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Minimal leakage but uncomfortable mask question
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Stargazer Offline

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Posts: 100
Joined: Apr 2014

Machine: ResMed S9 AutoSet
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quatro
Humidifier: H5i
CPAP Pressure: 10-15
CPAP Software: ResScan SleepyHead

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Sex: Male
Location: Carolina Coast

Post: #1
Minimal leakage but uncomfortable mask question
After one week of cpap, it seems to be going well. Feeling better than ever!

My only concern is with my mask. It is still quite uncomfortable. I'm now using the Gecko pad (had nose blisters after the first two nights). Even with the pad, my nose feels like it was punched!

AHI's are well under control and leak rates are as follows: 0.0, 1.2, 0.0, 0.0 in the 95th percentile and one night had a maximum of 6 with the other three nights less than 2.

Big question: My mask is a medium and I'm pretty sure a large would fit much better. Should I even consider exchanging to the large with what seems like pretty decent numbers?

I still have about 2-3 weeks or so to make an exchange.

A good laugh and a long sleep are the best cures....
04-18-2014 09:18 AM
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justMongo Offline

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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: Minimal leakage but uncomfortable mask question
I have a big face -- And I use a medium. A large would be too low on my chin which is where I have to have it just right or I get a big flapping leak.
Does your mask have the adjustable nose bridge? Seems like that should prevent the nose bridge irritation. It has a forehead pad and an adjustment knob to move the top of the mask to/from the nose bridge.
BTW -- for anyone wondering what size their RMQ mask is -- there's a letter on the bottom of the mask cushion -- "M" is for medium.
Like this one:
[Image: 41U6jZTi04L.jpg]

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.
(This post was last modified: 04-18-2014 09:58 AM by justMongo.)
04-18-2014 09:55 AM
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Stargazer Offline

Preferred Members-2

Posts: 100
Joined: Apr 2014

Machine: ResMed S9 AutoSet
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quatro
Humidifier: H5i
CPAP Pressure: 10-15
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Carolina Coast

Post: #3
RE: Minimal leakage but uncomfortable mask question
(04-18-2014 09:55 AM)justMongo Wrote:  Does your mask have the adjustable nose bridge? Seems like that should prevent the nose bridge irritation. It has a forehead pad and an adjustment knob to move the top of the mask to/from the nose bridge.

It does. It's the same mask, actually. I backed off the knob a few clicks last night. Might have to try a few more tonight. Just so worried about screwing up my leak rate.

Being new to cpap, I'm not sure what the balance is between comfort and results. Guess it's a tweaking process for a while.

A good laugh and a long sleep are the best cures....
04-18-2014 10:05 AM
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justMongo Offline

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Posts: 3,853
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: Minimal leakage but uncomfortable mask question
I back off the knob (ccw when viewed looking at my face) until I feel it blowing in my eyes, then turn cw until the leak stops.
Every evening takes a little re-seating of the mask to get it right. And as the head straps stretch, I have to readjust those occasionally.
I find a new mask cushion takes takes some time to settle in. It leaks at first. It think because the new cushion has dents in the mask cushion from insecure packaging. But, after about a week, it's like an old pair of comfortable slippers (sans smell.)

Everyone is different; but I like the RMQ mask -- I'd be like a processor that's done a jump and is executing data as instructions without my RMQ.

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.
04-18-2014 10:48 AM
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Stargazer Offline

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Posts: 100
Joined: Apr 2014

Machine: ResMed S9 AutoSet
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quatro
Humidifier: H5i
CPAP Pressure: 10-15
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Carolina Coast

Post: #5
RE: Minimal leakage but uncomfortable mask question
(04-18-2014 10:48 AM)justMongo Wrote:  I back off the knob (ccw when viewed looking at my face) until I feel it blowing in my eyes, then turn cw until the leak stops.

A much better approach than the one I've been taking. I put too much into my DME's advice on only backing off a few clicks!

Will try your more logical and common sense method tonight.

As always, appreciate the advice, Mongo!

A good laugh and a long sleep are the best cures....
04-18-2014 11:51 AM
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zonk Offline

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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: #6
RE: Minimal leakage but uncomfortable mask question
(04-18-2014 10:05 AM)Stargazer Wrote:  Being new to cpap, I'm not sure what the balance is between comfort and results. Guess it's a tweaking process for a while.
Always comfort comes first. I would not stress about leak numbers, around 24 L/m is acceptable, even above is not the end of world as long as not coming near my eyes or disturb my sleep. If one mask does not work, try another, plenty of fish in the sea Coffee

ResMed Mirage Quattro CPAP Mask Fitting Guide
http://www.youtube.com/watch?v=X5idVkGS954
04-18-2014 02:25 PM
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PaytonA Offline
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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

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Sex: Male
Location: Orange County,California

Post: #7
RE: Minimal leakage but uncomfortable mask question
Another thing you might want to look at for adjusting your mask is a blog called MASK ARRAYED. Google it and then click on "Taming the Mirage Quattro". There is another fix for the nose bridge problem if all of this does not work. Keep us informed of your progress.

Best Regards,

PaytonA
04-18-2014 03:01 PM
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robysue Offline
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Posts: 1,244
Joined: Oct 2013

Machine: PR Dreamstation BiPAP Auto
Mask Type: Nasal pillows
Mask Make & Model: Swift FX
Humidifier: PR Dreamstation humidfier
CPAP Pressure: min EPAP = 4; max IPAP = 9;
CPAP Software: SleepyHead EncoreBasic EncorePro

Other Comments: Papping since September 2010

Sex: Female
Location: Buffalo, NY

Post: #8
RE: Minimal leakage but uncomfortable mask question
(04-18-2014 02:25 PM)zonk Wrote:  
(04-18-2014 10:05 AM)Stargazer Wrote:  Being new to cpap, I'm not sure what the balance is between comfort and results. Guess it's a tweaking process for a while.
Always comfort comes first. I would not stress about leak numbers, around 24 L/m is acceptable, even above is not the end of world as long as not coming near my eyes or disturb my sleep. If one mask does not work, try another, plenty of fish in the sea Coffee

ResMed Mirage Quattro CPAP Mask Fitting Guide
http://www.youtube.com/watch?v=X5idVkGS954
+1

Perfect leak lines with a sore nose mean you're working too hard on the leaks and not enough on the comfort.

The name of the game is to sleep WELL and COMFORTABLY, not to have perfect numbers.
04-18-2014 04:04 PM
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snowboardjoe Offline

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Posts: 9
Joined: Apr 2014

Machine: ResMed S9 AutoSet
Mask Type: Nasal mask
Mask Make & Model: F&P Eson
Humidifier: ResMed H5i
CPAP Pressure: 4-11
CPAP Software: SleepyHead

Other Comments: On CPAP since 2010

Sex: Male
Location: Seattle, WA USA

Post: #9
RE: Minimal leakage but uncomfortable mask question
This was the mask I used my first time 4 years ago. It took me two weeks to adapt to it. Leaks drove me insane until I got it right. I don't think upsizing will help as there are big differences between the sizes. Don't panic on leaks. Small leaks are fine and the machine compensates for that.

Think of the nose adjustment as a balancing act between the nose and the chin. You have to dial it in just right to get a good fit. Do work on shifting the mask up and down in tiny increments as that can drastically impact the fit (especially on the nose).
04-18-2014 05:08 PM
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Stargazer Offline

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Posts: 100
Joined: Apr 2014

Machine: ResMed S9 AutoSet
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quatro
Humidifier: H5i
CPAP Pressure: 10-15
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Carolina Coast

Post: #10
RE: Minimal leakage but uncomfortable mask question
Much, much better night. For the first time, my nose/face feel almost like I didn't have the mask on.

Great suggestions and the blog and link were VERY helpful as well. Cannot thank you all enough!!

A good laugh and a long sleep are the best cures....
04-19-2014 07:30 AM
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