Pugsy wrote:For your machine and your mask at your pressure the total leak rate is well within acceptable limits of where the machine can easily compensate for the leak. If you did get up to large leak territory which is 90 L/min for the M series machines you weren't up there very long or we would see a higher total leak average.
Averages can be misleading for a number of reasons. While I suspect that Chefchad37's leaks are ok for the most part for the same reasons that Pugsy does, it's important to remember that the overall average may have little or nothing to do with the data distribution.
If the leaks are pretty close to 57 L/min all night long, then there's some (minor) leaking going on all night. But the leaks are small enough for a Resprionics M-series to have no trouble compensating. And then the question of "Do I need to worry about the leaks?" boils down to: "How much are they disturbing your sleep?"
But there's another way that the average leak rate can be around 57 L/min: Let's suppose that you sleep with the machine for 8 hours. And for simplicity, let's assume that 2/3 of the night the total leak rate is right around the mask's expected leak rate of 43 L/min. And let's also suppose that during 1/3 of the night, the leaks are really bad and pushing Large Leak territory. In other words, let's assume that for 1/3 of the night, the leak rate is up around 90 L/min.
What do you think the average leak rate will be? Here's how we'd compute the average leak rate:
- Average Leak Rate
= [(43 * time spent with leaks = 43) + (90 * time spent with leaks = 90)]/(total run time)
= [(43*5.33 hours) + (90*2.67 hours)]/(8 hours)
= [229.19 + 240.3]/8
= 469.49/8
= 58.69 L/min
And if you're spending 1/3 of the night flirting with Large Leak territory, that's a problem.
Now the real question is which scenario is more likely? And that's not possible to tease out from just one figure. If Chefchad37 notices a lot of little leaks anytime he's awakened, then it's much more likely he has a lot of small leaks all night long, and as long as they're not keeping him from getting back to sleep, they're probably nothing to worry about. But if Chefchad37 never detects a small, unintentional leak when he's awake during the night, it's worth trying to look at the data in the Encore software just to make sure that he's not dealing with massive mask leaks that he's sleeping through during a significant chunk of the night.