- (Instructor) Good day guys,
Nick here again from CPAP reviews.
Thanks for tuning in to part two of our three part series
on the ResMed AirSense10 machine.
Part one we looked at the basic setup,
part two, we're just gonna look at the patient menu.
I'm gonna take you through it step by step
so you understand what the different menu options are,
how to change them and that way
you gonna get the best out of your machine.
So without further ado let's have a look at it.
It's got a nice little screen, forward facing screen.
It's split in two on the front here we have
the home button and we also got a click wheel.
Most of the time, we gonna use this click wheel
to change the menu.
So you can rotate this clockwise and anti clockwise,
and you see as I do,
it highlights many different menu options.
On the front screen we have my options & sleep report.
Let's look into my options first.
All we do is hold on it and then we just click
or we can also press it in.
So just click it in and release.
It's going to open up the my Options menu,
and you can see there's a whole bunch
of different things here,
and we're just going to go through each one
and just talk about them and show you how to change them.
So the first one there you'll see is ramp time.
If you are using an auto set machine just disregard that
you don't have to know anything about it.
If you're using a fixed pressure machine (cpap),
so that's set to a set rate of pressure,
might be 10 might be 11,
that is if you are using like an Air Sense 10 Elite,
not the other one that I said.
I recommend that you run ramp time auto,
but if you don't want to run an auto,
you can run it as a set time,
and to do that you just click it
and you can just rotate the dial and choose
your set time for the ramp to basically start
at a low pressure and gradually build up over this set time.
But if you leave it as auto,
the machine will basically determine
when you're falling asleep and then
it will adjust the pressure up to your set pressure.
The next one down is climate CTRL or climate control.
So this is referring to now the heated tube here,
and at the back end of that humidifier.
So what those two settings are.
When it's set to AUTO basically the machine
will monitor the ambient humidity around in the room,
and then it will basically automatically adjust
the temperature of the tube and the heat applied
on the humidification chamber,
in order to just deliver optimal humidification.
You can if you want to change this to manual.
So, what I did then was, I'll just give you a show.
All you do is click it it opens up
and then you rotate the dial down to manual
and click again and change it to manual.
This now gives you, temperature and humidity level here.
So, the tube temperature, if we click that in
we can see we can change the temperature of the tubing.
If you're in winter time and you're in Melbourne
like we are, you'll want that tube temperature
really hot like 30 degrees sounds really hot,
but it's not like the day is gonna be 30 degrees.
This means that the temperature itself of the tubing
is gonna get to that sort of point.
And like a nice warm tubing means that
the actual humidified air is gonna stay humidified
and it's gonna stay its vapor,
and also the the air is gonna be a bit warmer
for you which is sort of what you want
in winter time otherwise you find it
very very cold on your nose or your face.
And then you got the humidity levels
so one down from tube temp you got humidity level.
And that's the level of moisture,
that's gonna be in the air, so the level of humidification,
the amount of vapor, water vapor.
So that can go between off which is nothing
so the heated place it's not gonna heat
as we increase this number we're increasing
the heat of the heater plate.
So the higher we go to this number,
the hotter that heater plate gets,
the more humidification it creates.
So just how to operate that is if you just test it out
that if you're dry in the throat of the morning,
you might need some more humidification.
Just going up by one see how you go the next night,
and so on. Keep going up, if you're getting
a lot of moisture, too much condensation
or anything like that, bring it down a little bit.
But generally humidity helps to alleviate congestion
as well as it tends to open up the airways.
So if you're getting a bit congested in the nighttime
you tend to be sniffy, a bit stuffy,
you might wanna try out increasing
that humidification level up
because it will tend to alleviate that congestion.
So let's just put it off from here anyway.
I'm gonna change that back from our climate control manual,
and change it back to automatic for the moment.
Pressure relief: this is what they call EPR
so if you just leave that on I'll show you later on
but basically pressure relief as you exhale,
the machine is going to reduce the pressure
that it is delivering.
So you breathe in, you get full pressure.
As you exhale machine reduces the pressure.
The result of this makes it easier
to breathe against the pressure.
So it makes using the therapy easier because you're not
breathing air against a lot of air coming in.
All right! Some people love this.
Some people find that it throws their breathing off
a little bit experiment with it.
I'll show you how to experiment within a minute,
but I recommend you should have pressure relief on 'cos
it is a very handy feature.
Smart Start have that on.
We can turn it off but have it on.
That just means that you can put your mask on,
start breathing. The machine will start up automatically.
It's good. You don't have to go
looking around for buttons to try and turn it on.
You can just hop into bed, who cares where the machine is
you just start breathing and and turn on.
If you want to get to the bathroom you can take it off
and it will go off as well.
If you take off the mask off without knowing
it will also stop the machine
without even the hissing and blowing around.
Next one there is the mask.
So we can set the mask.
What mask we're using. You have the options of pillows,
which is your nasal pillows
for your nostrils, full face or nasal mask.
So just choose whatever masks you've got there.
Click that. run mask fit.
Alright. So what you wanna do with that
is if you put your mask on one of the nighttime
just before you go to bed.
So you put your mask on, go to this and click mask
and mask fit, and what's going to happen is
the machine is going to check and make sure.
So it's going to start.
So it's already given us a big red face there,
because there's no, there's no mask connected to it.
All right. But you run that mask fit.
It'll make sure that your mask is correctly fitted.
You know, in terms of the amount of tension you've got.
So that way, when you fall asleep,
you know that your mask is fitted well,
and then it's going to be nice and safe and secure
throughout the night.
You're not going to get into some mass leaks
and stuff like that.
So run that mask fit before every night,
and you're going to be doing well.
Run warm up.What that does is if you run this warmup,
it means it's going to heat the heater plate
before you get to bed,
for about 30 minutes so that
when you actually start to use the machine,
it's gonna be nice and ready to deliver
humidification instantly.
If you don't run the warmup,
it means that when you hop into bed
and start using the machine,
it's going to take a bit of time before that water
actually heats up to start providing humidification.
And by that time, you might've already dried out.
Okay? So run the warmup, run the mask fit
Airplane mode:
Now run this obviously, if you're going on a plane,
I'm pretty sure airplane mode also makes them,
more user friendly with batteries.
So I think it cuts out power also to the heating tube
and the humidifier plate,
as well as I think it probably does something to the
wireless signal to, but I'm running airplane mode,
obviously, if you're using with batteries
or if you're on a plane,
and then you've got about,
which tells you a little bit about your machine.
So if you scroll all the way back up to the top here
to home, click the button.
So that's my options done pretty straight forward.
They've made that nice and easy.
Now let's go down to your sleep report.
So just rotate the dial down, hit sleep, report,
click it in.
So this is going to tell you basically
your sleep report,
you know how you're doing with your actual therapy.
All right. So basically what we've got here,
I'll just take you through it usage hours.
So this is sort of last night's sleep report, if you will.
So usage hours,
how many hours you used it for.
Events per hour: that's your apnea hypopnea index there?
How many apenas / hypopneas whatever you had so.
How many bad breathing events per hour you had try and get
that under five, if you can.
Your mask seal and the humidifier,
it's either going to get a nice, green face,
which means good. Or it's going to give you
an angry red face, which means bad.
So you kinda wanna get those green, if you can.
And then it's also going to give you options to change
like your period there.
If you want, a generally do a week
or a month's really good. So your period,
it's gonna give you the days you use,
it's gonna average all these things out.
Over the actual month.
Let's have a look what we got.
So it's gonna, how many days you used it in the week?
How many days over four hours you used it.
So how many nights you use your machine
over four hours per night,
the average usage per hours, over those seven days.
The used hours, so the total amount of hours you used before
The pressure, so the pressure,
they will give you a thing.
They'll probably give you the year.
So that pressure there that they'll give you
as much is known as the 90th
percentile pressure I imagine.
So that means that 90% of the night, the pressure was below,
whatever that value is,
It will give you the leak as in liters per minute.
So generally, you know,
the leak rates try and get them under 50. If you can,
if you've got a beard or something like that,
and you might not be able to do that,
but if you can try and get that on a 50 liters per minute,
you're doing not too bad.
Apnea Hypopnea index (AHI) again.
So based average out over seven days,
you know how many (AHI) events per hour you had try
and get it under less
than five. If your creeping up over five,
you might need to adjust some settings a bit,
especially if you're over 10, your total Apnea index.
So how many apneas you had,
and then you've got central apnea index.
So you're having heaps of central apneas,
you might need to look at getting yourself
a BiPAP machine,
then speak to your healthcare professional about that.
So that's your sleep report.
Pretty straight forward, pretty handy
just to be able to see that on the screen though.
So that's your patient settings. How easy is that?
I hope you enjoyed part two of this series.
If you want to dive a little bit deeper and get a little
bit more advanced in the therapy,
let's head over to part 3
and you can check out the
clinical menu, which is the secret menu
behind your patient menu.
All right. If you can be bothered, check that out.
Thanks for watching the video as always.
We love having your support, so cheers for that.
Okay. Bye.