Got my equipment today, went for a test drive.

[Mtnman]

APAP with A-Flex, Heated Humidifier, and Nasalair II mask. Pretty simple to set up except for the mask but even that was not bad. After hooking it all up, I turned it on, put on my mask and hopped in bed for a test drive. It was so relaxing I almost went to sleep! (and I wasn't trying to). I really liked the sensation of the air pressure in my nose. If anything, I might like even more pressure though. The set up my A-flex pressure at 4-20 and I think it was at 4 the 20 minutes I was on it. I couldn't really feel any let off of pressure on exhale but I think the manual said it didn't kick in until you were up to 6.

Any tips for advice for night one would be greatly appreciated!

Thanks and I'll keep you posted...

[Babette]

Here's my NAII tip sheet.

I think you should increase your bottom pressure. 4 is really really low. I'm at 10 straight. Try going up to at least 8.

Cheers,
B.
-----------------------------------------------
NASAL AIRE II TIP SHEET 07/20/07
By Barbara Smith aka “Babette” @ http://www.cpaptalk.com, or http://www.geocities.com/babettelinks

Nasal Aire II (NAII) Videos – Scroll to bottom of page:
https://www.cpap.com/productpage/innome ... re-ii.html

Innomed – NAII manufacturer’s website: (BTW, Innomed, Teleflex, and Hudson RCI are all the same co.)
http://www.mergenetsolutions.com/innomedinc/na2.htm

How to wear headgear:
http://www.mergenetsolutions.com/innome ... adgear.pdf

APAP Trial Stats:
http://www.mergenetsolutions.com/innome ... ptrial.pdf

NAII Product Brochure:
http://www.hudsonrci.com/Products/docs/ ... e%20II.pdf

New Improved Headgear:
http://www.hudsonrci.com/Products/docs/ ... adgear.pdf

All Sizes in One Kit Brochure:
http://www.hudsonrci.com/Products/docs/ ... ochure.pdf

Buy all Sizes at once for only $9 more than just the three size kit – Then sell off your unneeded prongs:
http://directhomemedical.com/masks-cpap ... ggodz3TZLQ

SIZING: I have found the best size for me is one that is difficult to insert. I have to fold and shove to get them in, every night. Some nights it takes me more time than others.  According to the Teleflex Rep I spoke to at a vendor fair, the idea is to push them in as far as they will go, then gently pull them back until the little bulge at the end “stops”. That’s the optimum position for the least amount of leakage. YMMV. I end up pushing them up and back several times a night. I still fiddle with this mask, but I’m sleeping a good 7+ hours, with 2.1 AHI, so I’m very happy with it. For reference, I wear Medium Plus on the NAII, Large on the Breeze, and Small on the CL2.

I have abandoned the headgear, and attached the NAII to my chinstrap. I wear a Tiara Brand “Topaz” style chinstrap. I use little strips of Velcro “one wrap” (the stuff that has hooks one side, and loops on the other side, so it hooks to itself) to bind the side tubes to the side pieces of my chinstrap. I have two loops on each side. I found two works better for me. I leave them slightly loose, so I can slide the tubes up and down as needed. I then have the bolo loops from the headgear placed on the tubes so they come together at the crown of my head. I route the tubes up over my head, they meet the main machine tube behind my pillow, and the tube then runs along the top of my mattress where it meets the headboard and on up to my machine. You can see pix of what I did here:
viewtopic.php?t=21841&highlight=babette+chin+strap

I have found if there is liquid present, I get leaks. Initially, I had trouble when I inserted the prongs while my nose was wet with Ayr Gel. I then started putting on the Ayr Gel, letting it dry, then inserted the prongs. Now I skip the Ayr Gel entirely. I use it when I feel any irritation, but usually only in the mornings, not at night. So far, haven’t had any irritation from using prongs without Ayr Gel. I also sleep with my HH at 0. Rainout causes leaks for me, too.

Mouth Taping: This worked for me. I was successful with it, but I don’t like taping. 
viewtopic.php?t=9653&highlight=rooster+tape