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AHI going up - time to change mask cushion?
09-17-2016, 05:55 PM
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, 06:15 PM
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.
I 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.
09-17-2016, 10:07 PM
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.
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09-17-2016, 10:51 PM
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, 11:15 PM
Sounds like your first effort should be to stay off your back!
09-18-2016, 01:24 AM
09-18-2016, 06:51 AM
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.
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