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I have been trying various strategies to get the leaks and flow limits under control with little success. I do know that some of the leaks are mouth breathing and others seem to be caused when I move my head against the pillow and shift the nasal cushions. I am considering trying a full face mask. I won't mouth tape except as a last resort.
I think that the leaks are probably the lesser of the two issues, as nothing seems to put a dent in the flow limits, which kind of make a mockery of the low AHI numbers I consistently get (average <2.0). Should I crank up the pressure? I haven't (yet) experienced any issues caused by too much pressure.
Also, according to something Sleeprider told me some time ago, your leaks are not high enough to be causing you problems. I wouldn't worry about them at all.
It seems that I am making progress. The increased pressures have reduced both the AHI and the flow limitations. I am still getting a lot of leakage. I have ordered a new F30i mask which should arrive today. That should resolve mouth leakage issues.
I still wake up three or four times per night. I am considering bumping up the pressures another notch. Comments?
Update - I tried increased pressures, EPR of 3, Autoset for Her and for Him, a chinstrap, a full face mask, nasal cushions, nasal pillows, a cervical collar, a CPAP pillow and mouth taping. Nothing seems to greatly affect either the leaks or the flow limits. Someone mentioned that I might be a candidate for a Bilevel machine. I note that ResMed makes a number of Bilevel machines and I haven't noodled out the differences yet. There is a used AirCurve 10 VAUTO for sale locally at a good price. Would that be worth trying?
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
