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Good day, mates,
My name's Nick and welcome to my channel, CPAP Reviews.
Today I'll be showing you how to access the clinical menu
on the iBreeze CPAP machine.
Now the manufacturer of this device is Resvent.
And most of you watching will have a Resvent iBreeze.
Now, my iBreeze is a SmartMed iBreeze,
which is like a rebranded version of the Resvent one.
The menu systems are really similar.
But I just thought I'd point it out
because there might be a few little differences
and I don't want you to get too confused, okay?
But most of the stuff's the same, so you should be okay.
Now for those of you that don't know,
the clinical menu is the advanced menu.
It's where your clinician can go to change things
like your therapy pressure levels, your therapy mode,
and turn off and turn on some of the more advanced features.
So if you want to be a pro at CPAP therapy
I really encourage you to learn
how to do more of the advanced stuff.
And to do that, you need to access the clinical menu,
which I'll show you today.
All right, let's dive in.
Now, to access the clinical menu on the iBreeze,
we need to rotate the dial down to settings.
So settings is highlighted.
And now we hold in the click wheel and the ramp button,
which is the top right button next to the power button
at the same time.
So hold the two buttons in simultaneously
and then we're in.
And you can see now on the left hand side, it says doctor.
So we're now the doctor taking care of our own health.
Now up the top here, we have our mode, our therapy mode.
And if I click the click wheel in
it shows you the different modes we have.
So we've got two CPAP modes, CPAP and CPAP-V.
And two APAP modes, two automatic modes, APAP and APAPW.
Now like I said,
your machine might not have all these modes.
These are all the modes my machine has,
so I'll run through 'em
and hopefully your machine has some of these modes
so you can just follow along with whatever mode you have.
All right, let's start with CPAP mode, shall we?
Now, for those of you that don't know, the beginners,
CPAP mode is fixed pressure delivery.
Which means the machine will deliver
one set level of pressure throughout the night.
It won't vary that pressure, like an automatic device.
We're in the driver's seat,
we tell the machine what pressure to deliver
and it pushes out that exact pressure.
And you can see here, currently, this machine is set to 10.
Now we can increase or decrease that pressure
by pressing in the wheel
and rotating anti-clockwise to bring that pressure down.
We can go down to four, which is the lowest.
Or we can rotate it clockwise, crank it right up to 20,
which is hurricane force. (mimics air gushing)
So the idea with fixed pressure CPAP mode
is to find a good level of pressure
that's gonna control the majority of your sleep apnea
throughout the night.
And you can do this with a little bit of trial and error,
but a lot of people also go and do a CPAP titration study
in the hospital where they wire you up
and video you throughout the night
and manually titrate your pressure levels.
But you can do this yourself as well.
Now, next door to that, we have E-COMP
and E-COMP is kind of like beginner mode.
It reduces that prescribed pressure by 50% in the beginning
and then it gradually increases it one centimeter per night.
So let's just use 10 as an example.
Instead of starting at 10, it'll start at five.
And then the next night, it'll move to six,
to seven, to eight.
You get the picture.
If we have E-COMP off, then it will just start at 10.
All right, let's go back up to the mode.
Next door, we have CPAP-V.
Now CPAP-V is like a titration mode.
Let's just say I'm a clinician
and I don't know what pressure to set for my patient,
but at the same time
I don't want them on automatic all the time.
So I want 'em on fixed pressure mode
but I dunno what pressure to set for them.
What you can do is you can use this CPAP-V
as a titration mode.
So you can see here, it's got a titration time, seven days
and we can set a min pressure and a max pressure.
So it will function as an automatic machine
for those seven days.
But after those seven days,
it will use the data from the automatic mode
from those seven days
to set a fixed pressure for the patient.
Does that make sense?
I'm confusing myself here.
Basically, it's like using automatic mode
to determine a suitable fixed pressure mode for the patient.
All right?
And now we have the two automatic modes, APAP and APAPW.
Now that W stands for woman.
And they're very, very similar, these two automatic modes.
It's just the pressure changes with the woman version
are a little bit softer.
All right, let's start with APAP.
Now, when it comes to auto mode,
we can set a min pressure and we can set a max pressure.
And the machine will vary the pressure
between these two values, the pressure range,
in response to how we're breathing.
That's how it works.
So you can see here, our max is set currently to 12
which is as high as the machine can go.
And then our min set to four which is the base level,
as low as the pressure can go.
And we also have this R-Care.
And I'll talk about that in a minute
but we can change these values.
Once again, we can rotate it up a little bit
if we want our pressure levels
to be able to go higher than 12,
or we might like to start the therapy
a little bit higher as well so there's more airflow, okay?
So you can adjust these pressure levels,
this pressure range, to suit your needs.
R-Care is certainly a tricky one to explain,
but I'll do my best.
So normally, as the settings are now,
when we hit that start button
the pressure's gonna start around six,
which is our min level.
When we switch R-Care on, instead of starting at six,
the machine will check out the pressure stats
from the previous night,
and it picks out a value
which is what's called the 95th percentile pressure level
from the night before.
And it uses that as the starting pressure.
So normally what that means
is the starting pressure is much higher.
And the idea of this
is that instead of waiting for the pressure
to gradually ramp up over time,
the pressure level starts closer to where it needs to be.
So if you're someone who's really struggling
to get your apnea-hypopnea index under control,
you might be having a lot of apnea
in the beginning of the night when the pressure is quite low
'cause it takes time for that pressure to build up.
So you might wanna switch R-Care on.
But I think for most of you,
you're gonna wanna start at a low pressure
in the beginning of the night because it's more comfortable.
So you can trial it on trial it off, see what works for you.
But I think for most of you,
you're gonna wanna switch it off.
That's the best I can do on that one, guys.
Sorry about that.
All right, so that's APAP.
And APAPW is basically the same.
P Max, P Min R-Care.
And that's pretty much it.
So in order to exit the clinical menu,
we just go down to settings
and hold in the click wheel and the ramp button
which is that top right button next to the power button.
Hold them both in again.
And then we're back out to the patient menu.
Now, obviously there's the settings and comfort and humidity
and all that stuff which is in the patient menu.
I won't go through that today
'cause it's already long enough as it is.
I just wanted today to show you the clinical menu
where you can change things like your therapy mode,
CPAP, CPAP-V, APAP, APAPW.
And where you can change your pressure levels,
your P Min, your P Max and so on.
I hope you enjoyed the video.
Make sure you subscribe to the channel, hit the like button,
share it with your mates and as always,
have a great night and look after your mates.
See you soon, bye.
(gentle music)