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Self Titration
There is an interesting thread on www.apneaboard.com about self titration with scientific correlation if any one is interested. The thread is on the Main Forum and titled "Self Titration".
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Replies to This Discussion
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Permalink Reply by RockRpsgt on
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There were also many labs using this practice long before the rule was published.
Somnonaut said:Just to keep it all in perspective...the RULE that Rock discussed has only been published since 2009, so studies earlier than that (and for some time afterward in many labs) most likely had lab specific protocols in use.
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Permalink Reply by Somnonaut on
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And there are some that still do not use this one aspect of the rule. "Observational upward titration". The lab I recently left, none of the sleep docs wanted the techs to try anything on their own, willy-nilly just to see what would happen. They felt the AASM dropped the ball on publishing that step.
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Once again you degrade your peers with your post and ego. I have worked in labs that have done it both ways. I would not call a trained or seasoned tech raising for observation "willy nilly" Somno. I understand that we may not all be as great a tech as you. However many of us have put in the time and are good at what we do. Feel free to visit me in Denver. I see CA and complex pts on a daily basis. I also have my docs trust that I will serve both his and my pt's best interest.
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It is the doc's term, not mine. And I would not even trust my own observational skills at making unjustifiable subjective changes to pressures with nothing beyond individual tech specific self-imposed guidelines. That is not the way science is done. We felt the Academy did an injustice to the field by allowing a subjective assessment into the "laboratory". The tech should be taken out of the mix as much as possible. It is not a slight of any ONE group, outside of the Academy.
Stop putting intention in my mouth. The lab is for observing, recording and processing according to established protocol. Not allowing each tech to have their own will-nilly standards.
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Each time you use the term "tech" and "Willy-nilly" you claim the intention I am throwing your way. I take offense to the way you are using willy-nilly in this context.
If a medical director establishes a protocol for "observational" up/down titrating then why is that not ok? How is that allowing a tech to have personal willy-nilly standards? If a doc approves something is it not alright especially in the context of this discussion? For clinical reasons the tech should be removed as much as possible to achieve objectivity. However a study without any subjective human influence is an HST.
Somnonaut said:
It is the doc's term, not mine. And I would not even trust my own observational skills at making unjustifiable subjective changes to pressures with nothing beyond individual tech specific self-imposed guidelines. That is not the way science is done. We felt the Academy did an injustice to the field by allowing a subjective assessment into the "laboratory". The tech should be taken out of the mix as much as possible. It is not a slight of any ONE group, outside of the Academy.
Stop putting intention in my mouth. The lab is for observing, recording and processing according to established protocol. Not allowing each tech to have their own will-nilly standards.
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