Adaptation of clinical practice guidelines for manual titration of CPAP and BPAP in patients with obstructive sleep apnea

obstructive sleep apnea is a common disease that is recognized as the leading cause of occupational injuries and accidents. Proper assessment and treatment of employees affected by this disease can reduce the numerous side effects if the methods used to identify and treat these patients are evidence based and are applicable in our country.
In order to standardize the clinical services provided to patients, after studying the available guidelines, according to the conditions and possibilities of our country, the clinical guideline for Manual titration of CPAP and BPAP in patients with obstructive sleep apnea was provided.
This guideline contains recommendations for the diagnosis of patients with obstructive sleep apnea, recommendations for CPAP and BPAP titration studies, and acceptable PAP titration study. The level of evidence is specified for each recommendation. “Standard” is a generally accepted strategy and reflects a high degree of clinical certainty, “guideline” reflects a moderate degree of clinical certainty, “option” has less evidence and agreement was reached in a standardized consensus. Those recommendations that were not based on published parameters are labeled as “consensus”.
Considering that the most important problem for the use of CPAP is patient intolerance, a standard protocol for titration increases the patient compliance and treatment efficacy.