Sleep Lab Titration Guide
Setting Up the S9 VPAP Tx1 Align the H5i with the S9 VPAP Tx and push them together until they click into place.2 Connect the DC plug of the power
Navigating the MenusTurn until the parameter you require is displayed in blue.Press . The selection is highlighted in orange.Turn until you see
Mask FitMask Fit is designed to help fit the mask properly to the patient. The Mask Fit feature delivers CPAP pressure for a three-minute period, prio
In the Control RoomIn the Control Room
Starting a SessionBefore you start titrating a patient, you need to start EasyCare Tx and then start a titration session.To start a titration session
EasyCare Tx Toolbar OverviewEasyCare Tx is designed as a user-friendly toolbar and allows remote control of a therapy device while displaying current
Configuring Mask and Humidifier SettingsConfiguring circuit settingsBefore starting therapy, select the mask type used by the patient and review the hum
1 Record the session prior to starting therapya. From the Menu drop-down, select Session > Recordb. Populate the patient details in the pop-up w
1 From the Menu drop-down, select Reports > Prescription Report.This will open a separate window for the report.2 Use the print, or save, report bu
TechnologiesTechnologies
Introduction 1S9 VPAP Tx Lab System ...2-3ResMed Therapy Modes and Algorithms, Spec
NotesResMed.com18 S9 VPAP Tx Lab System | Sleep Lab Titration GuideTechnologies
CPAP and AutoSet™ TechnologyResMed’s AutoSet technologyUsing a multiple-breath moving average, the AutoSet algorithm continuously monitors breathing
Notes:The numeric value (1, 2 or 3 cm H2O) for each EPR setting represents the maximum pressure drop during CPAP therapy expiration. Therapy pressure
TiControl™A number of sophisticated features provide easy access to quality therapy•Accommodate patients’ unique needs with TiControl. Ti Max enable
Patient SetupsThese settings are provided as a guideline for initial settings. Individual patients may require further adjustments based on their own
1 Ti settings based on an observed respiratory rate of 20 bpm.2 The rise time milliseconds scale is approximate.Recommended SettingsObesity Hypoventil
Setting Ti Max and Ti Min using the respiratory rate table: 1. Instruct the patient to breathe normally while comfortably sitting or lying down.2. Cou
iVAPS Technology (intelligent Volume-Assured Pressure Support)For hypercapnic, hypoventilating patientsiVAPS is intelligent airiVAPS is ResMed’s intel
TimePressurePressureTarget alveolar ventilationActual alveolar ventilationTime lapsePressure increases to meet target alveolar ventilationPressure de
ASV TechnologyFor normo/hypocapnic, hyperventilating patientsResMed’s ASV is the most clinically studied adaptive servo-ventilation therapy and has be
IntroductionIntroduction
PatientFlowAPNEA APNEA APNEAAPNEAA decrease in ventilation is rapidly treated byincreasing Pressure SupportThe minimal Pressure Support during normalb
Patient comfort through synchronyAdvanced, predictive technology maximizes comfort and synchrony over a wide range of breath rates The ASV algorithm c
Which patients is ASV suitable for?This extensively studied therapy provides demonstrated results across the spectrum of central breathing disorders
Titration ProtocolsTitration Protocols
©2013 ResMed. 1015938/2 2013-03Bilevel with Backup Rate Therapy S9 VPAP Adapt DEFAULTS ASV Mode Default Mode Settings EPAP:______cm H2O (4–15 cm H2O
CPAP and AutoSet Therapy Titration ProtocolIndications for CPAP therapy•Obstructive Sleep Apnea•Upper Airway Resistance SyndromeEPR comfort setting
©2013 ResMed. 1015938/2 2013-03Bilevel with Backup Rate Therapy S9 VPAP Adapt DEFAULTS ASV Mode Default Mode Settings EPAP:______cm H2O (4–15 cm H2O
Indications for S therapy•CPAP intolerance•Continued obstructive events at higher pressures•Hypoventilation with SpO2 < 90%•COPDAre events cen
©2013 ResMed. 1015938/2 2013-03Bilevel with Backup Rate Therapy S9 VPAP Adapt DEFAULTS ASV Mode Default Mode Settings EPAP:______cm H2O (4–15 cm H2O
Note: SpO2, VT and backup rate should be reviewed/monitored throughout the night.Indications for ST therapy•Neuromuscular/restrictive disorders•CO
S9 VPAP™ Tx Lab SystemResMed’s award-winning sleep lab titration system is designed with the patient’s comfort in mind. A truly all-in-one lab system
©2013 ResMed. 1015938/2 2013-03Bilevel with Backup Rate Therapy S9 VPAP Adapt DEFAULTS ASV Mode Default Mode Settings EPAP:______cm H2O (4–15 cm H2O
iVAPS Therapy Titration ProtocolIndications for iVAPS therapy•Neuromuscular/restrictive disorders•COPD•Obesity hypoventilationOnce a patient is fitt
©2013 ResMed. 1015938/2 2013-03Bilevel with Backup Rate Therapy S9 VPAP Adapt DEFAULTS ASV Mode Default Mode Settings EPAP:______cm H2O (4–15 cm H2O
ASV default settings Only three therapy parameters to setEPAP 5 cm H2OMin PS 3 cm H2OMax PS 15 cm H2ORamp OFFASVAuto default settings Only four th
Notes42 S9 VPAP Tx Lab System | Sleep Lab Titration GuideResMed.comTitration Notes
ReimbursementReimbursement
Notes44 S9 VPAP Tx Lab System | Sleep Lab Titration GuideResMed.comReimbursement
S9 VPAP Adapt Reimbursement CodingMD – sleep specialistICD-9 Codes327.21 Primary CSA*327.22 CSA due to high altitude periodic breathing327.26 Sleep-
Medicare Policy for Treatment of OSA(Effective 2/4/11)Medicare Policy for Treatment of OSA(Effective 2/4/2011)CPAP Qualifi cations (E0601)Patient must
Document criteria for ineffective CPAP therapyDocument criteria for ineffective CPAP therapyDocument criteria for ineffective CPAP therapyRx for E0470
Delivering Efficient, Consistent ResultsDetailed Settings ReportPrescription ReportPatient comfort featuresClimate Control humidification technology int
Respiratory Assist Device (RAD) Qualifying GuidelinesCMS guidelines February 2011I. Restrictive Thoracic DisordersRespiratory Assist Device (RAD) Qua
Improvement of sleep-associated hypoventilation with use of E0470 or E0471 device on:• Settings that will be prescribed for initial use at home•
ResMed Corp San Diego, CA, USA +1 858 836 5000 or 1 800 424 0737 (toll free). ResMed Ltd Bella Vista, NSW, Australia +61 (2) 8884 1000 or 1 800 658 18
1 EPR available in CPAP and AutoSet modesResMed Therapy Modes and Clinically Superior AlgorithmsTechnical SpecificationsPressure RangesCPAP 4–20 cm H
Getting StartedGetting Started
S9 VPAP™ Tx Control PanelSetup menu button Push dialAlarm mute buttonInfo menu buttonLCD screenStart/Stop button Alarm and therapy LEDsKey FunctionSt
At the BedsideAt the Bedside
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