- What's up guys, Nick here from CPAP reviews.
Thanks for tuning in to part 3
of our three part series
on the new Fisher & Paykel SleepStyle device.
Where we'll be going through
what's known as the clinical settings.
Now, for those of you that don't know,
the clinical settings are one step above your patient
settings and it's in the clinical settings
that we are able to change things,
such as the CPAP pressure, the upper and lower limits
of the auto adjust pressure and a few more advanced
set up features.
But, first off, I just wanna say a big thank you,
to all you viewers out there,
you know, it's been a milestone week for me in particular,
we've, gone through one hundred and fifty thousand views
on the channel, which is fantastic and notched up
over six hundred subscribers,
so we really appreciate your support,
we really appreciate your comments
and subscribe to the channel, it's really great
feedback for us and it's rewarding
from the end of the week fully knowing
that you guys are watching the videos
and liking the videos.
So, without further ado, let's,
get stuck in and have and have a bit of a looksie here.
So I've just got the machine here at the front,
now to unlock the machine and getting to the clinical
menu, we have to press a number of buttons
and with this machine, what we can do is,
we can press either of the bottom four buttons
and the top button and press them simultaneously
and hold them down.
So you can choose any of the buttons at the bottom
and the top button here, the start-stop button.
So, I'm just gonna choose menu and start-stop,
click and hold the buttons down.
One, two and it will say clinician menu.
Once you have clicked clinician menu,
it's pretty standard-like, the patient menu,
we use the menu system to go,
well, we use the menu system to go, up and down.
So we just click up and down to what we wanna change.
So lets just go through them all.
So, to start there, the first one,
we have therapy mode
and to go into that, we just click the menu there,
oh, sorry, I'll just get back out of that.
So, we just click,
the tick button here, so tick button, will take us in,
and then we can use the up and down button
to toggle which way to automatic
and fixed pressure mode.
If you have the CPAP machine, you won't have auto.
If you've got the automatic, you have the ability
to go between both, so you have the ability
to go between fixed pressure, which is CPAP
and variable pressure which is the automatic.
All right and so, we're gonna kick this on auto,
I recommend you do keep it on automatic
if you do have an automatic machine,
and then you click the tick button.
Then we have the min pressure, so this is the bottom
limit of the pressure and we can, the 4 is the minimum
that we can go, but we can increase that if we want to.
So, you know, if you're finding that the therapy
is a bit suffocating in the beginning,
that you're not getting enough pressure,
like not enough airflow.
You might wanna just bring that up a little bit.
Most people say they have it between,
somewhere between 4 and 7, but just find the pressure
that you find most enjoyable
and you can change that to your liking.
All right, you wanna set it so that it's nice
and comfortable.
Once you've got it where you want, I'm gonna choose 5.
Once again hit the tick button
and then it's gonna get the max pressure.
So, your max pressure's the upper limit,
so how high the pressure can go, when the automatic
is doing it's variations through the night.
You gotta be careful, that you don't go too low
with the this pressure,
because what can happen is,
if you're having apnea and you need more pressure
and you've capped it at a certain level,
the machine won't be able to reach the pressures required
to control your sleep apnea.
But saying that, this can be a handy level to change
if you're really struggling with the therapy pressure
and what you can do is,
you can bring it down to a level
that you're comfortable with
and gradually as you get more comfortable
with the therapy,
increase the max pressure
as you go.
So you kind of just easing yourself into the therapy,
it's a really good way to get patience compliant
and a really good way,
if you're someone who's really struggling
with CPAP, struggling against the pressure,
the pressure's waking you up in the night time,
bring the cap down a little bit and pressure down
and that and then gradually build the pressure
back up, the max pressure.
Another thing you can do with this machine
now which is fantastic,
is because you have the SleepStyle app
that you can connect to your phone,
you can instantly see that apnea hypopnea index
everyday. Now as long as your apnea hypopnea index
is sort of around the 5 or below.
You're in, you know,
you're in good safe territory there with your apnea.
So you can then play around with this max pressure level
and as long as your under that limit,
you know, that sort of 5 level,
then you're kicking goals, all right.
So the aim should be to get the pressure as low
as comfortable as possible,
without having your apnea hypopnea index skyrocket
and go, get over sort of 8, 9.
All right, so I'm gonna set this at 12.
Now, we can go down again, the next one with min pressure,
max pressure, we have just done.
Now we get down to the comfort settings,
so humidity, we can change the humidity level.
Once again we tick to go into it
and then we can up or down the humidity if we like.
The more we go up the more moisture
there's gonna be in the air, all right,
so we're gonna choose a level of 5 there,
press the tick to enter that setting, go down again.
Expiratory relief, so this is the relief settings
and the exhale relief settings,
as you breath out the machine will drop the pressure,
so we can activate it or deactivate it.
We'll leave it activated there.
Remember these are clinical settings, so,
and we'll keep that on 3 for now but we can bring it down
if you're finding that it's throwing off your breathing
or you finding it a little bit funny
with the exhale relief, but just,
its like everything you see but trial and error.
Try the different settings, see how you feel,
breath with the machine for a bit,
if you like it, great, if you don't, change it.
So we're gonna click the tick
and it's got, allow patient to adjust,
so, yes we want that one.
Okay, so you see the clinical settings are now
the clinicians to lock you out of certain things
and you wanna have access to everything, in my books.
SensAwake feature, we want it on, yes
and the SensAwake pressure, now this is the pressure
that the machine will be at when you're awake, all right.
So whenever the machine senses that you're awake,
this is what the pressure will drop to, all right.
Now once again, like if you find 4 too low,
you might have that at a comfortable,
you know, 4.5 or something like that.
Just click the tick button to lock it in,
and you can allow the patient
to deactivate it if they want to, yes, okay, whatever.
Scrolling down a bit more the device, display AHI,
yes we want to display AHI, so lets tick there.
Go down again, time, you can set the time,
language and then service info,
which is like if you get a fault on your machine,
you can go in here and check the fault log
and it will give you...
And you can clear the patient data,
so you can clear all the data on the machine
you wanna start fresh.
You can factory reset and then you can exit clinician menu,
which we're gonna do. So,
that's it.
That's all done, now you have all the knowledge
that I have.
You know how to operate the machine,
you know how to change the patient settings
and now you have access to the clinical menu
where you can if required,
if you require,
get access to the pressure settings
and adjust them as long as you have the knowledge
and understanding as to the basic parameters
around that and maybe you know, if you can solve
your CPAP, therapist or your sleep position or whoever,
if you're going to do that as well.
But it just might save you that, you know,
especially if you're in a rural scenario,
where the nearest clinics an hour away,
it might just save you that, you know, long drive
and I think it's handy to have.
I know a lot of, I've had a lot of feedback
from many people, especially on YouTube
who said there's been a difference
between them being able to use the machine
and not use the machine.
So, I'd rather have someone a bit more comfortable
and using the therapy, than throwing it against the wall
or using it as a book stop.
All right, so thanks again guys.
Like I said, you know, subscribe to the channel,
you get all the up to date info
on all the latest CPAP gear
and we'll talk you through everything that we can,
talk about.
Hope everything's going well with your CPAP therapy
and as always, take care. Cheers.