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Newly diagnosed, first night on resmed s9 autoset, question
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bpreachers Offline

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Posts: 5
Joined: Jun 2014

Machine: Resmed s9 autoset
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Came with s9
CPAP Pressure: 6-12
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #1
Newly diagnosed, first night on resmed s9 autoset, question
First a brief intro. I am a US Navy vet that was medically retired October 2013 due to neck surgery complications. In 2011 I had a sleep study which the Navy stated was not bad enough to require intervention. Now that I am a civilian my new doctor said I needed to see a sleep specialist as I had many symptoms of OSA. Had two sleep studies, diagnosed with moderate osa, and now have a resmed s9 autoset as of yesterday so last night was my first night. I am confused on my results on its readouts.

It says used 8.5 hours (which is accurate), pressure was avg at 10.4, have the smiley face meaning the seal was good, but it shows a 57L/min leak rate which is double what it should be. So why is it showing I kept a good seal (the smiley face) but that my leak rate was so high?
06-14-2014 01:52 PM
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trish6hundred Offline

Advisory Members

Posts: 6,630
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: #2
RE: Newly diagnosed, first night on resmed s9 autoset, question
Hi bpreachers,
WELCOME! to the forum.!
It was probably because you had a large leak for a short time but for most of the night, you didn't have any significant leaks. Hang in there for a better explanation.
Best of luck to you with your CPAP therapy.

trish6hundred
06-14-2014 02:08 PM
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zonk Offline

Advisory Members

Posts: 7,946
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: #3
RE: Newly diagnosed, first night on resmed s9 autoset, question
(06-14-2014 02:08 PM)trish6hundred Wrote:  It was probably because you had a large leak for a short time but for most of the night, you didn't have any significant leaks.
Exactly right, smiley face means leak is less than 24 L/m for 70% of the night
According to ResMed, leaks was not significant enough to impact on the performance of the machine
Adjusting mask fit and leaving the machine on while getting up to pee during the night can inflate leak reading
57 L/m means leak was at or below 57 L/m for 95% of the night, you can download the software for more detailed info and graphs

Here is the link to ResScan and SleepyHead (SH) software, SH works with Mac computers too
http://www.apneaboard.com/forums/Forum-Private-Files-and-Links

BTW, 8.5 hours for the first night is an excellent start .. Congrats
06-14-2014 04:44 PM
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bpreachers Offline

Members

Posts: 5
Joined: Jun 2014

Machine: Resmed s9 autoset
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Came with s9
CPAP Pressure: 6-12
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #4
RE: Newly diagnosed, first night on resmed s9 autoset, question
(06-14-2014 04:44 PM)zonk Wrote:  
(06-14-2014 02:08 PM)trish6hundred Wrote:  It was probably because you had a large leak for a short time but for most of the night, you didn't have any significant leaks.
Exactly right, smiley face means leak is less than 24 L/m for 70% of the night
According to ResMed, leaks was not significant enough to impact on the performance of the machine
Adjusting mask fit and leaving the machine on while getting up to pee during the night can inflate leak reading
57 L/m means leak was at or below 57 L/m for 95% of the night, you can download the software for more detailed info and graphs

Here is the link to ResScan and SleepyHead (SH) software, SH works with Mac computers too


BTW, 8.5 hours for the first night is an excellent start .. Congrats

Thanks. I was already used to sleeping with the tubing for an oxygen concentrator so the head gear was only a short step above that lol. Hardest part was actually falling asleep cause it is an odd feeling breathing when awake. First night i havent woken up, snored, choked, or talked in my sleep in many years.
06-14-2014 06:36 PM
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bpreachers Offline

Members

Posts: 5
Joined: Jun 2014

Machine: Resmed s9 autoset
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Came with s9
CPAP Pressure: 6-12
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #5
RE: Newly diagnosed, first night on resmed s9 autoset, question
After a few days of using it the leak number has dropped to 20 so I guess it was just because it was the first night so it is averaging lower. Planning on pulling the data in another day or so.
06-16-2014 08:00 AM
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justMongo Offline

Monitors

Posts: 3,958
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: #6
RE: Newly diagnosed, first night on resmed s9 autoset, question
You don't say which FF Mask you're using.
My experience with my FF Mask, is that every time I change the cushion that seals to my face, it leaks a bit for a couple of nights.
Like it needs to mold to my face.

Fair Winds and Following Seas...

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.
06-16-2014 09:06 AM
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bpreachers Offline

Members

Posts: 5
Joined: Jun 2014

Machine: Resmed s9 autoset
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Came with s9
CPAP Pressure: 6-12
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #7
RE: Newly diagnosed, first night on resmed s9 autoset, question
F&P Simplus Medium full face mask. Only bit about it I do not like is it feels like the mask needs to be a bit wider. One size up to Large was the same width. Basically the edges of my mouth almost hit the edge of the seal.
06-16-2014 11:59 AM
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englandsf Offline

Members

Posts: 9
Joined: Jun 2014

Machine: Resmed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 Large pillow
Humidifier: Resmed H5i with Climate Control Hose
CPAP Pressure: 10-20
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Austin TX

Post: #8
RE: Newly diagnosed, first night on resmed s9 autoset, question
Had the same wide mouth problem plus FFM causing overheating and claustrophobia. Worked on sinus rinse regime and switched to P10 pillows - so much nicer.
07-16-2014 09:32 AM
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PaytonA Offline
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Monitors

Posts: 3,047
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: Newly diagnosed, first night on resmed s9 autoset, question
In my limited experience the FFM mask sizes only relate to the distance from the crease between your chin and lower lip and the bridge of your nose. Unless it causes leaks, the proximity of the edge of your mouth to the seal should not be a problem. Of course, if it continues to bother you then it is a problem. I am not sure if different FFMs are wider but there are some other options. The Respironics FitLife "whole" face mask is much wider and extends all the way up to the forehead. The other options, if you can use them are nasal masks and nasal pillows. I can not use them but many others can.

Best Regards,

PaytonA
07-16-2014 10:49 AM
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