Post Reply 
Nasal pillow question
Author Message
GrammaBear Offline

Advisory Members

Posts: 381
Joined: May 2012

Machine: ResMed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: Air Fit P10
Humidifier: ResMed H5i heated humidifier
CPAP Pressure: 12.2 - 16.2
CPAP Software: SleepyHead

Other Comments: Type 1 diabetes - using Tandem T-slim insulin pump, Dexcom G4 CGM

Sex: Female
Location: northern Illinois

Post: #1
Nasal pillow question
For those of you who use a mask with nasal pillows, how do you know when it is time to replace the pillows with a new pair? I currently use the AirFit P10 mask. I bought several extra pair of pillows so I would always have a clean, dry pair available. Usually my AHI is below 3 but lately the numbers have been rising. Thanks for your comments and/or suggestions.
03-31-2014 05:59 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
zonk Offline

Advisory Members

Posts: 7,908
Joined: Feb 2012

Machine: A10 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Activa LT
Humidifier: Integrated /ClimateLineAir
CPAP Pressure: 9/13
CPAP Software: ResScan

Other Comments: CPAP since Nov 2010

Sex: Male
Location: Australia

Post: #2
RE: Nasal pillow question
(03-31-2014 05:59 PM)GrammaBear Wrote:  Usually my AHI is below 3 but lately the numbers have been rising. Thanks for your comments and/or suggestions.
Does the leak number rising too and one more question, any dry mouth?
03-31-2014 06:02 PM
Find all posts by this user Post Reply Quote this message in a reply
GrammaBear Offline

Advisory Members

Posts: 381
Joined: May 2012

Machine: ResMed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: Air Fit P10
Humidifier: ResMed H5i heated humidifier
CPAP Pressure: 12.2 - 16.2
CPAP Software: SleepyHead

Other Comments: Type 1 diabetes - using Tandem T-slim insulin pump, Dexcom G4 CGM

Sex: Female
Location: northern Illinois

Post: #3
RE: Nasal pillow question
Nope, dry mouth not a problem - usually. Not saying it couldn't be, but don't think it is Smile
03-31-2014 06:09 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
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: #4
RE: Nasal pillow question
The things to look at when AHI starts to creep up is the leak rate and 95% pressure. If the leak is increasing, but it's slow rise vs big spikes, then there is a small leak somewhere like in the mask or hose that is getting larger. I've had that problem.

If the 95% pressure is increasing but not the leak, then your machine is trying to compensate for the increase in apnea events but, for whatever reason, isn't quite doing it yet. Perhaps you are on your back more or whatever.

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.
03-31-2014 08:11 PM
Find all posts by this user Post Reply Quote this message in a reply
robysue Online
Wiki Editor
Advisory Members

Posts: 1,228
Joined: Oct 2013

Machine: PR Dreamstation BiPAP Auto
Mask Type: Nasal pillows
Mask Make & Model: Swift FX
Humidifier: PR Dreamstation humidfier
CPAP Pressure: min EPAP = 4; max IPAP = 9;
CPAP Software: SleepyHead EncoreBasic EncorePro

Other Comments: Papping since September 2010

Sex: Female
Location: Buffalo, NY

Post: #5
RE: Nasal pillow question
With my Swift FX nasal pillows mask it's a combination of several things:

1) Sometimes the leaks start to increase. It's not a big dramatic jump in the leak rate, though. Rather it's an increase in the little annoying leaks at the beginning of the night when I'm settling down. As the pillows age, it's easier to knock the mask out of place when I'm moving around in bed.

2) More pillow shifting tends to make my nose hurt more. Sometimes it's a dry nose, but more often than not, it's just sore from the pillows not staying where I want them. When the move around, the tippy-tip sometimes hit the inside of the nasal membrane and that can make it sore.

3) More chapped lips. Caused by the little annoying leaks that don't always show up in the leak graph.

4) A growing tendency of the inner cone(s) to collapse AND an increasing amount of effort needed to get that inner cone pointing back upwards the way it is supposed to.

5) Old pillows feel "spongier" in some hard to describe fashion.

6) More restlessness with no identifiable cause.
(This post was last modified: 03-31-2014 08:29 PM by robysue.)
03-31-2014 08:28 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
GrammaBear Offline

Advisory Members

Posts: 381
Joined: May 2012

Machine: ResMed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: Air Fit P10
Humidifier: ResMed H5i heated humidifier
CPAP Pressure: 12.2 - 16.2
CPAP Software: SleepyHead

Other Comments: Type 1 diabetes - using Tandem T-slim insulin pump, Dexcom G4 CGM

Sex: Female
Location: northern Illinois

Post: #6
RE: Nasal pillow question
Thanks to all for your input. I have learned a lot which proves to be helpful.
04-01-2014 08:52 AM
Find all posts by this user Post Reply Quote this message in a reply
ImaSurvivor Offline

Preferred Members-2

Posts: 322
Joined: Nov 2013

Machine: ResMed S9 Auto
Mask Type: Nasal pillows
Mask Make & Model: Swift FX
Humidifier: H5i Heated Humidifier, ClimateLine Tubing
CPAP Pressure: 10
CPAP Software: SleepyHead

Other Comments: Moderate Sleep Apnea, Began using CPAP 11/27/2013

Sex: Female
Location: New York State

Post: #7
RE: Nasal pillow question
I use the Swift FX. I was told I could get a new mask every 6 months. As a newbie I assumed that to be the pillows too because when I initially received my mask, different sized pillows came packaged with the headgear. I wasn't aware for about 3 months that I could replace the pillows in between. I began noticing the ease of getting the pillows adjusted without leaks began to decline; my AHI began to creep up and I was getting increasingly tired during the day; and I developed a couple sore spots in my nose. I think the sores developed because I was constantly fidgeting with trying to get the pillows to seal and feel right. I was fretting about 3 more months being a long time before I could get a new mask. While researching what to put on my nose for the sores, I found a discussion that others were replacing their pillows once a month. I called my DME to see what was allowed by my insurance and was told I could have 2 pillows/month. Changing the pillows made a big difference. I can now feel when the pillows become more flimsy and not fitting and lining up well.

I am able to get by with changing once a month but I will continue to get my 2 allotted pillows per month from DME. When I retire in another year I am not certain how/if my insurance will change and think it is a good idea to get as many as I can now and save as many as I can for the future.
(This post was last modified: 04-01-2014 11:09 AM by ImaSurvivor.)
04-01-2014 11:03 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
lafsa Offline

Preferred Members

Posts: 36
Joined: Mar 2014

Machine: resmed s9 autoset
Mask Type: Nasal pillows
Mask Make & Model: breeze
Humidifier: resmed h5i
CPAP Pressure: 9-13
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Undisclosed
Location: ny

Post: #8
RE: Nasal pillow question
i change my pillows every four to six weeks. i use the breeze nasal pillow mask.
04-01-2014 11:28 AM
Find all posts by this user Post Reply Quote this message in a reply
GrammaBear Offline

Advisory Members

Posts: 381
Joined: May 2012

Machine: ResMed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: Air Fit P10
Humidifier: ResMed H5i heated humidifier
CPAP Pressure: 12.2 - 16.2
CPAP Software: SleepyHead

Other Comments: Type 1 diabetes - using Tandem T-slim insulin pump, Dexcom G4 CGM

Sex: Female
Location: northern Illinois

Post: #9
RE: Nasal pillow question
(04-01-2014 11:03 AM)ImaSurvivor Wrote:  I use the Swift FX. I was told I could get a new mask every 6 months. As a newbie I assumed that to be the pillows too because when I initially received my mask, different sized pillows came packaged with the headgear. I wasn't aware for about 3 months that I could replace the pillows in between. I began noticing the ease of getting the pillows adjusted without leaks began to decline; my AHI began to creep up and I was getting increasingly tired during the day; and I developed a couple sore spots in my nose. I think the sores developed because I was constantly fidgeting with trying to get the pillows to seal and feel right. I was fretting about 3 more months being a long time before I could get a new mask. While researching what to put on my nose for the sores, I found a discussion that others were replacing their pillows once a month. I called my DME to see what was allowed by my insurance and was told I could have 2 pillows/month. Changing the pillows made a big difference. I can now feel when the pillows become more flimsy and not fitting and lining up well.

I am able to get by with changing once a month but I will continue to get my 2 allotted pillows per month from DME. When I retire in another year I am not certain how/if my insurance will change and think it is a good idea to get as many as I can now and save as many as I can for the future.

Just a bit of advice for when you retire ~ If you will be on Medicare and a supplemental insurance plan ... choose your plans carefully. It is getting harder and harder, even when you have a good plan, to get the supplies that are covered by that plan. It is not unusual to experience delays, sometimes long delays, between the time of placing your supply order and actually receiving those supplies.
04-01-2014 11:33 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
ImaSurvivor Offline

Preferred Members-2

Posts: 322
Joined: Nov 2013

Machine: ResMed S9 Auto
Mask Type: Nasal pillows
Mask Make & Model: Swift FX
Humidifier: H5i Heated Humidifier, ClimateLine Tubing
CPAP Pressure: 10
CPAP Software: SleepyHead

Other Comments: Moderate Sleep Apnea, Began using CPAP 11/27/2013

Sex: Female
Location: New York State

Post: #10
RE: Nasal pillow question
Thanks GrammaBear. I have a bank of unused sick leave I will be able to use toward my insurance for a while but I don't really know if it means I will keep same coverage I have now or if it will change. I have a family policy now but when I retire my husband can go back to a pool of money he had from his unused sick leave when he retired 2 years ago for insurance. We can keep our daughter on another 5 years until she turns 26. Not sure if I will keep her on with me or put her on with my husband. All something we need to research and talk over. I won't be eligible for medicare for quite a few more years. I am retiring early. My husband is a few years older and we want to be able to travel as we are becoming empty nesters in one month!
04-01-2014 11:55 AM
Find all posts by this user Post Reply Quote this message in a reply
Post Reply 


Possibly Related Threads...
Thread: Author Replies: Views: Last Post
  Nasal pillow life unofon 5 388 11-26-2016 03:27 PM
Last Post: unofon
  respironics pillow covers? metropical 3 236 11-08-2016 11:02 PM
Last Post: Sleeprider
  Nasal pillow Vs full face unofon 4 488 10-27-2016 09:12 AM
Last Post: unofon
  [Equipment] Modding Resmed FX pillow mask, no turbo air flow DaveDog 9 345 10-23-2016 08:09 PM
Last Post: PaulaO2
  Any tips for fitting a ResMed P10 nasal pillow mask? Spy Car 40 2,157 10-15-2016 06:11 AM
Last Post: rwelliot
  Anyone Glue The Pilairo Mask Pillow On? player 7 1,150 10-12-2016 11:00 AM
Last Post: PaulaO2
  Help with nasal pillow and nose pain jane bradley 4 540 09-18-2016 01:20 PM
Last Post: Sleeprider

Forum Jump:

Who's Online (Complete List)