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Leak problems. Still.
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Harlon Offline

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Posts: 19
Joined: May 2016

Machine: ResMed S9
Mask Type: Full face mask
Mask Make & Model: Unsure
Humidifier: ResMed H5i
CPAP Pressure: 8
CPAP Software: Not using software

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Sex: Male
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Post: #1
Leak problems. Still.
I was dealing with leaks with my old mask (FlexiFit431) and I recently switched to an Airfit F10. I actually went in and got "fitted" and the lady helped me select this one. But it's actually gotten worse. I've adjusted it loose, tight and everywhere in between. This is getting crazy. I can't afford to simply buy every mask on the market until I find one that works. Any suggestions? And I don't know how willing my insurance company is to keep letting me try a new one. And how do my numbers look from last night (other than the leakage, of course)? Thanks!!

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06-05-2016 07:54 PM
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richb Online

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Posts: 528
Joined: Jun 2015

Machine: Resmed AirCurve 10 ASV
Mask Type: Nasal mask
Mask Make & Model: ResMed Mirage FX
Humidifier: Built in
CPAP Pressure: Epap 6 Ipap 8 Auto ASV
CPAP Software: ResScan SleepyHead

Other Comments: Idiopathic Central Apnea

Sex: Male
Location: Vermont

Post: #2
RE: Leak problems. Still.
Hi Harlon,

Sorry about your trouble with leaks. Mask issues are pretty common here. It suspect you are pushing your mask aside while you are sleeping. You might try a smaller profile such as a nasal mask or even pillows to reduce the area exposed to being pushed around by your pillow, arm or hand. Just a thought.

Rich

Apnea Board Member RobySue has posted a Beginners Guide to Sleepyhead Software here: http://www.apneaboard.com/wiki/index.php...SleepyHead
06-05-2016 08:34 PM
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green wings Offline

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Posts: 544
Joined: Feb 2016

Machine: Respironics System One RemStar Pro (460)
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10
Humidifier: integrated humidifier
CPAP Pressure: 13.0 cm
CPAP Software: SleepyHead

Other Comments: using CPAP since Jan. 2016

Sex: Undisclosed
Location: US

Post: #3
RE: Leak problems. Still.
Hi Harlon. No, those leaks don't look good. Was it recommended that you use a full-face mask because you have a problem breathing easily through your nose?

I'm a nasal pillows (AirFit P10) user myself, so I am looking at your not-so-high treatment pressures and wondering if nasal pillows would work for you.

I imagine some full-face mask users will drop in soon to give you advice from that camp.

Good work on getting a mask fitting at the DME. I just had one of those myself last month when I switched from a nasal mask to nasal pillows. (I ended up returning my first choice. What seemed terrific during the fitting turned into awful after three nights of use.)
06-05-2016 09:08 PM
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Harlon Offline

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Posts: 19
Joined: May 2016

Machine: ResMed S9
Mask Type: Full face mask
Mask Make & Model: Unsure
Humidifier: ResMed H5i
CPAP Pressure: 8
CPAP Software: Not using software

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Sex: Male
Location:

Post: #4
RE: Leak problems. Still.
Thanks for the replies. 5 years ago (when I first got my machine) my first mask was a nasal. I slept with my mouth open (apparently, because I'd wake with a sore throat often) so she convinced me a nasal would not work for me. It's actually what I went in intending to try. She also convinced me the chin strap would be uncomfortable. Now I'm not sure which was to go.
06-05-2016 09:39 PM
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pupcamper Online

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Posts: 399
Joined: Nov 2015

Machine: PR DreamStation CPAP Pro
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 Pillows; Quatro Air FFM
Humidifier: DreamStation Heated Humidifier
CPAP Pressure: 10.5 cmH2O; no ramp; no C-Flex
CPAP Software: SleepyHead EncorePro

Other Comments: Lung cancer survivor since 11/2004; CPAP since 11/2015

Sex: Male
Location: Van Buren, Arkansas, USA.

Post: #5
RE: Leak problems. Still.
(06-05-2016 09:39 PM)Harlon Wrote:  Thanks for the replies. 5 years ago (when I first got my machine) my first mask was a nasal. I slept with my mouth open (apparently, because I'd wake with a sore throat often) so she convinced me a nasal would not work for me. It's actually what I went in intending to try. She also convinced me the chin strap would be uncomfortable. Now I'm not sure which was to go.

My sleep Doctor convinced me I wouldn't be able to use nasal pillows, also. He was right in that I do have mouth leaks. I have, however, changed over from a FFM to nasal pillows. I use a chin strap, tuck a pillow under my chin to help keep my mouth shut and have learned to use my tongue to help seal my throat from my mouth. I haven't had a large leak since I started using the pillows and they are so much more comfortable that getting used to the chin strap was well worth the effort.

Good luck in your journey,

"....respiration,—a troublesome practice, but one which custom has rendered necessary to our easy existence...." Oliver Twist, Charles Dickens- 1837

I use FlashPAP to load data from a FlashAir III wifi sd card in my machine to my computer and display it with SleepyHead .
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06-06-2016 06:31 AM
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Rcgop Offline

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Posts: 210
Joined: May 2016

Machine: Resmed AirSense 10 autoset
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10
Humidifier: installed
CPAP Pressure: 6.0 - 10.0 / EPR 2
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Orlando Fl

Post: #6
RE: Leak problems. Still.
I too have a pillows mask and fought mouth leaks. The chin strap made a big difference. However when I purchased a CPAP pillow, I was able choose various spots on pillow to lay my head that would help control leaks. They are expensive ($60-$70) but you can support your head and not put pressure on the mask. Since then I I have learned yawn without any mouth leaks.

HuhDont-knowI am an accountant so any advice given here is not medical. If I give any financial advice, you can take it to the bank. However, you will have a hard time cashing it in. Okay
06-06-2016 06:51 AM
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green wings Offline

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Posts: 544
Joined: Feb 2016

Machine: Respironics System One RemStar Pro (460)
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10
Humidifier: integrated humidifier
CPAP Pressure: 13.0 cm
CPAP Software: SleepyHead

Other Comments: using CPAP since Jan. 2016

Sex: Undisclosed
Location: US

Post: #7
RE: Leak problems. Still.
Would that be a "silent yawn"? Smile No, seriously, I'm confused. Doesn't a yawn by definition mean air comes from your mouth? Oh-jeez

(06-06-2016 06:51 AM)Rcgop Wrote:  I too have a pillows mask and fought mouth leaks. The chin strap made a big difference. However when I purchased a CPAP pillow, I was able choose various spots on pillow to lay my head that would help control leaks. They are expensive ($60-$70) but you can support your head and not put pressure on the mask. Since then I I have learned yawn without any mouth leaks.
06-06-2016 08:08 AM
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green wings Offline

Advisory Members

Posts: 544
Joined: Feb 2016

Machine: Respironics System One RemStar Pro (460)
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10
Humidifier: integrated humidifier
CPAP Pressure: 13.0 cm
CPAP Software: SleepyHead

Other Comments: using CPAP since Jan. 2016

Sex: Undisclosed
Location: US

Post: #8
RE: Leak problems. Still.
Oh, okay. Sounds like there's no way to know except by trying.

Having recently switched from a nasal mask to nasal pillows, I have jumped onto the AirFit P10 rah-rah bandwagon. There's just so much less stuff on my face.

I used the Wisp nasal mask for 4+ months. I think it's a very good nasal mask. I did have to work to avoid leaks at the bridge of the nose and to avoid springing a leak when I turned to sleep on my side. I seemed to learn to reseat the mask in my sleep after a couple of months.

With a nasal mask, you are working to avoid leaks from the mask as well as leaks from your mouth.

I've been using the P10 nasal pillows for about two weeks now. I saw one minute-long large leak period in my SleepyHead graphs where it looked like I dislodged the the pillows, but other than that, leaks from the pillows have been pretty much zero.

I was initially dismayed to see that my "lip leaking" had increased when I switched from the Wisp from the P10, but I seem to be getting used to the nasal pillows. The lip leaking has decreased steadily so that now I'm usually only seeing it happen a little around obstructive apnea events.

I have been keeping an eye on the lip leaking while trying to determine if I was going to have to get a chin strap.

I haven't used one before. They do look uncomfortable to me, but so do full-face masks.

I have wondered before if DMEs make more money on full-face masks than on less expensive masks. That may just be bias on my part because I've never used one.

Oh - link here to graph in SleepyHead showing the shapes of different types of breathing incidents like snoring and mouth leaking. The "expiratory mouth breathing" graph near the end of the chart is what I mean by "lip leaking/mouth leaking". It doesn't show up as a large leak in SleepyHead, but if it happens often enough, it can cause dry mouth. I'm not clear about how it affects therapy, but it doesn't seem like it can be good. (I keep meaning to post a question about that.)

(06-05-2016 09:39 PM)Harlon Wrote:  Thanks for the replies. 5 years ago (when I first got my machine) my first mask was a nasal. I slept with my mouth open (apparently, because I'd wake with a sore throat often) so she convinced me a nasal would not work for me. It's actually what I went in intending to try. She also convinced me the chin strap would be uncomfortable. Now I'm not sure which was to go.
06-06-2016 08:24 AM
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PoolQ Offline

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Posts: 986
Joined: Jul 2015

Machine: AirCurve 10 VAUTO
Mask Type: Full face mask
Mask Make & Model: Amara View
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CPAP Pressure: 6.2, 15, PS4.0
CPAP Software: SleepyHead

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Sex: Male
Location: Sillicon Valley

Post: #9
RE: Leak problems. Still.
It is pretty amazing what you can learn to do. I too can yawn with my mask on, only breathe in during a yawn under pressure and just tuck my lower lip right back into the mask.

I side sleep and always at the edge of the pillow with the mask hanging over the edge. If it starts to leak I can adjust the mask by slightly turning my head to re-center the mask and go right back to sleep. Most times I put a hand under the edge of the pillow to help get the mask position right. Figure out how to pillow the mask when you are NOT trying to sleep. Practice and experiment during the day. Figure out what works to stop the leaks.
06-06-2016 11:04 AM
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Sleeprider Offline
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Posts: 3,340
Joined: Dec 2014

Machine: Resmed Aircurve 10 Vauto
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed Climateline
CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

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Sex: Male
Location: Where they make Respironics

Post: #10
RE: Leak problems. Still.
Next thing you know, you'll learn to talk with the nasal pillows under pressure.

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06-06-2016 09:30 PM
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