U.S. Range PS-4-20 Especificaciones descargar pdf (Pagina 39)

Note:

SpO

, VT and backup rate

should be reviewed/monitored

throughout the night.

Indications for ST therapy

•Neuromuscular/restrictive disorders

•COPD

•Obesity hypoventilation

Continuously monitor sleep and blood

gas parameters (including CO

Ensure patient’s ventilation levels stay

consistent with initial levels, including

tidal volume (IPAP–EPAP) and patient

respiratory rate versus device backup rate.

VPAP ST Therapy Titration Protocol

(bilevel spontaneous, timed)

Initial settings:

•IPAP = 8 cm H

O settings

•EPAP = 4 cm H

•Set backup rate at 2–4 below resting respiratory rate

Observe patient and document ﬁnal pressure

settings (IPAP/EPAP pressures, respiratory rate and

TiControl settings) if altered from default

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

For residual snoring, hypopneas and/or O

desats:

•Increase IPAP ≥1 cm H

O every ≥ 5 min until resolved

Evaluate and titrate:

• Based on VT, rate, SpO

and CO

compared to baseline

For SpO

< 90% with all respiratory events eliminated:

•Increase IPAP by > 1 cm H

O every ≥15 min until SpO

> 90% is reached

•Follow sleep lab protocol for adding O

Evaluate VT (tidal volume) if too small:

•Maintain EPAP raise IPAP by 1 cm H

O every ≥15 min until SpO

≥ 90%

”Exploratory” pressure increase should not exceed 5 cm H

Evaluate if backup rate is adequate:

•Increase backup rate by 1-2 BPM every 20 min as needed

Lab Support 24/ 7 (888) 288-6738 | Sleep Lab Titration Guide 37

VPAP ST Titration

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U.S. Range PS-4-20 Especificaciones Pagina 39

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