Reviewed and research evidence of relevant regulations and Standards regarding the use of CPAP and BIPAP. Should also include a chart with the summary.
Standards and regulations on CPAP and BIPAP
Most of the governments around the world are striving to ensure that they fight poverty, disease and ignorance. Providing good medical care for all the citizens has been hectic for a very long time. However, it is the duty of these governments to ensure that there is the availability of crucial machines in all public hospitals to ensure they can reduce the mortality rate of both infants and adults. One of those important machines includes the CPAP and BIPAP. Continuous positive airway pressure machine is a machine that helps to administer a treatment that uses mild air pressure to keep the airways open (Jensen, 2008). CPAP is used to people who have breathing complications and infants whose lungs have not fully developed. On the other hand, Bilevel positive airways pressure that performs a similar function as that of CPAP. However, the BIPAP treatment is a non-invasive form of therapy and includes breath timing feature that measures the amount of breaths per minute. The only difference between the two machines is that the CPAP has one pressure setting while the BIPAP has two pressure settings making it easy for patients to breath.
There are several rules and regulation and standards that come with the use of CPAP and BIPAP machines and should be observed by both medical practitioners and all patients.
- The Medicare should cover 3-month trial – a patient who has been diagnosed with obstructive sleep apnea should go for a three month trial with the therapy unless stated otherwise by the concerned doctor.
- The eligibility of this therapy widely goes for all people with medical insurance and has been diagnosed with this disease. Since the medication and the therapy may be costly to low-income citizens, they are widely advised to have a medical insurance before engaging in this therapy.
- An oral appliance is not enough- most people tend to think that one or two oral appliance is enough and think that they are fully treated, but this is not the case. Patients who already have gone through oral appliance need to be followed and diagnosed to ensure that the medication worked effectively(Kopelovich, 2012).
- Positioning- the positioning of the patient should be in slant position to enable him to have a good and spontaneous breathing room. The air should be delivered to the patient at a constant pressure during inspiration and expiration.
- CPAP proceeds BIPAP – in most cases, patients who are suffering from obstructive sleep apnea are usually subjected to CPAP. If the patient does not respond to the treatment, he is then subjected to BIPAP, which has two levels of pressure to completely eliminate the apneas.
A summary chart of regulation and standards for use CPAP and BIPAP
|Rules and standards||case|
|Oral appliances||All medical experts should follow their patients to ensure that they are fully treated, and they should not make any assumption if the patient is taking oral appliances.|
|Positioning||The patient should be positioned in an appropriate position to allow him or to breathe spontaneously|
|Eligibility||All patients are eligible to the treatment, but it works best for those with medical insurance because it becomes easy to cater for expenses.|
|Trial period||It is mandatory for all patients to undergo trial therapy for a minimum of three months and await further instructions from their doctors.|
|CPAP proceeds BIPAP||BIPAP is the last resort that doctors seek after the failure of CPAP, which may not work in some patients.|
Jensen, C. T. (2008). Postoperative CPAP and BiPAP use can be safely omitted after laparoscopic Roux-en-Y gastric bypass. urgery for Obesity and Related Diseases, 4(4), , 512-514.
Kopelovich, J. C. (2012). Pneumocephalus with BiPAP use after transsphenoidal surgery. Journal of clinical anesthesia, 24(5),, 415-418.