Low AHI, small leaks, but leaks maybe related to events

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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dumborat
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Joined: Sun Jun 15, 2014 10:05 am

Low AHI, small leaks, but leaks maybe related to events

Post by dumborat » Tue Jun 17, 2014 8:40 am

Now that I'm actually sleeping for any length of time, my AHI has remained excellent, but I have noticed a bit more leaking in SleepyHead. I don't think it's anything major, but the chart started to worry me with leaks occurring in the general area of events. And maybe snores. But if I zoom in, the events and snores aren't always occurring exactly when the leaks are. There's some delay, and sometimes they don't seem related at all. Is that still a problem?

This is last night, with an AHI of 0.85. Do I need to worry at all if it's that low? I'm just really afraid that I'm mouth-breathing and going to need a full face mask Also the leak totals for the night are 0/0/5/16 (min/med/95%/max) which doesn't sound that bad.

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My largest leak of the night had no event directly with it:

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No delay here but the leak looks small:

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Thank you in advance, I really don't know yet what's a concern or not.
Machine: ResMed AirSense 10 Autoset
Mask: Philips Nuance nasal pillows
Headgear: Modified Philips Wisp fabric attached to Nuance Pro frame
Accessories: Weighted blanket, fan, eye mask 8)

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Pugsy
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Re: Low AHI, small leaks, but leaks maybe related to events

Post by Pugsy » Tue Jun 17, 2014 8:51 am

IF you are mouth breathing and that's a really big IF...it isn't much.
Large leak territory with your mask, machine and pressure is going to be up between 80 to 90 L/min and even at your worst it comes no where near large leak territory.

The snores and leaks...might be related and might not. Could be a coincidence like laying on your back and snores increase a bit and the mask gets dislodged a little.
dumborat wrote: This is last night, with an AHI of 0.85. Do I need to worry at all if it's that low?
No, nothing to worry about at all and in fact I would be doing a big time happy dance if that is all I had in terms of leaks or AHI. That is of course assuming that leaks aren't waking you up because anything that disturbs sleep is unwanted even if it is technically within the machine's ability to compensate which with your machine is up around 80 to 90 L/min...stay below 80 L/min and your machine can handle it.

Changing to a full face mask would be the last thing I would be doing based on these leaks. Heck, I know I mouth breath some and have leaks worse than you do and I still don't see the need to wear a full face mask to fix 10 minutes of big leaks (and I mean big leaks)and yours don't qualify for big leak status anyway.

I suspect the snores are most likely related to either supine sleeping or REM stage sleep and either way not enough of them to really matter unless they wake you up or something. They would have to be present in much larger numbers before I would want to go snore killing. Heck, they might even be a mask noise artifact.

Looking good for even a cpap veteran...much less a newbie. I wouldn't go changing a thing or worrying about anything at this time except sleeping.

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dumborat
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Re: Low AHI, small leaks, but leaks maybe related to events

Post by dumborat » Tue Jun 17, 2014 9:01 am

Thank you so, so much. I clearly only know enough about CPAP to stare at charts and unnecessarily go into a panic And nope, I'm not being woken up. Slept right through the night and I no longer feel like death anymore either

And you're right that I was on my back. It's awfully hot right now and sleeping on my side or stomach was making it worse.
Machine: ResMed AirSense 10 Autoset
Mask: Philips Nuance nasal pillows
Headgear: Modified Philips Wisp fabric attached to Nuance Pro frame
Accessories: Weighted blanket, fan, eye mask 8)