Re: Need some BiPAP/CPAP expertise
A great place to start Disorder information source Rated and Reviewed Sleep Links Entrance to all monitored Sleep Forums Search all of Sleepnet.com


Tech Forum
Posting


Archived Tech Forums viewing only.

Re: Need some BiPAP/CPAP expertise


Posted by sleepAtl. on November 14, 2002 at 05:30:46:

In Reply to: Re: Need some BiPAP/CPAP expertise posted by TerryM on November 12, 2002 at 12:24:28:

The appropriate way to go from CPAP to BIPA: At the CPAP level increase IPAP to equal EPAP. To initiate BIPAP start decreasing EPAP by 2 cm H2O
i.e.,CPAP at 12 set EPAP to 12 & IPAP to 12. decrease EPAP to 10 and then to 8. ( allow time for patient to adjust to changes, say 15 to 30 minutes. At 12/8 wait to see what the response is and then increase/decrease accordingly, increase IPAP for snoring, desats, hypopneas,spont. arousals ( be conservative at this point and increase IPAP by 1 cm) Increase EPAP for obst. Apneas. At the treshole when central appear decrease IPAP by 1 cm. Remember, sleep onset central apneas are common and is a normal physiological response "WAIT", do nothing until you have pure central apneas. At the best pressure (optimum) there should be at least a 4 cm H2O difference between IPAP & EPAP. You should try to reach this level as early as possible and then fine tune as necessary. Also, to maintain the 4 cm difference you may need to increase IPAP and EPAP at the same time. Let's not pick numbers out of the hat to titrate BIPAP use a rational approach.

Follow Ups:


  • IMPORTANT : Information not intended as medical advice. If you suspect that you have a sleep disorder you should seek care from a qualified professional. Read Terms of Use.
  • The Sleep Forums are not to be used for commercial purposes.
  • Commercial products and services are not endorsed by Sleepnet.com.
  • Sleep Deprivation due to Sleep Apnea and insufficient sleep are common and can present as insomnia, narcolepsy, or idiopathic hypersomnia. In infants and children sleep problems commonly present themselves as ADD or ADHD.


Copyright ©1995-2006 Sleepnet.com., All rights reserved