ResMed Gecko Nasal Pad Cushion for CPAP Mask

When you start to use continuous positive airway pressure (CPAP) to treat your sleep apnea, you begin to learn about things that may at first seem very unfamiliar. Many who use CPAP may unfortunately quickly learn about issues related to a poorly fitting CPAP mask.

One of the most common problems if the mask does not fit properly is the struggle associated with excessive air leaks. When you attempt to fix this by tightening the mask, you may start to get pressure sores on your face if the mask does not fit well. In particular, the bridge of the nose may develop a redness that can evolve into a pressure ulcer if it is not relieved. Some of the materials used to make the masks may even cause a rash in those with sensitive skin or allergies.

How can this situation be relieved? Can it be improved with the use of a Gecko Nasal Pad from ResMed? What is the Gecko Nasal Pad? Learn about this mask cushion and how it helps aid the fit of CPAP masks to relieve pressure sores.

The ResMed Gecko nasal pad cushions CPAP masks for the treatment of obstructive sleep apnea.
Brandon Peters, M.D.

What Is the ResMed Gecko Nasal Pad?

The Gecko Nasal Pad is a product from ResMed, one of the major manufacturers of CPAP machines, that is meant to address the difficulties encountered by a poorly fitting CPAP mask. It may also provide relief if you suffer from skin sensitivity, including rashes or pressure sores from your mask. It is equipped with a soft gel pad that sits over the bridge of your nose, with extra padding to improve the seal and comfort of the mask. It is a little sticky, helping it to stay in place without slipping and causing leak.

It cannot be used with nasal pillows mask. It may fit best with full-face mask options. There are some nasal masks that may work with the pad, but others may not be fitted properly for the Gecko to work.

The Gecko Nasal Pad comes in two sizes: small and large. These will likely fit the majority of masks. It can be cut down to size, if necessary. If the sizing is not quite right, it may be necessary to explore an alternative.

It can be reused and may be wiped clean as needed. It's often sold in a single package, but it may also be available in packs of 10 from some durable medical companies that supply CPAP equipment.

How to Make the CPAP Mask Fit Properly

If you find that your mask is fitting improperly or causing marks or sores on your face, you should speak with your durable medical equipment provider or board-certified sleep specialist.

Your mask may not be fitted properly, and you may need to choose a new one. It is important to choose the right style and size to minimize leak and discomfort. Do not overtighten the mask. This can cause marks or sores on the nose to worsen. In some cases, it may be helpful to turn down the amount of air being delivered. This will require a call to your managing physician, who may be able to make this adjustment remotely.

Ideally, a proper mask will leave only minimal marks on your face, and the material it's made from should not cause an allergic reaction.

Other CPAP Mask Liner Options

In some cases, a mask liner or another soft barrier for the nose can be helpful. There are several additional options, including:

For those who need a little extra comfort, the Gecko Nasal Pad may be an option to consider, but if you cannot get a good fit, it may be time to look at another mask style.

A Word From Verywell

If you are struggling with your mask fit, or if you notice a redness or sore on the bridge of your nose that is not going away, don't give up hope! Speak with your sleep specialist or equipment supplier. By trying a different mask, or reducing the air pressure, you may get a better fit. This will optimize your use of CPAP therapy and help you to sleep and feel better quickly.

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  1. ResMed. Gecko Nasal Pads.

Additional Reading

By Brandon Peters, MD
Brandon Peters, MD, is a board-certified neurologist and sleep medicine specialist.