Low pressure nasal pillows just feels so much higher pressure than high pressure full face.

[elavi001]

Hey!

I have the Resmed air sense 10 with a ResMed AirFit F20 Full Face. I have been using it for over a year. I really want to switch to nasal pillows. I have the Philips Respironics nuance pro gel pillows. The moment I put the pillows on, my lungs inflate and it's a really uncomfortable feeling. Even when my full face mask is high pressure, I don't get the feeling of inflated lungs, so how am I getting this feeling with the nasal pillows?

Also, is it okay to use Philips pillows with ResMed device? The auto-off feature doesn't work when I take off my pillows. (Even when I changed the setting on the device to pillows)

Lastly, the reason I want to switch is that I am suspecting that my full face mask is messing with my blood circulation because I wake up extremely lightheaded and I get facial swelling every morning. Anyone ever experience that?

Thanks!!

[Goofproof]

Pressure and Flow are two different things , like Apples and Oranges, you can count them and juice them, but they will taste different.

A nasal pillows mask moves air thru nozzles at high speed, more violent. The pressure in a FF mask comes from low flow, much slower and more gentle. Both can provide the same pressure but feel different. Jim

[zonker]

Hey!

I have the Resmed air sense 10 with a ResMed AirFit F20 Full Face. I have been using it for over a year. I really want to switch to nasal pillows. I have the Philips Respironics nuance pro gel pillows. The moment I put the pillows on, my lungs inflate and it's a really uncomfortable feeling. Even when my full face mask is high pressure, I don't get the feeling of inflated lungs, so how am I getting this feeling with the nasal pillows?

Also, is it okay to use Philips pillows with ResMed device? The auto-off feature doesn't work when I take off my pillows. (Even when I changed the setting on the device to pillows)

Lastly, the reason I want to switch is that I am suspecting that my full face mask is messing with my blood circulation because I wake up extremely lightheaded and I get facial swelling every morning. Anyone ever experience that?

Thanks!!

welcome to the zoo! did you change the settings on your machine to reflect the nasal mask settings? in other words, you may have been set to full face and you didn't change to nasal.

oops, looks like you might have done that already. (would help if i actually read posts BEFORE replying!)

never mind. i'll let someone else handle that.

btw, when you find the time, would you be so kind as to go to your user profile and fill in your equipment? that way, it'll show up at the bottom of your posts, as mine does below.

good luck!

[cpapmoma1]

Welcome.
I've had experience with the facial swelling you are dealing with. Kept thinking It would resolve itself- or just stubborn.
Using it for too long caused nerve damage on my face and a long, painful recovery. Try the softest, most pliable mask you can find.

The cloth mask worked well, but was hard to control leaks. Now Dreamwear is my choice- flexible with no hard plastic edges. Important especially if you are a side-sleeper. Will soon be trying the elusive Bleep mask

Best not to use any mask that causes swelling, to avoid a big problem.

I'm no expert,but if you hang around here, you will get some super advice and guidance.

[elavi001]

Welcome.
I've had experience with the facial swelling you are dealing with. Kept thinking It would resolve itself- or just stubborn.
Using it for too long caused nerve damage on my face and a long, painful recovery. Try the softest, most pliable mask you can find.

The cloth mask worked well, but was hard to control leaks. Now Dreamwear is my choice- flexible with no hard plastic edges. Important especially if you are a side-sleeper. Will soon be trying the elusive Bleep mask

Best not to use any mask that causes swelling, to avoid a big problem.

I'm no expert,but if you hang around here, you will get some super advice and guidance.

Wow, it is very comforting to hear I am not alone. How long were you on CPAP before you started noticing symptoms? Can you describe the symptoms in more detail, please?

Thank you for your reply!

[elavi001]

Pressure and Flow are two different things , like Apples and Oranges, you can count them and juice them, but they will taste different.

A nasal pillows mask moves air thru nozzles at high speed, more violent. The pressure in a FF mask comes from low flow, much slower and more gentle. Both can provide the same pressure but feel different. Jim

That makes alot of sense. So this is normal. Thanks!

[ChicagoGranny]

I have the Resmed air sense 10 with a ResMed AirFit F20 Full Face. I have been using it for over a year. I really want to switch to nasal pillows. I have the Philips Respironics nuance pro gel pillows. The moment I put the pillows on, my lungs inflate and it's a really uncomfortable feeling. Even when my full face mask is high pressure, I don't get the feeling of inflated lungs, so how am I getting this feeling with the nasal pillows?

That's one I don't understand. I can switch back and forth between a FFM and nasal pillows without experiencing this.

A nasal pillows mask moves air thru nozzles at high speed, more violent.

The speed at which air moves through the pillows is not determined by the machine pressure. It's determined by the rate/volume the patient is breathing at.

If air is moving through the pillows at "high speed", then the patient is breathing rapidly. Or, the patient is letting pressure escape between the lips.

[ChicagoGranny]

Resmed air sense 10

Which model machine?

Are you using Oscar software to monitor your therapy? Do you look at your AHI and leak statistic on a daily basis?

[Goofproof]

I don't use pillows masks, but I think of the air outlets in the pillows masks as two holes of about 3/16 inch blowing into your nostrils. (???? Size Guess)! The Full face mask gets it's air thru the main XPAP Hose, that's a much bigger opening, while the amount of air volume is about the same the bigger opening in the FF Mask the air could move gentler, and still provide the same flow. Jim

[ChicagoGranny]

I don't use pillows masks, but I think of the air outlets in the pillows masks as two holes of about 3/16 inch blowing into your nostrils.

The pillow openings are about the size of the nostril openings.

[palerider]

A nasal pillows mask moves air thru nozzles at high speed, more violent. The pressure in a FF mask comes from low flow, much slower and more gentle. Both can provide the same pressure but feel different. Jim

That makes alot of sense. So this is normal. Thanks!

It may "make sense" but it's wrong.
Nasal pillows should fit your nostrils, so those are much the same whether you're on ffm or pillows.

And, as Chicago granny points out, no air is flowing through the pillow openings, except what you're inhaling, or exhaling.

If you're pausing between breaths, then, there is *no* air moving through those "nozzles*.

[palerider]

I don't use pillows masks, but I think of the air outlets in the pillows masks as two holes of about 3/16 inch blowing into your nostrils.

The pillow openings are about the size of the nostril openings.

Yes, so little, if any, net difference.
.

[cpapmoma1]

[It was probably about 6 yrs into my therapy that the swelling happened. The new mask I was trying had a hard plastic section at the front ( I don't recall which one it was).

When I slept on my side as usual, the hard edge pressed into my cheek. Then began discomfort and pain in the cheek next to my nose and swelling that looked like a tennis ball was tucked in my jowl After getting a new mask and some cheek pads, it was probably 6 months before all the swelling and pain were gone. Thankfully no leftover damage.


Wow. What a depressing post I do hope it helps

[elavi001]

I don't use pillows masks, but I think of the air outlets in the pillows masks as two holes of about 3/16 inch blowing into your nostrils.

The pillow openings are about the size of the nostril openings.

Yes, so little, if any, net difference.
.

Yeah... I see. It's weird because even if I am not breathing at a particular moment, the pillows really feel like they inflate my lungs. I mean, on its own, it kind of makes sense. It is high air pressure, which expands the lungs like a balloon even if the air isn't flowing. But I don't get that sensation on ffm, regardless of the pressure.

[elavi001]

Resmed air sense 10

Which model machine?

Are you using Oscar software to monitor your therapy? Do you look at your AHI and leak statistic on a daily basis?

It's the latest The ResMed AirSense 10 CPAP. Are there more specific models than that? I don't use Oscar, I just use MyAir app and yeah my AHI is around 2 and my leaks are under control. Should I be using Oscar software?