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help with leaks and wake ups

Since your pressure is fairly high it becomes even more important that both your face be oil-free as well as the mask cushion, if only one gets cleaned then the other will become oily and that's an open invitation for mask leaks.

A silicone cushion won't stick to your face if you apply moisturizer/cream either.

There's also a possibility you may not have the correct size mask, you said the nice woman sent it to you but, did you try-on any other sizes while you were at the DME? A lot of people don't match the ResMed sizing guide for whichever mask they're trying to size and sometimes you have to just try a different size before finding one that's just right.

Just trying to cover a few more possibilities.


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When I worked in the sleep lab I fitted many people with masks. I understand it is very hard to get a mask that fits just right with minimal leaks. You may want to try a different size Quattro fx or get another mask. The Fisher & Paykel 431 full face mask is a good mask that fit most people. Also there is a comfort car pad to put across the nose and that may help with air leaks. Most insurance companies will pay for a comfort care pad. Hope this helps.
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Thank you again. You all are very helpful.
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Ramp makes leaks worse. Try without ramp.

If you use ramp, you fit the mask while you're at a low pressure. Then when you fall asleep, pressure increases and the mask will leak, even if you got it to not leak when you started.

You also have a problem with leaks if you start your auto machine with too low a pressure.

Do you use the mask fit check function? This might help you fit the mask correctly, since it blows with higher pressure for a while.

Full Face Masks (FFM) are often harder to stop leaking because they have a bigger area to seal. Also, since they touch more of your face, there's more variation in shape.

Get the free SleepyHead software here.
Useful links.
Click here for information on the main alternative to CPAP.
If it's midnight and a DME tells you it's dark outside, go and check it yourself.
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