[Music]
let's illustrate how to use the vox in
coffee repiy typically when you think
about coffee repeat you think about a
lot of time think a lot about stress
anxiety it's a lot of work that's
because you're typically switching
between one device the ventilator and
another device coughs this device you're
switching between multiple circuits the
patient's being disconnected from the
device that they're depending on to
breathe they're hooking up to a
completely different interface you're
disconnecting the circuit you're rubbing
your hands over the patient's face and
many times you're trying to find your
cough assist which may be in a different
part of the facility or if you're trying
to be mobile you're trying to leave your
facility you don't always bring along
your coughing sister with you so there's
a lot of challenges to traditional
coughing assist device with the vox end
system there's no more switching devices
there's no more switching between
circuits literally at the touch of a
button you can activate coffee so let's
see how we do it to activate the coffee
repiy all you have to do is go to the
therapy screen once you're in the
therapy screen all you have to do is
look for the COFF icon and select ok
when you're in the coffe icon you have
three different presets again just like
what you saw with ventilation just like
what you saw with oxygen and cough you
have three different presets you can
change the name you can customize that
you can even add or remove presets as
needed in this case I label it low
medium and high just like you and I have
a small coffee and sometimes we have a
big cough we can preset each of these
presets to mimic real life so in this
case I've got my three presets but let's
see how we'd make a settings change to
make a settings change I simply go to
the Settings icon here and I start to
scroll down you're gonna see many things
that are familiar to you from the past
for example the preset name so if I want
to change that to low or big or small I
could do that simply by changing the
preset name by scrolling down you're
going to see your traditional therapy
settings related to coffee you'll see
insufflations insufflations EXIF elation
pressure insufflations i'm EXIF elation
time pause time insufflations I'm COFF
cycles breath sync so let's say I wanted
the number of cost cycles that the
patient typically uses for this preset
so right now it's currently set at two
cost cycles that means I'm gonna
complete to complete cough therapies
well let's say I want to do more let's
increase that instead to five cough
cycles you can see I've gone from two to
five I click accept and I'm now set to
do five cough cycles if I continue to
scroll down you'll see the breath sync
feature right now I've got breath sink
on breath sync means that we're going to
naturally trigger the patient scoff at a
natural point and the patient's
breathing cycle so just like you and I
trigger a natural cough the patient now
can trigger a natural cough so you
literally go from a naturally triggered
ventilation breath to a naturally
triggered cough breath a couple things
to note when you're doing breath sync
one when you activate the breath sync
feature the first breath will be
triggered by the patient but what
happens breath to breath three breath
for if you've got several cycles going a
couple things you want to think about
here you want to think about your pause
time if you have breath sync on and you
have a very short pause time let's say
one second it's generally not common for
a patient to breathe or trigger a next
breath within one second so if you
extend out your pause time say two five
seconds you increase the amount of time
that the patient can recover and
naturally trigger their next
coughing cycle so when you think about
breath sync you also want to think about
the pause time and what happens after
the first cough cycle for cough cycles 2
3 4 5 etc the other thing you'll see
here is the cough suction feature so
that's new that's new because not only
has Vox and integrative ventilation and
cough we've also integrated suction so
rather than having to jump between
multiple therapies and turn on the
suction when you're going to use cough
we'll do that here for you
so if you turn this setting on that just
means every time you run this specific
preset you're also going to turn on the
suction system you might ask what am I
actually turning the suction vacuum
pressure on to when I turn it on to
cough and suction well we'll talk about
that but it's important
your suction default setting and you can
do that in your suction screen so when
you think about cough and suction you
also want to think about what is my
section default that's the vacuum
pressure that your suction is going to
start on when this preset is activated
okay so now I've got everything
configured I've got my insufflations x
inflation time I've got my PA's time I
can see I'm ready to go here I'm gonna
activate the cough assist I'm gonna hit
start as you can see that little
spinning wheel it's waiting for the
patient to naturally trigger their
breath if you're looking at the cough
icons here I can see the korfball you
you can see the flow trigger I can see
my peak flow and I can see my insulation
and exhalation time again I'm not
actually connected to a patient in this
particular setup I need to stop coffee
CLE I can hit the stop button any time
while I'm running the coffee I repeat
once I'm completing my coffee repiy I
can see how the patient did and I can
either restart that therapy or I can
exit out again
Koff has three different presets you can
set those presets up according to
traditional coffee settings the things
you really want to think about our
breaths sink which is your ability to
naturally trigger the patient's cough
and you also want to think about pause
time when you set your breath sink and
you also want to think about setting the
cough plus suction feature again that's
going to make it easier for you as you
activate the suction system every time
you activate cough and you also make
sure you set your suction default when
you activate your cough plus suction
future
you