2025 Pulmonary and Critical Care Medicine Fellows Course (INVITE ONLY)-VAPS detailed data pre and post adjustments

VAPS detailed data pre and post adjustments

Pdf Summary

This ResMed AirView therapy data report covers a patient's respiratory therapy usage and settings for late October to mid-November 2023.<br /><br />The patient uses the iVAPS mode with settings including EPAP at 8 cmH2O, pressure support ranging from 5 to 20 cmH2O, and a target patient rate of 18 breaths per minute. The patient's height is 52 inches.<br /><br />Usage adherence is excellent with therapy used 30 out of 30 days (100%), averaging 8 hours 44 minutes per night, exceeding the 4-hour monitoring threshold daily.<br /><br />Leak rates show a median of 18.7 L/min, with the 95th percentile averaging 45.8 L/min and a max of 59.0 L/min. Pressure data shows median IPAP around 18.6 cmH2O and EPAP at 11.5 cmH2O consistently.<br /><br />Apnea metrics are well controlled, with an average apnea-hypopnea index (AHI) of 0.8 events/hour, apnea index (AI) 0.1, and hypopnea index (HI) 0.7, indicating effective therapy.<br /><br />Median tidal volume is 235.3 mL with a 95th percentile average of 306.7 mL. Respiratory rate median is 21.7 breaths/min with peaks up to 35.9. Minute ventilation median is 5.2 L/min.<br /><br />The inspiratory to expiratory (I:E) ratio median is 1:1.71, with spontaneous triggering at 63% and spontaneous cycling at 32%, showing patient-initiated breath involvement in therapy. Inspiratory time median is 1.0 second.<br /><br />RSBI (Rapid Shallow Breathing Index) median is 94.6 breaths/min/L with variability from 59.9 to 142.1, indicating breathing pattern assessment.<br /><br />Overall, data demonstrates consistent, effective use of ventilation therapy with good control of breathing events and parameters, supporting successful respiratory management.

Keywords

ResMed AirView

iVAPS mode

EPAP 8 cmH2O

pressure support 5-20 cmH2O

apnea-hypopnea index 0.8

usage adherence 100%

leak rates median 18.7 L/min

tidal volume 235.3 mL

respiratory rate 21.7 breaths/min

Rapid Shallow Breathing Index 94.6