Respironics Dreamwear mask - Quick review, pics and a tip!

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ultimax
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Respironics Dreamwear mask - Quick review, pics and a tip!

Post by ultimax » Fri Nov 13, 2015 10:26 pm

Hello everyone,

Just thought I'd post a quick review of the Dreamwear mask, as well as a tip on how to have a better experience with it.

I'm a new CPAP user of just over a month. My CPAP machine is the ResMed S9, which is a real keeper. It was an easy purchase since it was so highly recommended. Unfortunately, I've gone through 3 masks in my quest to get a good fit. The Dreamwear is my fourth! It's been a rather pricey experience going through different masks but I suppose it's inevitable given how personal mask fit is, and how many factors are involved. I've had the Respironics Wisp, ResMed Swift FX and Aloha nasal pillow. The latter two worked OK, but weren't great for side sleeping (even the Aloha, which was said to be an improvement in that department over the Swift FX).

The Dreamwear is designed for "active sleepers" and it certainly has been an improvement over the other masks I've tried. It's comfortable and does feel secure. The mask feels more secure when I sleep on my side. With my previous masks, there was always a strong sense that the mask might be dislodged. Perceived or real, it made me really conscious of side sleeping. It's also well constructed and easy to clean. I also find the mask quite quiet, though some have felt otherwise.

That being said, the Dreamwear is not perfect. It's sort of been hyped up to be THE CPAP mask, but expectations have to be managed. There are several things I don't quite like about the mask and the hype around it.

First, although it feels more secure side-sleeping with it, it still doesn't feel completely natural. There's still a tiny little concern that the mask has been dislodged and leaking air. Perhaps this is inherent to side sleeping with any mask. My cheek, after all, is sleeping on a strap (or tube in the Dreamwear's case). Furthermore, the "rebreather" vent on the nasal pillow can give you the illusion that the mask is leaking. Again, this might be inherent to any mask. Maybe it's just a matter of getting used to the mask and being able to read the situation better. As I'm new to using a CPAP, and this mask, it's still early days. I guess the point here is one has to be realistic about what to expect from the hype.

Second, I seem to have problems with air leakage. I wonder if it's because the nasal pillow I'm using is too small, or if it's because I can't tighten the straps . vertically as the frame is fixed to the size purchased (this is a design limitation). Others here don't seem to have a problem though. I guess my point here is manage your expectations. The mask isn't plug and play - there's probably a little fiddling over a few days, if not weeks, to get things right.

Third, the Dreamwear has two "rebreather" vents and the top on at the hose connector can get a little noisy if something covers it. Could be a headboard, pillow, arm when you move in your sleep. It's not a big deal but it can be a bit of a surprise especially when things have been quiet. You can't not immediately thing "OMG major air leak!".

Fourth--and to be this was the biggie until I solved it--the hose connector doesn't come with its own short flexi-hose. All the comments about feeling like a puppet on a string and your head being tugged in your sleep are because the Dreamwear, as it is presently packaged, is designed to connect straight to your CPAP machine's hose. Chances are, that hose will be heavier and less flexible than a typical mask hose. This results in the hose tugging at the mask is you move in your sleep as it can't flex that smoothly. My solution was to simply use the ResMed Swift FX hose connector with its short hose, and connect that to the CPAP machine hose. The difference was like night and day. My head is no longer tugged when I move in my sleep.

Here are some pics of my set up, and the mask, to give you an idea of what I've been talking about.

If you have any specific questions about the Dreamwear, just ask!

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Last edited by ultimax on Sat Nov 14, 2015 9:44 pm, edited 1 time in total.

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poppi2
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Respironics Dreamwear mask - Quick review and a tip!

Post by poppi2 » Fri Nov 13, 2015 11:38 pm

So, starting at the swivel on the Dreamwear, you just popped it out and inserted the FX hose? Good job. Earl

Edit: one more question. Doesn't the Dreamwear swivel have exhaust holes in it?

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Pugsy
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Re: Respironics Dreamwear mask - Quick review and a tip!

Post by Pugsy » Sat Nov 14, 2015 12:10 am

poppi2 wrote:Doesn't the Dreamwear swivel have exhaust holes in it?
Yes, it has a few vent holes and the Swift FX also has vent holes....but more of them and I can't tell the size.
I don't know how much or even if the difference in holes might impact anything. Perhaps it would just cause a false increase in leak rate....
I don't know if the potential difference in vent hole size and numbers is going to hurt anything or not.

It does appear to fit though but I am concerned about the vent hole difference.
I haven't had a chance to hook it up and feel for any potential change in the vented air flow.

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ultimax
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Re: Respironics Dreamwear mask - Quick review and a tip!

Post by ultimax » Sat Nov 14, 2015 3:39 am

Yes, I too wondered if the change in swivel has anything to do with the reported leaks. I originally reasoned it should be OK, since the Dreamwear mask swivel has a vent too, even if slightly different.

I've had nights where leaks were within the threshold so it isn't a continuous problem. I'll monitor the situation.

But I definitely don't want to go back to connecting the Dreamwear swivel with the CPAP hose. I need something lighter and more flexible.

Anyone know what type of hose I should buy? Seems like it's quite easy to buy a regular CPAP machine hose but not a mask one. I can't quite figure out what types of ends/connectors I need.

ultimax
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Re: Respironics Dreamwear mask - Quick review and a tip!

Post by ultimax » Sat Nov 14, 2015 3:41 am

poppi2 wrote:So, starting at the swivel on the Dreamwear, you just popped it out and inserted the FX hose? Good job. Earl

Edit: one more question. Doesn't the Dreamwear swivel have exhaust holes in it?
Yes, that's pretty much what I did. The fit isn't as snug but it's still snug enough. Doesn't come loose with yanking and jerking around.

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Pugsy
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Re: Respironics Dreamwear mask - Quick review and a tip!

Post by Pugsy » Sat Nov 14, 2015 7:18 am

I haven't seen the F & P Featherweight hose to compare it to the Swift FX short hose...but it will work for those that want a short hose.

https://www.cpap.com/productpage/circad ... -tube.html

From what I hear it isn't quite as light or flexible as the Swift FX hose but still better than having the more rigid regular hose attached at the top of the mask.

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I may have to RISE but I refuse to SHINE.

ultimax
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Re: Respironics Dreamwear mask - Quick review and a tip!

Post by ultimax » Sat Nov 14, 2015 8:30 am

Pugsy wrote:I haven't seen the F & P Featherweight hose to compare it to the Swift FX short hose...but it will work for those that want a short hose.

https://www.cpap.com/productpage/circad ... -tube.html

From what I hear it isn't quite as light or flexible as the Swift FX hose but still better than having the more rigid regular hose attached at the top of the mask.
Thanks Pugsy!

I did a side by side comparison of the vents on both the Swift FX (left) and Dreamwear (right) swivel and the former does indeed have many more holes.

I'll run a little experiment by taping up half the holes on the Swift FX. Let's see if it makes any difference.

Image

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Pugsy
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Re: Respironics Dreamwear mask - Quick review and a tip!

Post by Pugsy » Sat Nov 14, 2015 8:34 am

How much difference are you seeing in the leak numbers?

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ultimax
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Re: Respironics Dreamwear mask - Quick review and a tip!

Post by ultimax » Sat Nov 14, 2015 8:42 am

[quote="Pugsy"]How much difference are you seeing in the leak numbers?[/quote\

It's between 25 and 40 with the Dreamwear. Mr Frowny face has come on twice. But most nights have been with Mr Smiley and leaks in the high teens to low 20s. It's been less a week since I put on the Swift FX swivel though.

So, it's hard to say. Will keep monitoring those numbers.

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Pugsy
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Re: Respironics Dreamwear mask - Quick review and a tip!

Post by Pugsy » Sat Nov 14, 2015 8:50 am

I will try to play with it later and see if the leak numbers change when I know that for sure there are no masks leaks.
I think that using the PR S1, that I have, might be a better way to evaluate the numbers because it reports total leak which includes the vent rate and it's the vent rate that we are wondering about.

I will test it out while awake.

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ultimax
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Re: Respironics Dreamwear mask - Quick review and a tip!

Post by ultimax » Sat Nov 14, 2015 5:40 pm

Pugsy wrote:I will try to play with it later and see if the leak numbers change when I know that for sure there are no masks leaks.
I think that using the PR S1, that I have, might be a better way to evaluate the numbers because it reports total leak which includes the vent rate and it's the vent rate that we are wondering about.

I will test it out while awake.
Thanks Pugsy. This is all quite new to me so I don't really know what to look out for.

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poppi2
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Re: Respironics Dreamwear mask - Quick review and a tip!

Post by poppi2 » Sat Nov 14, 2015 9:11 pm

Thank you for the clear closeup photos. I now know what the pillow opening looks like. I never got that from the product pages. When my DME acquires them, it will be my next mask.

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ultimax
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Re: Respironics Dreamwear mask - Quick review and a tip!

Post by ultimax » Sat Nov 14, 2015 9:42 pm

poppi2 wrote:Thank you for the clear closeup photos. I now know what the pillow opening looks like. I never got that from the product pages. When my DME acquires them, it will be my next mask.
My pleasure!

I realised that the earlier photos were too large so they didn't display in full. I've since resized them. Here are a few more from different angles.

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Pugsy
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Re: Respironics Dreamwear mask - Quick review, pics and a tip!

Post by Pugsy » Sat Nov 14, 2015 11:43 pm

Okay...I did a leak test with the Swift FX short hose on the DreamWear and compared it to the regular hose connection.
Image below...Swift FX first and DreamWear on the right.

Remember Respironics machines report total leak. The Swift FX hose is venting more...when is to be expected since there are more holes and you can feel the extra force. It didn't leak around the swivel attachment though.

Got up to around 28 L/min with the Swift FX...total leak and only about 14 with the DreamWear swivel.
You can the the bottom leak line for the FX isn't at 0.0 but the DreamWear bottom leak line is at 0.0 which is where it should be while awake and I know that there are no leaks.

This was a real quick test and I have a bad headache so tomorrow I plan to repeat and give it a little more time.
This is excess leak but it isn't huge...I don't know how this would impact therapy but I would assume it shouldn't unless someone already has substantial leak and the extra 12 to 14 L/min makes the machine not be able to sense properly.
This was a low pressure test...I need to do a higher pressure test and see where it wants to go...
I will do that tomorrow when I don't feel like crap...


Image

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Re: Respironics Dreamwear mask - Quick review, pics and a tip!

Post by Physician » Sun Nov 15, 2015 2:37 am

Ultimax:

Good thoughts. Agree.

1. Did you feel excess pressure on your upper lip and/or teeth ?

2. Did the turbulent noise from the nosepiece keep you awake ?

3. Did the straps pull on your cheeks ?

4. Did you find the nose piece move away from your noise when side sleeping ?