AirMech74 wrote: ↑
Sun Apr 15, 2018 7:54 am
So I just completed night 3 on this mask, and it seems the leaks get worse and worse....last night was the worst. Does the leak rate affect the pressure? It seemed like at times, the pressure was at full blast. Most of the leaks are from the nose area or the sides. I wonder if I'd have better luck with a traditional full face mask.
No...more likely your pressure needs affected the sealing/fit and that caused the leaks.
The pressure most likely caused the leaks and not the other way around.
You didn't include the pressure graph...would have been nice to see that pressure line along with the leak line but if the pressure was higher during that time frame...and from the email you sent me with the whole image...the pressure maxed out at 20 cm during that big leak.
My first thoughts due to timing of the pressure increase...REM stage sleep pressure needs causing the increase in pressure or you were on your back or maybe both.
The machine wanted you to have max pressure because of the apnea stuff happening at the same time...and max pressure caused the leak. Mask just lost it's seal at 20 cm pressure. Any mask is going to present a challenge for keeping a good seal at the pressures you appear to be needing...
For anyone wondering...he's using a loaner apap (AirSense 10 AutoSet) just to get some sort of therapy while the in lab titration is scheduled for later and he will get his forever machine after that and from the looks of things...a bilevel machine because it appears that at some times he needs more than 20 cm and even if he didn't he may need the greater pressure support for comfort with apparent pressure needs going to the high teens at times.
So for now...he's DIYing everything...mask fitting and getting used to the machine and playing with pressures.
We know it is far from ideal but doing the best we can just to get some therapy even if it isn't perfect.
He's having to try to fit a full face mask for a good seal at pressures that would challenge a cpap veteran with no one to help him in person and no past experience to draw upon.
I may have to RISE but I refuse to SHINE.