Your comparison of nasal pillow interfaces?

I've received widely varied results that I am attributing to use of the different popular nasal pillow interfaces. Has anybody used two or more nasal pillow interfaces and can compare their relative results. I'm curious about the following interfaces.

Puritan Bennett Breeze

Resmed Mirage Swift

Innomed NAII

Also, does anyone have feedback on the CPAP Pro nasal interface, which affixes to the top teeth via a boil-n-bite mouthpiece? I have used one for about 60 days and like it very well. Any problems that anyone is aware of? Thanks.

I use the resmed pillow and love it. Al most like it isn't there

I regularly use the Nasal-Aire II with Medium Plus prongs. I am a side sleeper and have very little problem with this interface leaking or causing any sort of irritation. When I first got it I was frightened by the size of the prongs, but have had no problem with them (once I learned hoe to get them inserted properly).

I have purchased a Breeze interface with medium and Large pillows. So far I have tried it with the medium pillows. It is very light and comfortable. I have some trouble keeping it sealed without fairly heavy pressure of the pillows against the nares; this has led to some irritation. I need to experiment some more with fitting and perhaps the large pillows. All-in-all at this point I believe I'll probably end up staying with the Nasal-Aire II.

Just so you know where I'm coming from I use a Puritan Bennett Goodknight 420S CPAP at a pressure of 9 cm H2O. I have in the past tried full face masks and small nose-tip masks - all with no luck.

I'm also very interested in someone with experience with all three. My primary consideration is NOISE! I find the Breeze to seal pretty well and feel like I've gotten over the (all in my head?) sensation that I'm not exhausting my CO2 very well. However, it seems pretty noisy (both "internal" and "external" noise) and I need to wear earplugs to sleep.

So, are the Swift, NAII (I doubt this one), or Comfort Lite any quieter than the Breeze? Also, is the "new" Breeze any quieter than the "old" Breeze? I think I have the in-between Breeze with the newer style exhaust insert.

Sorry for the "Guest" post... That was me.

[quote="Anonymous"] My primary consideration is NOISE! [/quote]

I find both the Breeze with pillows and the Nasal-Aire II to be relatively quiet. The Nasal-Aire II is the quiter of the two.

Here goes my 2 cents worth. Despite the number of Breeze Lovers out there in "PapLand" It just did not work for me. I'm a back sleeper.....no way no how would this thing stay put. COMFORTLITE....I loved the pillows....loved the adjustment features.....However, the back strap seemed to always work it's way "upward" on the back of my head. Therefore it was nearly impossible to keep a seal through the night. I had the same problem with the Swift....I can't get these contraptions to stay on my head. I have very fine slippery hair on the back of my head (no hair on the front---that's another story ) The Adams Circuit was a washout too......tried that one 4 years ago hummmmmm maybe I should give it another try. WAIT !! 2 more to go>>>>> I also tried the Snapp...it was a total waste..... Finally I come to the Nasalaire2 . I have tweeked on this setup more than any other interface. I think I finally have it figured out. I'll have to wait a while before I give my final report on this little jewel. I've also tried........The Aclaim2 = No good..... Profile Lite = total junk...
Ultra Mirage = Good mask (not the best but good) and finally the Activa = It's been the most "leak free" mask yet but it also has some negatives.
FYI= I am not a wealthy person...I traded for some of these masks.....bought some on Ebay and some on Yahoo Auctions...and I received some from my DME. REMEMBER !!! as one famous person once said........."Your Mileage may vary" >>> What's good for one may not work for another.
Rich

What I've discovered on the Swift is you do not have to have the straps even snug. You can wear them quite loosely and the nasal pillows still stay in place and maintain their seal. I can probably put three fingers under the headbands on mine.

I am not a veteran hosehead, but I have tried a nasal mask and a nasal pillow. The nasal mask was Comfort-Gel and It was quite comfortable, but bulky and big.
I then swicthed to Breeze and found it difficult to get used to. I have the front straps connected to the front piece of the interface in the middle setting. It Is the best setting as the cushion piece does not push against the face and nares much. I also find the x-large cushions to be the most comfortable against my nares. It feels more like a soft wide cushion pshing against my nares ( not inside it).
I yhink that in general, you would like the nasal pillow system more comfortable with much less contact with face.

Haven't tried the Respironics ComfortLite. Tried too many Respironics masks with "comfort" in their name...hah. But am glad to hear it works for some. Any mask seems to work for some people - that's the beauty of our having so many choices.

The Nasal Aire II was wayyyy too noisy for me.

Swift was ok for me, but a bit too much sound for my taste, especially the way the wide-spread exhaust holes are apt to hit cover, arm, pillow, etc., when I sleep on my side with arm draped over an extra pillow. However, I can see how the Swift would suit a great many people, and it is a well-made interface - as are all of ResMed's masks that I've used, with the notable exception of their Vista which was too leaky up around my eyes.

Breeze is still by far and away my favorite. Fits perfectly for my turn-from-side-to-side sleeping. I use nasal pillows that are a size "too large" (the Large pillows.) I find they seal better and more comfortably by staying more against the outside of my nares (the entrance holes in one's nostrils.) Pillows that most DMEs would probably say "fit" are, imho, actually too small.

The Breeze is not silent. It does make what I'd describe as a soft whoosh sound when I inhale. Otherwise it is considerably quieter than the other pillows/prongs interfaces I've tried.

The one tweak I do to my Breeze to keep it comfortably steady no matter how much I turn is that I don't attach the long straps to the movable clip in front. Instead I put them lower than the clip can go. I put them across the hose in front of my face. Like this: