Post Reply 
Hello! New here, leak question
Author Message
amshy723 Offline

Members

Posts: 6
Joined: Jul 2016

Machine: ResMed AirSense 10 For Her
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10
Humidifier: Built In
CPAP Pressure: 8-20
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Canada

Post: #1
Hello! New here, leak question
Hello!
I’m so excited and grateful to have found this forum! I’ve learned so much already, a great help to a newbie  The 2 care providers I’ve dealt with both have been very dismissive and discouraged me having any role in treatment (recommendations in the Edmonton, Alberta, Canada area are welcome). I SO want to take an active role in my treatment and this looks like an excellent group of people to learn from. Overall I think I’m adapting well to the machine 
Diagnosed in May after cardiologist said my heart was OK but I probably had sleep apnea causing palpitations. Sleep study= AHI 53 with severe drops in SpO2 and mouth breathing. With treatment AHI=3 Using ResMed AirSense 10 For Her for 6 weeks . I’m using the Airfit P10 for her with the medium pillow. I have ordered a Contec CMS 50F and waiting for it to be delivered.
Downloaded Sleepyhead but a bit lost in interpreting my data. If I understand correctly I can’t post images as a brand new member?
A couple questions I’d love some help with if anyone is willing:
1) How can I tell if I have a problem with mouth and/or mask leak? Reading about the leak from each mask and machine has left me confused how to interpret my data in Sleepyhead.
2) I tried the small nasal pillow size(because of some nose soreness), and was waking up with a dry mouth and had a higher AHI so my care provider said to go back to the medium. Would it be worth ordering a large size to try too? I tend to have some nasal congestion all the time, but this is better now that I’m using the nasal pillow.
Some stats:
Last 30 days Last 7 last night
Avg AHI 1.16 1.17 1.25 (range 0.5 to 3.5, RERA, OA, Central, Clear Airway)
Avg.Leak Rate 1.06 0.81 0.57
90% leak rate 3.6 2.4 1.2
% above leak
Threshold 0.1 0 0
Avg Pressure 10.46 10.29 10.91
90% Pressure 12.64 12.18 12.84
Max Pressure 15.8 14.4 14.4

Not sure what other stats would be useful for others to see…please let me know!
Looking forward to “meeting” others with sleep apnea, as I’m the only one I know with it!
Thanks! Lisa
07-21-2016 04:23 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
OpalRose Offline

Monitors

Posts: 3,162
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: #2
RE: Hello! New here, leak question
Hi amshy723,
Your numbers don't look bad at all. Your leak data looks good too.
Here is a link to help you organize your screenshot
https://sleep.tnet.com/resources/sleepyhead/

When you have a bit more data, go ahead and upload here. You can use an outside source like imgur.com.....seems to be the easiest to use.

As far as nasal pillows, use one size larger than you think you need. They shouldn't go up into the nose too far, but sit more at the bottom of nose inserted just a bit.

OpalRose
07-21-2016 04:35 PM
Find all posts by this user Post Reply Quote this message in a reply
amshy723 Offline

Members

Posts: 6
Joined: Jul 2016

Machine: ResMed AirSense 10 For Her
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10
Humidifier: Built In
CPAP Pressure: 8-20
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Canada

Post: #3
RE: Hello! New here, leak question
Thanks OpalRose, I am looking into how to post a screenshot Smile Will post it when I get it figured out!
07-21-2016 06:16 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
amshy723 Offline

Members

Posts: 6
Joined: Jul 2016

Machine: ResMed AirSense 10 For Her
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10
Humidifier: Built In
CPAP Pressure: 8-20
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Canada

Post: #4
RE: Hello! New here, leak question
I "think" I've now got a link to a snapshot of last night's detail data in Sleepyhead.
I need to have a minimum of 8 posts before I can post a clickable link.

http://
imgur.com/kBEFowa

This looks like a pretty average night.
Thanks!
07-21-2016 07:15 PM
Find all posts by this user Post Reply Quote this message in a reply
OpalRose Offline

Monitors

Posts: 3,162
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: #5
RE: Hello! New here, leak question
You only need 4 posts.

OpalRose
07-21-2016 07:24 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
OpalRose Offline

Monitors

Posts: 3,162
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: #6
RE: Hello! New here, leak question
(07-21-2016 07:15 PM)amshy723 Wrote:  I "think" I've now got a link to a snapshot of last night's detail data in Sleepyhead.
I need to have a minimum of 8 posts before I can post a clickable link.

http://
imgur.com/kBEFowa

This looks like a pretty average night.
Thanks!


If that's an average night, you are doing pretty good. The only thing is that your minimum pressure is a bit low. It should start about 2 to 3cm below your 95% number, which brings you up to 10cm.

Even though your AHI is low, you still have flow limitations and RERAs and a higher minimum pressure will help with that. They don't count toward your AHI, but RERAS are mini arousals that disturb your sleep.

I would start to inch up the minimum pressure slowly by .5 or even 1cm a week until you reach 10 and see if there is an improvement in the numbers.

As far as leaks, I don't see a problem at all.

Here is a link to the Beginners Guid to SleepyHead which you can study in your spare time. Wink. Don't let it overwhelm you, just read up on some of the articles that interest you and compare to your graphs.
http://www.apneaboard.com/wiki/index.php...SleepyHead

OpalRose
(This post was last modified: 07-21-2016 07:47 PM by OpalRose.)
07-21-2016 07:46 PM
Find all posts by this user Post Reply Quote this message in a reply
trish6hundred Offline

Advisory Members

Posts: 6,430
Joined: May 2012

Machine: Resmed S9 AutoSet for Her
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: H5i Heated Humidifier
CPAP Pressure: 10 - 7-20 Cm H2O
CPAP Software: Not using software

Other Comments: I started CPAP in 2008. Totally blind since birth.

Sex: Female
Location: Missouri, USA

Post: #7
RE: Hello! New here, leak question
Hi amshy723,
WELCOME! to the forum.!
It sounds like you are off to a good start. I know there is a lot to learn, but you'll get it, just keep on reading the many threads here on this board and ask as many questions as you need to better help you understand this therapy, and you will do fine.
Hang in there for more responses to your post, keep up the good work, and much success to you on your CPAP journey.

trish6hundred
07-22-2016 07:24 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
amshy723 Offline

Members

Posts: 6
Joined: Jul 2016

Machine: ResMed AirSense 10 For Her
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10
Humidifier: Built In
CPAP Pressure: 8-20
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Canada

Post: #8
RE: Hello! New here, leak question
Thanks OpalRose,
Learning a ton, but have a couple questions yet...Smile

I've made a screenshot of last night.
[Image: uq4igPHl.png]

I increased my minimum pressure two nights ago, from 6 to 8 (I now know, that is too fast!! I didn't follow your advice to go slow...I thought it was just being cautious and didn't realize it was potentially harmful. I was impatient. And wrong. AND I'm sorry.) And I switched the EPR of 2 from "always" to "ramp only".

Should I decrease the minimum pressure now closer to where I started? My heart palpitations disappeared with the changes. I'd like to keep it where it is.

Also, any guidelines on "acceptable" and "ideal" flow limit targets are?

Any advice is much appreciated...(and will be heeded).
Thank you.
07-23-2016 07:06 PM
Find all posts by this user Post Reply Quote this message in a reply
OpalRose Offline

Monitors

Posts: 3,162
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: #9
RE: Hello! New here, leak question
It's a learning process. That's why we recommend making changes in small increments.

You went from 6 to 8, so if the higher pressure bothers you, put it back down until you are used to it. When you are ready to make a change, move it up by .5cm.

The flow limitations are more than likely keeping your pressure up. That's why I was looking at a slightly higher minimum pressure. It's seems your medium and 95% pressure is staying between 10 and 11.

Also, if you felt it was easier to breath out, put the EPR back on. There is no point in being uncomfortable.
Your AHI is very good.

If you have heart palpitations, bring this up to your doctor. It may just be anxiety from not being used to the pressure, but if that continues, please call your doctor.

An afterthought....what size nasal pillow are you using? Sometimes you need to go up a size to get more air flow.

OpalRose
(This post was last modified: 07-23-2016 08:07 PM by OpalRose.)
07-23-2016 08:04 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
amshy723 Offline

Members

Posts: 6
Joined: Jul 2016

Machine: ResMed AirSense 10 For Her
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10
Humidifier: Built In
CPAP Pressure: 8-20
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Canada

Post: #10
RE: Hello! New here, leak question
Thanks for your concern...the heart palpitations are something I've already had checked by a cardiologist, in fact he sent me for my sleep test - sees it more that sleep apnea triggers palpitations. Said I have no heart problems, just "benign" PVC's (they feel awful though).

I didn't notice the min pressure change or EPR so I will keep things as they are for now.

When should one address flow limitations? My AHI is good, and I feel better than before CPAP but not GREAT. I will keep working towards great Smile

Looking forward to learning more about flow limitations. I will try the large nasal pillow for the P10 when I can get my hands on one. Med was better than small so large may be better yet (just learned there is a large size). Great suggestion!
07-23-2016 10:30 PM
Find all posts by this user Post Reply Quote this message in a reply
Post Reply 


Possibly Related Threads...
Thread: Author Replies: Views: Last Post
  One good night, now leak issues? sleepyguy99 8 305 Today 02:17 PM
Last Post: sleepyguy99
  [Pressure] Another New Player with Some Leak Issues Platypus 6 223 11-28-2016 06:17 PM
Last Post: Sleeprider
  swift mask 'leak' noise--but not leaking... hegel 11 736 11-27-2016 09:53 PM
Last Post: Dangerous Dave
  Not so new member having mask leak issues erikk 9 347 11-26-2016 02:15 PM
Last Post: erikk
  Leak rate abrun7 8 414 11-22-2016 09:02 PM
Last Post: Sleepster
  My Leak Issue! harmon k 5 286 11-14-2016 05:22 PM
Last Post: edfreeman
Thumbsup [CPAP] Mouth Leak? Saskie 5 327 11-13-2016 07:01 PM
Last Post: Saskie

Forum Jump:

Who's Online (Complete List)