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Does CPAP record apenas with open mouth?
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DCwom Offline

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Machine: REMstar Auto A-Flex
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Post: #1
Does CPAP record apenas with open mouth?
I haven't seen this discussed before, but occasionally I breath with my mouth when I sleep (I use nasal pillows). My API doesn't seem to be affected by this so I wonder how/if a CPAP records this as an event? Any ideas?
06-15-2012 01:48 PM
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zonk Offline

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Post: #2
RE: Does CPAP record apenas with open mouth?
Its not straight forward as it seem bc obstructive apnea to do with closed airways and central apnea with open airways. If therapy air escaping as the mouth open it would lower the therapeutic pressure needed to prevent the airways from closing.
A chinstrap can help in this case.
(This post was last modified: 06-15-2012 02:30 PM by zonk.)
06-15-2012 02:19 PM
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BabyDoc Offline

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Post: #3
RE: Does CPAP record apenas with open mouth?
If you aren't having an obstructive event, it shouldn't matter whether your mouth is open or not. It will affect your leak rate, but not the AHI.

If you are having obstructive events and your mouth is open, the machine, because of the leak out of your mouth, may have trouble delivering the needed pressure to overcome that obstructive event. When it can't deliver the needed pressure, it will record an obstructive event and raise your AHI.
06-15-2012 02:51 PM
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Sleepster Offline
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Machine: ResMed AirCurve10 VAuto
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Post: #4
RE: Does CPAP record apenas with open mouth?
(06-15-2012 02:51 PM)BabyDoc Wrote:  If you are having obstructive events and your mouth is open, the machine, because of the leak out of your mouth, may have trouble delivering the needed pressure to overcome that obstructive event. When it can't deliver the needed pressure, it will record an obstructive event and raise your AHI.

If you're having an obstructive event, and the machine records it as such, the machine is getting the data it needs to report an accurate AHI.

I would be suspicious, though, because I don't see how the machine can record an obstructive event when you're mouth-leaking.

Sleepster
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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.
06-15-2012 03:08 PM
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Sleepster Offline
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Posts: 4,994
Joined: Feb 2012

Machine: ResMed AirCurve10 VAuto
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: HumidAir and SlimLine Hose
CPAP Pressure: MaxI 13.6 | MinE 5.2 | PS 4.4
CPAP Software: ResScan SleepyHead

Other Comments: Diagnosed Nov 2011. Conquered aerophagia.

Sex: Male
Location: Houston, Texas

Post: #5
RE: Does CPAP record apenas with open mouth?
(06-15-2012 01:48 PM)DCwom Wrote:  I haven't seen this discussed before, but occasionally I breath with my mouth when I sleep (I use nasal pillows). My API doesn't seem to be affected by this so I wonder how/if a CPAP records this as an event? Any ideas?

You could be experiencing apneas and hypopneas while mouth-breathing or mouth-leaking and the machine is unable to record them. Therefore they wouldn't raise the AHI reported by the machine.

The issue, though, is that if you're mouth-breathing while wearing a nasal mask, your airway is not presurized by the CPAP machine, so it's as if you have no CPAP machine!

If a chinstrap won't prevent you from mouth-breathing then you'll need to go to a full face mask. If I were you, I'd discuss these issues with my doctor or equipment provider. They can supply you with the chinstrap or a different mask.

Sleepster
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www.ApneaBoard.com


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.
(This post was last modified: 06-15-2012 03:15 PM by Sleepster.)
06-15-2012 03:14 PM
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