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[CPAP] Need help trying to understand where the air leak is coming from.
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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
Humidifier: H5i(distilled-top up)
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: #31
RE: Need help trying to understand where the air leak is coming from.
Sleeprider,

The flow limitation and snore graphs have been enabled all along. Each display has more than one screenshot to cover all of the charts.

I do not see the OAs occurring at low pressure. In fact, many of them are occurring at higher pressure.

Are we looking at the same charts?

Best Regards,

PaytonA
(This post was last modified: 02-14-2015 12:26 PM by PaytonA.)
02-14-2015 12:24 PM
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eseedhouse Online

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Machine: ResMed Airsense 10 Autoset
Mask Type: Full face mask
Mask Make & Model: SimPlus
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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: #32
RE: Need help trying to understand where the air leak is coming from.
One idea that occurs to me is to run the leak test with your mask off and covering the end of the hose with your hand. This should tell you if the leak is elsewhere than in the mask.

Ed Seedhouse
VA7SDH

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

Actually you know, it is what it isn't.
02-14-2015 01:02 PM
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PaytonA Offline
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Posts: 3,016
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: #33
RE: Need help trying to understand where the air leak is coming from.
Thanks Ed, that was just way to complex for me to come up with for the OP. Oh-jeez Laugh-a-lot

Best Regards,

PaytonA
02-14-2015 05:40 PM
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eseedhouse Online

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Posts: 882
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: #34
RE: Need help trying to understand where the air leak is coming from.
(02-14-2015 05:40 PM)PaytonA Wrote:  Thanks Ed, that was just way to complex for me to come up with for the OP.

I spent years diagnosing computer problems so I learned that when solving complex problems it is best to eliminate as many variables as possible.

Ed Seedhouse
VA7SDH

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

Actually you know, it is what it isn't.
02-14-2015 07:02 PM
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AnonAgent Offline

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Posts: 14
Joined: Feb 2015

Machine: ResMed S9
Mask Type: Nasal mask
Mask Make & Model: ResMed Mirage™ FX Nasal
Humidifier: none
CPAP Pressure: unsure
CPAP Software: ResScan SleepyHead

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Sex: Male
Location: Singapore

Post: #35
RE: Need help trying to understand where the air leak is coming from.
quiescence at last, nope, hasn't been able to get one yet.

eseedhouse, I tried, there's no leak along the connection.

After tightening the mask and changing the settings of start and min pressure to 6.0, these are the results for last night. I'm suspecting the leak might be because of my movement when i sleep sideways and the mask presses on my pillow.

[Image: FNAOyLel.png]
[Image: Cf33lnQl.png]
[Image: heOaCUAl.png]
[Image: 7KZNYxWl.png]
02-15-2015 12:09 AM
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eseedhouse Online

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Posts: 882
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: #36
RE: Need help trying to understand where the air leak is coming from.
(02-15-2015 12:09 AM)AnonAgent Wrote:  eseedhouse, I tried, there's no leak along the connection.

OK, so now at least you know the problem is in the mask, or more likely in how you interact with that particular mask. If you can't adjust the mask to get good results it looks like you should be considering another mask, or even another type of mask.

I am struggling a bit with my Full Face mask at present. I really have to cinch it down to stop it from leaking. I will give it a bit more time and then maybe consider asking about a better mask from my DME supplier.

Ed Seedhouse
VA7SDH

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

Actually you know, it is what it isn't.
02-15-2015 10:44 AM
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Sleeprider Online
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Machine: Resmed Aircurve 10 Vauto
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
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CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

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Sex: Male
Location: Where they make Respironics

Post: #37
RE: Need help trying to understand where the air leak is coming from.
The higher minimum pressure seems to have helped prevent a significant amount of apnea, and the median and 95% pressures are higher, and that may be due to faster response from the higher minimum pressure. I think continue with this for a while and see if you continue to respond positively. Other than the leaks, you had a pretty good night. How do you feel?

Leaks are still a challenge here. I would encourage you to order a mask from a source that offers a 30 day return policy. If you want to continue with nasal pillows, the Airfit P10 is lower profile and may not get knocked around as much from side-sleeping. If that doesn't improve things, you might need to move towards a full face solution.

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02-15-2015 11:36 AM
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3porpoise Offline

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Post: #38
RE: Need help trying to understand where the air leak is coming from.
(02-15-2015 12:09 AM)AnonAgent Wrote:  . I'm suspecting the leak might be because of my movement when i sleep sideways and the mask presses on my pillow.
[/url]

Hi AnonAgent,
Have you considered trying to reconfigure you're pillow complement? Just in case that helps.
Someone on here suggested 2 soft pillows ,the bottom one horizontal and the top one perpendicular, so the mask doesn't have as much pressure on it while side sleeping. I found it really helpful.
Sleep well.
3
02-15-2015 12:05 PM
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AnonAgent Offline

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Posts: 14
Joined: Feb 2015

Machine: ResMed S9
Mask Type: Nasal mask
Mask Make & Model: ResMed Mirage™ FX Nasal
Humidifier: none
CPAP Pressure: unsure
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Singapore

Post: #39
RE: Need help trying to understand where the air leak is coming from.
eseedhouse, i usually shift the mask slightly towards the lips. Air leaks out from the upper nose area most of the time, i tried tightening the top straps but it doesn't seem to help. For cases like this, is a full face mask or a nasal pillow mask more recommended?

Sleeprider, yes indeed it helps alot. I'm much better compared to the few sessions in the past. I'm sourcing for the mask locally first because if the mask doesn't fit me, returning the goods back to the country i order can be a real hassle. Like what i mentioned above, which mask is more recommended for such situation?

3porpoise, sounds interesting, i will try it and see how it goes.
02-16-2015 09:22 AM
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eseedhouse Online

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Posts: 882
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: #40
RE: Need help trying to understand where the air leak is coming from.
(02-16-2015 09:22 AM)AnonAgent Wrote:  eseedhouse, i usually shift the mask slightly towards the lips. Air leaks out from the upper nose area most of the time, i tried tightening the top straps but it doesn't seem to help. For cases like this, is a full face mask or a nasal pillow mask more recommended?

Well the nose leak is one of the things I struggle with using my full face mask, too. I imagine the "nasal pillow" would be better for that, but have no actual experience.

Ed Seedhouse
VA7SDH

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

Actually you know, it is what it isn't.
02-16-2015 12:51 PM
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