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

Gonzalez-Bermejo, Jesus
Rabec, Claudio
Perrin, Christophe
Langevin, Bruno
Pepin, Jean Louis
Rodenstein, Daniel
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/instrumentationEquipment Design/methodsFemaleHome Care ServicesHumansMaleNeeds AssessmentSampling StudiesSleep ApneaObstructive/therapyTreatment FailureUnited KingdomVentilatorsMechanical
PMID: 27055856
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Article (Published version) (440 Kb) - public document Free access
Research group Groupe Gasche-Soccal Paola (958)
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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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Deposited on : 2021-09-10

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