CHEST 2024 Pulmonary and Critical Care Medicine (PCCM) Fellows Course-VAPS detailed data pre and post adjustments

VAPS detailed data pre and post adjustments

Pdf Summary

The document is a therapy data report from ResMed AirView for a patient using an iVAPS (intelligent Volume-Assured Pressure Support) ventilator. Key settings include:<br /><br />- Mode: iVAPS<br />- Patient height: 52 inches<br />- Target patient rate: 18 breaths/min<br />- Target alveolar ventilation: 4 L/min<br />- EPAP (Expiratory Positive Airway Pressure): 8 cmH2O<br />- Min PS (Pressure Support): 5 cmH2O<br />- Max PS: 20 cmH2O<br />- Rise time: 350 ms<br />- Trigger: Medium<br />- Ramp settings: Disabled<br />- Ti (Inspiratory Time) min: 1 sec<br />- Ti max: 2 sec<br />- Cycle sensitivity: Low<br /><br />The patient has used the therapy for 30 consecutive days (100%) with an average daily usage of 8 hours and 44 minutes. <br /><br />Leak data indicates:<br />- Median leak: 18.7 L/min<br />- 95th percentile: 45.8 L/min<br />- Max leak: 59.0 L/min<br /><br />Pressure settings:<br />- IPAP (Inspiratory Positive Airway Pressure) median: 18.6 cmH2O<br />- IPAP 95th percentile: 20.2 cmH2O<br />- IPAP max: 22.3 cmH2O<br />- EPAP median, 95th percentile, and max: 11.5 cmH2O<br /><br />Apnea data:<br />- AHI (Apnea-Hypopnea Index): 0.8 events/hour<br />- AI (Apnea Index): 0.1 events/hour<br />- HI (Hypopnea Index): 0.7 events/hour<br /><br />Tidal volume:<br />- Median: 235.3 mL<br />- 95th percentile: 306.7 mL<br />- Max: 389.3 mL<br /><br />Respiratory rate:<br />- Median: 21.7 breaths/min<br />- 95th percentile: 28.0 breaths/min<br />- Max: 35.9 breaths/min<br /><br />Minute ventilation:<br />- Median: 5.2 L/min<br />- 95th percentile: 6.5 L/min<br />- Max: 8.2 L/min<br /><br />I:E ratio (Inspiration to Expiration ratio):<br />- Median: 1:1.71<br />- 95th percentile: 1:1<br />- Max: 1.35:1<br /><br />Spontaneous trigger and cycle:<br />- Spontaneous trigger: 63%<br />- Spontaneous cycle: 32%<br /><br />Inspiratory time:<br />- Median: 1.0 sec<br />- 95th percentile: 1.4 sec<br />- Max: 1.7 sec<br /><br />RSBI (Rapid Shallow Breathing Index):<br />- Median: 94.6 breaths/min/L<br />- 5th percentile: 59.9 breaths/min/L<br />- 95th percentile: 142.1 breaths/min/L<br /><br />The report displays various metrics over the period from October 21 to November 18, 2023, illustrating the patient's adherence, efficacy, and specific ventilatory parameters during therapy.

Keywords

ResMed AirView

iVAPS mode

iVAPS

therapy report

ventilator settings

patient adherence

leak data

pressure settings

apnea data

tidal volume

minute ventilation