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Nasal cushion leaks so need new ideas
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grannyc Offline

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Posts: 4
Joined: Jan 2015

Machine: ResMed S9
Mask Type: Nasal mask
Mask Make & Model: True Blue
Humidifier: ResMed S9
CPAP Pressure: 8
CPAP Software: Not using software

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Sex: Female
Location:

Post: #1
Nasal cushion leaks so need new ideas
I currently use the Respironics True Blue nasal cushion but my husband says it often leaks and the air noise wakes him up. I am a side sleeper and I think I sometimes turn in my sleep. I feel that I have it adjusted properly and there are no leaks when I fall asleep.

I'm considering switching to a different nasal cushion or possibly a full face mask and I wonder if anyone has any thoughts on this. Do full fact masks leak as much as the nasal cushions? Any thoughts or suggestions would be appreciated. Thank you.
01-07-2015 08:26 PM
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me50 Offline

Advisory Members

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: #2
RE: Nasal cushion leaks so need new ideas
I tried for a few years with the FFM and had nothing but problems. Eventually, I had a good sleep lab manager that brought a lot of masks for me to try and I chose the wisp nasal mask for an upcoming sleep study. The manager let me take that mask home as well as a high quality chin strap because I thought I was a mouth breather b/c that is what I WAS told and why they stuck me in a FFM that always gave me problems.

After a month or two, I no longer needed the chin strap as my mouth remained closed during sleep and I am still using the wisp a little over a year later. I really like the wisp. I wonder if when I am not feeling well (like right now) that a FFM might be better but I had so much trouble with them and yes, for me, they leaked way too much. I also would like to try the pillows but just haven't done it because I am fighting the crud right now.

Some people like the FFM and a lot don't like them at all. YMMV.

If you are used to the cushions, maybe try a different cushion or if you are a brave soul, try pillows. If it were me, and this is just my opinion, I would not consider the FFM except as a last resort. I think the DME's stock FFM and push them on patients to keep their inventory down. Problem is, not one size fits all and some cannot tolerate FFM just like some cannot tolerate cushions or pillows. It is so individual.
01-07-2015 08:36 PM
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Sleeprider Online
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Advisory Members

Posts: 3,333
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: #3
RE: Nasal cushion leaks so need new ideas
Two days ago I switched to a Resmed AirFit P10. It is absolutely silent and does not blow air on my wife. I can actually lay on my side with my hand near my face and not feel or hear the exhaust flow. Very light and comfortable, it is the best nasal pillows mask on the market today IMO.

Previous masks were Swift Mirage II and Resmed Swift FX. Both blew a stream of air that I could hear and feel. Good luck with your replacement.

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01-07-2015 08:47 PM
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justMongo Offline

Monitors

Posts: 3,845
Joined: Sep 2013

Machine: ResMed VPAP Auto (S9)
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quattro
Humidifier: ResMed H5i
CPAP Pressure: 18 IPAPmax - 11 EPAPmin, PS=5
CPAP Software: Other Software

Other Comments: μολὼν λαβέ

Sex: Male
Location: Калифорния

Post: #4
RE: Nasal cushion leaks so need new ideas
Masks are the area that can make xPAP tolerable or intolerable.
And we are all different. Probably should have a no mask discussion rule here as it's like talking religion.

What I mean to say is: everyone has their favorite that they likely found by either accident or trial and error.
So, you'll get a lot of opinions -- like the P10 fans who are fanatics. [Image: boxing_smiley.gif]

Remember, all masks have intentional vent holes that may disturb your bunk partner.

I found the full face mask best; but, then I have an odd face. [Image: 1eye.gif]

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.
01-07-2015 09:50 PM
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trish6hundred Offline

Advisory Members

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: #5
RE: Nasal cushion leaks so need new ideas
Hi grannyc,
WELCOME! to the forum.!
The mask is the hardest part of this therapy and you may have to try several 'till you find the right one that works for you.
Much success to you with your CPAP therapy and good luck finding a mask.

trish6hundred
01-07-2015 10:14 PM
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Ghost1958 Offline

Advisory Members

Posts: 957
Joined: Aug 2014

Machine: PRS1 Series Sixty Auto Aflex
Mask Type: Nasal mask
Mask Make & Model: F&P Eson
Humidifier: PRS1 with Heated Hose
CPAP Pressure: 10.5 min 16 max
CPAP Software: SleepyHead EncoreBasic

Other Comments: Moderate to Severe SA Obstructive. Rapid O2 desat off the machine.

Sex: Male
Location: KY

Post: #6
RE: Nasal cushion leaks so need new ideas
The best nasal mask ive tried by far is the Eson by F&P. Silent, no leaks, seals even over a mustache with a very loose fit, totally comfortable.

Might be just the ticket for you.
01-08-2015 08:43 PM
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ingeborg Offline

New Members

Posts: 1
Joined: Apr 2015

Machine: System One REMstar 60 Auto CPAP
Mask Type: Nasal mask
Mask Make & Model: Fisher Paycel Eson
Humidifier: none
CPAP Pressure: 6.5-7.5
CPAP Software: Not using software

Other Comments:

Sex: Female
Location:

Post: #7
RE: Nasal cushion leaks so need new ideas
I agree...the Eson mask is fantastic! Very comfortable and perfect if you are
a side sleeper.
IngeborgSleep-well
04-18-2015 11:39 AM
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truetopath Offline

Preferred Members-2

Posts: 421
Joined: Feb 2015

Machine: PR system one 560p auto with a flex
Mask Type: Full face mask
Mask Make & Model: Resumed F10
Humidifier: PR system one
CPAP Pressure: 11
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Lake View, NY

Post: #8
RE: Nasal cushion leaks so need new ideas
So do you know if you are having mask leaks or mouth leaks with the nasal mask? Each type of leak would require a different suggestion, so I would ask your partner if he notices he leak from the mask or mouth. For mask leaks, when did you last change your cushion? Also, I've used the wisp and eson and liked them both, but as always YMMV. For mouth leaks a chinstrap may be the answer for you, but still YMMV. Best of luck!
04-18-2015 12:20 PM
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trailrider Offline

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Posts: 304
Joined: Feb 2015

Machine: A10 Autoset for Her
Mask Type: Nasal mask
Mask Make & Model: Eson or P10
Humidifier: autoset
CPAP Pressure: 6-12 DME, 7-13 me
CPAP Software: SleepyHead

Other Comments: engineer. EPR at 3, unheated hose, humidity at 2. Routine hose entanglement.

Sex: Female
Location: Ontario

Post: #9
RE: Nasal cushion leaks so need new ideas
If your pillows leak, you may want to try a larger size, to give more support when you move around. I had to go to the large on my P10 due to sleep positions.
04-18-2015 12:35 PM
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Evpraxia Offline

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Posts: 313
Joined: Aug 2014

Machine: ResMed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: ResMed Swift LT for Her - Nasal Pillows System
Humidifier: ResMed H5i
CPAP Pressure: 7-17
CPAP Software: ResScan SleepyHead

Other Comments: Cat Staff, bibliophile, love Classical & Byzantine music

Sex: Female
Location: Pacific Northwest USA

Post: #10
RE: Nasal cushion leaks so need new ideas
Greetings,

"says it often leaks and the air noise wakes him up."

I am wondering about the word "leaks". If you mean the intentional air flow/venting from the mask there is nothing that can be safely done to a full face mask/nasal pillow/nose mask that will cut down on the venting. There are some masks that have a better intentional air flow/venting system so the venting flow is more diffused. Folks on this board can help you that.

If the "leak" indicates it is leaking from around the True Blue nose/nasal mask there are some things that can help improve the situation.
  • Be sure and wash the mask Each Day
  • Be sure and wash your face before going to bed
  • Adjust the mask fit while laying down (the face muscles move a bit from the standing position to the laying down position and will affect the fit of the mask)
  • Use a piece of fabric (a clean tee shirt fabric works fine) cut to the shape of the mask - these can be bought but are pretty expensive considering what they are, a piece of fabric


Hope this helps.

Evpraxia in the Pacific Northwest USA
Diagnosed: 44 AHI when supine, O2 down to 82%
Treated since 20 Sept 2014:: 0.7 AHI, Settings 7-15, EPR on Full Time at Level 3
Better living through CPAP/APAP machines!
04-18-2015 05:17 PM
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