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Just checking in

PostPosted: Sat Oct 10, 2015 12:38 am
by joeyjpaul
Hey guys. It's been a while since I have been in Binary. I have a quick question. Is there a standard amount of time a pt needs to be on ASV during a titration? The reason I ask is a coworker recently asked. She started on CPAP, pt failed and went to BIPAP. Again the pt failed, and titrating was next to impossible due to fragmented sleep, because of apnea. She finally decided to try ASV, and boom, it worked beautifully. The problem is the pt did not get to ASV until 0400. I believe she stayed until 0700 with the pt on ASV, before wake up. I don't remember ever being told a minimum of time required. Anybody else have any ideas? Thanks,
Joey

Re: Just checking in

PostPosted: Sun Oct 11, 2015 3:48 pm
by stars
Our policy at list 4 HR
Change pressure need at list 30 min so min 4 HR
If not too much time better return for full night
One trick if you think patient need asv but no time
Try short time show doc some positive responses
Later return to full night titration