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leaking
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monikah123 Offline

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Posts: 33
Joined: Apr 2016

Machine: Resmed Airsense 10 Autoset for Her
Mask Type: Nasal pillows
Mask Make & Model: P10 with breathe-right strips
Humidifier: built in
CPAP Pressure: 12.5
CPAP Software: SleepyHead

Other Comments: 2 months of mask hell, now using a P10

Sex: Female
Location: Canada

Post: #1
Question leaking
I'm wondering if leaking is a problem, in and of itself?

My AHI is about 1. I am using an Amara View and just starting using liners. The liners increase my comfort, but don't seem to reduce leaks. I'm not bothered by noise or anything. My sleep quality is still not that great, but there's alot of reasons for this. So I don't know if I should try to reduce leaks or not. I don't think leaking is waking me up, but there's no way to know for sure.

Here's a screenshot from sleepyhead.


Attached File(s) Thumbnail(s)
   
05-18-2016 01:25 AM
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FrankNichols Offline

Advisory Members

Posts: 714
Joined: Mar 2016

Machine: AirSense 10 Autoset
Mask Type: Full face mask
Mask Make & Model: Resmed F10 and/or P10
Humidifier: Builtin
CPAP Pressure: 17-19
CPAP Software: ResScan SleepyHead Other Software

Other Comments: I've figured out how to get my AHI down to 5, I quit sleeping!

Sex: Male
Location: Live Oak, Florida

Post: #2
RE: leaking
Leaking can be a problem, but isn't necessary.

First, a problem to me, is anything that reduces my sleep quality. If the leaking is noisy and keeps waking my up, it's a problem - you said it doesn't bother you, so that part is not a problem.

Second, if the machine needs to raise the pressure higher to prevent apneas from happening, and can't because of the amount of leakage the pump in the machine can not keep up, that is a problem because it results in more apneas. From your screen shot that does not appear to be a problem.

Third, if the machine is "confused" by the leaks into not recognizing apneas or mistaking CA's and OA's, so that it then takes inappropriate actions based on this mistaken identification, that is a problem. Since your AHI is excellent, that is not a problem.

Fourth if the leaking noise bothers your partner so they occasionally reach over and smack you while you are trying to sleep - that is a problem. Since you didn't mention it, I assume that is not a problem Smile

So, leaks are not a problem in and of themselves (as far as I know). In general people seem to try to reduce them as much as possible, but we shouldn't lose sight of the goal - which is high quality sleep. Not just non-arousals, but non-interruption of deep and REM sleep. If you are achieving those goals and you are feeling better, then I would consider the leak to be not a problem. If you are not feeling rested, then I would try to address the leak, since everything else appears fairly good. (Of course you partner could be smacking you and you just don't remember Smile )

I am not a Medical professional and I don't play one on the internet.
Started CPAP Therapy April 5, 2016
I'd Rather Be Sleeping
05-18-2016 05:19 AM
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cate1898 Offline

Advisory Members

Posts: 784
Joined: Aug 2015

Machine: PR System One 560BT Auto
Mask Type: Nasal pillows
Mask Make & Model: P10's/backup-DreamWear
Humidifier: PR attached
CPAP Pressure: 8.5 - 13. A-Flex 3
CPAP Software: SleepyHead

Other Comments: Began CPAP Therapy Sept. 11, 2015. Hx Hypertension, Post Graves Disease, chronic migraines.

Sex: Female
Location: Southern Ontario//SW Florida

Post: #3
RE: leaking
Welcome to the forum Monikah123!

Wondering if you find your mask is now comfortable with the liners as that is why you starting using liners? Also have you tried other masks prior to obtaining the Amara View? Are you a mouth breather at night?

A lot of us like the nasal pillow type masks and can get leaks down to near nil with them. Some with mouth breathing issues use chin straps to assist with that.

APNEABOARD - A great place to be if you're a hosehead!! Rolleyes

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EVERY ACCOMPLISHMENT BEGINS WITH THE DECISION TO TRY!
05-18-2016 07:05 AM
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palerider Offline

Preferred Members-

Posts: 440
Joined: Nov 2014

Machine: s9 vpap auto
Mask Type: Nasal pillows
Mask Make & Model: p10
Humidifier: none
CPAP Pressure: 18/13+
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Dallas(ish)

Post: #4
RE: leaking
(05-18-2016 01:25 AM)monikah123 Wrote:  I'm wondering if leaking is a problem, in and of itself?

My AHI is about 1. I am using an Amara View and just starting using liners. The liners increase my comfort, but don't seem to reduce leaks. I'm not bothered by noise or anything. My sleep quality is still not that great, but there's alot of reasons for this. So I don't know if I should try to reduce leaks or not. I don't think leaking is waking me up, but there's no way to know for sure.

yes, your leaks are a problem, though it's impossible to tell how much of a problem since you cut off most of the useful information in the chart, please post full screenshots, not cut and pasted bits, but all those grayed out areas are excessive leaks.

excessive leaks reduce the ability of the machine to differentiate between obstructive and centrals apneas, and thus reduce it's ability to respond properly.
05-18-2016 01:59 PM
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monikah123 Offline

Preferred Members

Posts: 33
Joined: Apr 2016

Machine: Resmed Airsense 10 Autoset for Her
Mask Type: Nasal pillows
Mask Make & Model: P10 with breathe-right strips
Humidifier: built in
CPAP Pressure: 12.5
CPAP Software: SleepyHead

Other Comments: 2 months of mask hell, now using a P10

Sex: Female
Location: Canada

Post: #5
RE: leaking
(05-18-2016 05:19 AM)FrankNichols Wrote:  So, leaks are not a problem in and of themselves (as far as I know). In general people seem to try to reduce them as much as possible, but we shouldn't lose sight of the goal - which is high quality sleep. Not just non-arousals, but non-interruption of deep and REM sleep. If you are achieving those goals and you are feeling better, then I would consider the leak to be not a problem. If you are not feeling rested, then I would try to address the leak, since everything else appears fairly good. (Of course you partner could be smacking you and you just don't remember Smile )

Thank you. That's very helpful. The last 3 issues are definitely not a problem.

Number 1 I'm not so sure about. I definitely sleep better without the mask so I'm not sure if the leaking is waking me up. It's been 2 months and I'm still tired all the time. My sleep schedule is all over the place and I often don't get enough sleep overall, so I can't tell exactly what the therapy is doing.
(05-18-2016 07:05 AM)cate1898 Wrote:  Welcome to the forum Monikah123!

Wondering if you find your mask is now comfortable with the liners as that is why you starting using liners? Also have you tried other masks prior to obtaining the Amara View? Are you a mouth breather at night?

A lot of us like the nasal pillow type masks and can get leaks down to near nil with them. Some with mouth breathing issues use chin straps to assist with that.

Yes, I got the liners because I thought it would make the mask more comfortable. I also thought they would reduce leaks, but they don't seem to have.

Yes, I've spent the last 2 months trying other masks. I tried the Simplus and the F10 and a nasal mask. I've got the Quattro on order. Yes, I am a mouth breather. I've tried the nasal masks but I can't stand them even for a few minutes.
(This post was last modified: 05-19-2016 02:01 PM by monikah123.)
05-19-2016 01:58 PM
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monikah123 Offline

Preferred Members

Posts: 33
Joined: Apr 2016

Machine: Resmed Airsense 10 Autoset for Her
Mask Type: Nasal pillows
Mask Make & Model: P10 with breathe-right strips
Humidifier: built in
CPAP Pressure: 12.5
CPAP Software: SleepyHead

Other Comments: 2 months of mask hell, now using a P10

Sex: Female
Location: Canada

Post: #6
RE: leaking
(05-18-2016 01:59 PM)palerider Wrote:  yes, your leaks are a problem, though it's impossible to tell how much of a problem since you cut off most of the useful information in the chart, please post full screenshots, not cut and pasted bits, but all those grayed out areas are excessive leaks.

excessive leaks reduce the ability of the machine to differentiate between obstructive and centrals apneas, and thus reduce it's ability to respond properly.

My screen's pretty small so I had to take several screenshots to get it all. Here we go.

[Image: 27116534105_89b12ce388_b.jpg]


[Image: 26512593883_6993c49467_b.jpg]

[Image: 27116533705_8b815b00b6_b.jpg]
(This post was last modified: 05-19-2016 02:18 PM by monikah123.)
05-19-2016 02:08 PM
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palerider Offline

Preferred Members-

Posts: 440
Joined: Nov 2014

Machine: s9 vpap auto
Mask Type: Nasal pillows
Mask Make & Model: p10
Humidifier: none
CPAP Pressure: 18/13+
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Dallas(ish)

Post: #7
RE: leaking
Here's how to arrange the charts so that they give the most info in the least space... https://sleep.tnet.com/resources/sleepyhead/shorganize

and, yes, your leaks are quite bad, so bad that the machine would not be able to tell what kind of an apnea you have during those periods. at times they may be bad enough to compromise therapy pressure, though only briefly.
(This post was last modified: 05-19-2016 03:45 PM by palerider.)
05-19-2016 03:41 PM
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Michael Chan Offline

New Members

Posts: 1
Joined: Jan 2016

Machine: Transcend II Auto
Mask Type: Full face mask
Mask Make & Model: Resmed Quattro FX
Humidifier: Not use
CPAP Pressure: 11 cm H2O
CPAP Software: ResScan

Other Comments:

Sex: Male
Location:

Post: #8
RE: leaking
I have been using the F10 full face mask for 4 months and was perfect until the silicon seal where the elbow connects to the mask developed a small crack. When I get to a certain sleep position during the night, the mask would leak at the elbow.
I have fixed the leak by adding a small piece cylindrical robber cut from a long balloon. I slipped the balloon cutting onto the elbow (the side that goes into the mask) and pushed the rubber piece against the end stop. When inserted into the mask, the rubber piece sealed the air leak and still allows some rotational movement for the elbow. I hope this works for you as well.
05-20-2016 03:31 AM
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DeepBreathing Offline
Wiki Editor
Moderators

Posts: 2,295
Joined: Sep 2013

Machine: Resmed S9 VPAP Adapt
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Resmed H5i
CPAP Pressure: EPAP: 9 - 15 PS: 3 - 10
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Perth, Western Australia

Post: #9
RE: leaking
I'm not sure about the AutoSet but many Resmed models do not attempt to calculate the AHI during periods of high leak. Or as Philips puts it: Large Leak is the percentage of
time that the mask leak was so high that it is no longer possible for the device to identify respiratory events with statistical accuracy
.

Your leaks were in the large leak category for 78% of the time, meaning your AHI readings are essentially meaningless. Nobody knows what your real AHI was. So yes, you do need to do something about the leaks, as they are preventing your machine from treating your apnea properly.

DeepBreathing
Apnea Board Moderator
www.ApneaBoard.com


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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.
05-20-2016 05:35 AM
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monikah123 Offline

Preferred Members

Posts: 33
Joined: Apr 2016

Machine: Resmed Airsense 10 Autoset for Her
Mask Type: Nasal pillows
Mask Make & Model: P10 with breathe-right strips
Humidifier: built in
CPAP Pressure: 12.5
CPAP Software: SleepyHead

Other Comments: 2 months of mask hell, now using a P10

Sex: Female
Location: Canada

Post: #10
RE: leaking
(05-20-2016 03:31 AM)Michael Chan Wrote:  I have been using the F10 full face mask for 4 months and was perfect until the silicon seal where the elbow connects to the mask developed a small crack. When I get to a certain sleep position during the night, the mask would leak at the elbow.
I have fixed the leak by adding a small piece cylindrical robber cut from a long balloon. I slipped the balloon cutting onto the elbow (the side that goes into the mask) and pushed the rubber piece against the end stop. When inserted into the mask, the rubber piece sealed the air leak and still allows some rotational movement for the elbow. I hope this works for you as well.

I'm a new user so I'm not sure this is my problem. I could be wrong, but I think it's leaking from the mask.
05-20-2016 09:42 PM
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