There are no official guidelines to assist in answering this question. I will search for relevant research papers instead.
From the Research
BiPAP Settings for Upper Respiratory Infection (URI)
There are no specific studies that provide BiPAP settings for a patient with an upper respiratory infection (URI) 1, 2, 3, 4, 5.
General BiPAP Settings
However, the general guidelines for BiPAP settings are as follows:
- The recommended minimum starting IPAP and EPAP should be 8 cm H2O and 4 cm H2O, respectively, for pediatric and adult patients on BPAP 1.
- The recommended minimum IPAP-EPAP differential is 4 cm H2O and the recommended maximum IPAP-EPAP differential is 10 cm H2O 1.
- BiPAP settings can be adjusted based on the patient's response to treatment, with the goal of eliminating obstructive respiratory events 1.
- The pressure of BiPAP selected for patient use following the titration study should reflect control of the patient's obstructive respiration by a low respiratory disturbance index (RDI) at the selected pressure, a minimum sea level SpO2 above 90% at the pressure, and with a leak within acceptable parameters at the pressure 1.
BiPAP Settings in Other Conditions
BiPAP settings may vary depending on the underlying condition being treated. For example:
- In patients with type II respiratory failure due to acute exacerbation of COPD, BiPAP may be used with specific settings to improve therapeutic efficacy 3.
- In patients with obstructive sleep apnea (OSA), switching from CPAP to BiPAP may improve sleep quality and reduce side effects 4.
- BiPAP can be used in various modes, including CMV-BIPAP, IMV-BIPAP, APRV-BIPAP, and genuine BIPAP, depending on the patient's spontaneous breathing activity 5.