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Another leak question...
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Judi Offline

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Posts: 13
Joined: Jul 2015

Machine: Respironics PR System One REMstar Auto with A-flex
Mask Type: Nasal pillows
Mask Make & Model: P10
Humidifier: Respronics
CPAP Pressure: 10 - 20
CPAP Software: SleepyHead Other Software

Other Comments:

Sex: Female
Location: Louisville, KY

Post: #1
Another leak question...
I'm sure this has been answered before but I couldn't find it. Sorry if it's a repeat question. Recently, Sleepyhead is saying that I've had major leaks. Reading through the posts, I'm thinking it's time for new pillows so I've got some on order. However, I was wondering does it matter about the major leaks if my AHI is still under 5 or do the major leaks skew the number? I've attached a screenshot of my results. Does anything glare out at you that I need to do in order to feel more rested? Thanks for your help.
Judi
[Image: AHI_1.jpg]
09-24-2015 08:31 AM
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surferdude2 Online

Advisory Members

Posts: 1,077
Joined: Jul 2014

Machine: ResMed S9 AutoSet
Mask Type: Full face mask
Mask Make & Model: Mirage Quattro & Optilife
Humidifier: ResMed H5i @ #3 if nose breathing & #5 if mouth breathing
CPAP Pressure: 12 ~ 20 & 11 ~12 if nasal mask
CPAP Software: ResScan SleepyHead

Other Comments: Late stage 2 emphysema

Sex: Male
Location: Mousetown, Southern Illinois

Post: #2
RE: Another leak question...
I don't see any problem since your 95% Leak Rate was only 9 L. per minute. The one large leak that occurred around 3:15 am isn't something of major concern since it probably was due to you changing positions and knocking the mask askew for a while.

Your AHI of 2.12 is reasonably good and means your apnea is being treated.

Dude
09-24-2015 09:31 AM
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PaytonA Offline
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Posts: 3,005
Joined: Dec 2013

Machine: ResMed S9 VPAP Auto
Mask Type: Full face mask
Mask Make & Model: Resmed Mirage Quattro
Humidifier: H5i(distilled-top up)
CPAP Pressure: VAuto MinE14.0 MaxI 20.6 PS4.0
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Orange County,California

Post: #3
RE: Another leak question...
I agree with Duuuude. Your leaks actually look pretty good.

Yes, large leaks can have an effect on your AHI but it takes a worse condition than you have to even make that a possibility.

I think that it might help you if you elevated your head without kinking your neck. Try a 4 inch wedge pillow or elevate the head of the bed 4 inches or just try using a number of pillows that put your body on an incline from the waist up. I think that this might help your snoring and your AHI.

Best Regards,

PaytonA
09-24-2015 10:00 AM
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justMongo Offline

Monitors

Posts: 3,839
Joined: Sep 2013

Machine: ResMed VPAP Auto (S9)
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quattro
Humidifier: ResMed H5i
CPAP Pressure: 18 IPAPmax - 11 EPAPmin, PS=5
CPAP Software: Other Software

Other Comments: μολὼν λαβέ

Sex: Male
Location: Калифорния

Post: #4
RE: Another leak question...
You might try sleeping on your side -- like your avatar. Helps some people.
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INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
09-24-2015 10:30 AM
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woozie38 Offline

Advisory Members

Posts: 248
Joined: Jan 2013

Machine: Fisher & Paykel Icon + Auto
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Integral
CPAP Pressure: 8 to 14
CPAP Software: SleepyHead Other Software

Other Comments: 17 years of CPAP + supp. oxygen @ 3 L/min

Sex: Male
Location: Toowoomba, Queensland Australia

Post: #5
RE: Another leak question...
(09-24-2015 08:31 AM)Judi Wrote:  I'm sure this has been answered before but I couldn't find it. Sorry if it's a repeat question. Recently, Sleepyhead is saying that I've had major leaks. Reading through the posts, I'm thinking it's time for new pillows so I've got some on order. However, I was wondering does it matter about the major leaks if my AHI is still under 5 or do the major leaks skew the number? I've attached a screenshot of my results. Does anything glare out at you that I need to do in order to feel more rested? Thanks for your help.
Judi

Hi Judi, A phenomenon that occurs with nasal pillows mask is commonly called "mouth breathing". I prefer to call it "loss of therapy air due to PAP air escaping orally". If this is indeed what is happening, the only real solution is to change to a full face mask. Therapy air escaping orally can be minor or massive and both will defeat your therapy. Low AHI does not indicate no problem. This is my opinion & is born out by years of therapy. I am constantly under an AHI of 5 which is considered "Treated". but I never feel fine or fit even though I am physically healthy.

[Image: signature.png]Keep on breathin'
09-25-2015 06:43 AM
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eseedhouse Online

Advisory Members

Posts: 878
Joined: Dec 2014

Machine: ResMed Airsense 10 Autoset
Mask Type: Full face mask
Mask Make & Model: SimPlus
Humidifier: ResMed
CPAP Pressure: 7-10
CPAP Software: SleepyHead

Other Comments: Also on supplemental O2 at 3L/min. while sleeping.

Sex: Male
Location: Victoria, British Columbia

Post: #6
RE: Another leak question...
(09-25-2015 06:43 AM)woozie38 Wrote:  Hi Judi, A phenomenon that occurs with nasal pillows mask is commonly called "mouth breathing". I prefer to call it "loss of therapy air due to PAP air escaping orally". If this is indeed what is happening, the only real solution is to change to a full face mask.

Not the "only" solution. Many people can learn to keep their mouths closed while sleeping when using a nasal mask or pillows. And chin straps work for a lot of people.

I use a FFM myself but when my mouth opens while I sleep I get a dry mouth, which is not very desirable. So the FFM is not always a sufficient solution either.

Ed Seedhouse
VA7SDH

I am neither a Doctor, nor any other kind of medical professional.

Actually you know, it is what it isn't.
09-25-2015 11:09 AM
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Ghost1958 Offline

Advisory Members

Posts: 957
Joined: Aug 2014

Machine: PRS1 Series Sixty Auto Aflex
Mask Type: Nasal mask
Mask Make & Model: F&P Eson
Humidifier: PRS1 with Heated Hose
CPAP Pressure: 10.5 min 16 max
CPAP Software: SleepyHead EncoreBasic

Other Comments: Moderate to Severe SA Obstructive. Rapid O2 desat off the machine.

Sex: Male
Location: KY

Post: #7
RE: Another leak question...
I have the same machine you do. It will flag aleak large enough to affect therapy or event recording. With PR machines you watch total leaks.
Large leak is around 70 your highest is under that.
09-25-2015 09:58 PM
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Ghost1958 Offline

Advisory Members

Posts: 957
Joined: Aug 2014

Machine: PRS1 Series Sixty Auto Aflex
Mask Type: Nasal mask
Mask Make & Model: F&P Eson
Humidifier: PRS1 with Heated Hose
CPAP Pressure: 10.5 min 16 max
CPAP Software: SleepyHead EncoreBasic

Other Comments: Moderate to Severe SA Obstructive. Rapid O2 desat off the machine.

Sex: Male
Location: KY

Post: #8
RE: Another leak question...
Judy. Your leak is well below the 70 LL threshold for your machine. I have the same machine.
It looks as if your min pressure is to low. You might try nudging it up .5cm wait a week, if ni difference in ahi and how you feel nuge it up another .5cm and repeat until ahi goes down abd you feel more rested.
09-26-2015 12:11 AM
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