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Scientific Article
unige:154563 
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Treatment failure due to use of a 'ramp' option on pressure support home ventilators |
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| Published in | Thorax. 2016, vol. 71, no. 8, p. 764-6 | |
| Abstract | Algorithms for monitoring home non-invasive ventilation (NIV) have been recently proposed.1–3 Following this strategy, we detected three cases of transient ineffective ventilation due to the use of a ‘ramp' option on home pressure support (PS) ventilators. The ‘ramp' option is a comfort setting initially made available on CPAP devices. This option exists in pressure-cycled ventilators, allowing a progressive increase of expiratory positive airway pressure (EPAP) only. A « ramp » option has also recently been made available for PS: to our knowledge, three home ventilators (Stellar, Resmed, Australia; Prisma, Weinmann, Germany; Dreamstar Duo, Sefam, France) now provide this feature, allowing a stepwise increase of PS from 2 cm H2O to the target PS within 5–45 min. | |
| Keywords | Continuous Positive Airway Pressure/adverse effects/instrumentation — Equipment Design/methods — Female — Home Care Services — Humans — Male — Needs Assessment — Sampling Studies — Sleep Apnea — Obstructive/therapy — Treatment Failure — United Kingdom — Ventilators — Mechanical | |
| Identifiers | PMID: 27055856 | |
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| Research group | Groupe Gasche-Soccal Paola (958) | |
| Citation (ISO format) | GONZALEZ-BERMEJO, Jesus et al. Treatment failure due to use of a 'ramp' option on pressure support home ventilators. In: Thorax, 2016, vol. 71, n° 8, p. 764-6. doi: 10.1136/thoraxjnl-2016-208393 https://archive-ouverte.unige.ch/unige:154563 |
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