Bleep dreamport mask

I have a few questions for more experienced users of this mask.
1- What type mask do you set the Resmed S10 autoset to ?
2- Did you have to make any pressure changes for using this mask ?
3- I have the diffuser so I don't hear any leaks. But Oscar doesn't agree, My AHI's are now higher than day 1 on Cpap. My leak line on oscar is not good. What is strange is if I wake up for a second or two I don't feel or hear any leaking.
I use extra tape in places. It appears not enough places.

I just use the pillows setting. It's really not going to make much difference between nasal or pillows. Not a critical thing.
What setting are you using?

No pressure changes at all.

Need to see the OSCAR report to get an idea as to what might be going on.

Bobby269 wrote: ↑

Fri Aug 14, 2020 9:15 am

I have a few questions for more experienced users of this mask.
1- What type mask do you set the Resmed S10 autoset to ?
2- Did you have to make any pressure changes for using this mask ?
3- I have the diffuser so I don't hear any leaks. But Oscar doesn't agree, My AHI's are now higher than day 1 on Cpap. My leak line on oscar is not good. What is strange is if I wake up for a second or two I don't feel or hear any leaking.
I use extra tape in places. It appears not enough places.

1. pillows
2. no; if anything, maybe a touch less
3. I normally get zero leaks, and only get them through either a) mouth leaks (more common), or b) incorrect application of the ports (not so common)

Bobby269 wrote: ↑

Fri Aug 14, 2020 9:15 am

2- Did you have to make any pressure changes for using this mask ?

I let my apap do the work here, but Stuart (ceo, support, and all around great person at Bleep) did tell me that some patients can lower their settings.

3- I have the diffuser so I don't hear any leaks. But Oscar doesn't agree, My AHI's are now higher than day 1 on Cpap. My leak line on oscar is not good. What is strange is if I wake up for a second or two I don't feel or hear any leaking.
I use extra tape in places. It appears not enough places.

There should be no leaks beyond the normal leak rate, so the machine should not show anything abnormal here. If you are seeing otherwise then there is something wrong. It could be at the nose, in the clips (they are super fussy) or elsewhere, including at the water tank.
My strongest recommendation is to call Stuart (call the support number). He is very eager to help and won't quit on you if you don't. It took me a month to get it working, but that perseverance paid off and I get great sleep every night now. Pugsy here is also very helpful.
My routine at night now involves washing my face with an oil free cleaner like Cetaphil, using an adhesion promoter (
https://www.amazon.com/dp/B002ZUHLW8?re ... b_ap_share) and bolstering with tape (https://www.amazon.com/dp/B0009Q2PE4?re ... b_ap_share). The last 2 products were both recommended by Stuart, but i have unusually oily skin, most people don't have to do all of that. My leak is averaging 17L per minute at about 15cm h2o pressure.
Stick with it, you won't be disappointed.

Bobby269 wrote: ↑

Fri Aug 14, 2020 9:15 am

I have a few questions for more experienced users of this mask.
1- What type mask do you set the Resmed S10 autoset to ?
2- Did you have to make any pressure changes for using this mask ?
3- I have the diffuser so I don't hear any leaks. But Oscar doesn't agree, My AHI's are now higher than day 1 on Cpap. My leak line on oscar is not good. What is strange is if I wake up for a second or two I don't feel or hear any leaking.
I use extra tape in places. It appears not enough places.

1. I, too, have my machine set for Pillows
2. While I understand some people have been able to reduce their pressure, my pressure needs have remained the same. My hope for a slight reduction did not come to pass.
3. I rarely get leaks. When they occur they are generally mouth leaks. Incorrect application of the ports, which can also cause a leak, is loud enough that it is immediately apparent that something is wrong and can be corrected right away.

Here's my leak chart.

That looks like mouth leaks.

Do you tape your mouth shut and if you do is the tape secure when you get up in the morning?

How did you sleep last night? Wake often or soundly for the most part?

Did the adhesive stay put all night?

I do tape my mouth.I think that my chin strap is stretching out. A new one is in the mail. In the morning the tape is tight. I am waking up more than I have in the past.
This mornings leak chart looks like yesterdays.Hopefully the new chin strap will solve the problem.
Until my chinstrap arrives I well give somnifex a try.

Now I will say this...I have had some nights where the port adhesive sort of half way fails but I can sort of fix it by position the mask closer.
So I have seen nights like you have seen and it's from adhesive failure but it's intermittent when I know doesn't make much sense but the leaks wake me up so I know it is related to adhesive.
When it happens it's always because I have cheated with my skin prep routine. I don't always wash my face like I should especially if I have used some facial cream earlier in the day and tried to rely on alcohol to clean things up for me.

So pay extra attention to washing the face. Make sure the soap you use doesn't contain oils and make sure that whatever you are using as final wipe doesn't contain oil. I am female and my face isn't particularly oily and I still have problems when I cheat.
Guys typically have an even worse problem.

So while I can't be sure whether those leaks are mouth related....it wouldn't be impossible for them to be an intermittent adhesive issue.
I have personally experienced it myself and they look just like mouth leaks.

The new chin strap helped. But now I must be having the adhesive problem.I really leak test the mask, then use the machine leak test. But the last week I wake up about 0115 and I have a annoying leak. Is there a cleaning
substance that will really clean my nose. I have used Dove soap for sensitive skin, witch hazel and some times alcohol.
The times that there were no leaks make me want to keep trying.

Skin prep and oil removal is critical and even more so when a person tends to have oily skin.

Dove is nice but it contains moisturizing agents which in turn can sometimes create a problem. Not as much as some soaps but more than others sometimes. The very things that make it nice for sensitive skin make it not so nice for removing oils and/or preventing oils.

Also the final wiping product....after the washing...sometimes it needs to be stronger in terms of oil accumulation prevention.
There are stronger products out there than witch hazel (which sometimes itself contains oils if you look at the ingredients) or alcohol.

Forum member Khauser had similar issues and it was discussed not long ago. Let me go find that thread as more specific products with links are mentioned. It may take me a bit so give me some time or maybe Khauser will stop by here before I can get it done.

Edit: here's the thread...pages 2 and 3 talk more about the change in products for skin prep that seemed to have help resolve his issues.
www.cpaptalk.com/viewtopic.php?t=179537