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Nasal Pillows at pressures over 16 cmH2O
#1
Is there anyone out there who is using the nasal pillows whose therapeutic pressure is 16 cmH2O or greater? The reason that I ask is that I had pretty much counted nasal pillows out when the tech at my titration could not get the ones that he tried on me to quit leaking at my pressure. Of course, maybe it is my nares that will not hold up to my pressure.

If some of you are using nasal pillows at more than 16 cm, please respond and let me know which mask you are using and what your experience has been.

Thanks a bunch,

PaytonA
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#2
I use ffm, but just because the pressure blows my lips apart with nasal interface...I tried pillows for a while and never had a problem getting them to hold the seal and be leak free at the nose. Did the ones you tried leak at the nostrils? That would seem to me to indicate the wrong size rather than pressure too high for pillows. I never got any leaks at the nostrils with the medium pillows for the F&P Opus 360 and my pressure runs at 18-20...
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#3
(02-16-2014, 10:28 PM)jgjones1972 Wrote: I use ffm, but just because the pressure blows my lips apart with nasal interface...I tried pillows for a while and never had a problem getting them to hold the seal and be leak free at the nose. Did the ones you tried leak at the nostrils? That would seem to me to indicate the wrong size rather than pressure too high for pillows. I never got any leaks at the nostrils with the medium pillows for the F&P Opus 360 and my pressure runs at 18-20...

The one that they tried on me leaked at the nose constantly. I could not get them to quit nor could the tech. He did not, however, try any other sizes. He went directly back to a nasal mask. Thanks for the info and the response.

Best regards,

PaytonA
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#4
Hi there PaytonA, I am at 18, and they told me I'd hate the nasal pillows. Baloney! I love them, best choice I ever made was to make them let me try them. I have a nuance pro with the Pro Gel headgear, they don't leak, they aren't overly tight, easier on my glasses, easier on my face, and I freakin love it. Couldn't recomend them any more than that. Good luck, on your search!
If everyone thinks alike, then someone isn't thinking.
Everyone knows something, together we could know everything.
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#5
(02-16-2014, 06:30 PM)PaytonA Wrote: Is there anyone out there who is using the nasal pillows whose therapeutic pressure is 16 cmH2O or greater? The reason that I ask is that I had pretty much counted nasal pillows out when the tech at my titration could not get the ones that he tried on me to quit leaking at my pressure. Of course, maybe it is my nares that will not hold up to my pressure.

Manufacturers of pillow masks rate the pressure they are supposedly good for. When the Pilairo came out everyone remarked that it was the first nasal pillow mask rated up to 20 cm. Most nasal pillow masks are rated up to 16 cm. and some even less.

In my case I tried the Pilairo and loved the comfort. But my pressures are 15-20, and the Pilairo leaked horribly. However, I am a very active sleeper, plus I sleep on my sides, so that may have had a lot to do with it. In any event, I have never found a nasal pillow mask that didn't leak.
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#6
The problem with nasal pillows is they are so lightweight. The air pressure pushes against the inside of your nostril and can dislodge them unless you have it very tight. Another problem is the amount of air being directly blown in vs buffered against the skin first, for some people it can cause irritation at the higher pressures.

The Breeze would not come loose at high pressures due to it is in a hard frame.

I use the Nuance and my 95% is at 17 or higher. It doesn't come loose. I think it is because it doesn't have the "nozzle" going into the nose so there is more bouncing around in there. That's the only difference between it and the Swift LT and I had major leak issues with that mask.
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#7
(02-16-2014, 06:30 PM)PaytonA Wrote: Is there anyone out there who is using the nasal pillows whose therapeutic pressure is 16 cmH2O or greater? The reason that I ask is that I had pretty much counted nasal pillows out when the tech at my titration could not get the ones that he tried on me to quit leaking at my pressure. Of course, maybe it is my nares that will not hold up to my pressure.

If some of you are using nasal pillows at more than 16 cm, please respond and let me know which mask you are using and what your experience has been.

Thanks a bunch,

PaytonA

Hi PaytonA

I'm on 17 pressure and use Resmed Nasal Pillows (medium) and head straps with no problems. If you are having problems try another size.
I'm not a Doctor but a fan of The Doctor. any views,comments etc are my own


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#8
Doesn't seem to affect my Swift FX once I get them adjusted right and my nose adapts to wearing them. My minimum pressure is 16, but I sometimes go higher.

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