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Posted by RPSGT on August 26, 2002 at 21:27:35:In Reply to: Bipap with backup rate. posted by LittlePerplexed on August 25, 2002 at 01:06:39:
The MD speaking at the APSS/Seattle meeting about Cheny-Stokes breathing said use of a "Timed rate" (not backup rate) was effective in eliminating that respiratory pattern and explained his lab's protocols in great detail. Basically, after you have gone down a long checklist of procedures, you "set the TIMED rate at 2 breaths/min lower then the respiratory rate" in an effort to underventilate the patient, thus retaining CO2 and eliminating respiratory overshoot causing too much CO2 to be blown off thus propagating the cycle.
The machines either have the spontaneous/timed or they don't.
Unfortunately our lab does not have titration equipment with that feature. We wish it did.
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