How To Stop Leaks? Help

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
AnnaS
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How To Stop Leaks? Help

Post by AnnaS » Fri Apr 22, 2016 10:16 am

All,

I am at my wits end....had a really bad night again last night and more importantly a bad morning right now!!

Looks like I have a very leaky situation on hand in-spite of using a chin strap for the first time. Good news is my mouth did not open, nor did it get dry. Bad news is I still have a headache and am finding it very hard to focus!

My hunch is my hose has a leak. To rule out equipment leaks, I called in for a new hose and mask flappers. Unfortunately both will take 5 days to arrive. What can I do in the meantime. Should I stop using the machine. I cannot have a headache like this and function.

I have been using a pad-a-cheek mask liner (for the past 3 days) to take care of mask marks. Marks are gone but could liners be causing leaks? PLEASE HELP.

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robysue
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Re: How To Stop Leaks? Help

Post by robysue » Fri Apr 22, 2016 10:49 am

AnnaS wrote: My hunch is my hose has a leak. To rule out equipment leaks, I called in for a new hose and mask flappers. Unfortunately both will take 5 days to arrive. What can I do in the meantime.
Checking the hose for leaks is pretty easy: Attach one end to a bathroom faucet (my hose fits right over where the water comes out), turn the water on full force and partially cover the other end of the hose with your thumb. If there's a leak, you'll see water spraying out the side of the hose.
Should I stop using the machine. I cannot have a headache like this and function.
Personally I would NOT stop using the machine. If OSA headaches were part of your pre-CPAP daily routine, then you may find stopping the machine will make the headaches get worse.

You ought to try treating the headache with an OTC pain reliever just to see if that helps. While it's not good to take OTC pain relievers for headaches on a daily basis, it is fine to do it up to 3 or 4 times a week in the short run.
Looks like I have a very leaky situation on hand in-spite of using a chin strap for the first time. Good news is my mouth did not open, nor did it get dry. Bad news is I still have a headache and am finding it very hard to focus!
The fact that your mouth didn't get dry is evidence that your mouth didn't drop wide open, it does not necessarily mean that the mouth didn't open at all.

What did the leak line look like before you tried the chin strap? Any improvement at all in the leak line? Or is it about the same? Also, I see that you are using a FFM. The whole point of a FFM is that you can open your mouth wide open and you won't lose any pressure if the mask is well sealed. But FFM have a much larger footprint on the face and that can make it harder to get a proper seal in the first place. And then there's this: When we lie down our facial structure changes. And when we sleep, our facial muscles relax. Because of these two things, it is possible (and common) for a FFM that is well seated at the beginning of the night to spring some leaks during the night, particularly if we add APAP pressure increases to the mix. If the lower jaw muscles relax too much, the slackness in the lower half of the face can cause the mask to lose its seal even if the mouth does not pop open. Chin straps are not always effective at preventing those kinds of leaks since they don't hold the mask to the face.

You might want to look into Padacheek's anti-leak strap (see http://padacheek.com/PAC_AntiLeak_Strap.html for details). This strap is designed to hold the FFM onto the face when the muscles in the lower face relax enough to allow the mask to lose its seal.
I have been using a pad-a-cheek mask liner (for the past 3 days) to take care of mask marks. Marks are gone but could liners be causing leaks? PLEASE HELP.
Possibly, but not that likely. Many people actually find mask liners help the mask to seal better rather than worse.

You might also be over tightening your AirFit F10: It uses an air cushion seal and if the mask is strapped on too tight, the air cushion cannot fully inflate. And that makes the mask more prone to springing a leak when the lower face relaxes during sleep.

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lilly747
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Re: How To Stop Leaks? Help

Post by lilly747 » Fri Apr 22, 2016 11:09 am

Your flow rate graph and Pressure graph do not look real good. Even though your AHI is under 5.

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robysue
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Re: How To Stop Leaks? Help

Post by robysue » Fri Apr 22, 2016 11:37 am

lilly747 wrote:Your flow rate graph and Pressure graph do not look real good. Even though your AHI is under 5.
Fixing the leak problem may help with getting the flow rate graph and pressure graphs to look better.

Yes, there's some real snoring in the flow rate graph starting at around 2:30 and this drives a huge increase in pressure. In the long run, AnnaS may need a higher min pressure setting. But fixing the leak problem is more important right now that optimizing the flow rate graph.

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AnnaS
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Re: How To Stop Leaks? Help

Post by AnnaS » Fri Apr 22, 2016 1:29 pm

Thank you all. I am ON the fixing of leaks and will start by testing the hose and then the other steps suggested.

What is the number of leaks that's acceptable and considered ok?

Please advise.

Thanks
AnnaS

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JDS74
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Re: How To Stop Leaks? Help

Post by JDS74 » Fri Apr 22, 2016 2:36 pm

Anna,
Leaks with a full face mask are sometimes better controlled with a soft cervical collar rather than a chin strap.

A collar supports the jaw when the facial muscles reLax with sleep and keeps the mask positioned properly.

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AnnaS
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Re: How To Stop Leaks? Help

Post by AnnaS » Sat Apr 23, 2016 6:48 am

Thank you. I will try a cervical collar. Last night was better sleep but there are still periods of major mask leakage which I think is because of how my mask position changes when my muscles relax .Will report back on progress with a collar ..

Thank you.

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ChicagoGranny
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Re: How To Stop Leaks? Help

Post by ChicagoGranny » Sat Apr 23, 2016 8:15 am

AnnaS wrote:still periods of major mask leakage
To reduce unintentional mask leak -

- Make sure the mask is fitted properly. (See mask manufacturer's video.)

- Make sure the headgear is adjusted properly (See mask manufacturer's video.)

- If you use a low ramp pressure or a low minimum pressure, you should fit and adjust your mask at the higher pressures it is operating at for most of the night. You would temporarily change the machine pressure settings while you do the fitting and adjusting. It's best to do this well before bedtime before you are tired and ready for sleep. Don't forget to change your settings back to the ones you prefer.

- Make sure to use good hose management - the hose should not pull on the mask. Notice how your hose is positioned between machine and mask. It should be positioned to minimize any pull on the mask. Hose management is an individual practice. How it is done depends on the mask, the position of the machine, your sleeping position and other factors specific to the individual.

- If you still have problems, learn from the forum what mask liners are available.

- If your mask still has excessive leak, try other masks. Many people report trying several masks before they find one that works well for them.

Note: Links to just about all of the mask manufacturers' instructional videos can be found on the forum host's website - https://www.cpap.com/cpap-masks.php

- CG

library lady
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Re: How To Stop Leaks? Help

Post by library lady » Sat Apr 23, 2016 1:39 pm

Another thing to remember is that you should put the mask on while lying down; your face changes shape when you are lying down, and if you put the mask on while sitting up, the fit will change. Pull the headgear on, then put your head on the pillow to attach the straps, adjust as necessary. I use the AirFit F10, have never used a cervical collar. Mask liners solved my leak problem, and strap pads eliminated irritation on my face.

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