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<p>Correct device settings and mask supply during therapy with noninvasive positive pressure ventilators in the possible modes CPAP, APAP, and BiPAP (continuous/automatic/bilevel positive airway pressure) as well as ASV (assisted servoventilation) ultimately determine the success of therapy and adherence of patients with sleep-related breathing disorders. Clinical follow-up care for these patients after initial adjustment of the devices is also crucial for therapy adherence. While PAP therapy is usually initiated by sleep medicine specialists in a&#xa0;sleep laboratory, follow-up care is often provided by colleagues in private practice who have obtained polygraphy billing authorization from a&#xa0;“Kassenärztliche Vereinigung” (Association of Statutory Health Insurance for Reimbursement of Physicians) after completing a&#xa0;so-called BUB course (a&#xa0;one-week training course with certification) [<CitationRef CitationID="CR1">1</CitationRef>]. The abbreviation BUB refers to the “evaluation of examination and treatment methods” for sleep medicine diagnostics and therapy, which was established in the Social Security Code (SGB&#xa0;5) [<CitationRef CitationID="CR1">1</CitationRef>]. In this context, one also speaks of the so-called BUB guidelines. According to the BUB guideline, an initial check of PAP therapy should be carried out 6&#xa0;months after the start of CPAP therapy using cardiorespiratory polygraphy. This should also determine whether the patient is using the therapy device sufficiently (operating hours counter, reading of the usage log if necessary). However, the S3&#xa0;guideline on sleep-related breathing disorders in adults, as issued by the professional associations, recommends that ongoing follow-up care of patients should include not only reading device values to assess the success of the therapy and patient cooperation but also having patients complete the Epworth Sleepiness Scale questionnaire. It is also important to talk to the patient about the success of the therapy and possible therapy problems and checking the correct fit and condition of the noninvasive nose or mouth–nose mask.</p>

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Weiterbetreuung von Patienten mit nichtinvasiver Überdrucktherapie

  • 期刊论文

  • 发表日期：

    2025年8月20日

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  • Nikolaus Netzer,
  • Christian Veauthier,
  • Holger Hein,
  • Peter Geisler,
  • Bodo Weller,
  • Jürgen Herold,
  • Steffen Schädlich

摘要

Correct device settings and mask supply during therapy with noninvasive positive pressure ventilators in the possible modes CPAP, APAP, and BiPAP (continuous/automatic/bilevel positive airway pressure) as well as ASV (assisted servoventilation) ultimately determine the success of therapy and adherence of patients with sleep-related breathing disorders. Clinical follow-up care for these patients after initial adjustment of the devices is also crucial for therapy adherence. While PAP therapy is usually initiated by sleep medicine specialists in a sleep laboratory, follow-up care is often provided by colleagues in private practice who have obtained polygraphy billing authorization from a “Kassenärztliche Vereinigung” (Association of Statutory Health Insurance for Reimbursement of Physicians) after completing a so-called BUB course (a one-week training course with certification) [1]. The abbreviation BUB refers to the “evaluation of examination and treatment methods” for sleep medicine diagnostics and therapy, which was established in the Social Security Code (SGB 5) [1]. In this context, one also speaks of the so-called BUB guidelines. According to the BUB guideline, an initial check of PAP therapy should be carried out 6 months after the start of CPAP therapy using cardiorespiratory polygraphy. This should also determine whether the patient is using the therapy device sufficiently (operating hours counter, reading of the usage log if necessary). However, the S3 guideline on sleep-related breathing disorders in adults, as issued by the professional associations, recommends that ongoing follow-up care of patients should include not only reading device values to assess the success of the therapy and patient cooperation but also having patients complete the Epworth Sleepiness Scale questionnaire. It is also important to talk to the patient about the success of the therapy and possible therapy problems and checking the correct fit and condition of the noninvasive nose or mouth–nose mask.