Quand doit-on passer d'une PPC à une VNI - JPRS
Quand doit-on passer d'une PPC à une VNI - JPRS
Quand doit-on passer d'une PPC à une VNI - JPRS
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Clinical Guidelines for the Manual Titrati<strong>on</strong> of Positive Airway<br />
Pressure in Patients with Obstructive Sleep Apnea<br />
Positive Airway Pressure Titrati<strong>on</strong> Task Force of the American Academy of Sleep Medicine.<br />
Journal of Clinical Sleep Medicine 2008 ; 4 : 157-171.<br />
Patient inc<strong>on</strong>fortable et/ou intolérant <strong>à</strong> de fortes pressi<strong>on</strong>s, essai<br />
de BIPAP licite (C<strong>on</strong>sensus).<br />
Si persistance d’événements obstructifs malgré <strong>une</strong> <strong>PPC</strong> de 15 cm<br />
H2O durant la période de titrati<strong>on</strong>, essai de BIPAP licite (C<strong>on</strong>sensus).<br />
This recommendati<strong>on</strong> is based <strong>on</strong> c<strong>on</strong>sensus agreement by the PAP Titrati<strong>on</strong> Task Force<br />
and Opti<strong>on</strong>-Level evidence (1 level IV study and 1 level V study ).<br />
- However, this recommendati<strong>on</strong> does not imply that BPAP is more effective<br />
than CPAP at maintaining upper airway patency.<br />
- Additi<strong>on</strong>ally, efforts should be made to explore why the patient is<br />
uncomfortable or intolerant of high pressures <strong>on</strong> CPAP and to remedy the<br />
situati<strong>on</strong> before trying the patient <strong>on</strong> BPAP.
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