Nasal pillows

Nasal pillows or prongs consist of soft rubber pledgets that are directly inserted into the nostrils. Nasal pillows can be as effective as face masks in reducing Paco2 (26). These pillows are available in multiple sizes. 

ESOro-rtasal mask Nasal mask Nasal pillows... 

Figure 1 Rate of use of three different noninvasive interfaces (oro-nasal mask, nasal mask, nasal pillows), as reported by the studies where noninvasive ventilation was utilized to treat acute left) and chronic (right) patients. The oro-nasal mask is the interface of choice in patients with acute or acute on chronic ventilatory failure, while it is less commonly employed for domiciliary treatment of stable chrcniic ventilatory failure. The nasal mask is preferred for long-term treatment of chronic patients. Source From Refs. 39 and 40.

In 1995 he requested tracheal decannulation, which occurred without problems. Volume ventilation with nasal pillows was established as a backup. He remains in the community, works and goes on vacation, enjoying good health. On two occasions he required out patient chest physiotherapy and in-exsufflation to assist with secretion clearance, associated with a lower respiratory infection. On these occasions, he was not satisfied that his secretions were being cleared completely by his manual resuscitator assisted cough or by GPB. 

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