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Mask Leak vs Comfort
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LucidSnorer Offline

New Members

Posts: 2
Joined: Sep 2016

Machine: ResMed Airsense 10
Mask Type: Nasal mask
Mask Make & Model: Whisper
Humidifier: Built in
CPAP Pressure: 12
CPAP Software: Not using software

Other Comments:

Sex: Male
Location: USA

Post: #1
Mask Leak vs Comfort
Hi all,

I was diagnosed with an AHI of 118 (I know, right?) and started cpap on a ResMed Airsense 10 about 30 days ago. Pressure around 12. With therapy, the summary data suggests my AHI is between 1 and 3 depending on the night, and I now need 4 hours less sleep a night to feel rested! yAy!

My only complaint is with my mask. I use a whisper nose mask. I have a large skull, so my gear is near the limits of being loosened. but I do have a little room to adjust. That being said, the pressure of the nose mask pressing on my lip is driving me crazy!

How much air leak is ok? I would love to loosen the mask a bit and allow more leak, but I am not sure what is an ok upper bound. I have been keeping it at around 6 L/min.
09-06-2016 10:03 PM
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PaytonA Offline
Wiki Editor
Monitors

Posts: 3,013
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: #2
RE: Mask Leak vs Comfort
With a Resmed machine the leak rate reported is the unintentional leak rate without the vent rate figured into it. Resmed says that leaks up to 24 l/min can be tolerated by the machine but I would not want mine to be in the 20s. I would think that you would be fine if your leak rate was 10-12 l/min maybe even 16. You might even find that loosening the lower straps up a little might reduce leaks.

have phun.

Best Regards,

PaytonA
09-06-2016 11:21 PM
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chill Online

Advisory Members

Posts: 856
Joined: Mar 2016

Machine: DreamStation X500
Mask Type: Full face mask
Mask Make & Model: Walk-in Mask Closet
Humidifier: DreamStation
CPAP Pressure: 13-16
CPAP Software: SleepyHead

Other Comments: CPAP True Believer

Sex: Male
Location: Vancouver, Canada

Post: #3
RE: Mask Leak vs Comfort
(09-06-2016 10:03 PM)LucidSnorer Wrote:  I was diagnosed with an AHI of 118 (I know, right?)

We really do need a High Score board. 118 is a contender!

And
Welcome
09-07-2016 01:15 AM
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cate1898 Offline

Advisory Members

Posts: 784
Joined: Aug 2015

Machine: PR System One 560BT Auto
Mask Type: Nasal pillows
Mask Make & Model: P10's/backup-DreamWear
Humidifier: PR attached
CPAP Pressure: 8.5 - 13. A-Flex 3
CPAP Software: SleepyHead

Other Comments: Began CPAP Therapy Sept. 11, 2015. Hx Hypertension, Post Graves Disease, chronic migraines.

Sex: Female
Location: Southern Ontario//SW Florida

Post: #4
RE: Mask Leak vs Comfort
Hi LucidSnorer and welcome to the forum!

Sounds like you are adapting to being a hosehead well and feeling rested with less sleep is one indication that therapy is working. Have you tried other masks? Finding a mask that you like and is comfortable and that allows a low leak rate is important. Masks are such an individual thing. Perhaps you might want to look at some nasal pillow masks? The P10's are very popular and worth a look.

Good luck and hope you have continued success!

APNEABOARD - A great place to be if you're a hosehead!! Rolleyes

-------------------------------------------------------------------------------------------------
EVERY ACCOMPLISHMENT BEGINS WITH THE DECISION TO TRY!
09-07-2016 04:50 AM
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DeepBreathing Offline
Wiki Editor
Moderators

Posts: 2,295
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: #5
RE: Mask Leak vs Comfort
G'day LucidSnorer, welcome to Apnea Board.

As mentioned above, the Resmed machines can tolerate a leak up to 24 L/min, but I agree with Payton that would be too high to accept on a continual basis. Apart from the reduction in therapy efficiency, persistent leaks can be annoying and disturb your sleep, or your partner's. By all means play around with the strap tension to get comfortable, but it might be you need a different type of mask. Getting a comfortable mask which doesn't leak is the hardest single thing about CPAP.

DeepBreathing
Apnea Board Moderator
www.ApneaBoard.com


Bed

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09-07-2016 05:48 AM
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chill Online

Advisory Members

Posts: 856
Joined: Mar 2016

Machine: DreamStation X500
Mask Type: Full face mask
Mask Make & Model: Walk-in Mask Closet
Humidifier: DreamStation
CPAP Pressure: 13-16
CPAP Software: SleepyHead

Other Comments: CPAP True Believer

Sex: Male
Location: Vancouver, Canada

Post: #6
RE: Mask Leak vs Comfort
Trying different masks seems like a good idea. I now have six (three via generous insurance and three on my own dime). If you have a DME that will let you try others, that would be a good route. I have the F&P Eson nasal mask and I am very happy with it. The F&P machines are not as popular, but they sure do make good masks!

If you are buying the masks out of pocket, are not finicky about using a mask that has touched the face of another human, Google for a product called Mask Bright and click the Shop link. Is a sleep lab that is selling off used masks. The deals are good, IMO. I bought three from them and they were in like new condition.
09-07-2016 10:09 AM
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trish6hundred Offline

Advisory Members

Posts: 6,446
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: #7
RE: Mask Leak vs Comfort
Hi LucidSnorer,
WELCOME! to the forum.!
Hopefully, you can get the mask you are using now to work for you. But if you just can't get used to it, don'g be shy about asking to try different masks, it is the most challenging part of this therapy.
Good luck to you on your CPAP journey and hang in there for more responses to your post.

trish6hundred
09-07-2016 10:32 AM
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mikeindc Offline

Members

Posts: 8
Joined: Aug 2016

Machine: ResMed Airsense 10
Mask Type: Nasal mask
Mask Make & Model: airsense
Humidifier: Resmed Mirage
CPAP Pressure: 8-12
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: DC

Post: #8
RE: Mask Leak vs Comfort
According to Sleeptime and my cpap, my air leaks are minor. Unfortunate they are either right around my nose and blow into my eye and wake me immediately. Or else the leaks are elsewhere where they whistle and wake both my partner and myself. Unless I take a sleeping pill, I don't get more then 2 or 3 hours of uninterrupted sleep. I started using a cpap more than 9 months ago I have tried 5 different masks and my original resmed fit 10 is still the best in terms of comfort and leakage. Unfortunately it also rubs my nose to the point that after a week it's irritated and breaks out, it's very red and it hurts even when I don't wear the mask. Because of the leaks, I sleep better without the mask.
09-09-2016 11:09 PM
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PaytonA Offline
Wiki Editor
Monitors

Posts: 3,013
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: #9
RE: Mask Leak vs Comfort
Have you tried your Resmed N10 mask with a mask liner. Mask liners are available from almost any of the online suppliers. There are single use mask liners or multiple use mask liners from someplace like Padacheek or you can make your own from old Tshirt material. One of the things that I found helped prevent the irritation was a cotton round available at the drug store cut in half and thinned out. Place this half round in the area where the irritation occurs.

Best Regards,

PaytonA
09-10-2016 11:48 AM
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pholynyk Offline

Advisory Members

Posts: 306
Joined: Mar 2015

Machine: ResMed AirSense 10 APAP
Mask Type: Full face mask
Mask Make & Model: Amara View
Humidifier: included
CPAP Pressure: 11-17
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Ontario, Canada

Post: #10
RE: Mask Leak vs Comfort
LucidDreamer - I wonder if your mask is the Philips Respironics Wisp mask? I found that there is a 'Large' size headgear for that mask for people with big heads - my hat size is 7-7/8, and one size fitzall doesn't. I found the headgear specifications on line, and I can't remember where. I do remember that I had to be quite persistent with my DME before they found it in the catalogue. It fit and worked quite well until my mouth started opening at night.
09-10-2016 10:00 PM
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