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Re: nasal pillow chafing

Posted by BostonBoy on August 29, 2001 at 14:51:10:

In Reply to: nasal pillow chafing posted by Tom on August 28, 2001 at 14:40:35:

Mallincrodt's instructions - which you should have received when the Breeze headgear was delivered - make best sense only after you have figured things out for yourself ...

Leave the nPAP machine turned off. Then think of yourself in profile, and try this:
Loosen all 3 adjustments, so that the headgear is generally a sloppy fit for you.

Now start at your nostrils and work from there up, over and down to the back of your head, as follows:
Press the shell and pillows gently and evenly to your nose with one hand, and with the other hand tighten the knurled shell locknut.
Keep holding the shell in place, and now use your free hand to set the lower sliding adjustment without allowing the shell to move.
Then push the steel-to-plastic adjuster for a final comfortable fit, while still anchoring the shell with one hand to maintain comfort at your nostrils.

Only then hit the 'on' switch to inspect for leaks. If you find any, think carefully about which adjuster is implicated, and make only one small incremental adjustment at a time, while thinking about the mental picture you have of yourself in profile.

It's like learning to ride a bike. You've just got to get it right that one time, and then everything else follows naturally! Bear in mind, however, that the final adjustment needs to be made while supine, with the nasal pillows under full pressure, and with the bed pillow in use.

Remember that one for the biggest errors is to allow the hose to drag on the headgear with varying force while you sleep - so think about suspending the hose from your headboard, such that it applies a constant but small drag on the headgear. You may need to free the small diameter hose from the uppermost hoop through which it passes, depending upon how the hose is routed and whether the bed pillow tends to interfere.

The two sliding adjustments change both distance and angle. The shell adjustment changes only angle. So you can visualize which piece needs to be adjusted if you first think 'in or out?' and 'up or down?' once the shell angle is set to your individual comfort.

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