Non-invasive ventilation in acute respiratory failure: a randomised comparison of continuous positive airway pressure and bi-level positive airway pressure. 4-5 There is little reason to believe that EMS clinicians perform any better. 6 Emerg Med … Every EMS service should have patient care protocols and procedures in place that clearly outline the role of CPAP in their care of patients. Continuous positive airway pressure, or CPAP, is a non-invasive treatment method intended for patients who are experiencing respiratory distress but are still able to maintain their own airway. Unfortunately, hospital studies have shown that clinician ability to predict patients with high likelihood of success with CPAP is poor.
Additionally, the failure rate of CPAP is high, with up to one-third of patients requiring more aggressive management. Most CPAP machines have a pressure settings range from 4 cm H 2 O to 20 cm H 2 O. Most people with sleep apnea require a pressure setting between 6 and 14 cm H 2 O ( or centimeters of water is a unit of pressure ). A sleep physician determines the optimum CPAP pressure after reviewing your apnea-hypopnea index (AHI ).
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