![]() ![]() Consensus recommendations are a maximum CPAP of 15 cm H 2O (Recommendation 4.2.1.3) and a maximum IPAP of 20 cm H 2O (Recommendation 4.3.1.4) for patients 15 cm H2O were switched to BPAP. The recommendations in the paper were developed by our multidisciplinary task force (including those who have titrated pediatric patients with PAP) using a formal consensus process. It is also mentioned that sleep technologists and clinicians should combine their experience and judgment with the application of these recommendations to attain the best possible titration in any given patient. It is stated in the clinical guidelines paper that these recommendations should not be con sidered inclusive of all proper methods of care or exclusive of other methods of care reasonably directed to obtaining the same results and that the ultimate judgment regarding the propriety of any specific care must be made by the clinician in light of the indi vidual circumstances presented by the patient. Carole Marcus for her thoughtful review 1 of the AASM’s recently published clinical guidelines paper in the Journal of Clinical Sleep Medicine. ![]() The authors of the Positive Airway Pressure Titration Task Force of the American Academy of Sleep Medicine (AASM) thank Dr.
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