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SleepyHead Data - leaks
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bdok74 Offline

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Posts: 2
Joined: Jun 2014

Machine: PR System One
Mask Type: Nasal mask
Mask Make & Model: Mirage FX
Humidifier: Integrated
CPAP Pressure: 8
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location:

Post: #1
SleepyHead Data - leaks
:dielaughing:Thanks for helping in advance!!!

I've been on my CPAP for about two months. I had some early success and have recently been regressing. Hoping to get some advice as I'm going to see the Dr. next week for first follow-up. I'd like to know what questions to ask, etc.

My main question is about leaks - am I a mouth-breather? How can I tell from the sleepyhead data? I've read various forum posts, etc and am having a hard time understanding.

Any help would be greatly appreciated - see attached charts - limited data upload, so images my not be great.


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06-12-2014 02:13 PM
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retired_guy Offline

Preferred Members-2

Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #2
RE: SleepyHead Data - leaks
Actually your results look good. Your leak rate needs to stay under about 28 on the bottom line, and it's doing that as far as I can tell. Your ahi is good, you're using the machine and all is right with the world. Good job!
06-12-2014 02:37 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: #3
RE: SleepyHead Data - leaks
Hi bdok74,
WELCOME! to the forum.!
Hang in there for more answers to your questions about your graphs and best of luck to you at your Dr. apointment.

trish6hundred
06-12-2014 03:08 PM
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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: #4
RE: SleepyHead Data - leaks
(06-12-2014 02:13 PM)bdok74 Wrote:  I've been on my CPAP for about two months. I had some early success and have recently been regressing.
Why do you think going backwards? nothing in the charts suggest anything wrong, 8 hours is excellent results in my book, how much of it is actually sleep time?

Unlike ResMed machines, your machine report total leak (intentional leak + unintentional leak) your total leak is slightly above the mask intentional leak (mask vents leaks rate)at pressure 8 which translate to hardly any unintentional leak (mask or/and mouth leak) at all
06-12-2014 04:05 PM
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bwexler Offline

Advisory Members

Posts: 563
Joined: Mar 2012

Machine: PRS 1 BiPAP autoSV Advanced, with Heated Tube humidifier
Mask Type: Nasal mask
Mask Make & Model: Sleepweaver Élan
Humidifier: Resperonics Heated Tube humidifier
CPAP Pressure: Max pressure 25.0 cm H20, Max
CPAP Software: SleepyHead EncorePro

Other Comments: CMS 50i with Software for SpO2

Sex: Male
Location: San Marcos, CA, USA

Post: #5
RE: SleepyHead Data - leaks
I too have questions on the Sleephead leaks. My leak line I wavy but stays below 30 LPM. My total leak Line looks like a seismograph with spikes into the 70s and periods when it will float in the 50-60 range for an hour.
I would like to better understand what I am seeing, so I can correct any problems. My AHI stays mostly below 2.
06-12-2014 05:35 PM
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PaytonA Offline
Wiki Editor
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: #6
RE: SleepyHead Data - leaks
Whee does your pressure stay most of the time?
06-12-2014 09:02 PM
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zonk Offline

Advisory Members

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: #7
RE: SleepyHead Data - leaks
(06-12-2014 09:02 PM)PaytonA Wrote:  Whee does your pressure stay most of the time?
Both user profile and attachment .... CPAP pressure: 8 cmH2O
06-12-2014 09:17 PM
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bdok74 Offline

New Members

Posts: 2
Joined: Jun 2014

Machine: PR System One
Mask Type: Nasal mask
Mask Make & Model: Mirage FX
Humidifier: Integrated
CPAP Pressure: 8
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location:

Post: #8
RE: SleepyHead Data - leaks
(06-12-2014 04:05 PM)zonk Wrote:  
(06-12-2014 02:13 PM)bdok74 Wrote:  I've been on my CPAP for about two months. I had some early success and have recently been regressing.
Why do you think going backwards? nothing in the charts suggest anything wrong, 8 hours is excellent results in my book, how much of it is actually sleep time?

Unlike ResMed machines, your machine report total leak (intentional leak + unintentional leak) your total leak is slightly above the mask intentional leak (mask vents leaks rate)at pressure 8 which translate to hardly any unintentional leak (mask or/and mouth leak) at all

I think I'm going backwards just based on feeling. The first few weeks (especially the first), I felt great. The past few weeks I've been tired again during the day. Maybe it is just that I was experiencing sleep for the first time in many years and now I'm more used to it.

Anyway, back to the original question...am I a mouth-breather? How can I tell from the sleepyhead data? My wife seems to think I'm mouth breathing at certain times in the night (waking her up). Is there a definitive way to tell from the data? Or other ways to tell?
06-13-2014 07:51 AM
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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: #9
RE: SleepyHead Data - leaks
When in doubt, add a chin strap to your rigging. It's just enough to Pavlov you into keeping the mouth closed.
Or, if you're like me (untrainable,) consider switching to a full face mask.

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.
06-13-2014 08:14 AM
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retired_guy Offline

Preferred Members-2

Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #10
RE: SleepyHead Data - leaks
(06-13-2014 07:51 AM)bdok74 Wrote:  Anyway, back to the original question...am I a mouth-breather? How can I tell from the sleepyhead data? My wife seems to think I'm mouth breathing at certain times in the night (waking her up). Is there a definitive way to tell from the data? Or other ways to tell?

(06-13-2014 08:14 AM)justMongo Wrote:  When in doubt, add a chin strap to your rigging. It's just enough to Pavlov you into keeping the mouth closed.
Or, if you're like me (untrainable,) consider switching to a full face mask.

"Mouth breathing" when using a nasal mask would result in greater than acceptable leak numbers. You're not doing that, at least not consistently. But if you're concerned that you are, a simple chinstrap as Mongo has suggested can help. You don't want or need it cinched up really tightly, just enough to encourage your jaw to remain forward as you sleep.

I suspect your feeling of "going backwards" is just a normal adjustment to the therapy. When starting the therapy, sometimes people (like you and I) have some initial amazing success because it is so much an improvement over where we were. Then as our cute little bodies start to really get used to it, we think we're going the other way for awhile. I know I thought I'd never quit with the yawning all day long. Although to tell you the truth I kind of liked doing that. But now I don't so much and all is getting better all the time.
06-13-2014 12:06 PM
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