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Large Leaks and Hypopneas
#1
Large Leaks and Hypopneas
Hi Everyone,

I would love some help figuring out why I can't stop my Large Leak issue and solve my hypopneas. 

I have attached a picture from my OSCAR chart last night. Each night, since back on therapy, looks like a different variation of the chart attached.

Currently, I tape my mouth each night and ensure a snug mask fit before going to bed. I also do not wake up in the middle of the night to adjust. I have been confused by these charts.

Can anyone help with some pointers to improve the large leaks and/or the hypopneas? They clearly seem correlated as they are often one after the other.

Thanks!


Attached Files Thumbnail(s)
       
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#2
RE: Large Leaks and Hypopneas
Here are tips on mask leaks from our wiki:  
  • 1Mask Primer
    • Mask leak solutions.                                                                                                                                                                               Hypopneas are usually solved by more pressure support.  You already have a high enough ps max though. 
                 Your hypopneas cluster together at times, so if the mask primer doesn't work, then read this as well:                    
    •                    I had lots of hypopneas using asv without a collar.  Zero wearing a collar.
Download OSCAR
OSCAR Chart Organization
Attaching Files


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 and Hypopneas
The ASV settings themselves are a bit lacking. The 4-6 EPAP is forcing you into an extra wide PS range of 4-20.

This is probably some of your leak issue.

You probably should redo Titration of EPAP 4-15, PS 3-15.
Mask Primer

Positional Apnea

Attach OSCAR, etc.

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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