BDC-- As you will read on other posts here, finding a good mask is the biggest challenge. Keep in mind that with a high leak rate, such as you're experiencing at the moment, the machine's AHI numbers are most likely compromised and inaccurate. You may know that with Resmed's S9 machines, a maximum leak that the machine can compensate for is 24 L/min. For masks, many folks use nasal pillows and really like them, but I have also read that they are not too useful at higher pressures. Finding a mask that works is a personal choice and hunt. So, masks cannot be rated as Better, Best, Worst, etc. A leak stop idea that I discovered from another board member sounded crazy but works well is to buy a package of silicone earplugs at a drugstore, take several and roll them into a pencil-like shape and place this narrow sausage on the portion of the mask seal where leaks are occurring.
I also own a Quattro mask. Although I didn't have leak troubles with it, I did have sore nose bridge problems. Patience really helps in solving this kind of problem.
10-30-2012, 01:58 PM
(This post was last modified: 10-30-2012, 02:43 PM by zonk.)
try another mask ... it might take several tries to find the right one
can use a nasal mask ... full face masks can be difficult to make works especially at high pressures
you need to fit mask at the set pressure "15" Not ramp or start pressure
check mask user guide fitting instructions and wash the cushion after each use.
you might need to turn up humidifier a notch or two. Biotene mouth wash may help relieve dry mouth symptoms
you can also cover the hose cover or use the climate line (heated hose) if the machine S9
on auto it provide added humidification and protects against rainout
Thanks for all the advice. I didn't mention it before, but I have been on CPAP for about 10 years and have been using my current mask style for as long as I can remember. That is what makes this problem so frustrating. I also wonder if the high leak rate is due to my leaving the mask on while mopping up the drool in the middle of the night. My wife complains about the noise all night so I guess that is not the case.
I ordered a new cushion. Hopefully that will help but I'm not optimistic.
Since you have been on CPAP for 10 yrs, you obviously understand that a full face mask is used for people who continue to breath from their mouths. Suggestions of masks such as nasal pillows will not work unless you have a chinstrap. However, with leaks that high, it does sound like you are removing your mask during the night. It might be useful to have your wife identify the source of the leaks and when they occur. This might give you some insight into how and why your leak data is significantly high