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Mouth Leaker?
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PaytonA Offline
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Monitors

Posts: 3,005
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: #11
RE: Mouth Leaker?
(05-28-2015 05:34 AM)quiescence at last Wrote:  DV - from the plot, which you probably posted because it was the interesting part, there is no correlation between leaks and expected attenuation in flow rate. while the pressure setting is 9-20, his apnea is well controlled and constant at 9 (plus the standard PRS1 pressure spikes to 10.5). The plot shows no adjustments to pressure throughout this clip. it is interesting that the snores happened when leak was low. you might expect the flow rate to be attenuated at those points - which does not seem to be true, and you might expect that he is mouth breathing when he snores which would increase the leakage (theoretically). if he could somehow not leak when mouth breathing, it would probably show an increase in TV and flow rate. so, based on this, I would be willing to believe he is not mouth breathing. This leaves leaking at mask to face interface. Would he be willing to try pad/liner for a trial?

QAL


btw. Did his resp get bumpy between 23:35 and 00:25? If so, he may have been REM sleeping and pretty un-disturbed by the skin interface leakage which would normally awaken him.

Why would you expect the flow rate to attenuate due to leaks?
05-28-2015 10:44 AM
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quiescence at last Offline

Advisory Members

Posts: 753
Joined: Nov 2014

Machine: REMstar System One with Autoflex
Mask Type: Full face mask
Mask Make & Model: Quattro AirFit F10
Humidifier: yes typical setting = 4
CPAP Pressure: 5-13 Autotritrating CPAP
CPAP Software: SleepyHead EncoreBasic

Other Comments: CMS-50F Plus oximeter /w SPO2 Assistant software. Avowed mouth-breather switching to nose-breathing

Sex: Male
Location: US

Post: #12
RE: Mouth Leaker?
(05-28-2015 10:44 AM)PaytonA Wrote:  Why would you expect the flow rate to attenuate due to leaks?

The air is not coming back out the nose, so flow would show as less. Maybe I actually meant that the exhale would be attenuated.

Perhaps the inhale flow would actually be expected to increase.

Smile

QAL

Dedicated to QALity sleep.
You'll note I am listed as an Advisory Member. I am honored to be listed as such. See the fine print - Advisory Members as a group provide advice and suggestions to Apnea Board administrators and staff concerning Apnea Board operation and administrative policies. Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment.
05-28-2015 12:44 PM
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Sleepster Offline
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Posts: 4,988
Joined: Feb 2012

Machine: ResMed AirCurve10 VAuto
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
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: #13
RE: Mouth Leaker?
(05-27-2015 07:16 PM)JVinNE Wrote:  Sleepster, does your Simplus cause deep lines in your face?

Nope! Every once in a while I'll wake up with a line on one cheek because of the way I'd been sleeping.

Nothing compared to the marks I had from my nasal pillows mask strap and the chin strap.

Sleepster
Apnea Board Moderator
www.ApneaBoard.com


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.
05-28-2015 06:07 PM
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Sleepster Offline
Wiki Editor
Moderators

Posts: 4,988
Joined: Feb 2012

Machine: ResMed AirCurve10 VAuto
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
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: #14
RE: Mouth Leaker?
(05-28-2015 10:03 AM)DariaVader Wrote:  That little clip is how long he spent on the machine that particular night. He goes to bed with the machine, and then gets up and sleeps in a chair without it when he wakes.

If he's not compliant the data doesn't mean anything. Use an oximeter to convince him that his life is at stake.

Sleepster
Apnea Board Moderator
www.ApneaBoard.com


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.
05-28-2015 06:10 PM
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