- G'day everyone, Nick here from Super Cheap CPAP.
And I'm going to give you a quick rundown
on how to access the clinical settings
on your DeVilbiss SleepCube.
And these settings are where
CPAP consultants and sleep scientists,
it's where they change the pressures and things like that.
So, they're a little bit more advanced
than your basic patient settings, okay?
So, to get into Clinical Settings,
we basically need to hold down a set of buttons
to enable us to unlock that.
And to do so, we hold down the triangle,
the Ramp Delay button, which has the triangle on it,
a little one at the bottom there, in the middle.
And then while we're holding those two down,
we press the On button,
Boom, Clinical Menu it says.
Okay, so we're now got access to the Clinical Menu.
The machine's going to sound a bit loud.
It doesn't normally sound like that.
It's just because there's nothing on the bottom of it.
So, I'm just gonna make it a bit quieter.
So, just bear with me now I talk.
So, what we can do now is,
we can scroll across using this button.
And it says we can change things like
the operating mode to CPAP,
which is fixed, or auto adjust,
which is automatically adjusting.
We can keep going.
We can change the upper limit.
So, that's how high the pressure can auto adjust to.
So, we can bring that down
and cap it a little bit, if we want.
If we feel like the pressure
is getting too strong of a nighttime.
Or we can go across one and see the low limit,
and we can also bring that up
if we feel like there's not enough pressure at the base.
So, if we feel like it's suffocating us,
there's not enough air coming through,
if we want to bring that up a little bit.
I'll bring it up to 5.5 or six or seven,
whatever's comfortable.
Just try out a few pressures,
find out what's comfortable, and you should be good to go.
Another thing you can do is,
you can set a Delay Time, so, which is the ramp.
And the ramp will basically build up
the pressure from your Delay Pressure,
whatever that pressure is there.
That's three.
Oh, sorry, gotta go back in here.
Let's go back across there.
Delay Pressure to the lower limit, which is five.
So, if we've got a Delay Time of 30 minutes,
it will go from three to five in 30 minutes.
So, start at three, 3.1, 3.2 up to five over 30 minutes.
So, that's a cool way just to sort of really get in there
and just find a few things that you like.
You might be someone that finds that the pressure
in the beginning is too low
and you want a bit more pressure,
so you can increase that level in it.
And that way you're not going to feel uncomfortable,
which is what it's all about.
Alright, so to finish up with this,
press the Stop button and we're back out.
So, we've just changed our pressure there.
I'll quickly get in there
and show you if you want to run this machine
in fixed pressure mode,
which some people prefer, you can do that as well.
So, once again, hold the two buttons, click it,
press the right button twice
to get across to Operating mode.
Auto Adjust, click the down button,
and now it's Fixed Pressure mode.
And if we press the right button, we can set the pressure.
Now, if you don't know what pressure you need,
I'll show you how you can figure that out.
Now, there's a Set Pressure.
I've set it to, let's set it to six.
And we've got our delay for 30 minutes,
over three from three.
So, now if I turn this machine on,
it's in CPAP mode,
now I've changed it to fixed pressure.
If I turn this on, I can ramp it up.
So, let's go ahead and press the delay button,
it's the delay running 30 minutes.
So, up at 30 minutes,
it's going to go from three to six.
Once I hit six, it'll stay at six,
which is the fixed pressure that I just set in.
Okay, so that's how I'll change that.
Now, in order to find what pressure would be good
for a fixed pressure machine, you need to use the data.
So, we can set this machine up in,
well, you don't need to use the data.
You could use your apnea hypopnea index
and go off that as a guide.
So, to check out your apnea hypopnea index,
you click the top button there,
and then click it again.
Sorry, it says Quick View Menu, press down.
So, to press down and then down again.
Sorry, I've stopped it.
You press the top right button down,
and then across, and it says one day average 16.
And then we generally want to use a seven day average.
So, seven day average is 9.5.
Now what you could do is
you could just check your one day average, which is fine.
Just get back to that one day.
One day average, there it is, 16.
If we had woken up with it,
if we had tried last night
and our pressure was at six centimeters and we woke up,
and our apnea hypopnea index was 16, it's too low.
Okay, we want to try and get the apnea hypopnea index
down to less than five.
But you know, if it's around six or seven,
that's not too bad either.
But once it gets above 10, it's kind of not that great.
So, what you need to do is increase the pressure.
If I had woken up and seen 16,
I probably would have jumped up from six to eight.
And I would have then,
I could have just slept with it another night,
wake up and check it out.
And if it's come down a bit,
it might've come down from 16 to seven.
Yeah, yeah, almost there.
Okay, so you can do it that way.
Another way you can work out your CPAP pressure,
fixed pressure, is if you run this machine
in automatic mode for a week,
and then we do a download of that data using the SmartCode,
we can actually look at some values.
One's called the P95, and one's called the P90.
And those values tell us,
what they tell us basically, how do I explain it?
They tell us that the machine
is below that value 90 or 90% of the night.
So, I'll give you an example.
It's always good to have an example.
If our P90 value was 10,
we know that 90% of the night,
the automatic running below 10.
It basically tells us a great place to start
when we're gonna fix a CPAP pressure.
All right, and to find out, to do that SmartCode,
to get the data, if we press the top,
I'll just exit that for now to get out of that, there.
If I just press the top, left button, it says SmartCode,
press the down button,
it gives us the seven day average is what we're after.
And it gives us the string of numbers
along the bottom there, there's eight.
We write those numbers down and we go to www.intellipap,
that's intellipap.com
And then from there it's pretty self explanatory.
You basically just type those numbers in
and put them in the correct spot
where it says SmartCode Last 7 Days.
And then you're pretty much good to go.
So, then you can press generate report
and it'll generate a report there.
I'll probably put a video up of me doing that anyway,
just so you can see it.
Anyway, I hope you've enjoyed the video.
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So, yeah, thanks for watching,
and I hope you've enjoyed it, bye.