Side Sleepers?

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
Jimmy
Posts: 6
Joined: Wed Oct 26, 2005 9:17 pm

Side Sleepers?

Post by Jimmy » Tue Dec 13, 2005 10:34 pm

I have a leak and I do not know where it is coming from! I started out using the mirage FF mask and it almost rubbed the bridge of my nose raw. I switched to the swift. With the FF my AHI averaged around 10 or 15. With the swift, my AHI has averaged approximately 5. My leak averages around .5, with the Swift. I use a chin strap and I have the leak alarm turned on. My wife hears it, but I do not. (I think I turn the alarm off in my sleep.) When I sleep on my side, the mask shifts sideways. Some mornings, however, I wake up with a dry mouth. I am not sure if the leak is coming from an open mouth or a leaky seal when I sleep on my side. I was considering trying the aura or the breeze but that will not help if my mouth is the problem. Any ideas? (Machine is set on CPAP with pressure of 17, hh on 4, and EPR on 3.)


Colorado Jan

Post by Colorado Jan » Tue Dec 13, 2005 10:43 pm

Well, I'm so far from being an expert on this stuff, it is not even funny. But you say your AHI is 5 or so even with the leaks you are worried about? Then I would say don't worry about it. AHI of 5 is pretty good...in normal range definitely. I think some leakage is to be expected as well.....

That's my 2 cents worth. Now let's sit back and see if conventional wisdom thinks I'm right or not!

Jan in Colo.


ozij
Posts: 10514
Joined: Fri Mar 18, 2005 11:52 pm

Post by ozij » Tue Dec 13, 2005 10:45 pm

Jimmy,

The Breeze nasal pillows system can handle pressures of up to 30. While it will not solve your mouth breathing problems, I found it much better than the swift for my way of side sleeping. The part carrying the nasal pillows is narrower than the Swifts's and so gets less shifted.

It also helped to have a tempurpedic pillow, others swear by a Target's Shapeable Pillow, or the Pappillow.

Rested Gal posted a collection of mouth taping discussions yesterday, in response to a question about chin straps. If you don't find it, look for it using the search button at the top of the screen.

O.


_________________
Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear
Additional Comments: Machine: Resmed AirSense10 for Her with Climateline heated hose ; alternating masks.

Sleepless on LI
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Joined: Mon May 30, 2005 6:46 pm
Location: Long Island, New York

Post by Sleepless on LI » Wed Dec 14, 2005 6:17 am

Jan, I do agree, who wouldn't, that 5 is fine as an AHI.

But if you want to find the source of a leak you know is happening, mine occurred where the heated humidifier attaches to the machine. If you put your hand near where it connects, you could actually feel the air coming out of mine. I used paper medical tape around the neck of it and onto the gasket, after changing gaskets and doing everything else to try to fix it to no avail. But then decided I didn't even like the hh, so I removed it entirely. But if you haven't checked that location yet, give it a look at and see if perhaps that's where your leak is.

L o R i
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wading thru the muck!
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Joined: Tue Oct 19, 2004 11:42 am

Post by wading thru the muck! » Wed Dec 14, 2005 7:56 am

Jimmy,

The posts above are all great advice!

How do you feel in the morning?... that is the best judge of what is working or not.

I use the aura... it would allow you to sleep on your side with less chance of leaks... if that is how your leaks occur.

If you are allowing air to escape from your mouth, I would suggest increasing the humidity, this works for me, or as a last resort try mouth taping.

I have found that when I have leaks I don't feel as good in the morning, no matter how low my AHI is. This leads me to conclude that the "leak" issue, whatever the cause, is an important one to solve.

Try a few things and post your results on this thread. Most everyone here is willing to keep brainstorming until you succeed.

Sincerely,
wading thru the muck of the sleep study/DME/Insurance money pit!

Cpapper Incognito

Post by Cpapper Incognito » Thu Dec 15, 2005 6:46 pm

wading thru the muck! wrote: I have found that when I have leaks I don't feel as good in the morning, no matter how low my AHI is.

This is probably due to the leak causing an arousal, which is never reflected in AHI. (unless you do a full PSG nightly) An arousal caused by a leak will cause fragmented sleep and fragmented sleep will not leave you feeling rested. So, the low AHI is correct as your apnea is being treated. Once the leak is eliminated, then your sleep will not be fragmented and you will "feel rested".