Post Reply 
Nasal vs nasal pillows: my impressions
Author Message
rhodesengr Offline

Preferred Members

Posts: 24
Joined: Jan 2016

Machine: PR 560
Mask Type: Nasal pillows
Mask Make & Model: P10
Humidifier: PR DS6HFLG
CPAP Pressure: 6-20
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: NorCal

Post: #1
Nasal vs nasal pillows: my impressions
OK, so I have been on my new APAP machine for about a month now. I have mostly been using a P10 nasal pillows mask but also have an F&P Eson nasal mask. Its hard to tell for sure, but I am noticing some trends between the two masks.

I may not have enough data with the Eson but my sense is that I get a little lower AHI's with the P10. The problem with the P10 is that I seems to wake up three or four times per night. I believe the wake-ups are due to small leaks that get started when I move in my sleep. Also, water from the humidifier seems to accumulate in my nose (even with the heated hose) and then drips out which also wakes me up. My AHI's with the P10 vary from as low as .9 to the mid 2's.

With the Eson, I believe I wake up much less but my AHI's are in the mid 2's and I have never been in the 1's with the Eson.

The Eson is just more firmly held in place so I think I get fewer leaks from movements. I don't mind the fact that it has more straps and such.

Note that the leaks I am talking about are not big leaks that show up on my data record. They are just small leaks that make a little noise but I am guessing that it's enough to wake me up.

I am curious though is there is any physics to explain why I might have slightly higher AHI's with the Eson compared to the P10?

Also, I am wondering if there might be an even better nasal mask. I am open to suggestions. I was just given the Eson by Kaiser to try so it wasn't something chosen based on reviews or research. I've read the reviews for some of the other top selling nasal masks including the Dreamware but every one has folks that like it and folks that don't.
02-09-2016 11:52 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Dagmar Offline

Preferred Members

Posts: 98
Joined: Jul 2015

Machine: Resmed Airsense 10 Autoset
Mask Type: Nasal mask
Mask Make & Model: Wisp by Respironics
Humidifier: Resmed
CPAP Pressure: 10
CPAP Software: ResScan

Other Comments:

Sex: Male
Location: Michigan

Post: #2
RE: Nasal vs nasal pillows: my impressions
I found that P10 caused wakeful periods for me as well due to leaks and adjustments, same with the DreamWare. I'm really happy with my Wisp mask. Sorry, I can't speak to the AHI issue.
02-10-2016 09:12 PM
Find all posts by this user Post Reply Quote this message in a reply
GPSMapNut Offline

Advisory Members

Posts: 175
Joined: Nov 2015

Machine: DreamStation Auto
Mask Type: Nasal pillows
Mask Make & Model: Resmed AirFit P10 and PR DreamWear
Humidifier: DreamStation + heated hose
CPAP Pressure: 9-16
CPAP Software: SleepyHead EncorePro Other Software

Other Comments: Used Respironics REMstar Pro with C-Flex for 11 years and ResMed S9 Elite loaner for 3 months

Sex: Male
Location: Mississauga, ON, Canada

Post: #3
RE: Nasal vs nasal pillows: my impressions
My experience is very different. Using various nasal masks, I was constantly fighting with leaks. After switching to nasal pillows (first Swift FX and than P10), leaks are the thing of the past. Even with DreamWear I had very few leaks as compared to any of the "normal" nasal masks.

As for the rain-out, increasing temperature of the hose and/or lowering temperature of the tank may help.
Other than that, you can buy or make a hose insulating cover for the P10.
You may want to check the following thread:
http://www.apneaboard.com/forums/Thread-...nt-rainout

Everything I post on this board is nothing more than an opinion expressed by an apneak. Normally, it's based on facts and experience but sometimes, I may get things wrong or not have all the facts.
I reserve the right to change my mind. Why? Because tomorrow I may know better.
02-11-2016 09:48 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Winterfrost Offline

Preferred Members

Posts: 33
Joined: Feb 2016

Machine: Respironics System One 560P
Mask Type: Nasal pillows
Mask Make & Model: ResMed AirFit 10P For Her
Humidifier: none
CPAP Pressure: 8-14
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location:

Post: #4
RE: Nasal vs nasal pillows: my impressions
Hi rhodesengr. I have the same two masks you do, and the same machine (I'm also with Kaiser in NorCal), and was just given the P10 3 days ago. I'm already noticing a lower AHI with the P10. Does seem to make a difference how you adjust the straps, though. The first two nights I had the lower strap under my hair at the base of my skull and the upper strap at the crown of my head. Last night I wore the lower strap over my hair at the back of my head, and it slid up a few times during the night, allowing the mask to leak.

One question -- how did you manage to obtain the heated-hose humidifier? Kaiser didn't provide any humidifier to me.
02-11-2016 11:52 AM
Find all posts by this user Post Reply Quote this message in a reply
rhodesengr Offline

Preferred Members

Posts: 24
Joined: Jan 2016

Machine: PR 560
Mask Type: Nasal pillows
Mask Make & Model: P10
Humidifier: PR DS6HFLG
CPAP Pressure: 6-20
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: NorCal

Post: #5
RE: Nasal vs nasal pillows: my impressions
(02-11-2016 11:52 AM)Winterfrost Wrote:  One question -- how did you manage to obtain the heated-hose humidifier? Kaiser didn't provide any humidifier to me.

I think you just need to call them back and ask your Resp tech for the heated hose humidifier. I would not waste time with the regular humidifier if you can avoid it.

So here is how it went for me. After my 7-day trial, I went in for the data evaluation and the tech told me yes the machine helped me and yes they would get me one. The humidifier option is just a box they check on the form that orders your cpap. My original setup though was with the unheated tube. I had instant problems with water condensing in the tube would would then gurgle and wake me up. Through the forums, I found out there was the heated tube version. Who knew? There is a kit that allows converting the unheated tube version to the heated tube version which is what they order for me. The kit includes a new top to the humidifier, the heated hose, and a larger power supply. You have to remove the original top and install the new top. You also have to change some settings in the clinical setup area.

So your best bet would be to ask for the heated tube version right up front. Adding the humidifier is simple, it just plugs into the side of the basic machine. If you are not comfortable going into the clinical menu, I guess you have to get either Kaiser or Apria to do that for you.

Hope that helps. Feel free to ask for more clarification as needed.
02-11-2016 02:42 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
rhodesengr Offline

Preferred Members

Posts: 24
Joined: Jan 2016

Machine: PR 560
Mask Type: Nasal pillows
Mask Make & Model: P10
Humidifier: PR DS6HFLG
CPAP Pressure: 6-20
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: NorCal

Post: #6
RE: Nasal vs nasal pillows: my impressions
(02-11-2016 09:48 AM)GPSMapNut Wrote:  As for the rain-out, increasing temperature of the hose and/or lowering temperature of the tank may help.
Other than that, you can buy or make a hose insulating cover for the P10.

OK. I can see how a cover on the P10 hose might help since that section is not heated. However, to be clear, I do not think I am getting condensation in the tube. My sense is that the condensation was occurring directly inside my nose. Apologies if it sounds gross, but I could feel water dripping out of my nose around the pillows. So the condensation was either on the inside pillow surfaces or in my nose.

Insulating the P10 tune would help keep the air temp up as it enter the mask.

My sense is that "rain-out" as it is termed here occurs in hose and leads to gurgling.
02-11-2016 02:49 PM
Find all posts by this user Post Reply Quote this message in a reply
GPSMapNut Offline

Advisory Members

Posts: 175
Joined: Nov 2015

Machine: DreamStation Auto
Mask Type: Nasal pillows
Mask Make & Model: Resmed AirFit P10 and PR DreamWear
Humidifier: DreamStation + heated hose
CPAP Pressure: 9-16
CPAP Software: SleepyHead EncorePro Other Software

Other Comments: Used Respironics REMstar Pro with C-Flex for 11 years and ResMed S9 Elite loaner for 3 months

Sex: Male
Location: Mississauga, ON, Canada

Post: #7
RE: Nasal vs nasal pillows: my impressions
Condensation in the nostrils would be... well, you aren't dead cold, are you? Condensation occurs when air cools below the dew point. I would not expect this to happen in your nostrils but in the hose or in the mask. Increase hose temperature and air will not cool down as much by the time it gets to the nose. Lower humidity and the dew point gets lower.
Well, that's what I think but once, I was wrong before Wink

Everything I post on this board is nothing more than an opinion expressed by an apneak. Normally, it's based on facts and experience but sometimes, I may get things wrong or not have all the facts.
I reserve the right to change my mind. Why? Because tomorrow I may know better.
02-11-2016 08:06 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
BadGoodDeb Offline

Advisory Members

Posts: 210
Joined: Apr 2015

Machine: ResMed Airsense 10 autoset
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 for Her
Humidifier: no
CPAP Pressure: 8 (testing 7.8-10)
CPAP Software: SleepyHead

Other Comments: New to AirSense 10 and AirFit P10, but 4 years on prev unit

Sex: Female
Location: Chicago outskirts (Aurora, IL)

Post: #8
RE: Nasal vs nasal pillows: my impressions
In addition to the Wisp nasal pillow alternative to the P10, there are others. I still have an older Mirage Swift LT (i think) nasal pillows mask, which I occasionally switch to. I switch back when I can't get enough air through the P10 (long term nasal rhinitis, so maybe I have lower breath pressure??), which has never bothered me on the Swift headgear.
06-29-2016 05:38 PM
Find all posts by this user Post Reply Quote this message in a reply
OMyMyOHellYes Offline

Advisory Members

Posts: 915
Joined: Mar 2013

Machine: Respironics 560 Auto
Mask Type: Nasal mask
Mask Make & Model: Resmed Mirage FX
Humidifier: Respironics System One (no heated hose)
CPAP Pressure: 08.0-15.0 cm/H2O
CPAP Software: EncoreBasic

Other Comments:

Sex: Male
Location: Texas

Post: #9
RE: Nasal vs nasal pillows: my impressions
You should not be getting water up that high. You may try backing down the humidity down some rather than trying to make the hose hotter.

OMMOHY
06-29-2016 10:40 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Post Reply 


Possibly Related Threads...
Thread: Author Replies: Views: Last Post
  Moisture in My Wisp nasal mask Genetini 4 125 Yesterday 06:28 PM
Last Post: pholynyk
  nasal drip nativedancer 7 300 12-08-2016 11:54 PM
Last Post: nativedancer
  [Equipment] Advice on transitioning from pillows to FFM? Strat0caster 8 257 12-02-2016 10:58 PM
Last Post: PaulaO2
  Nasal pillow life unofon 5 474 11-26-2016 03:27 PM
Last Post: unofon
  Sleep Study: Nasal vs. Full Mask harmon k 2 335 11-20-2016 06:38 PM
Last Post: harmon k
  Nasal pillow Vs full face unofon 4 498 10-27-2016 09:12 AM
Last Post: unofon
Question AHI Higher AFter Switch from Nasal Pillows to Full Mask Sleepypokey 8 515 10-26-2016 03:07 PM
Last Post: Kadenz

Forum Jump:

Who's Online (Complete List)