Hospital CPAP

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
Rbarrgan

Hospital CPAP

Post by Rbarrgan » Thu Jun 22, 2017 3:17 am

I'm in the hospital and very ill unrelated to CPAP. My machine ended up not working. After a huge issue, I was able to get a borrowed machine, Philippe resperonixs, model unknown. No adjustments on the mask nose, full face, alarm constantly going off and finally quit sleeping and just letting eying to make it through the night. My question is, what would reasonable expectations be in this situation?

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Julie
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Re: Hospital CPAP

Post by Julie » Thu Jun 22, 2017 3:30 am

What do you mean by expectations - for what exactly?

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49er
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Re: Hospital CPAP

Post by 49er » Thu Jun 22, 2017 3:30 am

Rbarrgan wrote:I'm in the hospital and very ill unrelated to CPAP. My machine ended up not working. After a huge issue, I was able to get a borrowed machine, Philippe resperonixs, model unknown. No adjustments on the mask nose, full face, alarm constantly going off and finally quit sleeping and just letting eying to make it through the night. My question is, what would reasonable expectations be in this situation?
You might want to ask your nurse to request a Respiratory Therapist consult to troubleshoot the issues. You shouldn't have to put up that especially since you don't want to sleep without the machine with sleep apnea and being very ill.

When I was hospitalized last month, the RT tried to put a full face mask on me and I told her I needed a nasal mask. So don't hesitate to speak up for what you want. Not sure why the alarms are going off but again, he/she should be able to help you with that situation.

I wish you a speedy recovery.

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LSAT
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Re: Hospital CPAP

Post by LSAT » Thu Jun 22, 2017 6:02 am

Rbarrgan wrote:I'm in the hospital and very ill unrelated to CPAP. My machine ended up not working. After a huge issue, I was able to get a borrowed machine, Philippe resperonixs, model unknown. No adjustments on the mask nose, full face, alarm constantly going off and finally quit sleeping and just letting eying to make it through the night. My question is, what would reasonable expectations be in this situation?
With your current machine not working, you could still use your own mask...couldn't someone bring it for you? It shouldn't be a huge issue to get a loner machine and mask when necessary...that's what the Respiratory Therapist responsibility is.

Gardener0126
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Re: Hospital CPAP

Post by Gardener0126 » Thu Jun 22, 2017 7:25 am

I'm a critical care nurse in a large teaching hospital. We only have full face masks, so we are unable to provide a patients preferred mask style. (We nurses would like more styles, simply so a patient could tell us something without going through the bother of removing the mask, silencing the alarm and then re-fitting the "one size fits all" (ha) mask.) It's my guess that this is the case in many other hospitals as well, simply based on the fact that full face style would be most commonly used in the hospital. Non invasive ventilation such as CPAP and BiPAP are far more commonly used in the inpatient setting for respiratory insufficiency and failure than for OSA, (most OSA patients use their own equipment), and this is reflected in what supplies are available. It costs money to store and maintain inventory, so seldom used products just aren't available.

However, that being said, It should not have been a big deal to get a machine, although there again, there are likely to be only one or two types available, and they are likely to be both more complex and more multi functional than equipment designed for home use. A respiratory therapist should have been able to tweak the alarms so that they would be minimized, possibly only occurring if you took the mask off or developed a significant leak. Presumably, if you are very sick, you would have pulse oximetry monitoring which would alert staff to oxygen saturation problems. (It's very likely against policy to turn the alarms completely off.).

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chunkyfrog
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Re: Hospital CPAP

Post by chunkyfrog » Thu Jun 22, 2017 8:36 am

Considering hospital charges, I would most certainly EXPECT more!

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Janknitz
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Re: Hospital CPAP

Post by Janknitz » Thu Jun 22, 2017 2:58 pm

Provided the doctor has written an order for CPAP you should be receiving it. The machine should be in good working order and set to the appropriate parameters for YOUR treatment--that's the hospital's responsibility once the order is written. A professional (usually a respiratory therapist) is responsible for the set up. Hospital masks tend to be one size fits nobody, so use your own mask if you possibly can (if you are also on supplemental oxygen it needs to be adaptable for oxygen tubing). In an acute care hospital there should be respiratory therapy staffing 24 hours a day, so there's no reason they could not have called the RT to come in during the night to work with you on the settings.
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D.H.
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Re: Hospital CPAP

Post by D.H. » Thu Jun 22, 2017 4:18 pm

As somebody suggested, you should be able to use your own mask, even if they provide a different machine.

As far as I know, all CPAP machines allow you to adjust the pressure from 4 cmH2O to 20 cmH2O in increments of 1 cmH2O or finer. Some very old machines might go down to three or not go above 18, but I doubt that you have anything that old. I also doubt that your pressure need is above 18, anyhow.

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Last edited by D.H. on Thu Jun 22, 2017 6:55 pm, edited 3 times in total.

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WearyOne
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Re: Hospital CPAP

Post by WearyOne » Thu Jun 22, 2017 7:18 pm

Two years ago I had a total hysterectomy. Did not do well in recovery. Everybody knew I was on CPAP, and I was told they would provide the machine (which they did) and I just had to bring my mask. But CPAP wasn't enough to keep me breathing in recovery. They ended up changing it to a BiPAP and that did the trick. Still ended up on the cardiac floor instead of where I normally would have gone. The RT came to the room right after I got there to set up their BiPAP machine related to what my CPAP number was at home. Used my own mask.

Is there someone that can take the reigns on this for you, speak to the nurses/doc for an RT to assist you with this? You need to sleep and need to sleep with the machine not waking you up. It's hard enough to sleep in a hospital as it is, at least it was for me.

I hope you recovery quickly!

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