When I first saw the Nuance and Nuance Pro from Respironics, I thought there was some chance that it could make a good nasal pillow option.
I gave it a red hot shot, and tried it with many patients.
But honestly, it’s a swing and a miss from Respironics.
Out of the Box
The Nuance is ready to go out of the box (assuming you need a medium cushion). The headgear is very easy to take on and off, with a tacky ‘back-strap’ to prevent the headgear slipping up through the night. Simply:
1. Place the nasal pillows in your nose
2. Pull the tacky backstrap over your head
3. Adjust the tabs on the headgear to fit.
The Nasal Pillows
What makes or breaks a nasal pillow mask is the nasal pillows themselves. Everything else can be perfect, but if the nasal pillows themselves are no good, the whole mask is a failure.
The nasal pillows on the Nuance Pro are… ok.
There are some good points, and some poor ones.
The gel makes them soft on the nose, and they can be used as an option for patients with particularly sensitive noses.
IF you can get them to seal and retain the seal during the night.
As a result, the Nuance Pillows were prone to being pushed out of place during the night.
This was most ungood.
Vent Location and noise
The vent location points the air down, away from the user and the bed partner. Obviously it depends on the sleeping position, and which direction the hose is facing. If it faces downwards, it is away from the user and the bed partner. It’s relatively quiet, although not the quietest out there especially under higher pressures.
Honestly, the construction of the Respironics headgear seem a little flimsy still. I like the tackiness on the back strap, and this would help solve a major issue with some nasal pillow users; where the headgear slips up through the night. It is easily adjustable, and the gel pads in the headgear/frame help disperse the force on the cheeks, making it more comfortable especially for anyone who likes to sleep on their side. It is light, easily adjustable, but the fabric appears to lack durability. In addition, although the tacky underside on the backstrap does help retain the headgear, it can increase the collection of
Ease of use
This mask (like most nasal pillow masks) is very easy to put on and take off. Put the nasal pillows on your nose, and pull the back strap over your head. It can be a bit of a pain to get the right adjustment for you, and to get a good seal, and it lost some points for that.
With only 3 parts, it’s easy to assemble and dissassemble. No more to say.
The headgear feels like it will fall apart with any extensive wear. Respironics just don’t seem to produce the same quality headgear as ResMed and F&P. Also, I’m not a fan of the type of velcro tabs Respironics tend to use. They tend to fold more easily than other designs and get clogged easily, affecting how well they attach to the headgear.
There are better options trying first before you settle on the Respironics Nuance Pro. Honestly, I would give either ResMeds P10, Fisher and Paykels Brevida, or ResMeds Swift FX nasal pillows a go prior to trying the Nuance Pro.
It has some good features, and may be the best mask for some. But we feel that there are better options worth trying before taking the road less traveled with the Nuance Pro.