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Event Analysis Thread
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zonk Offline

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Posts: 7,908
Joined: Feb 2012

Machine: A10 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Activa LT
Humidifier: Integrated /ClimateLineAir
CPAP Pressure: 9/13
CPAP Software: ResScan

Other Comments: CPAP since Nov 2010

Sex: Male
Location: Australia

Post: #11
RE: Event Analysis Thread
Whenever leak seen to spike up for a short period of time and then plateau, can be interpreted as mouth leak, and usually dry the mouth too
I find chinstrap helps with mouth leak, full face mask is another option but I haven't figured how to make it work

The minimum pressure set at 5 but does not drop below 7 for the entire night and as 95% and maximum pressure at 10, there is room to increase the maximum pressure a little. Never know if that going to increase CA events. For some (not everyone) EPR can increase CA events
For a starter, I would turn off EPR and see how it goes, can be be turned back on if did not like it being off
09-09-2015 06:03 PM
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DariaVader Offline
Apnea Board Facebook Editor
Monitors

Posts: 1,828
Joined: Nov 2014

Machine: Resmed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10 for Her
Humidifier: H5i humidifier with ClimateLine heated hose
CPAP Pressure: 8-15
CPAP Software: SleepyHead

Other Comments: diabetes II, Thyroidectomized, Primary Immune Deficiency, and the list goes on :P

Sex: Female
Location: Oregon

Post: #12
RE: Event Analysis Thread
Looks like the really large amount of leak happened at the beginning of the session when you were first putting the mask on - I am inclined to think that you turned on the machine, and then donned the mask. For most of the night the leaks are modest with a few peaks that could be either mouth breathing or mask leaking. I can't tell which. For me, either one usually wakes me up.

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
Tongue Suck Technique for prevention of mouth breathing:
  • Place your tongue behind your front teeth on the roof of your mouth
  • let your tongue fill the space between the upper molars
  • gently suck to form a light vacuum
Practising during the day can help you to keep it at night

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
09-09-2015 06:07 PM
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OpalRose Offline

Monitors

Posts: 3,181
Joined: Nov 2014

Machine: PR System One REMstar Auto 560 with A Flex
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 For Her
Humidifier: REMStar heated humidifier with heated hose
CPAP Pressure: Auto Cpap 10-13 AFLEX 1
CPAP Software: SleepyHead EncoreBasic

Other Comments: Started CPAP Therapy October 23, 2014

Sex: Female
Location: Northeast Ohio, USA

Post: #13
RE: Event Analysis Thread
Nananeedssleep,
27 days and your numbers are heading in the right direction.
I think you could tweek your pressure range a bit.
From looking at your graph, I would move the minimum setting to 7 and the maximum pressure
to 11.
You just have to watch that your clear airways don't increase.

OpalRose
09-09-2015 07:11 PM
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PaytonA Offline
Wiki Editor
Monitors

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: #14
RE: Event Analysis Thread
It looks to me like you may have some mask leaks and some mouth leaks. I would try a chin strap first if you have not already.

Best Regards,

PaytonA
09-10-2015 02:38 PM
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ginzo Offline

Advisory Members

Posts: 227
Joined: Aug 2015

Machine: ResMed Airsense 10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Res Med Airfit P-10
Humidifier: Humidair S with heated hose.
CPAP Pressure: 10.0-13.0
CPAP Software: ResScan SleepyHead

Other Comments: I'm a mouth breather!!!

Sex: Male
Location: North Port, FL

Post: #15
RE: Event Analysis Thread
As others have stated,

The only thing I can say at this point (being new) is my leaks tend to be at the higher pressures. I just started using a chin strap, so In my case, now my leaks tend to be when I roll over and at a much lower rate. Like just barely over 24L/min. The chinstrap took the mouth breathing out of the equation for me, if in fact that was my cause.

I just converted from CPAP @ 14cm H2O to APAP 9-14. My average is in the 10-11 range for my sleep sessions. WITH A MUCH IMPROVED lowering of leaks.

(09-09-2015 05:26 PM)Nananeedssleep Wrote:  Here are my results from 2 nights ago. This is my first try to do screenshot, so hope it is successful. My big questions are, can you tell if my leaks are from my mask or my mouth? And, should my pressure be adjusted at all? Any thoughts, advice is welcome. My leak rate is still 19 according to the clinical menu.

I'm not sure about adding the attachment, preview doesn't show it. Hope it will show up when I post.
Here is graph, hopefully.
(This post was last modified: 09-10-2015 07:21 PM by ginzo.)
09-10-2015 07:17 PM
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