devilbiss intellipap auto adjust

[nightcrawler]

Hi all,
Newbie here. Glad to have finally discovered my issue. I've got a devilbiss intellipap auto adjust. So far really struggling with going to sleep. Never had this problem before--always fell asleep in 10 min. I've read many posts on this subject--thanks for the help!
I do need some help making sure my machine is setup correctly. My sleep study said I needed an ave 8.2 air pressure. The rep set the machine between 3-12. Anyway, there are so many functions on this machine, I've got no way of determining what I need.
Help me if you have the time...

[chunkyfrog]

check this; it was provided by another member here.
https://dl.dropbox.com/u/56364909/Intel ... an2010.pdf

[Hawthorne]

With that last post, you have the Clinician's setup guide which will help you with the settings and you need to experiment to get the right settings for you, ESPECIALLY the "i" and "e" roundings. That's what the secret was for me in using the Devilbiss Intellipap Autoadjust.

You minimum pressure is way too low, if your titrated pressure is 8.2. It will take to long for the machine to get to a pressure (probably 8.2) that will control apneas.

If it were me, with a titrated pressure of 8.2 cm, I would set the minimun at 7 cm to start with and leave the maximum where it is at 12 cm. You may need to make adjustments in the future but that is where I would start. That pdf Clinician's setup guide will help you in setting the pressure(s) and in setting the roundings. The roundings, in particular, will need to be adjusted to suit you. By the way "i" is for inhale and "e" is for exhale. I have both roundings set at 4 for me but eveyone is different.

PM me if you have other questions. This is a great machine as far as I am concerned. I used Philips Respironics machines before this (11 years on cpap) and like the Devilbiss Intellipap Autoadjust much better. It "fits" my breathing pattern much better because of the possibility of adjusting the i and e roundings.

Forgot to mention - you would be wise to get the module with the card to read you data. You can use Sleepyhead free software to see what is happening during sleep or the Smartcode on the Devilbiss or cpap.com website. You don't need the module when you use the Smartcode on the Devilbiss or the cpap.com site but it is not quite as accurate as the Sleepyhead software and you don't get any graphs. It is a good way to start though. I don't use the Devilbiss software anymore. It is fine but, with the last upgrade, I cannot get it to work on my computer. Besides Sleepyhead is free!

[nightcrawler]

Thanks for this info!
Hawthorne, I've replied to you in a PM, but I don't know if it's working. My messages show the message I wrote you in the outbox, so I'm unsure if this working.
All the best!

[Hawthorne]

Any private messages stay in your outbox until the person gets the email notification that a private message is there and answers it. I just answered. People may not be able to answer right away so it may be in your outbox for awhile sometimes. People leave the forum and/or their computers and don't know they have a private message until they open their email again. They get a message saying they have a private message and a clickable link to it.

[Slartybartfast]

Hi all,
[snip] My sleep study said I needed an ave 8.2 air pressure. The rep set the machine between 3-12. [snip]

Oh my goodness, NO! If your titrated pressure was 8.2, there's absolutely no reason to have the lower level set so low. Your rep did you no favor there. That's probably why you're not able to get to sleep. The low setting should be about 2" below the average. I'd set it at 6-12 to start. Anything less than 6 and I can't breathe. Set the I-rnd and E-rnd (Inspiration rounding and Expiration rounding) to their maximum levels, and the Smartflex at 3 and you should be good to go. You should now have the clinician's manual. Consult it and it will show you how to get to those settings. A setting of 3 or 4 works well for the humidifier. Route the hose under the covers in order to keep it warm and you won't have any problem with water condensing in the hose (rainout).

The Intellipap is a great machine. I have one as well as an S9 Autoset and the Intellipap works every bit as well as the ResMed. It's very flexible, more so than any other machine that I know of, but it needs to be set up as I described in order for it to feel natural to you.

[growing]

I do not know how to send a private message. Can you help, please?

[LSAT]

I do not know how to send a private message. Can you help, please?

If you look under your name and avatar there is a spot marked PM. Go to the person you want to contact and click on their PM

[Pugsy]

I do not know how to send a private message. Can you help, please?

The easiest way is to just click on the little PM box below the avatar of the person you want to send a private message to. See this screen shot....



You can also go to the member's profile and there is a link you can click on for private message.

[growing]

Hi all,
[snip] My sleep study said I needed an ave 8.2 air pressure. The rep set the machine between 3-12. [snip]

Oh my goodness, NO! If your titrated pressure was 8.2, there's absolutely no reason to have the lower level set so low. Your rep did you no favor there. The low setting should be about 2" below the average. I'd set it at 6-12 to start. Anything less than 6 and I can't breathe. Set the Irnd and Ernd (Inspiration rounding and Expiration rounding) to their maximum levels, and the Smartflex at 3 and you should be good to go. You should now have the clinician's manual. Consult it and it will show you how to get to those settings. A setting of 3 or 4 works well for the humidifier. Route the hose under the covers in order to keep it warm and you won't have any problem with water condensing in the hose (rainout).

The Intellipap is a great machine. It's very flexible, more so than any other machine that I know of, but it needs to be set up as I described in order for it to feel natural to you.

I feel no difference whether my setting is at 5-15 cm, 4-15 cm or 3-15 cm. Presently, I am at 5-14 cm. So, I suppose, it varies from person to person.

[SleepyToo2]

Hi all,
[snip] My sleep study said I needed an ave 8.2 air pressure. The rep set the machine between 3-12. [snip]

Oh my goodness, NO! If your titrated pressure was 8.2, there's absolutely no reason to have the lower level set so low. Your rep did you no favor there. The low setting should be about 2" below the average. I'd set it at 6-12 to start. Anything less than 6 and I can't breathe. Set the Irnd and Ernd (Inspiration rounding and Expiration rounding) to their maximum levels, and the Smartflex at 3 and you should be good to go. You should now have the clinician's manual. Consult it and it will show you how to get to those settings. A setting of 3 or 4 works well for the humidifier. Route the hose under the covers in order to keep it warm and you won't have any problem with water condensing in the hose (rainout).

The Intellipap is a great machine. It's very flexible, more so than any other machine that I know of, but it needs to be set up as I described in order for it to feel natural to you.

Slarty, I absolutely agree that 3 is too low - everyone is different in what they can tolerate, however. I found that I couldn't sleep with 6 even, which was the point at which I turned off the ramp completely. With the humidifier, I actually use passover mode or no water in the tank. Just at the moment I need to use the passover mode. Sometimes, when my nose is particularly congested I need to turn it to 1. Higher than that gives me a higher AHI. Again, everyone is different, and it depends on the humidity in the bedroom, etc, etc. Oh, and the measurement is not 2" (2 inches) - it is actually 2 cm (just under 1") - above and below the average pressure. Nightcrawler, if the term "pressure" worries you, try blowing up a balloon with your machine - you will fail miserably! You would have more luck if you were able to catch the wind during a hurricane! It is really just a light breeze - just feels stronger because it is a small area that it comes out of, and there is no other air movement around it.

I feel no difference whether my setting is at 5-15 cm, 4-15 cm or 3-15 cm. Presently, I am at 5-14 cm. So, I suppose, it varies from person to person.

You get used to whatever pressure you have - the time that takes varies from a few hours to a day or so. I still sometimes (after 3 years) have to move my hand in front of the exhaust holes to check that air is still coming out!

[Slartybartfast]

The goal of setting the pressures correctly isn't to make you feel better. Heck, before I was diagnosed with severe sleep apnea I was snoring the wallpaper off the walls and having oxygen desaturations as low as 62%, yet one day I drove for 19 hours without interruption (except to pee) from south of LA to Seattle and wasn't sleepy at all, so sleep apnea doesn't affect us all the same. The goal is to keep the machine from "hunting," or over-correcting. If you set the lower level too low, then when the machine senses a breathing abnormality and begins raising the pressure, by the time the pressure rises to an effective level, the patient may have had several obstructive episodes. The trick is to set the lower level high enough that it can quickly rise to an effective level, while keeping the pressure low enough so that when you are breathing normally, your sleep won't be disturbed. Many people are disturbed by pressure changes. It's best to keep pressure changes to a minimum, and the way to do that is by setting the low pressure limit correctly. That level usually is about 2" below the level the sleep lab recommended for CPAP (constant pressure) setting. Hence, the original poster said he was told that level was 8.2, so I responded that a lower limit of 6 would be a good place to start.

Your setting will likely be different.