Auto SV - 2 weeks in - Mask Leakage Problems

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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Ogeo
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Joined: Tue Aug 05, 2014 5:12 pm
Location: Idaho

Auto SV - 2 weeks in - Mask Leakage Problems

Post by Ogeo » Thu Sep 18, 2014 12:08 pm

I have tried the following FFM: Quattro Air; AirFit F10; Quattro FX for her; and Mirage Quattro. My 90% IPAP ranges over several days from 21.60 to 24.80. Sometimes I can't get it set right from the beginning without it blurping loudly, other times I sleep until about 2:30 a.m. and then find that I can't move without it blurping loudly the rest of the night keeping me awake and distrubing my husband (although he is a sweethart and doesn't complain). The last two nights I've woken up with backaches. I've tried both the liners and ordered the pad-a-cheek for one of the masks but that is not helping me. I've tried tightening the straps, and if I loosen the straps the leak noise is worse.

Before you ask: I thought I'd need the FFM since I have breathed through my mouth most of my life due to stuffed up noise from allergies. I have recently gone through official allergy testing and found out some allergies I didn't know I had (chicken and baker's yeast) things I've eaten my entire life. Since I've stopped eating those foods, my nose is now open.

I am considering nose mask or pillows. I worry about the high pressure I'm on and how hard it will be to adjust to the high pressure going in more directly than a FFM. I had no problems with the FFM and the high pressure, actually liked the feel of it. (I know I'm weird). But it scared me when I found out the my 02 was going into the 70's at night. I have also played with a chin strap to help keep my mouth closed.

The leakage is keeping me awake and I find myself getting up around 5-5:30 a.m. and going to sleep without the machine in my lazy-boy chair in the living room. I am getting about 5-6 hours a night on my autoSv each night but would love to be able to get a full night's sleep like before the machine.

So... Any suggestions from those on high pressure?

_________________
Mask: AirFit™ P10 For Her Nasal Pillow CPAP Mask with Headgear
Additional Comments:  Max PS - 11; Max EPAP - 18; min PS - 7; Min EPAP - 14; rate auto; rise x2; pressure averages between 21 and 24.9
Hubby's equipment: PR System One REMstar Auto A-Flex model 560P. Doctor's orders left it open 5-20. We changed it to 8-20 after a couple nights. Start Date was 1/30/15. Oh, mask is the new nasal pico.

Discovering the world one geocache at a time!

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palerider
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Location: Dallas(ish).

Re: Auto SV - 2 weeks in - Mask Leakage Problems

Post by palerider » Thu Sep 18, 2014 2:07 pm

mask liners?

and, as far as nasal pillows causing the pressure to 'go more directly in', there's nothing to that theory.

there's no more 'direct in' than anything else, you've just got a smaller space around your nose than on a ffm or nasal mask.

they're all essentially the same. hose, box, nose opening. (presuming you're not mouth breathing) nasal masks are just a smaller box, if you think about it.

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Mask: Bleep DreamPort CPAP Mask Solution
Additional Comments: S9 VPAP Auto
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JDS74
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Re: Auto SV - 2 weeks in - Mask Leakage Problems

Post by JDS74 » Thu Sep 18, 2014 2:24 pm

Ogeo:

Using a chin strap with a full face mask is not the best strategy. It does do the job but, for some folks, pushes the jaw backwards and increases the likelihood of additional obstructive events.
A better solution is a soft cervical collar which supports the jaw and prevents drop as your muscles relax during sleep.
Jaw drop is a cause of leakage in FFMs but not the only cause.

Mask liners will help with other types of leaks.

Keep on with keeping on. It will get better

_________________
Mask: Oracle HC452 Oral CPAP Mask
Humidifier: DreamStation Heated Humidifier
Additional Comments: EverFlo Q 3.0 Liters O2 PR DSX900 ASV
Oracle 452 Lessons Learned Updated
DSX900 AutoSV with HC150 extra humidifier and Hibernite heated hose
Settings: EPAP Min-10.0, EPAP Max-17, PS Min-3, PS Max-10, Max Pressure-20, Rate-Auto, Biflex-1.
Sleepyhead and Encore Pro 2.21.

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Ogeo
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Joined: Tue Aug 05, 2014 5:12 pm
Location: Idaho

Re: Auto SV - 2 weeks in - Mask Leakage Problems

Post by Ogeo » Thu Sep 18, 2014 3:44 pm

JDS74 wrote:Ogeo:


A better solution is a soft cervical collar which supports the jaw and prevents drop as your muscles relax during sleep.
Jaw drop is a cause of leakage in FFMs but not the only cause.
I actually went to the pharmacy to look at a soft cervical collar. They are way too wide. I have only about a 1-1/2 to 2" space between my chin and chest -A very short neck! I guess I will have to design my own somehow.

_________________
Mask: AirFit™ P10 For Her Nasal Pillow CPAP Mask with Headgear
Additional Comments:  Max PS - 11; Max EPAP - 18; min PS - 7; Min EPAP - 14; rate auto; rise x2; pressure averages between 21 and 24.9
Hubby's equipment: PR System One REMstar Auto A-Flex model 560P. Doctor's orders left it open 5-20. We changed it to 8-20 after a couple nights. Start Date was 1/30/15. Oh, mask is the new nasal pico.

Discovering the world one geocache at a time!

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Uncle Flapp
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Location: Arizona

Re: Auto SV - 2 weeks in - Mask Leakage Problems

Post by Uncle Flapp » Thu Sep 18, 2014 4:33 pm

Have you tried a CPAP pillow? It helps me.

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Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear
Additional Comments: Dreamstation ASV. UPPP in 2007; Untreated AHI 84

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M'ohms
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Location: Georgetown, Indiana

Re: Auto SV - 2 weeks in - Mask Leakage Problems

Post by M'ohms » Thu Sep 18, 2014 4:34 pm

I bought one of those bead-type neck pillows (cheap) and stuff it under my chin at night. It doesn't go around my neck leaving marks from my headgear. It also doesn't have a stiff height to it, so in your case, it might help.

_________________
Mask: Quattro™ FX Full Face CPAP Mask with Headgear
Additional Comments: Supplemental oxygen at 2.5 lpm
AutoSV 960 with heated hose. Settings: EPAP Min-12, EPAP Max-17, PS Min-5.5, PS Max-13, Max Pressure-25, Rate-Auto, Rise Time 1. Use Sleepyhead and Encore Pro.

JDS74
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Joined: Sun Jan 23, 2011 2:57 pm
Location: South Carolina

Re: Auto SV - 2 weeks in - Mask Leakage Problems

Post by JDS74 » Thu Sep 18, 2014 5:46 pm

Ogeo
Here is a link to a variety of collars via Amazon.
they range from 2 inches to 4+ inches.
One should fit you.
I use the 3.5 inch one.

Amazon Cervical Collars

_________________
Mask: Oracle HC452 Oral CPAP Mask
Humidifier: DreamStation Heated Humidifier
Additional Comments: EverFlo Q 3.0 Liters O2 PR DSX900 ASV
Oracle 452 Lessons Learned Updated
DSX900 AutoSV with HC150 extra humidifier and Hibernite heated hose
Settings: EPAP Min-10.0, EPAP Max-17, PS Min-3, PS Max-10, Max Pressure-20, Rate-Auto, Biflex-1.
Sleepyhead and Encore Pro 2.21.

User avatar
Ogeo
Posts: 186
Joined: Tue Aug 05, 2014 5:12 pm
Location: Idaho

Re: Auto SV - 2 weeks in - Mask Leakage Problems

Post by Ogeo » Thu Sep 18, 2014 6:33 pm

Uncle Flapp wrote:Have you tried a CPAP pillow? It helps me.
I tried to find someone that had one in stock so I could look at them. My usual bed pillow is not very thick. If I use one that is too hard or thick, I get neck pain.
M'ohms wrote:I bought one of those bead-type neck pillows (cheap) and stuff it under my chin at night. It doesn't go around my neck leaving marks from my headgear. It also doesn't have a stiff height to it, so in your case, it might help.
I looked at them. My husband thought they might work. I will take another look at them when I go to town next and see what they feel like around the front of my neck.
JDS74 wrote:Ogeo
Here is a link to a variety of collars via Amazon.
they range from 2 inches to 4+ inches.
One should fit you.
I use the 3.5 inch one.

Amazon Cervical Collars


Thanks for the link. I will check that out.

_________________
Mask: AirFit™ P10 For Her Nasal Pillow CPAP Mask with Headgear
Additional Comments:  Max PS - 11; Max EPAP - 18; min PS - 7; Min EPAP - 14; rate auto; rise x2; pressure averages between 21 and 24.9
Hubby's equipment: PR System One REMstar Auto A-Flex model 560P. Doctor's orders left it open 5-20. We changed it to 8-20 after a couple nights. Start Date was 1/30/15. Oh, mask is the new nasal pico.

Discovering the world one geocache at a time!