Titration

Last Updated: February 22, 2019

Definition - What does Titration mean?

Titration is the process of calibrating a continuous positive airway pressure (CPAP) device to deliver breathable air for patients experiencing sleep disturbances such as obstructive sleep apnea (OSA). A sleep technologist conducts a polysomnogram to evaluate and monitor sleep pattern deviations. A prescription of a CPAP machine is accompanied by titration studies to determine appropriate air pressure settings in regulating adequate oxygen intake to facilitate breathing cycles.

WorkplaceTesting explains Titration

Obstructive sleep apnea can cause mild to severe sleep disruptions in which the muscles and soft tissue lining in the throat collapses, blocking the passage of air, resulting in sporadic gaps of breathing cessation. OSA-related cases carry significant health risks where the epidemiological implications can lead to Type 2 diabetes, hypertension (high blood pressure), and obesity. A sleep technologist uses CPAP titration to accommodate the patient’s physiological needs and comfort level to deliver air through a mask fitting or nasal inserts.

Titration is an essential component in CPAP treatment as it allows sleep technologists to observe patients while making adjustments to stabilize the rate of breathing, thus improving quality of sleep. In the workplace, individuals with obstructive sleep apnea pose liability concerns for employers, particularly in safety-sensitive positions that involve operating heavy equipment/machinery. Many people can experience impaired cognition, chronic fatigue, and drowsiness, and may require a doctor’s consultation to receive clearance for job fitness.

People with persistent obstructive sleep apnea may qualify for disability under the Equality Act 2010, a federal mandate stipulating long-term mental and/or physical conditions that impede personal welfare. Titration is a useful criterion of CPAP therapy in identifying the proportionate amount of oxygen to sustain breathing following a diagnosis of obstructive sleep apnea. CPAP machines are viable solutions to foster better sleep, avoid detrimental health conditions, and reduce the likelihood of work-related accidents and consequent injuries.

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