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Large Leaks
#1
Large Leaks
I get short and long lasting large leaks often.  This example is confusing to me.  Pressure rose to maximum with no apnea event or large leak.  The leaks started after the the pressure went up.  It seems like the pressure caused the leaks or could have I bumped the mask loose causing a pressure increase, and the leaks did not register until four minutes later?

   
I only give suggestions from experience as a fellow CPAP user, not professional advice.
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#2
RE: Large Leaks
In order to offer any suggestions, a complete screenshot of your daily screen, using the F12 key (or Fn+F12 for a Mac). You may already have OSCAR configured properly, but I thought I would go on and list them up front. You will need to use the Standard view and have all the graphs in their default order.

- Red
Crimson Nape
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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.
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#3
RE: Large Leaks
(02-12-2023, 03:16 PM)Crimson Nape Wrote: In order to offer any suggestions, a complete screenshot of your daily screen, using the F12 key (or Fn+F12 for a Mac).  You may already have OSCAR configured properly, but I thought I would go on and list them up front.  You will need to use the Standard view and have all the graphs in their default order.

- Red

I hope this is the right format.  I see the other leak areas line up with the pressure increases.  Looking like movement during sleep causing leaks?


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I only give suggestions from experience as a fellow CPAP user, not professional advice.
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#4
RE: Large Leaks
First, you didn't use the F12 key, or it would have the data on the left side of the Daily screen too. Your Flow Limit graph is displaying high limits, thus causing your CPAP to increase pressure.

- Red
Crimson Nape
Apnea Board Moderator
www.ApneaBoard.com
___________________________________
Useful Links -or- When All Else Fails:
The Guide to Understanding OSCAR
OSCAR Chart Organization
Attaching Images and Files on Apnea Board
Apnea Helpful Tips

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.
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#5
RE: Large Leaks
Sorry, I did do a screen shot, but I had only the graphs on the screen.

   
I only give suggestions from experience as a fellow CPAP user, not professional advice.
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#6
RE: Large Leaks
You have EPR set at 2. Increasing EPR to 3 will reduce flow limitations.
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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.

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#7
RE: Large Leaks
(02-12-2023, 08:41 PM)Melman Wrote: You have EPR set at 2. Increasing EPR to 3 will reduce flow limitations.

Could you explain how EPR affects Large Leaks please, or is that another issue you recognized from my OSCAR report?
I only give suggestions from experience as a fellow CPAP user, not professional advice.
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#8
RE: Large Leaks
EPR does not effect large leaks. It will reduce flow limitations and the pressure increases associated with the spikes in your flow limitations. I don't know that it will be enough to reduce your leaks, but should reduce RERAs and hypopneas. The leaks are due to poor mask fit or adjustment. It may be that the F10 is not the best match for your face, that you have the wrong size, or that it's not adjusted properly. I use the F20 and see no leaks at a pressure of 14. Here is a link for the sizing template for your mask.
https://document.resmed.com/documents/pr...ow_eng.pdf

Go to the link for the mask primer below. It addresses mask adjustments to eliminate leaks. It's possible your mouth is opening resulting in a break in the lower seal. That is a problem I experienced until I began wearing a soft cervical collar for positional apnea. A chin strap would also work if that is the issue. Finding the right mask can be very challenging. I tried several before the F20
Download OSCAR

Organize Charts
Attaching Charts

Mask Primer
Soft Cervical Collar

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.

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#9
RE: Large Leaks
Thank you.  It is coming back to me now.  I went through 5 masks 12 years ago and settled on the F10 that has never been right but better than others.  It probably is my mouth breathing that is breaking the seal, not cpap pressure.
I only give suggestions from experience as a fellow CPAP user, not professional advice.
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