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new to cpap - p10 leaks and pillow fit
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herbm Offline

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Machine: ResMed AutoSet S9
Mask Type: Oral
Mask Make & Model: ResMed Airfit P10 Nasal Pillow
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CPAP Pressure: 11-16
CPAP Software: ResScan SleepyHead

Other Comments: Backup Mask: Innomed Hybrid FFM -- Oral+Nasal Pillows

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Location: Austin, TX

Post: #11
RE: new to cpap - p10 leaks and pillow fit
The other thing is that you can't REALLY tell about pillow size without using it (most of the time.)

I have used all 3 standard sizes successfully (S M L), and at time thought each of them were the best.

You (or your insurance) paid for a full mask KIT, which includes 3 pillows. They ripped you off. Not likely to be a mistake either, since it is a common practice among a significant number of DMEs.

Don't be afraid to try LARGER or SMALLER. Smaller fits more deeply but may not inflate enought to seal.

Larger makes a bigger 'plug' but may fold or just not fit deeply enough.

A P10 should offer NO noticeable leak, neither by FEEL nor by SOUND.

The only air escaping should be the 'ooze' out the front exhaust vents.

Do not be insulted if I mention that many people have turned the thing around backwards. The pillows should "v" in the same direction as you nose slants -- facing forward: /\

Seriously, it is POSSIBLE to wear the thing backwards without terrible leaks Smile and without noticing for a while.

Sweet Dreams,

HerbM
Sleep study AHI: 49 RDI: 60 -- APAP 10-11 w/AHI: 1.5 avg for 7-days (up due likely to hip replacement recovery)

"We can all breathe together or we will all suffocate alone."
03-07-2015 04:36 PM
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Evpraxia Offline

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

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Location: Pacific Northwest USA

Post: #12
RE: new to cpap - p10 leaks and pillow fit
(03-07-2015 04:36 PM)herbm Wrote:  Seriously, it is POSSIBLE to wear the thing backwards without terrible leaks Smile and without noticing for a while.

I HAVE worn the nasal pillows upside down - I laughed at myself when I figured it out.

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!
03-07-2015 04:51 PM
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Evpraxia Offline

Advisory Members

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: #13
RE: new to cpap - p10 leaks and pillow fit
Greetings chrysogognus;

I noticed you mentioned washing the mask you didn't like when you switched over to a new mask.

Hopefully the DME gave you a cleaning schedule and instructions on how to wash/clean the equipment. I try to wash my nasal pillows in the morning and wash my face each night; but if I forget I try to at least wipe down the nasal pillows and my face with a cleaning wipe, usually an unscented baby wipe.

I have found that if I completely forget to clean both mask and face off that leaks occur and my nasal passages get irritated and tender. The best thing for sore nasal passages, for me anyway, is a beeswax product - the lip balm is great.

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!
03-07-2015 04:56 PM
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GrammaBear Offline

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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: #14
RE: new to cpap - p10 leaks and pillow fit
(03-07-2015 04:36 PM)herbm Wrote:  The other thing is that you can't REALLY tell about pillow size without using it (most of the time.)

I have used all 3 standard sizes successfully (S M L), and at time thought each of them were the best.

You (or your insurance) paid for a full mask KIT, which includes 3 pillows. They ripped you off. Not likely to be a mistake either, since it is a common practice among a significant number of DMEs.

Don't be afraid to try LARGER or SMALLER. Smaller fits more deeply but may not inflate enought to seal.

Larger makes a bigger 'plug' but may fold or just not fit deeply enough.

A P10 should offer NO noticeable leak, neither by FEEL nor by SOUND.

The only air escaping should be the 'ooze' out the front exhaust vents.

Do not be insulted if I mention that many people have turned the thing around backwards. The pillows should "v" in the same direction as you nose slants -- facing forward: /\

Seriously, it is POSSIBLE to wear the thing backwards without terrible leaks Smile and without noticing for a while.

Lol...I also have tried wearing the thing backwards until I 'finally' figured out that what I was doing - was not working very well.

My DME also cheated me when it came to delivering all 3 sizes of pillows with the mask.

HerbM - How did you determine the correct pillow size after you tried all 3 sizes? Most times I wear a medium, but sometimes the large is more comfortable. This confuses me and the DME is absolutely no help at all when I have a question.
03-07-2015 05:08 PM
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retired_guy Offline

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Posts: 2,744
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Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
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CPAP Software: ResScan SleepyHead

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Post: #15
RE: new to cpap - p10 leaks and pillow fit
(03-07-2015 05:08 PM)GrammaBear Wrote:  HerbM - How did you determine the correct pillow size after you tried all 3 sizes? Most times I wear a medium, but sometimes the large is more comfortable. This confuses me and the DME is absolutely no help at all when I have a question.

It depends on which head he's wearing at the time.

For me, it comes down to leakage and air power. Last time I tried the medium I felt like I was fighting to get enough air. Probably not, but that was the deal breaker that sent me back to a size large.
03-07-2015 05:59 PM
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chrysogognus Offline

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Machine: AirSense 10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10
Humidifier: built-in
CPAP Pressure: 7-13
CPAP Software: SleepyHead

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Sex: Male
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Post: #16
RE: new to cpap - p10 leaks and pillow fit
(03-07-2015 04:56 PM)Evpraxia Wrote:  Greetings chrysogognus;

I noticed you mentioned washing the mask you didn't like when you switched over to a new mask.

Hopefully the DME gave you a cleaning schedule and instructions on how to wash/clean the equipment. I try to wash my nasal pillows in the morning and wash my face each night; but if I forget I try to at least wipe down the nasal pillows and my face with a cleaning wipe, usually an unscented baby wipe.

I have found that if I completely forget to clean both mask and face off that leaks occur and my nasal passages get irritated and tender. The best thing for sore nasal passages, for me anyway, is a beeswax product - the lip balm is great.

Thanks - I haven't been washing the pillows quite as much as I should. I was better about it at first, but the pillows didn't dry completely one time and that made it a little unpleasant. I have some extra medium pillows now, so I'll try washing them daily, but also switching every day.

I'll try washing my face (or at least my nose and mouth) just before bed - I should have thought of that. I've been getting a bit of irritation around my nose, so maybe that will help.
(03-07-2015 04:51 PM)Evpraxia Wrote:  
(03-07-2015 04:36 PM)herbm Wrote:  Seriously, it is POSSIBLE to wear the thing backwards without terrible leaks Smile and without noticing for a while.

I HAVE worn the nasal pillows upside down - I laughed at myself when I figured it out.

I've been wearing them with "text side down" if that makes sense. I hope that's the right way Smile. I'll have to try it on the other way tonight just to make sure.
(This post was last modified: 03-07-2015 06:05 PM by chrysogognus.)
03-07-2015 06:03 PM
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retired_guy Offline

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Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #17
RE: new to cpap - p10 leaks and pillow fit
(03-07-2015 06:03 PM)chrysogognus Wrote:  I've been wearing them with "text side down" if that makes sense. I hope that's the right way Smile. I'll have to try it on the other way tonight just to make sure.

That's the right way. Herb can wear them "text side up" because his wife makes him sleep upside down on a hanger in the closet.
03-07-2015 08:08 PM
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herbm Offline

Preferred Members-2

Posts: 852
Joined: Jan 2014

Machine: ResMed AutoSet S9
Mask Type: Oral
Mask Make & Model: ResMed Airfit P10 Nasal Pillow
Humidifier: ResMed H5i
CPAP Pressure: 11-16
CPAP Software: ResScan SleepyHead

Other Comments: Backup Mask: Innomed Hybrid FFM -- Oral+Nasal Pillows

Sex: Male
Location: Austin, TX

Post: #18
RE: new to cpap - p10 leaks and pillow fit
GrammaBear,

>How to choose pillows?

Comfort, leaks, fit, AHI, ability to breath (small masks are hard to breath through sometimes).

That's part of the reason you get different answers at different times.

For example:
Big fluffy large was very comfortable but dislodged more easily. Gave a higher AHI.

Small was best actual fit, but hard to draw through and more likely to cause significant irritation -- until I became really good at keeping the pillows from moving ALL NIGHT.

Sometimes, I switched just because different pillows can relieve irritation caused by a different size.


FWIW: The best part of using the 'slant' to find the right pillow orientation (instead of the raised writing) is that it is much easier to do in the drak, by feel.

Sweet Dreams,

HerbM
Sleep study AHI: 49 RDI: 60 -- APAP 10-11 w/AHI: 1.5 avg for 7-days (up due likely to hip replacement recovery)

"We can all breathe together or we will all suffocate alone."
03-07-2015 09:12 PM
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