With the exception of a leak issue, your numbers look great! It appears the machine is set to min 5, max 12.38, and an EPR of 3. That's probably a good place for you at this time, given your AHI is coming in at .2!
So the thing to do is work on the leak. Your average leak rate of 19.57 is high, but not outside the "magic number" of 24 that Resmed works with. The "Below 90% of the time" mark of 34.8 is a bit high, but without seeing a graph of the leak data for that night it's pretty hard to say if it really would have impacted your therapy or not.
Revisit the mask fitting guidelines. Use a liner with the full face mask, or make one yourself by cutting out a liner from an old t-shirt (how come we always say use an old t-shirt.... Why can't we use a new t-shirt if that's what we want to do?) --- but I digress.
I would not mess with the pressures at all at this time. You can't improve a whole lot on .2, and you sure can muddy the waters if you lower it below your therapeutic need. So focus on the leaks!
Even consider changing to a different type of mask if you need to. Such as my favorite, the Resmed P10 pillows mask. But whatever, just know you're doing great!
09-09-2014, 11:46 PM
(This post was last modified: 09-09-2014, 11:49 PM by NickDanger.)
Your median leak rate can be 20 and you can still be spending 45% of the night above a leak level of 24. So yeah, it would be really helpful to see the detailed graph.
According to ResMed, you can't trust the event detection during the portion of the night that the leak is above 24 - that's why ResMed uses that as a "magic number". It is unlikely to be good enough for your median leak to be as high as 20.
Perhaps you could try adjusting the mask straps, liner, etc. while sitting awake in your recliner during the day. Sometimes we have the straps a little too tight and could get a better seal by allowing the mask to float on the face with the cushions fully inflated. It would be helpful to know what full face mask you are using.