Table 2

Typical initial ventilator settings for bi-level pressure support in a patient with acute hypercapnic respiratory failure due to COPD

ModeSpontaneous/timed
EPAP4–5 cm H2O
IPAP12–15 cm H2O (to be increased as tolerated to 20 cm H2O)
TriggersMaximum sensitivity
Back up rate15 breaths/min
Back up I:E ratio1:3