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Is my leak rate okay or shouild I tighten things up
#1
Is my leak rate okay or shouild I tighten things up
attached is a typical nights stats, as you can see the large leak stat resides around 20ish percent but some nights its about 0.5-2 percent, is 20 large leak worrisome? thanks!


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#2
RE: Is my leak rate okay or shouild I tighten things up
Your leak rate is to high but overtightening is more often a problem then the opposite.  Here is a link that might help.  http://www.apneaboard.com/wiki/index.php/Mask_Primer

But I also see your flow limits are a problem.  Flow limits are apnea just the same as obstructive and hypopneas.  they are just smaller in obstruction and are not timed.  We treat these with EPR (exhale pressure relief) but to use the EPR your min number must be high enough to allow EPR to work. So I would suggest the following numbers.

min 8
EPR 3

Give those a try tonight and post tomorrow telling us how you feel with the new setting.  of course put in the nights oscar charts.  I hope you can get a handle on the leaks and these new settings will help you sleep.
Apnea (80-100%) 10 seconds, Hypopnea (50-80%) 10 seconds, Flow Limits (0-50%) not timed  Cervical Collar - Dealing w DME - Chart Organizing
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#3
RE: Is my leak rate okay or shouild I tighten things up
(09-14-2021, 08:26 AM)staceyburke Wrote: Your leak rate is to high but overtightening is more often a problem then the opposite.  Here is a link that might help.  http://www.apneaboard.com/wiki/index.php/Mask_Primer

But I also see your flow limits are a problem.  Flow limits are apnea just the same as obstructive and hypopneas.  they are just smaller in obstruction and are not timed.  We treat these with EPR (exhale pressure relief) but to use the EPR your min number must be high enough to allow EPR to work. So I would suggest the following numbers.

min 8
EPR 3

Give those a try tonight and post tomorrow telling us how you feel with the new setting.  of course put in the nights oscar charts.  I hope you can get a handle on the leaks and these new settings will help you sleep.
Yeah I changed to those settings and my idiot self forgot to put the sd card back in, but my air reporter insane leakage up to 64 l/min with those settings
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#4
RE: Is my leak rate okay or shouild I tighten things up
It's almost always something with the mask when there's high leaks. It could be adjusting too tight that distorts or crushes the cushion, wrong sized, otherwise wrong fit. Sometimes it could be mouth leaks as well. If it leaks with higher pressure then it's still upon the mask fit to handle the pressure. 5.4 increased to 8 on the min side wouldn't be likely the reason for leaks to increase.
Dave

OSCAR
Standard OSCAR Chart Order
Mask Primer
Dealing With A DME
Soft Cervical Collar Wiki
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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