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https://reference.medscape.com/medline/abstract/7584750
The bi-level PAP system was applied at the discretion of the treating emergency physician. Management of the bi-level PAP system, including setting of inspiratory PAP (IPAP) and expiratory PAP (EPAP), weaning, adjunct pharmacologic therapy, and failure of bi-level PAP support, was determined by the treating physician.
https://www.sciencedirect.com/topics/medicine-and-dentistry/bilevel-positive-airway-pressure
APRV (also known as biphasic ventilation, bilevel ventilation, and bilevel positive airway pressure) is a time-cycled, pressure-targeted form of ventilatory support. 111-115 It is actually a modification of pressure-targeted SIMV that allows spontaneous breathing (with or without PS) during both the inflation and deflation phases.
https://www.verywellhealth.com/what-is-bipap-3015273
BiPAP is a method of breathing support that is often used to treat central sleep apnea, a condition that occurs in the setting of opioid use, congestive heart failure, and prior stroke. It may also be used in more severe obstructive sleep apnea, especially if mixed apnea events are present, suggesting a component of central sleep apnea.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3119924/
The implementation of bi-level PAP and some of the impediments to such therapy are very similar to that of CPAP delineated above. In adults, the maximum IPAP pressure setting for bi-level PAP is not to exceed 30 cm H 2O, and the minimum difference between IPAP and EPAP level should not be less than 4 cm H 2O.Cited by: 23
https://stanfordhealthcare.org/medical-treatments/p/positive-airway-pressure-therapies/types/bilevel-positive-airway-pressure.html
BiLevel positive airway pressure (BiLevel) machines have two different pressures; a higher pressure when breathing in and a lower pressure when breathing out. By alternating the inhalation and exhalation pressures, the BiLevel encourages the lungs to operate more efficiently. Most BiLevel machines work by switching between the two air pressures in response to your breathing.
http://www.cpaptalk.com/viewtopic/t79539/Setting-BiLevel-Pressure-Support-S9-VPAP-Auto.html
Jul 03, 2012 · What determines what pressure support number you use. I know it's IPAP minus EPAP. Say that is 4 but could you use a 3 or a 2 and if that is true what effect would it have.
https://emcrit.org/squirt/aprv/
Consider increasing support level (e.g. increasing P-high and reducing T-high) if concern that patient may fatigue. expiratory flow deceleration angle Perfect angle in a normal lung is ~45 degrees.
https://www.reddit.com/r/respiratorytherapy/comments/3d2czi/what_are_the_main_differences_between_bipap_and/
To convert a pressure support setting to a BiPAP setting, add the PEEP to the PS and that's the IPAP (top or higher number). The EPAP is the PEEP. When we talk about BiPAP, we usually mean non-invasive ventilation, and pressure support usually implies the patient is intubated. But physiologically and mechanically, they're exactly the same.
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