1-4
REMs t a R M sE R i E s Us E R Ma n U a l
1.3.3 Co n t R a i n d i C a t i o n s
Whenassessingtherelativerisksandbenetsofusingthisequipment,theclinicianshould
understand that this device can deliver pressures up to 20 cm H
2
O. In the event of certain fault
conditions, a maximum pressure of 30 cm H
2
Oispossible.Studieshaveshownthatthefollowing
pre-existingconditionsmaycontraindicatetheuseofCPAPtherapyforsomepatients:
• BullousLungDisease
• PathologicallyLowBloodPressure
• BypassedUpperAirway
• Pneumothorax
• PneumocephalushasbeenreportedinapatientusingnasalContinuousPositiveAirwayPres-
sure.CautionshouldbeusedwhenprescribingCPAPforsusceptiblepatientssuchasthose
with:cerebralspinaluid(CSF)leaks,abnormalitiesofthecribriformplate,priorhistoryof
headtrauma,and/orpneumocephalus.(Chest1989;96:1425-1426)
euseofpositiveairwaypressuretherapymaybetemporarilycontraindicatedifyouexhibit
signsofasinusormiddleearinfection.Notforusewithpatientswhoseupperairwaysareby-
passed.Contactyourphysicianifyouhaveanyquestionsconcerningyourtherapy.
1.4 sy s t E M ov E R v i E W
eREMstarMSeriesdevice,showninFigure1–2,isasleepapneatherapysystemthat
deliversContinuousPositiveAirwayPressure(CPAP).CPAPmaintainsaconstantlevelofpres-
sure throughout the breathing cycle.
Whenprescribedforyou,thedeviceprovidesaspecialfeaturetohelpmakeyourtherapymore
comfortable.erampfunctionallowsyoutolowerthepressurewhenyouaretryingtofall
asleep.eairpressurewillgraduallyincreaseuntilyourprescriptionpressureisreached.Youalso
have the option of not using the ramp feature at all.
fi g U R E 1–2 REMs t a R M sE R i E s dE v i C E