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AHI going up - time to change mask cushion?
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Lanco Online

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Posts: 149
Joined: Jun 2016

Machine: Resmed S9 Autoset, Apex XT Fit
Mask Type: Nasal mask
Mask Make & Model: Apex Wizard 210 & Profile Lite, Wizard 220 FFM, Nuance
Humidifier: Resmed H5i
CPAP Pressure: 8.5-17
CPAP Software: ResScan SleepyHead Other Software

Other Comments: Easy Compliance Software 3.2.1 and Easy Compliance Lite Software 3.4

Sex: Male
Location: Pensacola, Florida

Post: #1
AHI going up - time to change mask cushion?
I've been averaging about 2.2 over a couple of months. Just lately it's going up a bit, not a big deal I guess at 3, 4 and the highest I think is 6.6. Could it be time to change my mask cushion? Don't want to if I don't need to. My old Profile Lite Gel masks would last a few years (unless the dog got at it). I"ve used this Wizard 210 cushion now for 3 months. What do you think?
09-17-2016 05:55 PM
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Rcgop Offline

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Posts: 210
Joined: May 2016

Machine: Resmed AirSense 10 autoset
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10
Humidifier: installed
CPAP Pressure: 6.0 - 10.0 / EPR 2
CPAP Software: SleepyHead

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Sex: Male
Location: Orlando Fl

Post: #2
RE: AHI going up - time to change mask cushion?
I would replace it. It's good to have a spare and you will answer that question for ever. I know I have had different outcomes when I change parts.

HuhDont-knowI am an accountant so any advice given here is not medical. If I give any financial advice, you can take it to the bank. However, you will have a hard time cashing it in. Okay
09-17-2016 06:15 PM
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DeepBreathing Offline
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Machine: Resmed S9 VPAP Adapt
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Resmed H5i
CPAP Pressure: EPAP: 9 - 15 PS: 3 - 10
CPAP Software: ResScan SleepyHead

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Sex: Male
Location: Perth, Western Australia

Post: #3
RE: AHI going up - time to change mask cushion?
I suspect that a worn cushion would cause increased leaks, not a change in AHI - unless the leaks are significant and interfering with the therapy. Have your leak numbers changed, or just the AHI? If it's the latter then I think your problem lies elsewhere.

DeepBreathing
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09-17-2016 10:07 PM
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Lanco Online

Advisory Members

Posts: 149
Joined: Jun 2016

Machine: Resmed S9 Autoset, Apex XT Fit
Mask Type: Nasal mask
Mask Make & Model: Apex Wizard 210 & Profile Lite, Wizard 220 FFM, Nuance
Humidifier: Resmed H5i
CPAP Pressure: 8.5-17
CPAP Software: ResScan SleepyHead Other Software

Other Comments: Easy Compliance Software 3.2.1 and Easy Compliance Lite Software 3.4

Sex: Male
Location: Pensacola, Florida

Post: #4
RE: AHI going up - time to change mask cushion?
I am finding some days where my leaks are higher. I see some days that are around 25 min and a couple around 45.

I also think I may be doing more sleeping on my back and along with it my pressures are going higher like around 14.
09-17-2016 10:51 PM
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PaytonA Offline
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Machine: ResMed S9 VPAP Auto
Mask Type: Full face mask
Mask Make & Model: Resmed Mirage Quattro
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CPAP Pressure: VAuto MinE14.0 MaxI 20.6 PS4.0
CPAP Software: ResScan SleepyHead

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Sex: Male
Location: Orange County,California

Post: #5
RE: AHI going up - time to change mask cushion?
Sounds like your first effort should be to stay off your back!
09-17-2016 11:15 PM
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Lanco Online

Advisory Members

Posts: 149
Joined: Jun 2016

Machine: Resmed S9 Autoset, Apex XT Fit
Mask Type: Nasal mask
Mask Make & Model: Apex Wizard 210 & Profile Lite, Wizard 220 FFM, Nuance
Humidifier: Resmed H5i
CPAP Pressure: 8.5-17
CPAP Software: ResScan SleepyHead Other Software

Other Comments: Easy Compliance Software 3.2.1 and Easy Compliance Lite Software 3.4

Sex: Male
Location: Pensacola, Florida

Post: #6
RE: AHI going up - time to change mask cushion?
(09-17-2016 11:15 PM)PaytonA Wrote:  Sounds like your first effort should be to stay off your back!

And maybe set it back up to 20 from 15.5 in case I need it if I'm on my back. Don't know, I presume if my mouth is shut that would work.
09-18-2016 01:24 AM
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OpalRose Offline

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Machine: PR System One REMstar Auto 560 with A Flex
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 For Her
Humidifier: REMStar heated humidifier with heated hose
CPAP Pressure: Auto Cpap 10-13 AFLEX 1
CPAP Software: SleepyHead EncoreBasic

Other Comments: Started CPAP Therapy October 23, 2014

Sex: Female
Location: Northeast Ohio, USA

Post: #7
RE: AHI going up - time to change mask cushion?
Lanco,
I know from experience that staying off your back sometimes is not possible, but I would not raise the max pressure to 20 unless you feel you need such a high pressure.

Does your pressure goes up to the max set now, and does it stay there for very long?

I ask this because ideally the max should be a couple cm. above the 90/95% number, but if you are bumping up to your max number frequently, then yes raise it. But raising it to 20 may cause you even more leaks than you are experiencing now.

Just a note on leaks....if you are leaking steadily throughout the night, then yes, you need to work on that. But if it's just a couple large leaks here and there because your mask is not sealing well or you moved during sleep and knocked it off kilter, then that isn't such a big problem.

As far as replacing cushions, I suppose it depends on the type of mask.
Cushions on pillow masks need changed more often than full face.

Good luck, I'm sure you will get where you need to be.

OpalRose
09-18-2016 06:51 AM
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