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High leaks but good therapy
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PastorMeador Offline

Members

Posts: 16
Joined: Nov 2015

Machine: RemStar AirSense10
Mask Type: Nasal mask
Mask Make & Model: Respironics ComfortGel Blue small
Humidifier: None
CPAP Pressure: 13
CPAP Software: ResScan

Other Comments:

Sex: Male
Location: Plymouth, WI

Post: #1
High leaks but good therapy
I recently upgraded to the Airsense 10. This change was from an older generation machine. It took me awhile to sleep well on it. Note after two months and three new masks I have been sleeping great. My events per hour are. 3 and my centrals are. 1. The only concern I have is that my leak rate goes up. Last night it was 42L/min. There leaks don't wake me up. Should I be concerned about this leak rate or just be happy that I am getting good therapy? I use the Comfortgel Blu from Respironics. Small size.
12-17-2015 07:33 AM
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justMongo Offline

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Posts: 3,841
Joined: Sep 2013

Machine: ResMed VPAP Auto (S9)
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quattro
Humidifier: ResMed H5i
CPAP Pressure: 18 IPAPmax - 11 EPAPmin, PS=5
CPAP Software: Other Software

Other Comments: μολὼν λαβέ

Sex: Male
Location: Калифорния

Post: #2
RE: High leaks but good therapy
Above 28 LPM leak rate, one cannot trust the numbers. You need to control the leaks.
Perhaps you should be monitoring with software to determine the amount of time you are > 28 LPM leak.

Since that's a nasal mask, your leaks may be from your mouth. You might try a chin strap to train your mouth to stay closed.

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.
12-17-2015 07:50 AM
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JimZZZ Offline

Advisory Members

Posts: 370
Joined: Dec 2013

Machine: ResMed S9 AutoSet
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: ResMed H5i (not using)
CPAP Pressure: 9 - 14
CPAP Software: ResScan SleepyHead

Other Comments: CareFusion PureSom Ultra Chinstrap

Sex: Male
Location: Western North Carolina

Post: #3
RE: High leaks but good therapy
(12-17-2015 07:50 AM)justMongo Wrote:  Above 28 LPM leak rate, one cannot trust the numbers. You need to control the leaks.
Perhaps you should be monitoring with software to determine the amount of time you are > 28 LPM leak.

Since that's a nasal mask, your leaks may be from your mouth. You might try a chin strap to train your mouth to stay closed.
I gave up on the nasal mask in favor of a full face mask because I couldn't keep my mouth shut...even with a chin strap. No issue with leaks and getting excellent therapy.
12-17-2015 08:14 AM
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justMongo Offline

Monitors

Posts: 3,841
Joined: Sep 2013

Machine: ResMed VPAP Auto (S9)
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quattro
Humidifier: ResMed H5i
CPAP Pressure: 18 IPAPmax - 11 EPAPmin, PS=5
CPAP Software: Other Software

Other Comments: μολὼν λαβέ

Sex: Male
Location: Калифорния

Post: #4
RE: High leaks but good therapy
(12-17-2015 08:14 AM)JimZZZ Wrote:  I gave up on the nasal mask in favor of a full face mask because I couldn't keep my mouth shut...even with a chin strap. No issue with leaks and getting excellent therapy.

Exactly why I use a full face mask.

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.
12-17-2015 09:10 AM
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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: #5
RE: High leaks but good therapy
Hi PastorMeador,
WELCOME! to the forum.!
Hang in there for more responses to your post and much success to you with your CPAP therapy.

trish6hundred
12-17-2015 07:51 PM
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PastorMeador Offline

Members

Posts: 16
Joined: Nov 2015

Machine: RemStar AirSense10
Mask Type: Nasal mask
Mask Make & Model: Respironics ComfortGel Blue small
Humidifier: None
CPAP Pressure: 13
CPAP Software: ResScan

Other Comments:

Sex: Male
Location: Plymouth, WI

Post: #6
RE: High leaks but good therapy
Any idea why my machine would show one leak le el and the report I get from MyAir is lower?

My machine reported 37L/ Min. But MyAir said it was 24L/min.
12-18-2015 10:39 AM
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PaytonA Offline
Wiki Editor
Monitors

Posts: 3,005
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: #7
RE: High leaks but good therapy
It would be helpful if you corrected your machine type in your profile. The Airsense 10 is a Resmed machine but it could be a CPAP, Elite, or Autoset model.

I can't say for sure but my feeling is that Resmed's software ignores some spurious leakage spikes and I am fairly sure of that. The machine reports everything.

Best Regards,

PaytonA
(This post was last modified: 12-18-2015 11:42 AM by PaytonA.)
12-18-2015 11:42 AM
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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: #8
RE: High leaks but good therapy
Welcome PastorMeador!!!!

LL's are a concern but since you sleep great it is a lessor issue than AHI's and such. Are you in CPAP mode or APAP? I found that the pressure from being in CPAP was "blowing" the nasal pillow off my face, plus my big mouth would fall open. I went to APAP mode, it's kind of like cruise control so to speak. Helped me immensely. Started using a chinstrap and then on 30 day trial periods, dialed in the lower and higher pressures. I don't always get perfect leak scores, but they are way down. We are talking about a 4-5 month period.

My symptoms were identical to yours. I see your pressures are 5-15. Start at 5 and ramp to a full 15 I take it? I was at 16, then went to 14 and still had issues. Now I'm golden.

Chuck

(12-17-2015 07:33 AM)PastorMeador Wrote:  I recently upgraded to the Airsense 10. This change was from an older generation machine. It took me awhile to sleep well on it. Note after two months and three new masks I have been sleeping great. My events per hour are. 3 and my centrals are. 1. The only concern I have is that my leak rate goes up. Last night it was 42L/min. There leaks don't wake me up. Should I be concerned about this leak rate or just be happy that I am getting good therapy? I use the Comfortgel Blu from Respironics. Small size.
(This post was last modified: 12-18-2015 06:26 PM by ginzo.)
12-18-2015 06:24 PM
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zonk Offline

Advisory Members

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: #9
RE: High leaks but good therapy
(12-18-2015 10:39 AM)PastorMeador Wrote:  Any idea why my machine would show one leak le el and the report I get from MyAir is lower?

My machine reported 37L/ Min. But MyAir said it was 24L/min.
Check the period on the machine screen sleep report set to 1 Day, default set 1 Month
Whenever the machine is powered down or unplugged, period revert back to default setting 1 Month

As long as, your sleep is not disturbed by leaks, I wouldn't fussed by numbers, the number means ... leak was at or below (not all night long) this number for 95% of the night. Download the software http://www.sleepfiles.com/SH2/ to get a better understanding of what is going on
12-18-2015 08:05 PM
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PastorMeador Offline

Members

Posts: 16
Joined: Nov 2015

Machine: RemStar AirSense10
Mask Type: Nasal mask
Mask Make & Model: Respironics ComfortGel Blue small
Humidifier: None
CPAP Pressure: 13
CPAP Software: ResScan

Other Comments:

Sex: Male
Location: Plymouth, WI

Post: #10
RE: High leaks but good therapy
I am on auto. I just went out and got a chin strap. Been on cpap since 2005 and have never had the kind of trouble I have had since switching to this new machine. I used the CPAP Pro mouth guard style for years. But the auto pressure had too much play in it. Then tried a nasal pillow and couldn't back it. Went back to the very first mask I wore in the Comfortgel Blue. Finally making progress!! I almost liked it better when I just put the thing on and didn't have all these nu!bers to worry about!!
12-18-2015 08:11 PM
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