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

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