Trach vs mask for sleeping with vent. When?

This morning I was told by one of the RT's involved that masks could only be used with ventilators if the ventilator was set in bi-pap mode. This seems inconsistent with what I've read here and elsewhere. I'm more confused, and disturbed, then ever.

owl

MidnightOwl wrote:This morning I was told by one of the RT's involved that masks could only be used with ventilators if the ventilator was set in bi-pap mode. This seems inconsistent with what I've read here and elsewhere. I'm more confused, and disturbed, then ever.

owl

That's interesting. The Trilogy doesn't have a "bipap mode" per se, but if you think about it, many of the modes function in a bipap mode, just with more functionality and flexibility.

But I would definitely question what this RT says and get another opinion about it.

Ask your RT why they have non-invasive positive pressure ventilation (nippv). That is ventilation with a mask. Trilogy has volume control, pressure control and bipap.
Here are their specs:
Ventilation types Volume control, pressure control, bilevel
Volume modes AC, SIMV (w/PS), CV
Pressure modes CPAP, S, S/T, T, PC-SIMV (w/PS)
IPAP 4 – 50 cm H20
EPAP 0 – 25 cm H20 for active circuits
4 – 25 cm H20 for passive circuits
CPAP 4 – 20 cm H20 for passive circuits
PEEP 0 – 25 cm H20 for active circuits
4 – 25 cm H20 for passive circuits
Pressure support differential 0 – 30 cm H20