U.S. Range PS-4-20 Specifikace stáhnout pdf (Strana 37)

Indications for S therapy

•CPAP intolerance

•Continued obstructive events at

higher pressures

•Hypoventilation with SpO

< 90%

•COPD

Are events central?

For obstructive apneas:

•Increase EPAP by ≥1 cm H

O every ≥ 5 min

•Increase IPAP to maintain 4 cm H

O difference between IPAP/EPAP

Observe patient and document ﬁnal settings,

including IPAP/EPAP pressures and TiControl

settings if altered from default

Has patient been on CPAP therapy?

Initial settings:

•IPAP = CPAP settings

•EPAP = 4 cm H

below IPAP setting

Initial settings:

•IPAP = 8 cm H

•EPAP = 4 cm H

For obstructive hypopneas and snoring:

•Increase IPAP ≥ 1 cm H

O every ≥ 5 min until resolved

For SpO

< 90% with all

respiratory events eliminated:

•Increase IPAP by ≥ 1 cm H

0 every

≥ 15 min until ≥ 90% SpO

is reached

•Follow sleep lab protocols for adding O

Decrease pressure

to previous setting,

observe for 20 min

If centrals persist,

consider adaptive

servo-ventilation

YES

VPAP S Therapy Titration Protocol

(bilevel spontaneous)

Lab Support 24/ 7 (888) 288-6738 | Sleep Lab Titration Guide 35

VPAP Auto & VPAP S Titration

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