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Fisher & Paykel Nova Nasal Mask Review

Iara Rosemffet, CPAP Expert
Iara Rosemffet, CPAP Expert

08 Jan 202620 min read

In this Article

Finding the right CPAP mask is often the hardest part of your sleep apnea journey. If you breathe through your nose and need a mask that balances a secure seal with lasting comfort, the Fisher & Paykel Nova Nasal Mask might be the solution you have been looking for.

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We know that if a mask does not feel right immediately, you are much less likely to stick with your therapy. You need gear that works for your specific sleep style without complicated adjustments. That is why we are cutting straight to the chase. Here is a detailed look at how the Nova Nasal performs and why it might be the right fit for your nightly routine.

Key Design Features of the F&P New Nova Nasal Mask

Mask design isn't just about looks; it’s the interface that decides if you sleep well. A good nasal mask focuses on maintaining a stable seal while you move, which is critical because “Adherence over the first few days to weeks has been shown to predict long-term adherence” (Patil et al., 2019). If you aren't comfortable on night one, you are less likely to stick with it, so modern engineering now prioritizes dynamic seals that move with you rather than tight, static fits.

SwingFit™ Headgear: Movement-Aware Stability

The SwingFit™ headgear utilizes a pivoting clip system and a one-click fastening mechanism designed to accommodate natural changes in sleeping positions. By allowing the mask frame to pivot independently of the headgear straps, the design aims to maintain fit consistency even as a user shifts from their back to their side. A headgear system that fails to adjust to movement often creates tension that dislodges the seal, leading to disruptive leaks and physical discomfort that can discourage nightly use.

RollFit™ Nasal Cushion: Seal That Adapts to Movement

The RollFit™ nasal cushion is engineered as a dynamic component that rolls back and forth on the bridge of the nose rather than remaining stationary. This rolling action allows the cushion to adjust to facial movement and pressure changes without breaking the seal. By sitting lower on the nose, it also provides a clearer line of sight compared to bulkier traditional cushions. This adaptive approach is supported by engineering research highlighting that “Most commercially available CPAP mask fitting guides rely on 2-dimensional (2D), normalized templates, which obviate the 3-dimensional (3D) nature of human facial features, usually leading to the rejection of the prescribed devices due to fitting and discomfort issues” (Ma et al., 2020). The RollFit™ design attempts to bridge this gap by conforming to the 3D reality of a moving face. This focus on maintaining a consistent seal aligns with AASM clinical principles, which note that minimizing air leaks is a key factor in supporting long-term adherence to therapy (Patil et al., 2019).

AirEdge™ Fabric Stability Arms: Managing Pressure Points

To address the issue of localized pressure marks, the Nova Nasal mask features AirEdge™ fabric wrapped around the stability arms. This textile layer is designed to soften the contact point between the mask frame and the cheek, a critical area for repeated nightly skin contact. Reducing direct friction and pressure on the skin is essential for long-term comfort, as outlined in our guide on how to prevent nose sores from a CPAP mask. By distributing pressure more evenly, the design aims to prevent the skin irritation that can make daily therapy painful or unsustainable.

Diffuser System and Airflow Management

The mask incorporates a washable diffuser system designed to disperse exhaled air gently. Its primary function is to reduce the sensation of a cold airflow draft for both the user and their bed partner, while also dampening the noise associated with venting. While quiet operation is a secondary comfort factor, managing sound levels is a practical component of a sleep-friendly environment, as discussed in our article on how to reduce CPAP noise.

Fit System, Sizing, and Real-World Adjustment

Achieving a proper seal depends heavily on selecting the correct size, which is why the Nova Nasal separates cushion size from headgear size adjustments. The mask is supported by printable sizing tools and a "Fit Pack" option to help users find their ideal match. According to the manufacturer’s instructions for use, users should utilize the official sizing guide to determine the best fit before purchase. For further education on selecting the right interface, reviewing resources on CPAP mask types and choosing the right CPAP mask can provide valuable context on fitting principles.

Fit, Seal Stability, and Real-World Facial Movement

CPAP masks are typically fitted while the user is awake and upright, but this static fitting does not account for the significant changes that occur once sleep begins. When you lie down and fall asleep, your jaw naturally relaxes, your head rotates, and pillow pressure distorts facial tissue. These shifts alter how the mask sits and seals against the face, meaning a mask that feels stable during a daytime fitting may behave very differently once facial muscles relax and sleep positions change throughout the night.

The disconnect between fitting tools and sleep reality is a documented engineering challenge. Research on mask design limitations (Ma et al., 2020) showed that a flat sizing template cannot predict how your face shape will change when pressed against a pillow or when your head tilts. Because facial geometry is fluid during sleep, a mask's ability to maintain a seal through movement is far more critical than how perfectly it matches a static sizing chart.

When a mask cannot adapt to these 3D changes, the result is often leaks that appear only after turning or changing sleep positions. Users typically react by over-tightening the headgear, which creates pressure points and skin irritation rather than solving the underlying instability. Understanding how to reduce CPAP mask leaks without resorting to painful straps is essential for comfort. Furthermore, persistent friction from a rigid seal is a primary cause of soreness, making it important to know how to prevent nose sores from a CPAP mask by prioritizing adaptability over tightness.

Achieving a "good fit" is a process that goes beyond just picking a size; it involves proper adjustment and ensuring the seal holds during movement. Different mask styles interact with facial contours differently, and nasal pillows often require a distinct fit compared to over-the-nose masks. 

F&P New Nova Nasal vs Other Popular Nasal Masks

Nasal masks are not a one-size-fits-all category; they vary significantly in their seal style, frame bulk, airflow delivery, and hose routing. While many interfaces are broadly labeled as "nasal," some products behave more like nasal pillow or cradle hybrids, creating a distinct experience on the face. Understanding these structural differences helps avoid mismatched expectations and early discomfort, allowing you to choose a mask that aligns with your specific sleep habits and movement patterns. As noted by the Mayo Clinic, “Other masks feature nasal pillows that fit under your nose and straps that cover less of your face” (Mayo Clinic Staff, 2024), highlighting that even within the nasal category, the method of contact can vary widely.

F&P New Nova Nasal vs F&P Nova Micro Nasal Mask

While both are part of the newest generation from Fisher & Paykel, the Nova Nasal and the F&P Nova Micro CPAP Mask serve different interface preferences. The Nova Nasal utilizes a traditional nasal cushion that seals around the nose, whereas the Nova Micro uses nasal pillows that sit at the entrance of the nostrils. This results in a difference in sensory feel; the Micro offers less overall facial contact, while the Nova Nasal provides a more familiar, stable sensation for those who prefer an over-the-nose seal.

F&P New Nova Nasal vs F&P Nova Micro Nasal Mask

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F&P Nova Micro Nasal Pillows CPAP Mask
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Mask type
Mask type

Nasal cushion

Mask type

Nasal pillows

Seal approach

Over-the-nose seal

Pillow-based seal

Facial contact

Moderate

Minimal

Bulk profile

Low to moderate

Very low

Ideal preference

Stable nasal seal

Minimal contact feel

F&P New Nova Nasal vs F&P Eson 2 Nasal Mask

The F&P Eson 2 Nasal Mask represents a more traditional architecture compared to the newer Nova Nasal. Both are nasal cushion masks, but the Nova Nasal reflects a modern, movement-aware design philosophy with a lower profile and adaptive components. The Eson 2 focuses on a fixed, structured fit that has served stable sleepers well for years, while the Nova Nasal is engineered to maintain its seal more actively during position changes.

F&P New Nova Nasal vs F&P Eson 2 Nasal Mask

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F&P Eson 2 Nasal CPAP Mask
F&P Eson 2 Nasal CPAP Mask
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F&P Eson 2 Nasal CPAP Mask

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Mask type
Mask type

Nasal cushion

Mask type

Nasal cushion

Design profile

Modern, movement-aware

Traditional

Frame bulk

Lower

Moderate

Seal behavior

Adaptive

Fixed

User profile

Active sleepers

Stable sleepers

F&P New Nova Nasal vs ResMed AirFit N30i

The comparison with the ResMed AirFit N30i highlights two very different architectural approaches to nasal therapy. The AirFit N30i features a top-of-head hose connection and a curved "cradle" cushion that sits under the nose. In contrast, the Nova Nasal uses a front-facing hose connection (with optional overhead routing) and seals over the nose. This choice often comes down to how a user prefers to manage tubing and whether they want the bulk distributed at the front of the face or across the frame.

F&P New Nova Nasal vs ResMed AirFit N30i

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ResMed AirFit N30i Nasal CPAP Mask
ResMed AirFit N30i Nasal CPAP Mask
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Mask type
Mask type

Nasal cushion

Mask type

Nasal cradle

Hose position

Front (optional overhead)

Over-the-head

Seal location

Over the nose

Under the nose

Bulk distribution

Front-focused

Top-of-head

Sleep style fit

Mixed positions

Active sleepers

F&P New Nova Nasal vs Philips DreamWear Nasal Mask

Like the N30i, the Philips Respironics DreamWear Nasal Mask utilizes a hollow frame design where airflow is delivered through the sides of the face rather than a front tube. The DreamWear uses an under-the-nose nasal cradle, while the Nova Nasal uses a standard nasal cushion. The primary distinction lies in the airflow path and frame sensation; the DreamWear offers a "wrap-around" feel with an open field of vision, whereas the Nova Nasal provides a direct, front-frame air delivery with a minimal frame footprint.

F&P New Nova Nasal vs Philips DreamWear Nasal Mask

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DreamWear Nasal CPAP Mask
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Mask type
Mask type

Nasal cushion

Mask type

Nasal cradle

Airflow path

Front frame

Hollow frame

Facial contact

Moderate

Low

Seal style

Direct nasal seal

Under-nose seal

Frame sensation

Minimal

Wrap-around

Final Comparison Overview

Mask

Mask Type

Seal Style

Hose Position

Bulk Profile

Key Distinction

Nova Nasal

Nasal cushion

Over-nose

Front / optional overhead

Low–moderate

Movement-adaptive seal

Nova Micro

Nasal pillows

Pillow

Front

Very low

Minimal contact

Eson 2

Nasal cushion

Fixed

Front

Moderate

Traditional nasal fit

AirFit N30i

Nasal cradle

Under-nose

Over-head

Low

Top-hose design

DreamWear Nasal

Nasal cradle

Under-nose

Over-head

Low

Frame-based airflow

Who Should (and Shouldn’t) Use the Nova Nasal Mask

Determining whether the F&P New Nova Nasal Mask aligns with your therapy depends largely on your specific breathing patterns and sleep habits. Mask selection is rarely about finding an objectively "perfect" product, but rather finding the interface that matches how you sleep.

man attaching the F&P Nova Nasal CPAP & BiPAP Mask

Who the Nova Nasal Mask May Be a Good Fit For

If you consistently breathe through your nose throughout the night, this interface is likely a suitable option. Nasal masks rely entirely on unobstructed nasal airflow to maintain effective therapy delivery, making them a primary choice for users with patent nasal passages.

For those who prefer a stable seal but dislike the heavy feeling of a full face mask, the Nova Nasal offers a balance. The nasal cushion design provides a secure seal around the nose with moderate facial contact, avoiding the invasive feel of nasal pillows while still keeping the mouth area clear.

If you sleep primarily on your side and are sensitive to bulky frames, the lower profile of the Nova Nasal may reduce the pressure points often caused by a mask pressing against a pillow. This reduction in bulk helps maintain the seal even when the side of the face is compressed against bedding.

Finally, if you value the ability to fine-tune your fit, this mask allows for specific adjustments. Unlike minimal-contact masks that rely solely on stretch, the adjustable headgear provides a way to manage tension and stability over time as the headgear ages or stretches.

Who May Need to Consider an Alternative

While nasal masks are effective for many, certain conditions may make them less suitable for consistent therapy. 

If frequent mouth breathing occurs during sleep, a nasal mask cannot maintain therapeutic pressure because air escapes through the open mouth. In this scenario, a full face mask, such as the ResMed AirFit F20 Full Face Mask, may be more appropriate to ensure the airway remains splinted open regardless of how you breathe.

If ongoing mouth leaks persist despite a proper nasal mask fit, it often indicates that airflow is bypassing the nasal interface entirely. Some users simply require an interface that seals both the nose and mouth to prevent this leak. A design like the Fisher & Paykel Evora Full Face Mask is often used to address this by covering both airways.

If chronic or frequent nasal congestion is a factor, relying solely on nasal airflow can make therapy uncomfortable or inconsistent. When nasal passages are blocked, an oronasal interface like the Philips Respironics DreamWear Full Face Mask may provide more stable therapy by allowing you to breathe through your mouth when necessary. For more details on matching an interface to your needs, our guide on choosing the right CPAP mask offers further education on these distinctions.

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Compatibility With CPAP Machines and Travel Use 

Understanding whether a mask will work with your specific device is critical before purchase, as not all CPAP systems use the same connection standards. Compatibility primarily depends on the tubing diameter and machine-specific connectors, rather than the mask interface itself.

Home CPAP Machine Compatibility

The F&P New Nova Nasal Mask is engineered to connect to standard 22 mm CPAP tubing, which is the universal ISO standard for most home therapy devices. This means it is compatible out of the box with the majority of full-size CPAP and APAP machines without the need for additional adapters.

For example, it connects directly to the ResMed AirSense 11 AutoSet CPAP Machine, integrating seamlessly into a regular nightly setup. It is also fully compatible with the Transcend Micro Auto CPAP Machine, as both devices utilize standard tubing connections. The mask supports a therapy pressure range of 4–30 cmH₂O, aligning with the operating specifications of these standard machines.

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Travel Use and Portable Setups

While the Nova Nasal is not classified as a dedicated "travel mask," its low profile and lightweight design make it a capable option for portable therapy when paired correctly. Since the Transcend Micro Auto CPAP Machine supports standard 22 mm tubing, travelers can use the Nova Nasal directly with this portable unit without modification. This setup allows users to maintain the comfort of their preferred nasal interface while managing space and weight constraints during trips.

When planning for travel, it is also important to consider the environment you will be sleeping in. Reviewing guidelines on flying with a CPAP machine can help with packing strategies, while understanding noise profiles via our guide on quietest CPAP machines is useful for ensuring discreet therapy in hotels or shared accommodations.

AirMini Compatibility (Requires Adapter)

It is critical to note that the ResMed AirMini AutoSet CPAP Machine does not use standard 22 mm tubing; it utilizes a proprietary connection system designed for specific ResMed masks. Therefore, the Nova Nasal is not directly compatible with the AirMini out of the box.

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To use this mask with the AirMini, a third-party universal adapter is required. The AirMini Tubing Adapter for 22mm Standard CPAP Tubing connects directly from the AirMini to standard 22 mm tubing, allowing the use of masks like the Nova Nasal that are designed for traditional CPAP systems. Users should be aware that this is a modification to the standard AirMini setup and requires the separate purchase of the adapter.

Pros and Cons of the F&P New Nova Nasal Mask

No CPAP interface is universally perfect, and understanding the specific strengths and limitations of the Nova Nasal is essential for determining if it fits your sleep needs. This overview highlights where the design excels and where it may present challenges for certain users.

Pros

  • Stable Over-the-Nose Seal: The cushion sits securely over the nose, providing a reliable seal for users who prioritize stability without the extensive facial coverage of a full face mask.

  • Accommodates Active Sleepers: The dynamic seal mechanics allow the cushion to adjust during natural movement, reducing the likelihood of leaks when turning from back to side.

  • Standard Tubing Compatibility: It connects directly to any CPAP machine using standard 22 mm tubing, making it simple to integrate into most existing home setups.

  • Adjustable Fit: Unlike some fixed-frame masks, the adjustable headgear allows users to manage tension and customize the fit according to their specific head shape.

  • Moderate Contact Profile: The design balances the need for a secure seal with a relatively low profile, offering a less invasive feel than legacy nasal masks.

Cons

  • Limited by Mouth Breathing: This interface cannot maintain effective therapy pressure if the user breathes through their mouth, making it unsuitable for consistent mouth breathers.

  • More Contact Area Than Nasal Pillows: Users accustomed to minimal-contact nasal pillow masks may find the cushion footprint on the bridge of the nose more noticeable.

  • Sizing Dependent: A precise fit is required for the seal to function correctly; selecting the wrong cushion size often results in persistent leaks during movement.

  • No Direct AirMini Connection: Owners of the ResMed AirMini travel device cannot use this mask without purchasing a separate universal tubing adapter.

Cleaning, Maintenance, and Comfort Accessories That Matter

Maintaining your equipment is not just about hygiene; it is a critical part of preserving the performance of your mask over time. Facial oils, skin residue, and environmental dust accumulate on the cushion surface much faster than most users realize, creating a slick layer that compromises the seal even if the fit has not physically changed. Small leaks often appear gradually as this buildup prevents the silicone from gripping the skin effectively. Integrating Alcohol-free CPAP Mask Wipes into your daily routine offers a practical way to remove these oils immediately after use, helping to maintain seal integrity without the hassle of a full wash every morning. Understanding the connection between surface residue and performance is often the first step in learning how to reduce CPAP mask leaks.

While daily wiping handles surface oils, deeper weekly cleaning is essential to prevent odor, bacterial buildup, and the degradation of mask materials. Using overly harsh soaps can prematurely break down the soft silicone of the Nova Nasal cushion or irritate facial skin, so selecting the best soap for cleaning CPAP equipment is important for longevity. For users who find the manual washing process tedious or difficult to maintain consistently, automated solutions like the CSpring RediClean CPAP & BiPAP Cleaning Machine can simplify the routine. The goal is to establish a consistent cleaning habit that supports long-term comfort, regardless of whether you scrub by hand or use a device.

Image

Keeping CPAP equipment clean is essential for safe and consistent therapy

Even with a clean, well-fitting mask, some users, particularly side sleepers or those with sensitive skin, may experience irritation from prolonged pressure. Comfort accessories should be viewed as problem-solvers rather than default additions; they are there to reduce contact stress without altering the fundamental fit of the mask. For example, Reusable Nasal CPAP Mask Liners can create a soft barrier that reduces friction and wicks away moisture, which is helpful for managing redness. Similarly, a Premium Sullivan Chinstrap serves a specific function for users who struggle with jaw drop, helping to stabilize the mouth when leaks persist. These tools work best when paired with knowledge on how to prevent nose sores from a CPAP mask, addressing the root cause of discomfort.

Finally, increased noise often serves as an early warning system for maintenance needs. If you notice your mask becoming louder or the airflow tone changing, it is rarely random; increased noise is often a symptom of airflow disruption caused by worn cushions, clogged diffusers, or unstable seals. Rather than just tolerating the sound, treating it as a diagnostic signal can help you identify when parts need attention. Keeping the diffuser clean and the cushion fresh is often the most effective way to manage sound levels, a concept explored further in our guide on how to reduce CPAP noise.

Why Nasal Mask Choice Impacts CPAP Adherence

Your mask choice can make or break your therapy. If it leaks or hurts, you simply won't use it. The American Academy of Sleep Medicine (AASM) states, “Appropriate mask selection will benefit patients by reducing side effects such as air leak and discomfort, which may then potentially improve adherence and subsequently patient outcomes” (Patil et al., 2019). Basically, less pain and fewer leaks mean you actually get the health benefits you need.

Not all masks are created equal. Research on CPAP mask types shows that nasal masks often lead to better results than full face options. The guidelines note that “Meta-analyses demonstrated a clinically significant improvement in adherence with nasal PAP versus oronasal interfaces” (Patil et al., 2019). That is clinical speak for: people using nasal masks tend to stick with therapy longer than those using full face masks.

The first few weeks are critical. The AASM highlights that “Adherence over the first few days to weeks has been shown to predict long-term adherence” (Patil et al., 2019). If you can't fix mask leaks or sizing issues early, frustration sets in fast. They warn that “Inadequate patient education... may negatively impact treatment,” so getting the fit right immediately is key to not giving up.

It isn't just about the seal, either. Subjective things like pressure points and noise can ruin your sleep if the mask isn't a good match. If you are fighting your gear every night, consistency is impossible. Ultimately, understanding how to get a comfortable fit is just as important as your pressure setting.

FAQ

What makes the Nova Nasal different from the Nova Micro? 

The Nova Nasal uses a traditional nasal cushion that seals around the nose, whereas the Nova Micro uses nasal pillows that sit directly at the nostrils. This means the Nova Nasal offers a more stable, familiar over-the-nose seal with moderate contact, while the Micro focuses on minimal contact and a lighter feel. Choosing between them depends on whether you prefer stability or minimizing facial touch.

Is the Nova Nasal a nasal mask or a nasal pillow mask? 

The F&P New Nova Nasal is classified as a nasal cushion mask, not a nasal pillow mask. It utilizes a soft cushion that covers the nose bridge to create a seal, rather than inserting pillows into the nostrils. This distinction is important for users who find direct nostril contact uncomfortable or irritating.

Is the Nova Nasal suitable for side sleepers? 

Yes, the mask is designed to accommodate side sleeping through its lower profile frame and adaptive seal mechanics. The cushion is engineered to roll and adjust during position changes, helping to maintain a seal even when the side of the face presses against a pillow. However, correct sizing is still required to prevent leaks during movement.

Does it require a tight fit to prevent leaks? 

No, a tight fit is often counterproductive and can cause skin irritation or actually increase leaks by distorting the cushion shape. The mask is designed to float gently on the face, relying on the inflation of the seal rather than strap tension. Overtightening prevents the movement-aware components from adjusting naturally during sleep.

Does the Nova Nasal help reduce mask leaks? 

The mask is engineered to minimize leaks by using a dynamic seal that moves with the face, but leak reduction ultimately depends on proper sizing and fit. While the design accommodates movement better than rigid masks, no interface can prevent leaks if the cushion size is incorrect or if the headgear is poorly adjusted. Consistent cleaning is also vital for maintaining seal performance.

Is the Nova Nasal quieter than other CPAP masks? 

The noise level is generally comparable to other modern nasal masks that utilize diffuser technology. It includes a washable diffuser designed to disperse exhaled air gently, which reduces the sound of venting and minimizes draft. Perceived noise often depends on maintenance, as a clogged diffuser or dirty cushion can significantly increase sound levels.

How often should Nova Nasal parts be replaced? 

Cushions typically show signs of wear after 3 to 6 months, while headgear may last 6 to 9 months, depending on usage and cleaning habits. Replacement frequency varies by user, so it is important to inspect components regularly for stiffness, cracks, or loss of elasticity. Replacing parts when they show physical wear helps maintain seal integrity and comfort.

Do replacement cushions and headgear wear out at the same rate? 

No, silicone cushions usually degrade faster than fabric headgear due to direct contact with facial oils and daily cleaning. While the headgear may stretch out over time, the cushion seal is often the first component to fail. It is common to replace the cushion once or twice before needing a new headgear assembly.

Is the Nova Nasal compatible with the AirMini? 

The Nova Nasal is not directly compatible with the ResMed AirMini out of the box because the AirMini uses a proprietary connection. To use this mask with the AirMini, you must purchase a separate universal tubing adapter that connects the machine to standard 22 mm tubing. Without this adapter, the two devices cannot connect.

Can it be used with most CPAP machines? 

Yes, the mask is compatible with almost all standard CPAP and APAP machines that use universal 22 mm tubing. This includes popular home devices like the AirSense 11 and portable units like the Transcend Micro. It connects directly to the standard hose without the need for additional connectors or adapters.

References

  1. Ma, X. et al. (2020). Journal of Engineering in Medicine, 235(1). 

  2. Mayo Clinic Staff (2024). CPAP machines: Tips for avoiding 10 common problems. 

  3. Patil, S.P. et al. (2019). Journal of Clinical Sleep Medicine, 15(2), pp. 335–343.

  4. Sleep apnea masks | Fisher & Paykel Healthcare. (n.d.)

Author

Iara Rosemffet, CPAP Expert
Iara Rosemffet, CPAP Expert

08 Jan 202620 min read

Iara is one of our CPAP Experts, helping people navigate CPAP therapy with confidence and care. With a deep understanding of sleep apnea solutions, she provides practical tips, personalized guidance, and support to make treatment easier and more effective. Her mission is to help others sleep better and feel empowered on their wellness journey.

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