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Posted by Tomcat2u on May 31, 2002 at 14:40:09:In Reply to: Re: Is 18 too high? posted by RPSGT2 on May 31, 2002 at 13:59:11:
Our lab sets a limit of 18cm/H2O unless ordered higher by physician. I believe CPAP/BiPAP units are able to go higher because of the "floor RT" mentality of providing non-invasive vent support. Which is fine for hospital stays, especially when trying to bring down PCO2 levels, but in my experience it is virtually useless for actual long term PAP home use. Compliance over the long run begins to decline after 10, let alone 20. We are in the business of eliminating obstruction to improve sleep efficiency, not to prop up a patients with chronic respiratory failure. My medical director believes, and I agree, that anything over 18 will ultimately require additional treatment (i.e. surgery, position avoidance, auto-CPAP, etc.) for there to be any hope of real compliance. If you doubt it, try wearing 18cm/H2O for a week and I think you'll agree.
- Re: Is 18 too high? Pam RPSGT 09:57 6/03/02 (2)
- Re: Is 18 too high? ol'timer 10:45 6/03/02 (1)
- Re: Is 18 too high? Terry P 14:21 6/03/02 (0)
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