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mouthbreather, can you help to interprete?
#1
mouthbreather, can you help to interprete?
Hi,
I am "snorkeling" now more than 6 month, but still have some "leckage" problems and it is very hard for me to interprete this leckages.
Maybe you can help?
I am taping now since month and have been in Iran now for the last 2 weeks, where I did NOT tape and had simular results(or even better results, when not taping)
Here is one SL-Screen without (NO) taping in Iran (it is representive for all 2 weeks):
https://imgur.com/a/RheMN
Here are the SL-Data from tonight, with Tape:
https://imgur.com/a/koY0b
Closer Part (1h) of tonight:
https://imgur.com/a/Snzdq
I think, that this lecks are from mouthbreathing, because tonight at about 4:30 am I realised that my mouth was litte open, althrough I was taped. But why do I mouthbreath when sleeping more than 95% a night, without mouth breathing? Yes, i turn a lot during the night from side to side, but if it is from position, I should have much more lecks...
I am using Resmed Airsense 10 Autoset and Respironics Dreamwear under the nose mask. (I used FF mask before, but prefer nose masks)
Can you interprete this?
Thanks a lot, Christian
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#2
RE: mouthbreather, can you help to interprete?
Your leaks really do not look all that bad. I would not be that concerned with leaks like those. Also I would not stress over trying to eliminate them. If the leaks become greater it could possibly mean your mask straps are loosening up due to age or the mask seal (pillows) is not as pliable as it once was and may need replacing.

I wear a chin strap and still experience high leaks.

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#3
RE: mouthbreather, can you help to interprete?
I agree with AlanE. Also you might want to bump your pressure up 1cm. Only if you want to drop your AHI down a little more.
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#4
RE: mouthbreather, can you help to interprete?
Christian, I agree with Allan's assessment that the leaks appear to come from minor mouth leaks, but they are of short duration and magnitude. It would be nice to resolve these, but the machine appears to maintain control. When leaks are high enough to cause the height of the Flow Rate chart to be reduced, that is a more serious leak.

I notice you have a number of obstructive events. While acceptable, I think that with EPR 3 and minimum pressure of 12, your minimum EPAP of 9.0 cm is not stopping some of these events. I think you could use an added 1-cm of EPAP pressure. This could either be a higher minimum pressure or EPR at 2, whichever is more comfortable.
Sleeprider
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#5
RE: mouthbreather, can you help to interprete?
Dear all,
thank you all very much for your rating/responses. I appreciate that very much.
@sleeprider: thank you, I will reduce the EPR to 2 this night and see what happens...
Good to have some expierenced guys like you Thanks
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