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Advice on leaks please.
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AshSF Offline

Advisory Members

Posts: 356
Joined: Oct 2014

Machine: PRS1 D560TS
Mask Type: Nasal pillows
Mask Make & Model: ResMed P10, Bkup: Airfit F10 & Quattro Air
Humidifier: PRS1 60 series with Heated Tube
CPAP Pressure: 8 - 8 w/ Aflex 3
CPAP Software: SleepyHead

Other Comments: Using APAP mode with fixed pressure

Sex: Male
Location:

Post: #11
RE: Advice on leaks please.
(03-11-2015 09:42 PM)Seabird Wrote:  That's amazing. When I use the P10 I get more like 14/26/15%.

(03-11-2015 04:50 PM)AshSF Wrote:  With nasal pillows, I expect to see a flat leak rate of 0L/min. On the P10, my last 30 days, Av/90%/LL have been 0.20/1.00/0.00%. Most nights my max=min=0L/min.

That is why P10 is an amazing mask. I don't even need to adjust it too much. And I am an active side sleeper.

With a FFM, I saw some leaks. And about once a month, a large leak flag for 10% of the night.
Thank you Seabird.

In my case, I somehow keep my mouth shut while sleeping. I never knew I had this ability till I tried the P10.

If your leak rate is due to mouth leak (you can see it in your SH leak graphs), then I suggest you try a chinstrap initially; and longer term, train yourself to do the airlock with your tongue resting at back of front teeth.

If it isn't the mouth leak, then you need to anchor the P10 a little better. Make sure that the 2 arms (extending from the pillows to the head) are resting in the place where the top of the ears meet the head. Then split the top part of the headgear. Make the lower part go below the bump in the back of the head (also called external occipital protuberance). Make the upper part go a bit towards the forehead (the more forward it goes, the less tight the mask feels at the nose). Try this and see if your leak rates change.

Started APAP 4-20, Closed range to 7.5-14, then straight 8.0 w/ Aflex 3
RDI always below 1. But sleep much much better at straight pressure.
Started on F10, Tried Quattro Air successfully. Finally settled on P10.
03-12-2015 12:13 AM
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Gabby Offline

Preferred Members-2

Posts: 664
Joined: Dec 2013

Machine: ResMed AirSense 10 AutoSet For Her
Mask Type: Nasal pillows
Mask Make & Model: Philips Nuance Nasal Mask
Humidifier: ResMed AirSense 10 For Her
CPAP Pressure: 8-14
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Sunshine Coast, Qld., Australia.

Post: #12
RE: Advice on leaks please.
Trail rider @8 I always have a green face no matter how bad my leaks are, well I may be asleep when it turns red.
I get the 95% results from SleepyHead.
Good luck with your leaks.

Sleepster after just over twelve months using a sleep machine I still suffer from severe tiredness. I have a good seven hours sleep a night.
I had a new sleep study done this past January and they said my leaks were mostly mouth leaks, they tried a FFM but found I suited pillows and a chinstrap better.
They also said the leaks were probably very likely for my continued tiredness.
I don't see the Doctor for my follow up appointment until May. I received a brief rundown from the nurse over the phone.
I am totally compliant. It's just these horrid leaks.

AshSF you mentioned that you could tell the leaks were coming from the mouth on the Sleepyhead graphs. Could you tell me how you do that please? I have never been able to tell the difference between the leaks and where they are coming from.

Sleep Tight...
Gabby
(This post was last modified: 03-12-2015 03:55 AM by Gabby.)
03-12-2015 03:50 AM
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Seabird Offline

Preferred Members

Posts: 39
Joined: Jan 2015

Machine: ResMed Airsense 10
Mask Type: Nasal pillows
Mask Make & Model: P10
Humidifier: ResMed
CPAP Pressure: 7
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location:

Post: #13
RE: Advice on leaks please.
It's hard to say what is happening. I get similar levels of leaks with a chinstrap as without.

(03-12-2015 12:13 AM)AshSF Wrote:  
(03-11-2015 09:42 PM)Seabird Wrote:  That's amazing. When I use the P10 I get more like 14/26/15%.

(03-11-2015 04:50 PM)AshSF Wrote:  With nasal pillows, I expect to see a flat leak rate of 0L/min. On the P10, my last 30 days, Av/90%/LL have been 0.20/1.00/0.00%. Most nights my max=min=0L/min.

That is why P10 is an amazing mask. I don't even need to adjust it too much. And I am an active side sleeper.

With a FFM, I saw some leaks. And about once a month, a large leak flag for 10% of the night.
Thank you Seabird.

In my case, I somehow keep my mouth shut while sleeping. I never knew I had this ability till I tried the P10.

If your leak rate is due to mouth leak (you can see it in your SH leak graphs), then I suggest you try a chinstrap initially; and longer term, train yourself to do the airlock with your tongue resting at back of front teeth.

If it isn't the mouth leak, then you need to anchor the P10 a little better. Make sure that the 2 arms (extending from the pillows to the head) are resting in the place where the top of the ears meet the head. Then split the top part of the headgear. Make the lower part go below the bump in the back of the head (also called external occipital protuberance). Make the upper part go a bit towards the forehead (the more forward it goes, the less tight the mask feels at the nose). Try this and see if your leak rates change.
03-12-2015 12:36 PM
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AshSF Offline

Advisory Members

Posts: 356
Joined: Oct 2014

Machine: PRS1 D560TS
Mask Type: Nasal pillows
Mask Make & Model: ResMed P10, Bkup: Airfit F10 & Quattro Air
Humidifier: PRS1 60 series with Heated Tube
CPAP Pressure: 8 - 8 w/ Aflex 3
CPAP Software: SleepyHead

Other Comments: Using APAP mode with fixed pressure

Sex: Male
Location:

Post: #14
RE: Advice on leaks please.
(03-12-2015 03:50 AM)Gabby Wrote:  AshSF you mentioned that you could tell the leaks were coming from the mouth on the Sleepyhead graphs. Could you tell me how you do that please? I have never been able to tell the difference between the leaks and where they are coming from.

You should look at the leaks graph on Sleepyhead. Mouth leaks typically have a flat-ish peak for multiple minutes at a time. And a mouth leak is typically very large in volume compared to the regular leak of a nasal pillow. You can start a new thread and post some of the night's leak rate graphs, where you suspect you had mouth leaks. Some of the more experienced members here can look at them and let you know.

Started APAP 4-20, Closed range to 7.5-14, then straight 8.0 w/ Aflex 3
RDI always below 1. But sleep much much better at straight pressure.
Started on F10, Tried Quattro Air successfully. Finally settled on P10.
03-13-2015 12:40 AM
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Gabby Offline

Preferred Members-2

Posts: 664
Joined: Dec 2013

Machine: ResMed AirSense 10 AutoSet For Her
Mask Type: Nasal pillows
Mask Make & Model: Philips Nuance Nasal Mask
Humidifier: ResMed AirSense 10 For Her
CPAP Pressure: 8-14
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Sunshine Coast, Qld., Australia.

Post: #15
RE: Advice on leaks please.
Thanks AshSF for the information. I will check it out and if I can will post some photos of the graphs. Thank you.

Sleep Tight...
Gabby
03-13-2015 06:02 AM
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