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Newbie - 95th % 52.8 ?
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jrferg75 Offline

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Posts: 3
Joined: Jan 2016

Machine: resmed aircurve 10 vauto
Mask Type: Nasal pillows
Mask Make & Model: resmed airfit p10
Humidifier: included
CPAP Pressure: 19/23
CPAP Software: Not using software

Other Comments:

Sex: Male
Location: Plano, Texas USA

Post: #1
Question Newbie - 95th % 52.8 ?
I'm sure that this has been asked and answered many, many times but after reading many of the posts regarding this, I am still confused.

I have just started using my BiPAP at 19/23 and I get a sore throat and dry mouth. Using the on-board humidifier at 8 and nasal pillows. I always get the "unhappy face" and I think that I occasionally leak through my mouth at night.

According to U-sleep.com, I have the following numbers and I have requested a chin strap from my supplier.

Therapy Hrs: 8.18
Leak 95th %: 52.80
AHI: 1.80

How far off am I from where I need to be? What kind of 95th % number should I want to shoot for and be satisfied?

At times I will awaken because my machine has shut down and I have to restart it. I didn't remove the nasal pillows so I expect that I was free flowing through my mouth. This happens 2-3 times/night.

Is this enough info for a reply?
(This post was last modified: 01-25-2016 01:25 PM by jrferg75.)
01-25-2016 01:23 PM
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PoolQ Offline

Advisory Members

Posts: 986
Joined: Jul 2015

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

Other Comments:

Sex: Male
Location: Sillicon Valley

Post: #2
RE: Newbie - 95th % 52.8 ????????
I have the same machine as you and my 90% for leak last night was 6. There is a max point beyond which the machine cannot accurately measure what is going on. I think it is 24 (but don't hold me to that exact number).

Guessing the machine is shutting down because it thinks you have taken the mask off and forgot to turn the machine off. Leaks.

No doubt mouth breathing, try the chin strap and start looking at full face masks FFM, there are many kinds from minimal to actually FULL FACE covered

The 1.8 AHI is suspect because of your high leak rate. People have used straps, tape, and FFM.
01-25-2016 01:36 PM
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Sleeprider Online
Wiki Editor
Advisory Members

Posts: 3,317
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

Other Comments:

Sex: Male
Location: Where they make Respironics

Post: #3
RE: Newbie - 95th % 52.8 ????????
For leak data, you want to use the median or average. The 95% leak rate means you were at or below 52.8 liters/minute 95% of the time. Unlike Respironics, Resmed does not report total leak, it only reports excess leak. So the ideal average leak rate would be less than 5.0. I would be looking for a 95% leak rate less than 20.

You could probably visualize this better if you download the Sleephead software which graphs the leak rate along with events, flow, pressure and many other pieces of information. A link to the Sleepyhead forum is at the top of this page.

______________________________________________
Organize your SleepyHead Data
Post your SleepyHead Data from Imgur
Robysue's Beginner's Guide to Sleepyhead
(This post was last modified: 01-25-2016 01:39 PM by Sleeprider.)
01-25-2016 01:39 PM
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justMongo Offline

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Posts: 3,840
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: Newbie - 95th % 52.8 ????????
Welcome
If the machine shuts down. It may have autostart (and stop) set to ON. A large leak, such as opening ones mouth might signal to the machine that you have removed the mask; and it shuts off the blower. Personally, I have no use for autostart; and have mine set to off.

You are running rather high pressure; and leaks may be difficult to manage; but it can be done.

And, as Sleeprider said, we might be able to infer how badly you're leaking -- and perhaps even the source (mouth?)

Regards,

Mongo

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: 01-25-2016 01:47 PM by justMongo.)
01-25-2016 01:46 PM
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trish6hundred Offline

Advisory Members

Posts: 6,430
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: #5
RE: Newbie - 95th % 52.8 ?
Hi jrferg75,
WELCOME! to the forum.!
Much success to you with your CPAP therapy and finding a mask that will work well for you.

trish6hundred
01-25-2016 08:40 PM
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0rangebear Offline

Advisory Members

Posts: 341
Joined: Jan 2016

Machine: ResMed AirSence 10
Mask Type: Other
Mask Make & Model: Amara View
Humidifier: HumidAire (Built-in)
CPAP Pressure: APAP 12.8-15 EPR 3 (cmH2O)
CPAP Software: ResScan SleepyHead

Other Comments: Ramp off

Sex: Male
Location: Brighton Colorado

Post: #6
RE: Newbie - 95th % 52.8 ?
I see you using a BIPAP. I was wondering of you have experience with a CPAP before you started using the BIPAP.

2004-Bon Jovi
it'll take more than a doctor to prescribe a remedy

Observations and recommendations communicated here are the perceptions of the writer and should not be misconstrued as medical advice.
01-26-2016 12:18 PM
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jrferg75 Offline

New Members

Posts: 3
Joined: Jan 2016

Machine: resmed aircurve 10 vauto
Mask Type: Nasal pillows
Mask Make & Model: resmed airfit p10
Humidifier: included
CPAP Pressure: 19/23
CPAP Software: Not using software

Other Comments:

Sex: Male
Location: Plano, Texas USA

Post: #7
RE: Newbie - 95th % 52.8 ?
(01-26-2016 12:18 PM)0rangebear Wrote:  I see you using a BIPAP. I was wondering of you have experience with a CPAP before you started using the BIPAP.

I actually was on a CPAP for 20 years at 12 cm/H2O. My CPAP suddenly died so I did a new sleep study and ended up with the BiPAP because they thought it would be better for me at the high pressure I need.
01-26-2016 12:23 PM
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0rangebear Offline

Advisory Members

Posts: 341
Joined: Jan 2016

Machine: ResMed AirSence 10
Mask Type: Other
Mask Make & Model: Amara View
Humidifier: HumidAire (Built-in)
CPAP Pressure: APAP 12.8-15 EPR 3 (cmH2O)
CPAP Software: ResScan SleepyHead

Other Comments: Ramp off

Sex: Male
Location: Brighton Colorado

Post: #8
RE: Newbie - 95th % 52.8 ?
(01-26-2016 12:23 PM)jrferg75 Wrote:  
(01-26-2016 12:18 PM)0rangebear Wrote:  I see you using a BIPAP. I was wondering of you have experience with a CPAP before you started using the BIPAP.

I actually was on a CPAP for 20 years at 12 cm/H2O. My CPAP suddenly died so I did a new sleep study and ended up with the BiPAP because they thought it would be better for me at the high pressure I need.

Did you ever have trouble with waking up unable to exhale with out blowing hard or removing your mask?
01-26-2016 12:31 PM
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jrferg75 Offline

New Members

Posts: 3
Joined: Jan 2016

Machine: resmed aircurve 10 vauto
Mask Type: Nasal pillows
Mask Make & Model: resmed airfit p10
Humidifier: included
CPAP Pressure: 19/23
CPAP Software: Not using software

Other Comments:

Sex: Male
Location: Plano, Texas USA

Post: #9
RE: Newbie - 95th % 52.8 ?
(01-26-2016 12:31 PM)0rangebear Wrote:  
(01-26-2016 12:23 PM)jrferg75 Wrote:  
(01-26-2016 12:18 PM)0rangebear Wrote:  I see you using a BIPAP. I was wondering of you have experience with a CPAP before you started using the BIPAP.

I actually was on a CPAP for 20 years at 12 cm/H2O. My CPAP suddenly died so I did a new sleep study and ended up with the BiPAP because they thought it would be better for me at the high pressure I need.

Did you ever have trouble with waking up unable to exhale with out blowing hard or removing your mask?

I never really did. With the nasal pillows it was a simple task to exhale through your mouth. I tried a FFM and felt claustrophobic with it on, and I'm not claustrophobic. Go figure.
01-27-2016 01:50 PM
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