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Advanced Sleep Titration

Funding for this course was provided by Philips Home Healthcare Solutions.


Module 1 - Anatomy & Physiology 1.0 CEC 

This module provides a review of the basic concepts of the cardiopulmonary system from the primary components of the respiratory system, ventilatory assessment and control, and the impact of common lung diseases to anatomical issues that impact management of sleep-disordered breathing. This module provides a basis for implementing problem-based therapy and the rationale for where to start and why.

Module 2 - CPAP & BPAP Titration Guidelines 1.0 CEC

This module outlines the indications for and goals of PAP therapy and reviews the CPAP and BPAP titration guidelines for adult and pediatric patients. Also covered is the importance of patient education regarding symptoms and health effects of sleep-disordered breathing, the therapy itself, and long-term management. This module concludes by addressing the rationale and methods for switching to bi-level therapy and titration protocols, based on when and how the switch occurs, along with a reminder of the importance of knowledge of physiology and disease in the titration process.

Module 3 - Adaptive Servo Ventilation (ASV) 1.0 CEC 

This module reviews the indications and contraindications for use of ASV therapy in patients with central sleep apnea, variable breathing patterns such as seen in Cheyne-Stokes respiration, or treatment emergent complex sleep apnea in OSA patients. This module includes a comprehensive overview of what ASV is, how it works, which patients benefit from ASV therapy, and the potential risks. The module concludes by addressing the pathophysiology of the disorders that require this type of therapy, principles of operation, and the titration protocol itself, thereby ensuring a thorough understanding of the appropriate use of this therapy.

Module 4 - Noninvasive Positive Pressure Ventilation (NPPV) 1.0 CEC

This module covers the use of noninvasive mechanical ventilation and Average Volume Assured Pressure Support or AVAPS to reduce work of breathing in patients with respiratory failure. The common disorders that affect patients who are appropriate for this therapy and the goals of therapy, along with detailed equipment settings and titration protocols, are provided. The benefits of therapy and adjustments to therapy related to comfort and disease progression are outlined. A case study that includes a demonstration of the changes in breathing pattern throughout the titration and rationale for the final settings is included so that students gain an understanding of how to appropriately apply this therapy.

Module 5 - Average Volume Assured Pressure Support AVAPS-Auto EPAP (AVAPS-AE) 1.0 CEC

This module provides an overview of AVAPS-AE technology and how and when to employ it.  AVAPS technology provides noninvasive ventilation for patients with chronic respiratory insufficiency, and in the AE mode also treats Obstructive Sleep Apnea (OSA) using auto EPAP. Moreover, this technology utilizes and adjusts pressure support to maintain a target tidal volume and can provide an adjustable backup rate when needed. Covered in this module are the disorders appropriate for this therapy, a thorough explanation of the device algorithm and operation, appropriate settings based on specific sleep-disordered breathing problems, and patient comfort settings information. Titration protocols are also provided that address appropriate titration settings based on the specific sleep-disordered breathing problems for which this therapy is appropriate. Contents of this module provide an excellent introduction to AVAPS-AE technology and its effectiveness in patients with advanced therapy needs.

Scenarios Module

Interactive Learner Case Studies 1-3

Funding for this course was provided by Philips Home Healthcare Solutions.


These modules are a comprehensive program built to improve your knowledge of basic cardiorespiratory anatomy and physiology and build your PAP titration skills. Developed specifically for the sleep technologist seeking to expand their knowledge and confidence using advanced titration platforms, each module builds on the next, taking you through the process of transitioning from CPAP to BPAP, and provides a practical knowledge base for technologists new to advanced titration methods. Advanced titration modules for Adaptive Servo Ventilation (ASV), Noninvasive Positive Pressure Ventilation (NPPV), and AVAPS-AE provide information about the technology, the patients and disorders for which each technology is appropriate, and details related to appropriate use of these technologies. Each module includes a glossary and a knowledge check section to reinforce learning. In addition to the learning modules there are three interactive titration scenarios that will allow you to practice your new titration skills. 

 

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  • Contains 5 Component(s), Includes Credits

    These three scenarios are exclusive to the Advanced Sleep Titration Modules. Read the instructions before beginning each scenario. Once ready select next to learn the patient profile before beginning your sleep study.

       

  • Contains 4 Component(s), Includes Credits

    Module 5 of Advanced Sleep Titration Modules, Average Volume Assured Pressure Support AVAPS-Auto EPAP (AVAPS-AE), includes a 10-question knowledge assessment and 1.0 AAST Continuing Education Credits (CECs).

    This is the fifth module which provides an overview of AVAPS-AE technology and how and when to employ it.  AVAPS technology provides noninvasive ventilation for patients with chronic respiratory insufficiency, and in the AE mode also treats Obstructive Sleep Apnea (OSA) using auto EPAP. Moreover, this technology utilizes and adjusts pressure support to maintain a target tidal volume and can provide an adjustable backup rate when needed. Covered in this module are the disorders appropriate for this therapy, a thorough explanation of the device algorithm and operation, appropriate settings based on specific sleep-disordered breathing problems, and patient comfort settings information. Titration protocols are also provided that address appropriate titration settings based on the specific sleep-disordered breathing problems for which this therapy is appropriate. Contents of this module provide an excellent introduction to AVAPS-AE technology and its effectiveness in patients with advanced therapy needs.

  • Contains 4 Component(s), Includes Credits

    Module 4 of Advanced Sleep Titration Modules, NPPV - AVAPS, includes a 10-question knowledge assessment and 1.0 AAST Continuing Education Credits (CECs).

    This module is the fourth of the series and covers the use of noninvasive mechanical ventilation and Average Volume Assured Pressure Support or AVAPS to reduce work of breathing in patients with respiratory failure. The common disorders that affect patients who are appropriate for this therapy and the goals of therapy, along with detailed equipment settings and titration protocols, are provided. The benefits of therapy and adjustments to therapy related to comfort and disease progression are outlined. A case study that includes a demonstration of the changes in breathing pattern throughout the titration and rationale for the final settings is included so that students gain an understanding of how to appropriately apply this therapy.

  • Contains 3 Component(s), Includes Credits

    Module 3 of Advanced Sleep Titration Modules, Adaptive Servo - Ventilation, includes a 10-question knowledge assessment and 1.0 AAST Continuing Education Credits (CECs).

    This third module in the series reviews the indications and contraindications for use of ASV therapy in patients with central sleep apnea, variable breathing patterns such as seen in Cheyne-Stokes respiration, or treatment emergent complex sleep apnea in OSA patients. This module includes a comprehensive overview of what ASV is, how it works, which patients benefit from ASV therapy, and the potential risks. The module concludes by addressing the pathophysiology of the disorders that require this type of therapy, principles of operation, and the titration protocol itself, thereby ensuring a thorough understanding of the appropriate use of this therapy.

  • Contains 4 Component(s), Includes Credits

    Module 2 of Advanced Sleep Titration Modules, CPAP & BPAP, includes a 10-question knowledge assessment and 1.0 AAST Continuing Education Credits (CECs).

    This second module in the series outlines the indications for and goals of PAP therapy and reviews the CPAP and BPAP titration guidelines for adult and pediatric patients. Also covered is the importance of patient education regarding symptoms and health effects of sleep-disordered breathing, the therapy itself, and long-term management. This module concludes by addressing the rationale and methods for switching to bi-level therapy and titration protocols, based on when and how the switch occurs, along with a reminder of the importance of knowledge of physiology and disease in the titration process.

  • Contains 4 Component(s), Includes Credits

    Module 1 of Advanced Sleep Titration Modules, Anatomy & Physiology, includes a 10-question knowledge assessment and 1.0 AAST Continuing Education Credits (CECs).

    The first module in the series provides a review of the basic concepts of the cardiopulmonary system from the primary components of the respiratory system, ventilatory assessment and control, and the impact of common lung diseases to anatomical issues that impact management of sleep-disordered breathing. This module provides a basis for implementing problem-based therapy and the rationale for where to start and why.