machine: ResMed S9 VPAP Auto
Mask Type: Full face mask
Mask Make & Model: Resmed Mirage Quattro
Humidifier: H5i(distilled-top up)
CPAP Pressure: VAuto MinE14.0 MaxI 20.6 PS4.0
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Orange County,California

Post: #5
RE: Mask leaks, very strange, help!
Are the pillows used in the UK and the ones used in Singapore the same size?
02-02-2015 10:29 PM
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retired_guy Offline

Preferred Members-2

Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #6
RE: Mask leaks, very strange, help!
Sometimes when you wash the P10 pillows the inner seal will turn inside out. Look very closely at the pillows and make sure this did not happen.

Other issues are using the mask upside down, but that's not too likely as you would no doubt have noticed that.

Finally, they aren't supposed to last all that long. Resmed thinks you should replace them every 20 days. I don't agree, and I think while 7 weeks could be stretching it a little, it isn't likely that would cause them to fail to this degree.
02-02-2015 11:36 PM
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Eurika Offline

Preferred Members

Posts: 92
Joined: Nov 2014

Machine: Airsense10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: P10 & Nuance Gel
Humidifier: Intergrated
CPAP Pressure: 5 to 11.4
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Singapore

Post: #7
RE: Mask leaks, very strange, help!
Hi, everything is the same, size, supplier etc. It just seems so odd that there was such a marked improvement in the UK.
I think the problem is that the pillow I rest my head on is softer her in Singapore and as I sleep on my side I'm pushing the nasal pillows off with the head pillow.
I'm trying to use a firmer pillow so that my head doesn't sink into it and push the N pillows away from their position.
I'm hoping that this will cure the problem, I'll report back after a few nights on the efficacy of a firmer pillow.

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02-04-2015 08:52 AM
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Mr. Van Winkle Offline

Advisory Members

Posts: 257
Joined: Nov 2014

Machine: Resmed Airsense 10 Autoset
Mask Type: Nasal mask
Mask Make & Model: F&P Eson
Humidifier: Airsense
CPAP Pressure: 9 -15
CPAP Software: ResScan SleepyHead Other Software

Other Comments:

Sex: Male
Location: Minnesota

Post: #8
RE: Mask leaks, very strange, help!
(02-04-2015 08:52 AM)Eurika Wrote:  Hi, everything is the same, size, supplier etc. It just seems so odd that there was such a marked improvement in the UK.
I think the problem is that the pillow I rest my head on is softer her in Singapore and as I sleep on my side I'm pushing the nasal pillows off with the head pillow.
I'm trying to use a firmer pillow so that my head doesn't sink into it and push the N pillows away from their position.
I'm hoping that this will cure the problem, I'll report back after a few nights on the efficacy of a firmer pillow.

Yes, you make a good point, unless you sleep on your back I would think for side sleeping that pillow would make a difference.
Don't think humidity would matter?, I have also heard mask pillows are good for 30 days use after that all bets are off.
Good Luck!
Sleep-well
02-04-2015 04:55 PM
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OpalRose Offline

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Posts: 3,165
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: #9
RE: Mask leaks, very strange, help!
My insurance will pay for Two replacement pillows every month! Although I stretch it for at least 3 weeks. I do notice if I use them for that long, they are very soft. So I think there is a good reason for ins. to cover 2 per month. Most ins. follow the same replacement schedule, so why not have the extras on hand...or should I say nose.

My AHI started to go up when I used the nasal pillow for more than 3 weeks.
Sleep-on-pillow

OpalRose
02-04-2015 07:27 PM
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TheManseHen Offline

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Posts: 243
Joined: Jan 2015

Machine: RedMed A10 Airsense 10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: One that came with machine
CPAP Pressure: 7.6-14.0 EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Started C-pap Boxing Day 2014. Tortured sleep more or less since 2000. Trigeminal Neuralgia.

Sex: Female
Location: San Francisco

Post: #10
RE: Mask leaks, very strange, help!
Greetings Eurika,
Is the machine the same machine used in both Singapore and UK? Just asking because that might make a difference, or it might have had different settings.

I am a p10 user and it is all I have used. There has been a bit of a "learning" curve for me with them and side and stomach with face to side, sleeping. I seem to have the most leaks with them on my side. I used to wake with the sounds of the leaks, then I think i got to be sort of pleasantly lulled to sleep by the gentle wooshing (even worse, cause I didn't wake to adjust)

My pillows are under 3 weeks of use each so I can't say about longevity/seal.

The weird thing is, I note that when I have a deeper dog tired but refreshing sleep, they seem to have more leaks than when I have
a more fitful less refreshing sleep. I think in the former, my face relaxes more and gets me into more mask trouble, or I relax more in my frame and somehow hit the pillow differently.

I've just in the last couple days, taken away my name brand memory foam pillow so that I won't be tempted to sleep on my side proper. Instead I sleep in the "Dr. Falcon" sleep position. (you can google it) with only soft pillows I use to support shoulders. As such my face is against mattress and I've had much better success with ahi and not having large leaks. As such I blame the side sleep and pillow placement overall. Keep experimenting with the pillows etc.

You'll get there. You know you can have good luck with the p10.

Susan
02-04-2015 07:41 PM
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