U.S. Range PS-4-20 Dokumentacja Pobierz pdf (Strona 41)

iVAPS Therapy Titration Protocol

Indications for iVAPS therapy

•Neuromuscular/restrictive disorders

•COPD

•Obesity hypoventilation

Once a patient is ﬁtted with an

appropriate mask, select the

appropriate mask setting.

Evaluate if Target Pt Rate is adequate:

•If central events persist, increase Target Pt Rate by

1–2 BPM every 20 min as needed

For obstructive apneas:

•Increase EPAP by ≥ 1 cm H

O every ≥ 5 min to

eliminate obstructive apneas, hypopneas, snoring

and ﬂow limitation

For SpO

< 90% with all

respiratory events eliminated:

•Increase Target Va by 0.3 every ≥ 5 min until

desaturations are resolved

Initial iVAPS settings:

•Set Patient Height (eg, 70 inches for 5’10”)

•Set Target Pt Rate equivalent to patient’s

spontaneous respiratory rate (eg, 18 bpm)

•Set Target Va such that Vt is equal to 6ml/kg IBW

•EPAP = 5 cm H

•Min PS = 4 cm H

•Max PS = 20 cm H

Evaluate and titrate:

•Based on Target Pt Rate, Target Va, Vt, SpO

and CO

compared to baseline

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iVAPS Titration

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U.S. Range PS-4-20 Dokumentacja Strona 41