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Nasal Pillows
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fair Offline

Members

Posts: 4
Joined: May 2012

Machine: ResMed AirSense 10 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: ResMed AirFit P10
Humidifier: ResMed
CPAP Pressure: 8-16
CPAP Software: ResScan

Other Comments:

Sex: Male
Location: Canberra Australia

Post: #1
Nasal Pillows
I have just been given some ResMed nasal pillows to use. They feel good, but I just don't seem to be getting enough air - any thoughts or similar experiences? I would like to keep using them as they appear kinder to my face than my old nasal mask.
(This post was last modified: 10-04-2014 11:36 PM by fair.)
10-04-2014 11:35 PM
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Galactus Offline

Advisory Members

Posts: 1,384
Joined: Jan 2014

Machine: Phillips Respironics System One PRS1 DS760P Auto BiPAP
Mask Type: Nasal pillows
Mask Make & Model: ResMed Airfit P10 Nasal Pillow
Humidifier: System One Heated Humidifier + Climate Line
CPAP Pressure: E/I 13/20 PS 4/7 BiFlex 3
CPAP Software: SleepyHead EncoreBasic

Other Comments: Sleep can be a good thing.

Sex: Male
Location: USA

Post: #2
RE: Nasal Pillows
Minimum pressure could be upped a little if you feel like you aren't getting enough air. Also do you use ramp? If so maybe try turning it off.

If everyone thinks alike, then someone isn't thinking.
Everyone knows something, together we could know everything.
10-04-2014 11:45 PM
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fair Offline

Members

Posts: 4
Joined: May 2012

Machine: ResMed AirSense 10 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: ResMed AirFit P10
Humidifier: ResMed
CPAP Pressure: 8-16
CPAP Software: ResScan

Other Comments:

Sex: Male
Location: Canberra Australia

Post: #3
RE: Nasal Pillows
Thanks Galactus, I had thought of that, currently minimum is 5, maybe I will up it to 7 and see. Also I have never used ramp again I felt I was not getting enough air, even with the nasal mask (which I used for over 5 years).
10-04-2014 11:52 PM
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Galactus Offline

Advisory Members

Posts: 1,384
Joined: Jan 2014

Machine: Phillips Respironics System One PRS1 DS760P Auto BiPAP
Mask Type: Nasal pillows
Mask Make & Model: ResMed Airfit P10 Nasal Pillow
Humidifier: System One Heated Humidifier + Climate Line
CPAP Pressure: E/I 13/20 PS 4/7 BiFlex 3
CPAP Software: SleepyHead EncoreBasic

Other Comments: Sleep can be a good thing.

Sex: Male
Location: USA

Post: #4
RE: Nasal Pillows
Hi, just a note here, your profile says CPAP pressure 8-16. If it is at 5 then certainly it is very likely too low which is causing you the issue. As 4 is the lowest setting and almost everyone finds that uncomfortable. Even at 8 it may be too low for you to be comfortable.

If everyone thinks alike, then someone isn't thinking.
Everyone knows something, together we could know everything.
10-04-2014 11:55 PM
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fair Offline

Members

Posts: 4
Joined: May 2012

Machine: ResMed AirSense 10 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: ResMed AirFit P10
Humidifier: ResMed
CPAP Pressure: 8-16
CPAP Software: ResScan

Other Comments:

Sex: Male
Location: Canberra Australia

Post: #5
RE: Nasal Pillows
good pick up, 8 it is tonight! I'll let you know how it goes.
10-05-2014 12:02 AM
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Galactus Offline

Advisory Members

Posts: 1,384
Joined: Jan 2014

Machine: Phillips Respironics System One PRS1 DS760P Auto BiPAP
Mask Type: Nasal pillows
Mask Make & Model: ResMed Airfit P10 Nasal Pillow
Humidifier: System One Heated Humidifier + Climate Line
CPAP Pressure: E/I 13/20 PS 4/7 BiFlex 3
CPAP Software: SleepyHead EncoreBasic

Other Comments: Sleep can be a good thing.

Sex: Male
Location: USA

Post: #6
RE: Nasal Pillows
All the best hope it works out better for you, let us know.

If everyone thinks alike, then someone isn't thinking.
Everyone knows something, together we could know everything.
10-05-2014 12:06 AM
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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: #7
RE: Nasal Pillows
You say, "Resmed Pillows" without giving the actual mask type.

IF it is a Resmed Airfit P10 or mask with similar pillow SIZE choices there is another possibility: Use a LARGER PILLOW.

The holes on the various pillow sizes are actually larger as the pillow size increases. I found AT FIRST that the "Small Pillows" were like trying to breath through a nearly plugged nose while medium and large were both much more comfortable.

Today, I use the small pillows almost exclusively so it wasn't a permanent problem but it was VERY PRONOUNCED in the beginning.

As Galactus has indicated, I couldn't stand any pressure much below 8 (even 9 is much more comfortable for ME.)

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."
10-05-2014 04:13 AM
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trish6hundred Offline

Advisory Members

Posts: 6,436
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: #8
RE: Nasal Pillows
Hi fair,
WELCOME! to the forum.!
I hope the new settings work better for you.
Best of luck to you as you continue CPAP therapy.

trish6hundred
10-05-2014 08:21 AM
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PaulaO2 Offline
Wiki Editor
Moderators

Posts: 8,065
Joined: Feb 2012

Machine: S9 Autoset
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: H5i
CPAP Pressure: 14-20
CPAP Software: SleepyHead

Other Comments: Ehlers-Danlos Syndrome, Hypermobility Type; chronic sarcasm

Sex: Undisclosed
Location: western NC, USA

Post: #9
RE: Nasal Pillows
I would also check the EPR setting. That may need to be increased.

PaulaO2
Apnea Board Moderator
www.ApneaBoard.com


Breathe deeply and count to zen.

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
10-05-2014 12:23 PM
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fair Offline

Members

Posts: 4
Joined: May 2012

Machine: ResMed AirSense 10 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: ResMed AirFit P10
Humidifier: ResMed
CPAP Pressure: 8-16
CPAP Software: ResScan

Other Comments:

Sex: Male
Location: Canberra Australia

Post: #10
RE: Nasal Pillows
OK guys, a report back after 2 excellent nights.

First my pillow are the ResMed AirFit P10 with medium pillows (my practitioner lent them to me so he has the large and small which I must reclaim when I go in and buy the AirFit).

I have it set up as Ramp Off, Climate Control Manual (temp 23 deg C, Humidity Level 3), EPR on (full time, level 2), Smart Start Off, Mode Auto Set, Max Pressure 16.0, Min Pressure 8.0.

Seems to be working a treat. I no longer feel as if I am not getting enough air. For my two good nights my pressure has been 10.4 & 11.0, Leak both nights 2 l/min, AHI 0.1 and 0.3.

Thanks for your advice and help.
10-07-2014 02:44 PM
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