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Nasal pillows?
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GrammaBear Offline

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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

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Location: northern Illinois

Post: #11
RE: Nasal pillows?
(05-02-2016 06:33 AM)OpalRose Wrote:  If tried a couple different pillow masks, and the P10 is my choice.
The secret is to use one size up in pillow than you think you need. Don't try to shove the pillows up into your nose. Should rest comfortably under nose.

Pillows will inflate after air is on, and you can wiggle the pillows a little to get a good seal.
Always use a lanolin cream, or your will have sore nostrils. Sad

Is there a secret to learning what size 'pillows' you need? I've always thought I needed a medium pillow as that is what I used when I had the Swift FX for her mask. When I order the P10 for her, they always send only XS, Sm and Med. I have ordered a size lge from an online supplier, but honestly I don't know if the lge is better than the med. I guess I should have figured this out by now, but I haven't.
05-02-2016 11:08 AM
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FrankNichols Offline

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Machine: AirSense 10 Autoset
Mask Type: Full face mask
Mask Make & Model: Resmed F10 and/or P10
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Post: #12
RE: Nasal pillows?
(05-02-2016 11:08 AM)GrammaBear Wrote:  
(05-02-2016 06:33 AM)OpalRose Wrote:  If tried a couple different pillow masks, and the P10 is my choice.
The secret is to use one size up in pillow than you think you need. Don't try to shove the pillows up into your nose. Should rest comfortably under nose.

Pillows will inflate after air is on, and you can wiggle the pillows a little to get a good seal.
Always use a lanolin cream, or your will have sore nostrils. Sad

Is there a secret to learning what size 'pillows' you need? I've always thought I needed a medium pillow as that is what I used when I had the Swift FX for her mask. When I order the P10 for her, they always send only XS, Sm and Med. I have ordered a size lge from an online supplier, but honestly I don't know if the lge is better than the med. I guess I should have figured this out by now, but I haven't.

When my DME sent me a P10 to test/trial it came with three sizes of pillows - small, medium and large.

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05-02-2016 11:20 AM
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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: #13
RE: Nasal pillows?
(05-02-2016 11:20 AM)FrankNichols Wrote:  
(05-02-2016 11:08 AM)GrammaBear Wrote:  
(05-02-2016 06:33 AM)OpalRose Wrote:  If tried a couple different pillow masks, and the P10 is my choice.
The secret is to use one size up in pillow than you think you need. Don't try to shove the pillows up into your nose. Should rest comfortably under nose.

Pillows will inflate after air is on, and you can wiggle the pillows a little to get a good seal.
Always use a lanolin cream, or your will have sore nostrils. Sad

Is there a secret to learning what size 'pillows' you need? I've always thought I needed a medium pillow as that is what I used when I had the Swift FX for her mask. When I order the P10 for her, they always send only XS, Sm and Med. I have ordered a size lge from an online supplier, but honestly I don't know if the lge is better than the med. I guess I should have figured this out by now, but I haven't.

When my DME sent me a P10 to test/trial it came with three sizes of pillows - small, medium and large.

When I started using the AirFit P10, I had purchased the mask from an online merchant and I guess because they saw I was female, they automatically sent me the 'for her' version of P10. Why? I don't know. I'm wondering if the regular P10 and the for her version headgear are the same size?
05-02-2016 11:27 AM
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justMongo Offline

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Post: #14
RE: Nasal pillows?
OMMOHY

If the question is not too intrusive, is this like a skin tag?

I have had quite a few removed. Usually an RF cautery device called a Hyfrecator is used. https://en.wikipedia.org/wiki/Hyfrecator

I'd dislike an electric arc close to my eye.

Well, wishing you the best,

Mongo

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.
05-02-2016 11:49 AM
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Sleeprider Online
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Posts: 3,389
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

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Location: Where they make Respironics

Post: #15
RE: Nasal pillows?
(05-02-2016 11:27 AM)GrammaBear Wrote:  
(05-02-2016 11:20 AM)FrankNichols Wrote:  
(05-02-2016 11:08 AM)GrammaBear Wrote:  Is there a secret to learning what size 'pillows' you need? I've always thought I needed a medium pillow as that is what I used when I had the Swift FX for her mask. When I order the P10 for her, they always send only XS, Sm and Med. I have ordered a size lge from an online supplier, but honestly I don't know if the lge is better than the med. I guess I should have figured this out by now, but I haven't.

When my DME sent me a P10 to test/trial it came with three sizes of pillows - small, medium and large.

When I started using the AirFit P10, I had purchased the mask from an online merchant and I guess because they saw I was female, they automatically sent me the 'for her' version of P10. Why? I don't know. I'm wondering if the regular P10 and the for her version headgear are the same size?

The For Her version is smaller by about 3/4 inch per side. I have used this head gear, and I'm anything but petite. Spreading the straps will allow it to fit a larger head size, and all the P10 head gear tends to stretch in time. Still, you should just use the regular headgear if you are average to above average face/head size.

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05-02-2016 12:02 PM
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sdb7802 Offline

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Posts: 199
Joined: Jan 2016

Machine: PR DreamStation Auto
Mask Type: Nasal pillows
Mask Make & Model: ResMed AirFit P10
Humidifier: built-in with heated hose
CPAP Pressure: 9.5-14 C-Flex 3
CPAP Software: SleepyHead

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Post: #16
RE: Nasal pillows?
I wish they made an XL pillow. The large is worming its way up into my schnoz.

Just my personal opinion. My posts are not medical advice or a statement of fact. Please consult a qualified physician or other qualified medical personnel. Please comply with all applicable laws, codes, regulations, and protocols.
05-02-2016 12:42 PM
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tmoody Offline

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Posts: 175
Joined: Mar 2016

Machine: PR System 1 BPAP AutoSV
Mask Type: Nasal pillows
Mask Make & Model: Swift FX nose pillows
Humidifier: PR System 1 attached
CPAP Pressure: 8-25
CPAP Software: SleepyHead

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Sex: Male
Location: Philadelphia

Post: #17
RE: Nasal pillows?
I've only used the Swift FX, which works fine for me. Maybe someday I'll try the P10, since it has so many fans here.

Anyway, I agree with the point about not adjusting the pillows too tight. When you're new to them, you expect to need that, because they seem so insubstantial. If I have them just resting against the nostrils with a pressure little more than gravity (if I were standing on my head), I get fewer leaks and no sores or need for lanolin.
05-02-2016 01:48 PM
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robysue Online
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Posts: 1,245
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

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Location: Buffalo, NY

Post: #18
RE: Nasal pillows?
(05-01-2016 08:27 PM)OMyMyOHellYes Wrote:  OK, as much as I have disliked when I have tried nasal pillows in the past, I am thinking I may have to have a flappy skin thing cut off my face between my eye and the bridge of my nose. If so, I will not likely be able to use my traditional nasal mask for a couple of weeks as this thing is right under the mask seal.
In addition to looking at nasal pillows you might also want to look at some of the new "mini-nasal" masks that have a much smaller footprint than a traditional nasal mask with a forehead support.

Maybe something like the PR Dreamweaver might work. It doesn't really cover the nose, but it's also not a nasal pillows mask either. The PR Wisp is pretty small, but it does cover part of the nose.

The Resmed Swift FX Nano replaces the FX's nasal pillows with a mini-nasal mask that covers just the tip of the nose. The Resmed AirFit N10's headgear is vaguely similar to the P10's, and it also has a mini-nasal cushion.

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(This post was last modified: 05-02-2016 02:58 PM by robysue.)
05-02-2016 02:58 PM
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OMyMyOHellYes Offline

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Post: #19
RE: Nasal pillows?
Thanks for all of the responses, I appreciate the input.

OK - heard back from dermatologist after getting this thing removed. Nasal mask has continued to be OK for me, but I am now told that I have to go back for more surgery. I am expecting that this will be more invasive and so I really am going to have to move to a nasal pillow mask (don't want mask riding on stitches if I can avoid it).

Any further thoughts? I spoke w/ DME provider and will go in sometime in the next week for a "fitting" (yeah, like I can't do that myself, well, I guess it will allow me to try out some different ones). Any further thoughts in the last couple of months as to what to try? I intend to try on the P10 and the Swift FX pillow mask but am open to others of course.

OMMOHY
(This post was last modified: 07-27-2016 06:20 AM by OMyMyOHellYes.)
07-27-2016 06:11 AM
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green wings Offline

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Posts: 552
Joined: Feb 2016

Machine: Respironics System One RemStar Pro (460)
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10
Humidifier: integrated humidifier
CPAP Pressure: 13.0 cm
CPAP Software: SleepyHead

Other Comments: using CPAP since Jan. 2016

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Post: #20
RE: Nasal pillows?
I would recommend making sure that you're able to hook up to a CPAP machine and lie down for the test. If that's not possible, I'll just say to try to get a "fit pack" with three sizes of nasal pillows so you can experiment after you get home.

You may find that you need a hose hanger or hook to support the weight of the hose. Otherwise, you're more likely to get sore spots on your nose. (Although I have been using my P10s for 2 months now and still haven't gotten that hanger.) I do use a tiny bit of oil on my nares. I have only had a slightly sore nose on two mornings, though. I put on my P10s, seat them carefully and adjust the headgear, then turn on the CPAP machine and never touch the nasal pillows again most nights.

One of the best parts of the P10 design is the super light (often called "flimsy") hose that interfaces between the nasal cushions and the CPAP hose. Maybe using a hose hanger would compensate for the greater weight of other nasal pillows. Haven't tried it.

After using a size "S" nasal pillow for about 3 weeks, I tried the "M" and found that it was more comfortable when sleeping on my side. When I was using the "S", I would feel a bit of pressure against my nares when I moved to my side. If I had a size "L" pillow, I'd try that, too. It seems to me that it's possible to use more than one size comfortably. (I have a "For Her" mask which came with pillow sizes XS, S, & M.)

That's my 2 cents worth of assorted details. I hope some of it's helpful.
07-27-2016 11:05 AM
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