U.S. Range PS-4-20 Spezifikationen Seite 35

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CPAP and AutoSet Therapy Titration Protocol
Indications for CPAP therapy
•Obstructive Sleep Apnea
•Upper Airway Resistance Syndrome
EPR comfort setting –
Set to patient comfort (1, 2 or 3)
Monitor patient
Is the patient having obstructive events?
Increase CPAP ≥1 cm H
2
O every ≥5 mins
for obstructive apneas, hypopneas,
RERAs and at least 3 min of loud or
unambiguous snoring
Are events central?Continue monitoring patient
Consider trial of bilevel if obstructive
events persist at a pressure of 15 cm H
2
O
Decrease CPAP by 1 cm H
2
O
and wait 20 mins. Consider
ResMed’s ASV if centrals persist
and patient meets criteria
Observe patient and document final settings; be sure to document
the final CPAP pressure, EPR setting (if any) and ramp time
YES NO
YES NO
Set mode to CPAP
Initial pressure: 4–5 cm H
2
O
A higher pressure may be required for
re-titrations, patients with a higher BMI
or patients complaining of air hunger or
suffocating sensations.
For re-titrations, it is recommended that
the pressure be started 2–3 cm H
2
O
below the patient’s current pressure.
Lab Support 24/ 7 (888) 288-6738 | Sleep Lab Titration Guide 33
CPAP Titration
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