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Posted by ol'timer on June 03, 2002 at 10:36:30:In Reply to: Re: scoring while testing posted by Pam RPSGT on June 03, 2002 at 09:53:26:
i've tweaked cpap up to 23cm and had the patient ask me if it would go higher...it was the first time he'd been able to breath through his nose...he loved it.
i've used mine on 17cm for years... you go as high as your procedure protocol tells you. ipap till apneas are gone.
leaks...open mouth, they don't matter. these are gonna occur home with the patient, you've got to titrate to the point that they're airway will be supported whether they ave a small to moderate leak...or mouth is open.
you've got to remember that your just seeing one night. when they may have been asked to withhold medication..or didn't have a little beer or wine with dinner. we get caught up in the lab with trying to hit very specific numbers...1/2 cm h20...gimme a break. there are too many variables here. it's always better to give them a little extra support. we're throwing softballs here, not darts. the way to increase compliancy is through education. starting in the referring doctor's office with what they're options are in regard to upper airway obstruction and what they can expext when they're sent to a sleep lab.
then it's our responsibility to pick it up from there. explaining as we go, showing training films and demonstrating cpap before we start the study so the patient knows what to expect. followed by the DME when they set the system up in the home. compliancy requires all three of us to do our job.
- Re: scoring while testing ol'timer 10:39 6/03/02 (0)
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