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Mask leak and uncomfortable pressure - Printable Version

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Mask leak and uncomfortable pressure - longtermsufferer - 12-17-2022

I can't even use my machine for more than a few seconds due to the discomfort it causes. It gives a heavy feeling in my chest and feels like there is too much pressure on the inhale. The mask leak test always fails.

My settings/mask are in the sidebar under my username. I have VAuto enabled. I tried it with a low pressure on CPAP but and also made IPAP=EPAP but it's the same issue. I also have a thick beard and moustache, not sure if that is a factor. When I previously had a Phillips Dreamstation, I could somewhat sleep with a nasal mask without this discomfort, but I am concerned that I mouth breathe so want to use a full face mask.

I've attached copies of my sleep studies: first is in-lab, second is at home (only got 2 hours of sleep in the home one).
https://docdro.id/zDH0brw
https://docdro.id/BMxyQ16

I'm really not sure what to do. Doctor said there is absolutely nothing wrong, but an ENT and my aunt who is a sleep doctor told me that I do possibly have mild apnea/UARS as well as limb movements (I definitely experience the RLS during the day as well). I have a close and distant uncle who were both diagnosed and benefit from CPAPs. Please help.


RE: Mask leak and uncomfortable pressure - Gideon - 12-17-2022

Can you please post your daily charts from OSCAR. That will give us a better idea of what is going on.


RE: Mask leak and uncomfortable pressure - longtermsufferer - 12-17-2022

As I said in my post, I can't use it for more than a few seconds, so I can't collect enough data for Oscar.


RE: Mask leak and uncomfortable pressure - Gideon - 12-17-2022

If it's getting that uncomfortable that fast we want to see what is happening And what your settings are.
Otherwise set min= max=4. The machines minimium and we can start there.
It would be better if range was 4-6


RE: Mask leak and uncomfortable pressure - longtermsufferer - 12-17-2022

So I should just try sleeping with those settings? What about the mask leak? I always fail the test


RE: Mask leak and uncomfortable pressure - Nightynite - 12-17-2022

You have to really try to get it right with these mask. “ I have a box full of them”. The best tip I can give you is this. “ Don’t tighten the mask because it leaks “. It’s the opposite!

These mask are designed to flex in order to seal. The soft silicone under pressure expands and completes the seal. It’s opposite what we know in life when something leaks make it tighter.

Be patient, experiment, and make small adjustments. Make these adjustments laying in the sleeping position. Tighten each side equally. It’s a basic individual technique that we all have to master before we can move forward . Keep us posted.


RE: Mask leak and uncomfortable pressure - Lucid - 12-17-2022

Hi, longtermsufferer  Here are some references regarding masks and mask fitting:

http://www.apneaboard.com/wiki/index.php/Mask_Primer
 
How to achieve the perfect mask fit - GUARANTEED! | Apnea Board

It might be worth trying a nasal pillow mask as it's easier to get a good fit.