AVAPS raises the ventilation bar because it lowers the bar – in terms of an ability to apply the lowest possible ventilation pressure to get the job done. It is adaptive therapy designed for comfort and compliance. And, studies have suggested that AVAPS provides beneficial physiological improvements, resulting in a more efficient decrease of PtcCO2 compared to BPV-S/T therapy alone ((For respiratory insufficiency patients diagnosed with Obesity Hypoventilation Syndrome).5
Treating patients with multiple comorbidities – including chronic respiratory issues ― requires a robust tool kit of solutions. The AVAPS adaptive approach to pressure therapy is one innovation among many at the disposal of care professionals. Tools and resources to educate and empower patients to track treatment progress, connect with care givers for support and advice, and help professionals proactively identify patients who may be struggling – these can all play a part in achieving a more effective approach to respiratory care.
Airway management is another area where adaptability and automation are key. Ventilation features can help continuously monitor the airway can help keep it clear and open, at the lowest possible pressure, throughout the night. Again, the result is delivery of the lowest possible pressure, and comfort for the patient.
Author: Jim McKenzie, HRC Ventilation Product Manager, Philips Healthcare
1BiPAP AVAPS only
2Windisch, Wolfram. "Average Volume-Assured Pressure Support in Obesity Hypoventilation." CHEST 130 (2006): 815
3With respiratory insufficiency patients diagnosed with Obesity Hypoventilation Syndrome
4Murphy, Patrick Brian, et al. "Volume targeted versus pressure support non-invasive ventilation in patients with super obesity and chronic respiratory failure: a randomised controlled trial." Thorax 67.8 (2012): 727-734.
5Murphy, PB Thorax thoraxjnl-2011-201081: Published Online First: 1 March 2012 doi:10.1136/thoraxjnl-2011-201081