en
Scientific article
Open access
English

Treatment failure due to use of a 'ramp' option on pressure support home ventilators

Published inThorax, vol. 71, no. 8, p. 764-766
Publication date2016
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
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. 764–766. doi: 10.1136/thoraxjnl-2016-208393
Main files (1)
Article (Published version)
accessLevelPublic
Identifiers
ISSN of the journal0040-6376
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38downloads

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