AirFit P30i: Which size for you?

The Covid-19 pandemic has spelled challenges for care services throughout the world. As a result, some CPAP users might be experiencing some changes when it comes to accessing their healthcare provider or doctor for in-person setup advice. It might mean that you’re finding yourself collaborating online with your physician, or you could be looking to make use of virtual resources to help you choose your mask after receiving a prescription for CPAP therapy. If that sounds like you, read on for some fitting tips for the ResMed AirFit P30i nasal pillows mask.

AirFit P30i, at a glance

If you’re a nasal pillows mask user, or your doctor has prescribed a nasal pillows mask, the AirFit P30i gives you the freedom to sleep in a natural way. This tube-up design (where the mask vents are placed on top of the head and on the cushion) is geared towards simplicity and discretion, allowing you to read or get close to your bed partner. Plus, as the P30i features a nasal pillows cushion, we offer a starter pack which suits the needs of the majority of patients so sizing for your mask doesn’t have to be complicated.

Starter packs for AirFit P30i

In our online shop you’ll find AirFit P30i starter packs in Small and Medium. The sizes refer to the size of mask frame, not the cushion.

Generally, women can opt for Small while men can find an effective fit with Medium. All P30i frames are SpringFit™ which self-adjust to the size of your head. Headgear can be easily adjusted too, helping you achieve a comfortable fit throughout your therapy.

Measuring for a mask at home: AirFit N30i

For many of us, the Covid-19 pandemic has changed the way we interact with doctors and healthcare professionals. If you’re a CPAP therapy user, you might be using more online methods and virtual resources to consider – in partnership with your physician   – which mask works for you.

If you’ve received a prescription for CPAP therapy, then read on to see how you can take measurements from home for the AirFit™ N30i and use these to select your mask.

First off, choosing a mask that suits your needs and sleeping style is important because a comfortable therapy experience could help you stay on track and lead to more quality sleep. The ResMed AirFit N30i is a tube-up CPAP mask with an adjustable frame. The top-of-the-head tube is designed to give you freedom of movement, while an under-the-nose cushion helps eliminate marks on the nasal bridge.

Watch the following two videos, then take a look below to find out how to use our sizing template and discover handy tips for achieving a good fit with the N30i.

AirFit F30i: Measuring for your mask at home

A comfortable CPAP experience could help you stay on track with therapy and lead to better sleep, so choosing a mask that helps you achieve this is important. With the Covid-19 pandemic changing the way healthcare is accessed and more appointments happening online, how can you go about choosing the right mask once you’ve received a CPAP prescription from your doctor and discussed mask options? To help out, we have some resources to support you in your size choice and achieve an effective fit from home.

In this article, we’ll focus on the AirFit F30i, a tube-up full face CPAP mask designed with natural sleep in mind. The top-of-the-head tube allows you to move freely and sleep in any position[i] – even on your belly! – while an under-the-nose cushion eliminates the risk of red marks on the nasal bridge and gives you the opportunity to read in bed or watch a movie while wearing your mask. If this sounds like the mask for you, check with your healthcare professional to make sure it meets your therapy needs, then read on to find out how to use our sizing template and discover handy tips for achieving a good fit.

Measuring for your AirFit F30i mask cushion

A fitting template for the Airfit F30i CPAP mask is available as a download here. Once downloaded, it can be printed out in either colour or black and white, so don’t worry if you don’t have a colour printer.

F30i-mask-cushion-size-guide-resmed-uk

Using the template:
1. Ensure the template is printed to scale – you can check this using the ruler image on the right of the printout
2. Cut along the dotted line using a pair of scissors
3. Now, line up one of the size reference images (labelled S, M, SW, W) below your nose. The paper should be touching the skin of your upper lip and the image facing upwards as shown on the template
4. The sides of your nostrils and tip of your nose should not exceed the dotted lines of the sizing area. If they do, you’ll need the next size up, so try aligning your nose with a different sizing area until you find one in which your nose can comfortably fit.
Cushions in sizes S, M and W are available as part of a starter pack in our online shop. If you find that a SW cushion suits you best you will need to order your cushion as a spare part.

Measuring for your mask frame

Getting the right fit for your frame is essential in order to achieve effective mask seal – and a restful night’s sleep! To help you decide whether you need a Small, Medium or Large frame you can use our AirFit F30i fitting guidelines. Accurate measurement is important, so you’ll need a flexible tape measure on-hand.

How-to-measure-for-F30i-CPAP-mask-headgear

Although we offer AirFit F30i starter packs for hassle-free buying, you may wish to mix and match your cushion and frame size, particularly if you need a Large frame. In this case, it’s best to order your frame as a spare part.
Once you received your mask, make sure you read the user guide for full product information and usage instructions.

What’s next?
Now that you’ve chosen your mask cushion and frame size, you’re ready to order! Use your measurements to buy online or share this information with your healthcare professional to discuss. If you need further advice, just get in touch with our customer services team who are more than happy to help. Sweet dreams!

It’s World Diabetes Day!

Today is World Diabetes Day. It’s an annual event held on the 14th of November that aims to spread the word about the importance of tackling diabetes and recognising it as a critical global health issue.

Why the 14th November? Well, it’s a significant date: the birthday of Sir Frederick Banting who, in 1922, co-discovered insulin along with Charles Best. World Diabetes Day was created in 1991 by the International Diabetes Federation (IDF) and the World Health Organisation (WHO) in response to growing concerns about the escalating health threat posed by diabetes. It has since grown to become a globally celebrated event and an official United Nations (UN) awareness day. It is now the world’s largest diabetes awareness campaign.

November 2019 marks the second year of a two-year theme dedicated to “The Family and Diabetes”. Research conducted by the International Diabetes Federation (IDF) revealed that many parents would struggle to spot the warning signs of diabetes in their own children.

According the NHS1 you, or a family member, should see your GP as soon as possible if you experience the main symptoms of diabetes which can include:

  • feeling very thirsty
  • peeing more frequently than usual, particularly at night
  • feeling very tired
  • weight loss and loss of muscle bulk
  • itching around the penis or vagina, or frequent episodes of thrush
  • cuts or wounds that heal slowly
  • blurred vision

Diabetes and Sleep Apnoea

Diabetes and sleep apnoea are strongly associated with one another. Clinical research shows that as many as 48% of people diagnosed with type 2 diabetes have also been diagnosed with sleep apnoea.2 Even more striking, researchers believe that 86% of obese type 2 diabetic patients suffer from sleep apnoea.3 For more information see our article “Diabetes and Sleep Apnoea

Useful diabetes resources

More Than 936 Million Have Obstructive Sleep Apnoea Worldwide

If you have obstructive sleep apnoea, you’re definitely not alone. According to the latest scientific research1more than 936 million people around the world are affected.

This remarkable figure, which was published in the world’s leading respiratory health journal, is nearly 10 times greater than the World Health Organisation’s 2007 estimate of over 100 million. It’s led to new calls for physicians to step up their efforts to screen, diagnose and prescribe treatment for this manageable disorder.

More than 85 percent of [obstructive] sleep apnoea patients are undiagnosed,” explains Carlos M. Nunez, M.D., a study co-author and ResMed’s chief medical officer. “This raises their risk of workplace and road accidents, and can contribute to other significant health problems, such as hypertension, cardiovascular disease, or even poor glucose control for diabetic patients. We know the risks and now we know the size of the problem. Addressing it starts with screening patients we know to be high-risk.”

Undiagnosed sleep apnoea and risk ResMed blog UK

Why is obstructive sleep apnoea mostly undiagnosed?

With over 85% of obstructive sleep apnoea cases currently undiagnosed, there are millions of people who don’t know they’re affected. They’ll repeatedly stop breathing for 10 seconds or more throughout the night, jerking awake to avoid suffocation before the cycle starts again. The disruptive cycle causes chronic sleep deprivation but most people don’t remember waking up. Instead, they assume they’re tired because they’re stressed or getting older. Or they end up being misdiagnosed with insomnia, migraines, chronic fatigue or other conditions.

Who is at risk for obstructive sleep apnoea?

Obstructive sleep apnoea can affect anyone, including children. Snoring is the number one indicator of sleep apnoea in men and women, though not everyone who snores has it… and not everyone who has it snores.

Other common risk factors include: being overweight, being older than 40 and having a large neck circumference, a family history of sleep apnoea and various other physical characteristics, like nasal polyps. Smoking, drinking alcohol and taking certain sedative medicines increases the risk. More than half of all people with obesity, heart failure, stroke or transient ischemic attack (TIA), atrial fibrillation or type 2 diabetes have sleep apnoea, according to leading research2. And it’s worth noting that women account for 40 percent of newly diagnosed sleep apnoea patients3.

How can I tell if I’m affected?

Common signs of obstructive sleep apnoea include snoring and gasping or choking during sleep, sleepiness, forgetfulness, poor concentration and lack of energy during the day, frequent urination at night, sexual dysfunction, morning headaches, night sweats, weight gain and a depressed mood.

The bottom line is: If you’re constantly tired or have other conditions linked to sleep apnoea, it never hurts to ask your doctor about it,” says Nunez. “Don’t settle for being tired all the time. You may improve your sleep, your mood, your relationships at work and home, your health, perhaps even other medical conditions you’re managing. But first, you have to find out.”

AirFit P30i & N30i CPAP masks earn good design awards!

We’ve had some great news recently: two of our latest CPAP masks, the AirFit™ N30i nasal cradle mask and the AirFit P30i nasal pillows mask, both received Good Design Australia Awards in the Product Design category for achieving the highest level of design and innovation.

Selected from among nearly 700 entries, the nasal AirFit N30i and nasal pillows AirFit P30i are the first ResMed masks with a tube-up connection, allowing wearers to move and sleep in any position. Both masks fit at least 90 percent of wearers with only two frame sizes each.

Overall, this is a robust piece of design that has been perfectly executed,” said the Good Design Awards Jury. “Care and detail were taken in the material selection for comfort and ease of fitment. They’re good examples of the understanding of the user in the context, and a very sophisticated tooling technique for the spring hinge that accommodates different head shapes, and also the soft nose piece.”

The 30 Series masks are just the latest of ResMed’s Good Design winners; in 2017, ResMed earned four awards for its AirFit N20 nasal maskAirFit F20 full face mask, and AirTouch™ F20 full face mask with memory foam cushion, plus AirMini™, the world’s smallest CPAP machine1.

We’re honoured that Good Design Australia has once again chosen ResMed products as the standard for medical device design,” said Mark Buckley, ResMed’s Vice President of sleep product development. “We continue to redefine that standard for the sake of patients’ comfort and overall health, as well as the efficiency of ResMed’s distribution partners. Their continued trust in ResMed is our greatest reward.”

Diabetes and Sleep Apnoea

Diabetes and sleep apnoea are strongly associated with one another.

Clinical research shows that as many as 48% of people diagnosed with type 2 diabetes have also been diagnosed with sleep apnoea.1 Even more striking, researchers believe that 86% of obese type 2 diabetic patients suffer from sleep apnoea.2

What does that mean? Although these statistics don’t necessarily prove that diabetes causes sleep apnoea (or vice versa), it’s clear that there’s a real medical connection here – one which the medical community has been exploring for decades. It also means that if you’ve been diagnosed with Type 2 diabetes, you may want to consider paying close attention to the risk factors of sleep apnoea.

“Based on the current evidence, clinicians need to address the risk of OSA (Obstructive Sleep Apnoea] in patients with type 2 diabetes,” advise the authors of a 2008 study published in the journal Chest, “and, conversely, evaluate the presence of type 2 diabetes in patients with OSA.”3

Diabetes and sleep apnoea: What’s the relationship?

Of course, despite the numerous research articles published on the association between sleep apnoea and diabetes – and there are a lot – researchers still don’t know exactly what causes this connection. And it hasn’t been proven in specific terms whether one condition directly causes the other.

In fact, a 2005 study published in the American Journal of Respiratory and Critical Care Medicine attempted to find out “whether an independent relationship” existed between type 2 diabetes and sleep-disordered breathing.4 Looking for an “independent relationship” means that researchers hoped to discover the secret behind the connection between sleep apnoea and diabetes and why so many people have both conditions.

Unfortunately, that study was inconclusive, and the real source of the connection between sleep apnoea and diabetes remains unknown. Although, combined evidence from population and clinical-based studies suggest there is an independent association between OSA and type 2 diabetes, highlighting the importance of considering each of these two diseases if you have one of them.3

Diabetes and Sleep Apnoea: Awareness and prevention

We can’t say that if you have sleep apnoea, you’ll get diabetes, or vice versa. But with such a large overlap between these two conditions, it’s sensible to suspect that if you do have one of these conditions, your likelihood of developing the other is increased.

That means paying extra close attention to the risk factors for diabetes if you have sleep apnea, and making sure you’re doing all you can to ensure healthy sleep if you happen to be diabetic.

Even health professionals are on the lookout for the connection. The international Diabetes Federation Taskforce on epidemiology and Prevention strongly recommends that health professionals working in both type 2 diabetes and SDB adopt clinical practices to ensure that a patient presenting with one condition is considered for the other.”

How can I tell if I have Obstructive Sleep Apnoea?

Common signs of obstructive sleep apnoea include snoring and gasping or choking during sleep, sleepiness, forgetfulness, poor concentration and lack of energy during the day, frequent urination at night, sexual dysfunction, morning headaches, night sweats, weight gain and a depressed mood. If you’re constantly tired or have other conditions linked to sleep apnoea, it’s always advisable to speak to your GP or healthcare professional.

The facts on stroke and sleep apnoea

Stroke is a cardiovascular disease

It is the brain equivalent of a heart attack. For your brain to function, it needs a constant blood supply bringing oxygen and nutrients to the brain cells. If the blood vessels burst, if they are narrowed by disease or blocked by a blood clot then the blood flow is obstructed and the brain cells don’t receive the required oxygen or nutrients. Without oxygen and nutrients, the brain cells are damaged or die.

Stroke carries a high risk of death, depending on the type of stroke.

A ‘mini stroke’ or Transient ischaemic attack, where symptoms resolve in less than 24 hours, has the best outcome. Survivors of stroke can experience loss of vision and/or speech, paralysis and confusion depending on the part of the brain that is affected, how widespread the damage is and how healthy the person was before the stroke. Having had one stroke significantly increases risk of having another.

People with sleep apnoea experience a number of symptoms that may predispose them to stroke

Like repetitive drops in oxygen levels during the night which places stress on the heart and brain, and an increase in sympathetic nervous system activity leading to the narrowing of blood vessels, increased heart rate and hypertension. Hypopnoeas and apnoeas are known to cause death of brain cells from lack of oxygen5 and hypertension is a major risk factor for stroke. Treating hypertension can reduce the risk of stroke by 40%.1

Stroke has the potential to cause sleep apnoea

Depending on the part of the brain affected by stroke. Some types of stroke affect the control of breathing while other types of stroke can compromise the function of muscles that control the tongue and soft palate.
Since these muscles hold the upper airway open, this loss of muscle function can result in obstructive sleep apnoea.

Stroke patients with untreated sleep apnoea have a significant disadvantage in the struggle to recover from stroke. Daytime sleepiness, fatigue and impaired memory and concentration associated with sleep apnoea, combined with the effects of stroke are likely to make stroke rehabilitation more difficult. Untreated sleep apnoea in stroke patients is associated with higher death rates at one year and poor functional outcomes in survivors.6

Treating sleep apnoea with CPAP will reduce the apnoeas and hypopnoeas associated with the drops in oxygen that can place stress on the heart and brain. It will reduce blood pressure, the main risk factor for stroke, significantly reducing the chances of suffering a stroke7. Treating sleep apnoea has also been shown to reduce the risk of new problems occurring with the blood vessels8 and is known to improve quality of life6 and reduce the stroke mortality rate.9

Obstructive Sleep Apnoea (OSA) and Blood Pressure

Essentially, most medical experts are of the opinion that there is a connection between blood pressure and sleep apnoea. The U.S. National Heart, Lung and Blood Institute (a division of the National Institutes of Health) states in it’s definition of sleep apnoea that left untreated it can “increase the risk of high blood pressure,” whist also presenting a greater risk for obesity, stroke and heart attack.1

The Mayo Clinic states high blood pressure as a possible complication of sleep apnoea. They say that “sudden drops in blood oxygen levels that occur during sleep apnoea increase blood pressure and strain the cardiovascular system.” They also warn that “if you have obstructive sleep apnoea, your risk of high blood pressure (hypertension) is greater than if you don’t,” they also go onto link the severity of the sleep apnoea with that of the blood pressure.2

Our own NHS in the UK gives similar warnings about the link between the 2. saying on their web site that “Obstructive sleep apnoea (OSA) is associated with high blood pressure,” and that it’s “uncertain whether people develop hypertension as a direct response to OSA, or whether it is the result of an underlying cause of OSA, such as obesity.”3

Sleep apnoea and blood pressure: The research

The suggestion that high blood pressure and sleep apnoea are regularly found together are supported by a wide variety of medical studies. A study published in American Family Physician in 2002 is typical: “About one half of patients who have essential hypertension (hypertension without a known cause) have obstructive sleep apnoea, and about one half of patients who have obstructive sleep apnoea have essential hypertension.”4

A 2009 study published in the journal Hypertension Research also found that OSA “increases both daytime and night-time ambulatory blood pressures.” That study concluded that understanding the characteristics of a patient’s sleep apnoea “is essentially important” to achieve control over high blood pressure.5

So, what to do with this information? Chances are you may well be aware of the connection, but if not and if you suffer from OSA then be sure to discuss any concerns with your GP. Please discuss any medical advice with your doctor or equipment provider. If you have a specific product question, please contact the ResMed UK team

Are hay-fever or allergies affecting your CPAP use?

Hay fever, otherwise known as seasonal allergic rhinitis, is an allergic reaction to airborne substances such as pollen that get into the upper respiratory passages – the nose, sinus, throat – and also the eyes. It affects around one in four people. Symptoms that may be caused by the allergy are: itching eyes, sneezing, nasal stuffiness, nasal congestion and drainage, and sometimes headaches.

Hay fever usually occurs in spring and summer, when there is more pollen in the air. Trees, grass and plants release pollen as part of their reproductive process. Mould and fungi also release tiny reproductive particles, called spores.

People with hay fever can experience their symptoms at different times of the year, depending on which pollens, spores or dust mite are causing the allergy.

The human body has its own humidification process that protects the respiratory system. Every time a person takes a breath, the nose, pharynx (behind the nasal cavities and mouth) and trachea (in the throat) add moisture to the air so that it does not dry out. As the air passes further into the airway, it becomes warmer and more humid. By the time it reaches the lungs it is at the ideal temperature and humidity. When you exhale, your nose conserves moisture by recovering about a third of the water present in each exhaled breath.

This moisture is then used to humidify the next inhaled breath. With allergies and colds the nasal passages may be blocked causing people to breathe through their mouths and therefore the natural humidification through the nose, which is responsible for two-thirds of humidification, is bypassed. This starts a vicious circle because nasal symptoms trigger mouth breathing and mouth breathing aggravates nasal symptoms.

Heated humidification with CPAP greatly decreases the symptoms of nasal congestion, dry nose and throat. The humidifier replaces moisture in the nasal cavity which has been lost due to mouth breathing.

Sometimes nasal stuffiness due to rhinitis, sinusitis, or allergies can be relieved by prescription nasal sprays or medications. These may make it easier to breathe during CPAP treatment. However, many patients have found that they can discontinue the use of nasal medications either after changing to heated humidification or after adjusting their humidifier to the proper level to relieve the dryness of the nasal and oral cavity.

Minimising exposure to allergens like pollens and dust mite can be useful in controlling allergic symptoms.

Tips for controlling your allergic symptoms:

  • Use hypoallergenic filters with your humidifier
  • Keep windows and doors closed during heavy pollen seasons.
  • Rid your home of indoor plants and other sources of mildew.
  • Change feather pillows, woollen blankets, and woollen clothing to cotton or synthetic materials.
  • Enclose mattress, box springs, and pillows in plastic barrier cloth.
  • Use antihistamine and decongestant as necessary with medical advice.
  • Observe general good health practices; exercise daily, stop smoking, avoid air pollutants, eat a balanced diet, and supplement diet with vitamins, especially vitamin C.

Read more about humidification here

This blog post contains general information about medical conditions and treatments. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. The information is not advice, and should not be treated as such. You must not rely on the information on this website as an alternative to medical advice from your doctor or other professional healthcare provider.

If you have any specific questions about any medical matter, you should consult your doctor or other professional healthcare provider. If you think you may be suffering from any medical condition, you should seek immediate medical attention. You should never delay seeking medical advice, disregard medical advice, or discontinue medical treatment because of information on this website. The views expressed on this blog and website have no relation to those of any academic, hospital, practice, or other institution with which the authors are affiliated and do not directly reflect the views of ResMed or any of its subsidiaries or affiliates.