Sleep Disorders Sleep Apnea Review of the ResMed AirFit P10 Nasal Pillows CPAP Mask Consisting of stretchy headgear and air diffuser among new features By Brandon Peters, MD Brandon Peters, MD Facebook Twitter Brandon Peters, MD, is a board-certified neurologist and sleep medicine specialist. Learn about our editorial process Updated on May 29, 2020 Fact checked by Marley Hall Fact checked by Marley Hall LinkedIn Marley Hall is a writer and fact checker who is certified in clinical and translational research. Her work has been published in medical journals in the field of surgery, and she has received numerous awards for publication in education. Learn about our editorial process Print Nasal pillows are one of the most popular styles of CPAP masks. ResMed, one of the major manufacturers of this equipment, offers the AirFit P10 nasal pillows with some noteworthy improvements over prior models. Review some of the pros and cons of this mask and consider whether it might be the right mask option for you. Brandon Peters, M.D. Air Diffuser Screen Reduces Disturbances After using the AirFit P10 nasal pillows mask, I noted several modifications that I liked. The most apparent is the air diffuser located at the front of the mask. The exhalation port, which allows the release of air to prevent carbon dioxide accumulation, can sometimes be disruptive. In the Swift FX nasal pillows, a comparable model from ResMed, the air release was quite forceful, especially at higher pressures. This could blow air into covers or disturb your bed partner. With the AirFit P10, a plastic diffuser dissipates this airflow. It may make it slightly more difficult to exhale, but this is not particularly bothersome. The mask itself is clearly labeled for proper placement, with the left and right nostrils and size noted on the inferior surface. The plastic pillows (the part that actually sit in the nostrils) are more firmly held in place compared to the Swift FX model. This may be more supportive, depending on your own anatomy. Alternatively, it may forcefully direct the pillows into your nostrils or nasal septum, leaving your nose a little sore in the morning. The hard plastic support piece that supports the diffuser is certainly less flexible, and it advisable to test out the fit with your equipment provider before taking it home. Stretchy Headgear Change Adds Comfort, Leak Potential The headgear is also a clear departure from earlier models. It is more fixed in conformation, without adjustable Velcro or plastic bands. This may make it easier to get it situated at night, especially if you wake to urinate and come back to bed. I found myself wishing for a tab on the headgear to help identify the top and bottom in the dark. (It should be noted that the pillows themselves have a small half-moon indentation on the bottom surface.) The straps of the headgear are made of a stretchy fabric that seems appropriately sized with enough give to be “one size fits all”. Extremes of head sizes may benefit from a trial sizing to ensure it fits well. The split fabric bands can be moved around on the head to support the placement and seal of the nasal pillows. The headgear itself does seem to stretch out over time, introducing more mask leak. It is possible to restore the original springy conformation by running the headgear under hot water, ringing it out, and letting it dry. In addition, it is possible to get plastic clips that slide into place to increase the tension on the straps when they get older. As with other masks, the entire mask can be replaced every three months with coverage by insurance. Easy Cleaning and Assembly The mask itself is generally easy to clean. The pillows component can be pulled apart to clean. This also introduces more parts, and the complexity may be problematic for some. It may not be critical to get in there and clean it rather than just rinsing it out. Moreover, if the nasal pillows are replaced every two to four weeks (as they can be with most insurance), it may not be necessary to fully disassemble and scrub out the pillows component. Loss of Swivel May Lead to Mask Pulling One negative to the AirFit P10 compared to the Swift FX nasal pillows is that the hose attachment at the front does not have a swivel. Therefore, movement is not as easily accommodated. This may make it more likely for the mask to pull, dislodge, and leak when turning in bed. A Word From Verywell If you prefer to use the nasal pillows style of CPAP mask, the AirFit P10 model has some nice modifications, including the front air diffuser and stretchy headgear. There are smaller sizes available with the "For Her" version of the mask. The newer AirFit P20 model offers similar benefits. With a more firm pillow support piece and lack of hose swivel compared to other models, you may ultimately decide to keep your current favorite. This product was personally reviewed by the author and it was donated at the conclusion of the review period. 5 Sources Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Wimms A, Ketheeswaran S, Ziegenbein C, Jennings L, Woehrle H. Impact of a new nasal pillows mask on patients' acceptance, compliance, and willingness to remain on CPAP therapy. Sleep Disord. 2016;2016:6713236. doi:10.1155/2016/6713236 Zhu X, Wimms AJ, Benjafield AV. Assessment of the performance of nasal pillows at high CPAP pressures. J Clin Sleep Med. 2013;9(9):873–877. doi:10.5664/jcsm.2984 Billings ME, Kapur VK. Medicare long-term CPAP coverage policy: a cost-utility analysis. J Clin Sleep Med. 2013;9(10):1023–1029. doi:10.5664/jcsm.3074 Rowland S, Aiyappan V, Hennessy C, et al. Comparing the efficacy, mask leak, patient adherence, and patient preference of three different CPAP interfaces to treat moderate-severe obstructive sleep apnea. J Clin Sleep Med. 2018;14(1):101–108. doi:10.5664/jcsm.6892 Sands SA, Edwards BA, Terrill PI, et al. Phenotyping pharyngeal pathophysiology using polysomnography in patients with obstructive sleep apnea. Am J Respir Crit Care Med. 2018;197(9):1187–1197. doi:10.1164/rccm.201707-1435OC By Brandon Peters, MD Brandon Peters, MD, is a board-certified neurologist and sleep medicine specialist. See Our Editorial Process Meet Our Medical Expert Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit