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Nuance mask?
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me50 Offline

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Machine: resmed S9 VPAP Auto
Mask Type: Nasal mask
Mask Make & Model: Wisp and Silicone Head gear
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Post: #21
RE: Nuance mask?
I have yet to figure out the purpose of the hose but I can say I am having better results with the nasal mask. Interested to hear how it goes tonight. Did you get the nuance or the nuance pro? The wisp has a slot to put the hose in so it goes over your head. I believe the nuance does as well.
(This post was last modified: 12-11-2013 03:27 PM by me50.)
12-11-2013 03:09 PM
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PaulaO2 Offline
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Machine: S9 Autoset
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Post: #22
RE: Nuance mask?
Nuance Pro. There's a plain Nuance?? Huh. I need to go look.

PaulaO2
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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.
12-11-2013 11:50 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: #23
RE: Nuance mask?
(12-11-2013 11:50 PM)PaulaO2 Wrote:  Nuance Pro. There's a plain Nuance?? Huh. I need to go look.

Yes. The pro has gel part way up on the sides of the headgear and the nuance does not. Both have a slot for the hose
12-11-2013 11:59 PM
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PaulaO2 Offline
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Posts: 8,068
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: #24
RE: Nuance mask?
Oh! Duh, it helps to RTFM*. There's a thingy bob on the top strap to hold the hose. Cool! Maybe I will read the rest of the paperwork that came with it. I just looked at the idiot pics on the inside of the lid.

*read the freakin' manual.

PaulaO2
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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.
12-12-2013 12:03 AM
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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: #25
RE: Nuance mask?
Do you know what the added hose that comes with the nuance and wisp is for? I got mine from the sleep lab for my titration study tonight so I don't have all the paperwork that comes with it I don't think. Hope you are having a good night with the nuance.
12-12-2013 05:42 AM
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PaulaO2 Offline
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Moderators

Posts: 8,068
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: #26
RE: Nuance mask?
The good news is I slept the entire night through, waking up only once this early morning to adjust the mask then promptly went back to sleep. With the Swift, I was waking up multiple times a night to fix leaks. Or getting the elbow treatment to fix leaks.

It took some getting used to. Nasal pillows typically fit inside the nostril and there is very little pressure felt. Some do, some don't, but it always feels more spread out pressure, if that makes sense. The Nuance is designed to fit on the outside of the nostril, right at the entrance, and I didn't notice it as much when I was sizing it but I sure did when I laid down to sleep! It really felt like it was too tight and I kept messing with the straps. It was as if my nose was being smushed, like when kids make the pig face. But when I would feel my nose, there was no wrinkle nor was it bulging or whatever. I found though that I had to really pull the hose down from that loop in the headgear. Any pull at all and the mask was out of place. While that's typical of many nasal pillows, especially these lighter weight ones, this is especially true of this mask because of how it fits. Because it is on the outside, a slight tug and it is leaking.

It is a quiet mask. It has multiple vent holes and my previous experience is that they can be noisy but these were quiet. Which meant that leaks were easy to hear. I expected to have plenty when I first laid down but other than settling the hose, there weren't any.

And now the bad news. My AHI was 5.7. A few leaks according to SleepyHead but not that bad, all but one was under 30. But I'd had a really bad day so I'm hoping it was just the sheer exhaustion and an off night. I don't blame the mask except perhaps it leaked less than the Swift LT and it gave a more true AHI.

PaulaO2
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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.
12-12-2013 10:58 AM
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PaulaO2 Offline
Wiki Editor
Moderators

Posts: 8,068
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: #27
RE: Nuance mask?
(12-12-2013 05:42 AM)me50 Wrote:  Do you know what the added hose that comes with the nuance and wisp is for? I got mine from the sleep lab for my titration study tonight so I don't have all the paperwork that comes with it I don't think. Hope you are having a good night with the nuance.

Mine came with just the one hose.

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.
12-12-2013 10:58 AM
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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: #28
RE: Nuance mask?
(12-12-2013 10:58 AM)PaulaO2 Wrote:  
(12-12-2013 05:42 AM)me50 Wrote:  Do you know what the added hose that comes with the nuance and wisp is for? I got mine from the sleep lab for my titration study tonight so I don't have all the paperwork that comes with it I don't think. Hope you are having a good night with the nuance.

Mine came with just the one hose.

I didn't explain my question very well. Mine came with the one hose but it attaches to the climate line tubing. I didn't know what the purpose of the hose is for or if it truly needs to be attached to the climate line tubing. Guess I will find out tonight in my sleep study. Glad last night with the nuance wasn't a bad experience.
12-12-2013 11:18 AM
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GrammaBear Offline

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

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Post: #29
RE: Nuance mask?
I've just received the Nuance this week and I have mixed feelings about it. I have been using the Swift Fx for Her for over 3 years so I might have a bit of a 'prejudice' for it since I have not ever used any other one. When the Respiratory therapist who works for the supply place that provides my cpap supplies encouraged me to come in for a proper fitting, I thought that might be a good idea.

My mask must be the Nuance and not the Pro. My mask has the fabric straps and not the gel type straps on the side. I've yet to be comfortable with any of the 3 size pillows, but then again I did not know that the pillows are supposed to fit 'outside' the nostrils? Do I understand that correctly? My AHI was a lilttle higher but not that much.

One thing I find frustrating is the short hose and how much it seems to twist out of place, not that it comes disconnected - just moves more than the Swift FX. Maybe because I'm older and more set in my ways - I'm finding this mask to be a challenge. I want to be able to use a new mask as I'm tired of the old one plus it sometimes makes noise that is most annoying.

Any suggestions on the process of getting used to this mask would be most appreciated. I don't think the mask is bad - it is me that is having trouble getting used to it. Is there a video that demonstrates this mask and how it is supposed to operate?

p.s. Have I done something wrong on this forum? I notice just beneath my signature that I have 0% warning. I sure don't mean to cause anyone trouble or break any rules.
(This post was last modified: 12-12-2013 12:05 PM by GrammaBear.)
12-12-2013 12:02 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: #30
RE: Nuance mask?
You can google nuance nasal pillows and there is a video on YouTube that shows a little about it. If comfort is an issue, talk with your DME and ask for the Nuance Pro. The video shows both nasal pillows. I don't use this mask so I can't make suggestions on how to get used to it. PaulaO2 and some others will be able to help you with that better than I can. Sorry you are having a hard time with it.
12-12-2013 12:51 PM
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