(07-19-2014, 10:20 PM)tattoohead Wrote:
(07-19-2014, 08:29 PM)vsheline Wrote: When using the ResMed Quattro FX or the ResMed Airfit F10, I suggest using a mask liner.
For me the mask liner completely eliminates bothersome leaking around the eyes. I use RemZzz but plan to make my own in future.
Wow! Do mask liners really help that much? I see them on eBay for $32 for 30ct. That seems like a lot of clams. How could something made from cloth prevent leaks?
It would seem to me that to prevent leaks, you'd have to get something sticky.
As a mouth-breather, I started PAP therapy this January using a ResMed Mirage Quattro FFM. Initially, my pressure was going fairly high, up around the Max setting (first 14, then 20). Obviously, the higher pressures will worsen the leaks. To control the leaks, I tried a variety of methods with the Mirage Quattro, ending up by cinching it pretty tight, more than was comfortable. The leaks I hated the worst were near the bridge of my nose, right by my eyes.
Two things have happened to improve the situation: I discovered that if I avoid sleeping on my back, my AHI and pressures decreased substantially. My machine is still set for a range of 10 - 20, but the pressure rarely exceeds 15. Some nights, the max is as low as 13. My AHI is consistently averaging less than 1.0, where before it was a struggle to get below 10. The second thing, I finally gave up on the Mirage, and have now switched to a F&P Simplus, and it is MUCH more comfortable. It has very low leakage most of the time. I have seen a few nights where all four leak numbers were 0.0!
I recently started experimenting with Mask liners, first the Remzzz, now a Pad-A-Cheek. For me, the mask liner helps absorb skin oil and moisture, which improves the sealing. It also acts like a form of diffuser, so any minor leakage (especially around the eyes) seems to be more gentle, not like an annoying stream. With the Remzzzs. I have been able to use them for as much as 4 nights. I have run some thru the laundry (in a mesh bag), and am now trying the laundered ones - so far so good.
As far as expense, I found the Remzzzs for about $25 for a 30-pack w/ free shipping. If I can average 5 uses each, that would reduce the expense to less than 20 cents per day - quite tolerable.
I also bought a Pad-A-Cheek liner for the Simplus, and I'm trying that as wll. It seems to have slightly more leakage than the Remzzzs, but still very low. Most nights, my median leak in Sleepyhead is 0.0, and the 95% leak is less than 5.
Obviously everyone's face is different, but I would recommend a trial of the Simplus when you are due for a new mask - the difference from the Mirage was very significant. I would also recommend trying the mask liners. The Remzzz people will send you a trial package for free to see how it works for you.
Good luck . . .