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Low AHI isn't the full story - or How do I control these leaks?
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DeepBreathing Offline
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Machine: Resmed S9 VPAP Adapt
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Resmed H5i
CPAP Pressure: EPAP: 9 - 15 PS: 3 - 10
CPAP Software: ResScan SleepyHead

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Sex: Male
Location: Perth, Western Australia

Post: #1
Low AHI isn't the full story - or How do I control these leaks?
For the first time ever I got a red frowny face on my readout. Angry

My AHI was only 1.8 but because of all the leaks I didn't even make four hours of therapy last night and woke up with a bad headache. SWMBO said the leaks disturbed her sleep also.

When I was trialling machines I had a Quattro Air on loan - it was brilliant. When I purchased the machine they gave me a bright shiny new Quattro Air which has always leaked. Sad I have a Pad-a-cheek liner for it, which initially helped the leaks, but now I'm getting results like the attached...

I'm also waking up with a really dry mouth and sore throat so I'm obviously mouth-breathing a lot. I tend to have a stuffy nose at the best of times and some trials with a nasal mask and pillows were a disaster.

Not sure where to go from here. The Quattro Air was the only mask that I really liked so I don't want to jump back on the merry-go-round of trialling masks. Maybe I'll just buy new cushions for the Air and see how that goes.

   

DeepBreathing
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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.
03-01-2014 08:04 PM
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c0reDump Offline

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Posts: 157
Joined: Jan 2014

Machine: ResMed S9 AutoSet
Mask Type: Full face mask
Mask Make & Model: Quattro Air
Humidifier: H5i (distilled)
CPAP Pressure: APAP 9-17cmH2O
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: TX

Post: #2
RE: Low AHI isn't the full story - or How do I control these leaks?
Wonder if your loaner mask was a different size from your new mask? Anyhow, I've found that even the slightest bit of facial oil residue on the mask is enough to cause leaks.

Try washing the mask with soap to remove any oils. Shaving helps to prevent leaks from facial hair. Also rubbing aloe on your face 5-10 minutes before putting on the mask (let the aloe dry first), helps with leaks that could be from dry skin.

I suspect the leaks are causing your dry mouth too.
03-01-2014 08:33 PM
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Sleepster Offline
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Machine: ResMed AirCurve10 VAuto
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Humidifier: HumidAir and SlimLine Hose
CPAP Pressure: MaxI 13.6 | MinE 5.2 | PS 4.4
CPAP Software: ResScan SleepyHead

Other Comments: Diagnosed Nov 2011. Conquered aerophagia.

Sex: Male
Location: Houston, Texas

Post: #3
RE: Low AHI isn't the full story - or How do I control these leaks?
(03-01-2014 08:04 PM)DeepBreathing Wrote:  Not sure where to go from here. The Quattro Air was the only mask that I really liked so I don't want to jump back on the merry-go-round of trialling masks. Maybe I'll just buy new cushions for the Air and see how that goes.

Why not do both? I would suggest you try a hybrid mask, and get the new cushions for your old mask, too.

Sometimes it helps to be able to switch back and forth between masks.

Sleepster
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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.
03-01-2014 09:19 PM
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DeepBreathing Offline
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Posts: 2,296
Joined: Sep 2013

Machine: Resmed S9 VPAP Adapt
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Resmed H5i
CPAP Pressure: EPAP: 9 - 15 PS: 3 - 10
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Perth, Western Australia

Post: #4
RE: Low AHI isn't the full story - or How do I control these leaks?
(03-01-2014 08:33 PM)c0reDump Wrote:  Wonder if your loaner mask was a different size from your new mask? Anyhow, I've found that even the slightest bit of facial oil residue on the mask is enough to cause leaks.

Try washing the mask with soap to remove any oils. Shaving helps to prevent leaks from facial hair. Also rubbing aloe on your face 5-10 minutes before putting on the mask (let the aloe dry first), helps with leaks that could be from dry skin.

I suspect the leaks are causing your dry mouth too.

Thanks CoreDump. It happens that last night being Saturday I had gone through my Saturday ritual of stripping everything down for a thorough cleaning, hot water rinse and air-dry. (Including the Pad-a-cheek). I also run the razor over my face (apart from the goatee) before going to bed, so there's no stubble. So last night - the worst night ever - everything was clean, dry and smooth.

DeepBreathing
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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.
03-01-2014 09:53 PM
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PaulaO2 Offline
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Machine: S9 Autoset
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Other Comments: Ehlers-Danlos Syndrome, Hypermobility Type; chronic sarcasm

Sex: Undisclosed
Location: western NC, USA

Post: #5
RE: Low AHI isn't the full story - or How do I control these leaks?
Well, let that be a lesson to you! Never wash anything ever again! Duh!

But seriously, if you did just do a cleaning, make sure you put it together right. My bet is something isn't in right and that's why you had such bad leaks suddenly.

PaulaO2
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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.
03-01-2014 10:02 PM
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DeepBreathing Offline
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Posts: 2,296
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Machine: Resmed S9 VPAP Adapt
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Resmed H5i
CPAP Pressure: EPAP: 9 - 15 PS: 3 - 10
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Perth, Western Australia

Post: #6
RE: Low AHI isn't the full story - or How do I control these leaks?
(03-01-2014 09:19 PM)Sleepster Wrote:  
(03-01-2014 08:04 PM)DeepBreathing Wrote:  Not sure where to go from here. The Quattro Air was the only mask that I really liked so I don't want to jump back on the merry-go-round of trialling masks. Maybe I'll just buy new cushions for the Air and see how that goes.

Why not do both? I would suggest you try a hybrid mask, and get the new cushions for your old mask, too.

Sometimes it helps to be able to switch back and forth between masks.

Hybrid mask - mouth plus nasal pillows? Eeew! Vomit I can't stand nasal pillows - the very thought of them makes my skin crawl. (Yes I have tried them).

As for trying yet another type of mask, I tried quite a few before the Quattro Air, and none of them were particularly successful. I'd rather find a way to make the Air work for me (like it did before) rather than shelling out a couple of hundred bucks for something which may not work at all.

Thanks for the suggestion, sorry if I sounded dismissive.

DeepBreathing
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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.
03-01-2014 10:13 PM
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DeepBreathing Offline
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Posts: 2,296
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Machine: Resmed S9 VPAP Adapt
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Resmed H5i
CPAP Pressure: EPAP: 9 - 15 PS: 3 - 10
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Perth, Western Australia

Post: #7
RE: Low AHI isn't the full story - or How do I control these leaks?
(03-01-2014 10:02 PM)PaulaO2 Wrote:  Well, let that be a lesson to you! Never wash anything ever again! Duh!

But seriously, if you did just do a cleaning, make sure you put it together right. My bet is something isn't in right and that's why you had such bad leaks suddenly.

Everything seems to be connected right. The liner needs a bit of poking and prodding to get it just right so maybe that slipped during the night. I have put a couple of additional velcro patches on it to hold it more firmly to the shell of the mask.

DeepBreathing
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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.
03-01-2014 10:46 PM
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zonk Offline

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Other Comments: CPAP since Nov 2010

Sex: Male
Location: Australia

Post: #8
RE: Low AHI isn't the full story - or How do I control these leaks?
(03-01-2014 08:04 PM)DeepBreathing Wrote:  I tend to have a stuffy nose at the best of times and some trials with a nasal mask and pillows were a disaster.
Sinus rinse helps with stuffy nose, I get either Neilmed or Flo pre-packed sachets from the chemist to use with the squeezey bottle in the evening and sometimes during the day

All along I thought increase humidity is better, my sleep doctor and ENT told me so but now I come to conclusion less is better for my nose ymmv
03-02-2014 02:32 AM
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c0reDump Offline

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Posts: 157
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Machine: ResMed S9 AutoSet
Mask Type: Full face mask
Mask Make & Model: Quattro Air
Humidifier: H5i (distilled)
CPAP Pressure: APAP 9-17cmH2O
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: TX

Post: #9
RE: Low AHI isn't the full story - or How do I control these leaks?
Might need to lose the goatee... I shaved mine off when I started CPAP therapy (had the goatee for 15 years).

With your VPAP settings, you have large pressure swings on each breathe so you will have a really tough time with leaks -- hope you can find a solution!
03-02-2014 10:10 AM
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Lukie Offline

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Post: #10
RE: Low AHI isn't the full story - or How do I control these leaks?
I had the Quattro Air and it leaked like a sieve. All of the full face masks leak. However, I am finding the F&P Simplus to be really great. I use a single strap ResMed chin strap to keep my jaw up and minimize mouth farts and jaw drops. I also use an eye mask. Both things seem to work like a Remzee and keep at least the perception of leaks way down and the numbers of leaks to an acceptable level.
03-02-2014 10:44 AM
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