Clinical reference Philips Healthcare is part of

Royal Philips Electronics

Philips Respironics Asia Pacific
+65 6882 5282
AVAPS
Average Volume Assured Pressure Support
Auto-TRAK algorithm How to reach us Philips Respironics Australia
www.philips.com/healthcare +61 (2) 9666 4444
• “ Performance Characteristics of 10 Home Mechanical Ventilators in Pressure-Support Mode” healthcare@philips.com
Philips Respironics China
Chest 2005, Battisti and Co Asia +86 800 820 6665
+49 7031 463 2254 +86 400 820 6665
• “Noninvasive Ventilator Triggering in Chronic Obstructive Pulmonary Disease” AJRCCM 2001,
Europe, Middle East, Africa Philips Respironics Deutschland
Stell and Co
+49 7031 463 2254 +49 8152 93 06 0
• “Performance Characteristics of Bilevel Pressure Ventilators” Chest 1997, Bunburaphong and Co Latin America Philips Respironics France
+55 11 2125 0744 +33 2 51 89 36 00
AVAPS support function
North America Philips Respironics Italy
• “Average volume assured pressure support in obesity hypoventilation: a randomized cross-over +1 425 487 7000 +39 039 203 1

trial” Chest 2006, Storre and Co 800 285 5585 (toll free, US only)
Philips Respironics Sweden
Philips Respironics +46 8 120 45 900
AVAPS, a unique clinically proven technology 1010 Murry Ridge Lane
Philips Respironics Switzerland
Murrysville, PA 15668
+41 6 27 45 17 50
• For patients with Obesity Hypoventilation Syndrome

AVAPS guide
Customer Service
“The addition of AVAPS to BPV-S/T provides beneficial physiologic improvements, resulting in a Philips Respironics United Kingdom
+1 724 387 4000
more efficient decrease of PtcCO2 compared to BPV-S/T therapy alone.” +44 800 1300 845
800 345 6443 (toll free, US only)
Average Volume Assured Pressure Support in Obesity www.philips.com/respironics
Philips Respironics International
Hypoventilation: a Randomized Cross-Over Trial. Storre, et al. Chest 2006.

• For patients with chest deformities

Headquarters
+33 1 47 28 30 82
“The right pressure at the right time for more
“After switching to BiPAP-AVAPS therapy, the results included an increase in average oxygen patient comfort and more efficient ventilation”
saturation, a reduction of pCO2 levels and an improved acceptance of therapy compared to
previously used ventilation methods.” Respironics, Synchrony, BiPAP, Auto-TRAK are trademarks of Respironics, Inc. and its affiliates
.All rights are reserved.
Average Volume Assured Pressure Support (AVAPS) for Pressure-Controlled Ventilation
(BiPAP Therapy). Kerl, et al. Please visit www.philips.com/respironics
Poster presented at the German National Home Mechanical Congress, 2004.

• For patients with hypercapnic COPD

“AVAPS mask ventilation has similar efficacy and produces better subjective effects on sleep as
compared with PS in COPD patients with chronic hypercapnia.”
A pilot study on efficacy of nocturnal AVAPS mask ventilation in patients with hypercapnic COPD.
© 2011 Koninklijke Philips Electronics N.V. All rights are reserved.
Philips Healthcare reserves the right to make changes in specifications and/or to discontinue any
product at any time without notice or
obligation and will not be liable for any consequences resulting from the use of this publication.

Crisafulli, et al. Broudy AE 5/17/11 MCI 4103857 PN 1081265

Poster presented at the ATS congress, 2008.

What is avaps ? AVAPS suggested settings Estimation of the exhaled tidal
AVAPS is a support function that can be activated within our S, S/T, PC and T
AVAPS Settings volume (Vte)
pressure modes. It automatically adapts pressure support to patient needs to
guarantee an average tidal volume. 1. Set the Target Tidal Volume
Digital Auto-TRAK algorithm combined with the BiPAP system is able to quickly identify the

Based on the Auto-TRAK algorithm
performance, the patient's tidal volume is
estimated at each breath and compared with
the target tidal volume. Inspiratory pressure
increases or decreases from breath to breath
to ensure the preset tidal volume.
Inspiratory pressure smoothly changes
(<1cmH2O/min) so as not to affect patient
comfort, and to prevent any potential patient-
ventilator disynchronization.
In case the patient tidal volume is far from the set target Vt an accelarating factor will allow the inspiratory
pressure to change faster by up to 3 cmH2O/min.
Which patients?
To 8ml/kg of the ideal weight and adjust depending on patient pathology
2. Set IPAP Limits
IPAP max = 25 to 50 cmH2O depending on patient condition and
and
maximum pressure available on the machine
IPAP min = EPAP + 4 cmH2O depending on patient condition
Check patient arterial blood gases (PaCO2 and PaO2) and oxygen saturation (SpO2)
leak by comparing the original baseline flow to the new baseline flow. Differences are recognized
as leaks, and adjusted for, quickly.
Auto-TRAK algorithm estimates patient flow to provide:
• Automatic triggers: sensitivity remains optimal even with a change in leaks and patient’s
respiratory mechanics
• An estimation of exhaled patient tidal volume (Vte) for ventilation monitoring and for
AVAPS. Based on Auto-TRAK advanced technology, AVAPS ensures a close monitoring of Vte
and adjusts IPAP to maintain a true averaged patient tidal volume.

•  Obese hypoventilation patients: To compensate for changes in body position; averaged

tidal volume ensured

•  COPD patients: To achieve a combination of ventilation comfort and efficiency with no

* Conversion table to set the target tidal volume in relation to the ideal weight:
compromise. Get both benefits by applying “the right pressure at the right time”
Height Calculated ideal Target Vte Target Vte
•  Restrictive patients: To provide the comfort and leak compensation of a pressure mode, weight (if BMI = 23) if 8 ml/kg if 10 ml/kg
and the safety of a guaranteed volume 1.50 m 52.0 kg 410 ml 520 ml
1.55 m 55.0 kg 440 ml 550 ml
1.60 m 59.0 kg 470 ml 590 ml

Which benefits?
1.65 m 62.5 kg 500 ml 620 ml
1.70 m 66.5 kg 530 ml 660 ml

•  Make titration process easier, no IPAP adjustment needed 1.75 m 70.5 kg 560 ml 700 ml
1.80 m 74.5 kg 600 ml 740 ml
•  Follow disease progression as patient's ventilatory needs change
1.85 m 78.5 kg 630 ml 780 ml
•  Improve patient’s ventilation efficacy and comfort 1.90 m 83.0 kg 660 ml 830 ml
•  Increase safety by guaranteeing an averaged tidal volume Above data have been calculated with an ideal Body Mass Index of 23 kg/m² (BMI=weight/height 2)
What is avaps ? AVAPS suggested settings Estimation of the exhaled tidal
AVAPS is a support function that can be activated within our S, S/T, PC and T
AVAPS Settings volume (Vte)
pressure modes. It automatically adapts pressure support to patient needs to
guarantee an average tidal volume. 1. Set the Target Tidal Volume
Digital Auto-TRAK algorithm combined with the BiPAP system is able to quickly identify the

Based on the Auto-TRAK algorithm
performance, the patient's tidal volume is
estimated at each breath and compared with
the target tidal volume. Inspiratory pressure
increases or decreases from breath to breath
to ensure the preset tidal volume.
Inspiratory pressure smoothly changes
(<1cmH2O/min) so as not to affect patient
comfort, and to prevent any potential patient-
ventilator disynchronization.
In case the patient tidal volume is far from the set target Vt an accelarating factor will allow the inspiratory
pressure to change faster by up to 3 cmH2O/min.
Which patients?
To 8ml/kg of the ideal weight and adjust depending on patient pathology
2. Set IPAP Limits
IPAP max = 25 to 50 cmH2O depending on patient condition and
and
maximum pressure available on the machine
IPAP min = EPAP + 4 cmH2O depending on patient condition
Check patient arterial blood gases (PaCO2 and PaO2) and oxygen saturation (SpO2)
leak by comparing the original baseline flow to the new baseline flow. Differences are recognized
as leaks, and adjusted for, quickly.
Auto-TRAK algorithm estimates patient flow to provide:
• Automatic triggers: sensitivity remains optimal even with a change in leaks and patient’s
respiratory mechanics
• An estimation of exhaled patient tidal volume (Vte) for ventilation monitoring and for
AVAPS. Based on Auto-TRAK advanced technology, AVAPS ensures a close monitoring of Vte
and adjusts IPAP to maintain a true averaged patient tidal volume.

•  Obese hypoventilation patients: To compensate for changes in body position; averaged

tidal volume ensured

•  COPD patients: To achieve a combination of ventilation comfort and efficiency with no

* Conversion table to set the target tidal volume in relation to the ideal weight:
compromise. Get both benefits by applying “the right pressure at the right time”
Height Calculated ideal Target Vte Target Vte
•  Restrictive patients: To provide the comfort and leak compensation of a pressure mode, weight (if BMI = 23) if 8 ml/kg if 10 ml/kg
and the safety of a guaranteed volume 1.50 m 52.0 kg 410 ml 520 ml
1.55 m 55.0 kg 440 ml 550 ml
1.60 m 59.0 kg 470 ml 590 ml

Which benefits?
1.65 m 62.5 kg 500 ml 620 ml
1.70 m 66.5 kg 530 ml 660 ml

•  Make titration process easier, no IPAP adjustment needed 1.75 m 70.5 kg 560 ml 700 ml
1.80 m 74.5 kg 600 ml 740 ml
•  Follow disease progression as patient's ventilatory needs change
1.85 m 78.5 kg 630 ml 780 ml
•  Improve patient’s ventilation efficacy and comfort 1.90 m 83.0 kg 660 ml 830 ml
•  Increase safety by guaranteeing an averaged tidal volume Above data have been calculated with an ideal Body Mass Index of 23 kg/m² (BMI=weight/height 2)
What is avaps ? AVAPS suggested settings Estimation of the exhaled tidal
AVAPS is a support function that can be activated within our S, S/T, PC and T
AVAPS Settings volume (Vte)
pressure modes. It automatically adapts pressure support to patient needs to
guarantee an average tidal volume. 1. Set the Target Tidal Volume
Digital Auto-TRAK algorithm combined with the BiPAP system is able to quickly identify the

Based on the Auto-TRAK algorithm
performance, the patient's tidal volume is
estimated at each breath and compared with
the target tidal volume. Inspiratory pressure
increases or decreases from breath to breath
to ensure the preset tidal volume.
Inspiratory pressure smoothly changes
(<1cmH2O/min) so as not to affect patient
comfort, and to prevent any potential patient-
ventilator disynchronization.
In case the patient tidal volume is far from the set target Vt an accelarating factor will allow the inspiratory
pressure to change faster by up to 3 cmH2O/min.
Which patients?
To 8ml/kg of the ideal weight and adjust depending on patient pathology
2. Set IPAP Limits
IPAP max = 25 to 50 cmH2O depending on patient condition and
and
maximum pressure available on the machine
IPAP min = EPAP + 4 cmH2O depending on patient condition
Check patient arterial blood gases (PaCO2 and PaO2) and oxygen saturation (SpO2)
leak by comparing the original baseline flow to the new baseline flow. Differences are recognized
as leaks, and adjusted for, quickly.
Auto-TRAK algorithm estimates patient flow to provide:
• Automatic triggers: sensitivity remains optimal even with a change in leaks and patient’s
respiratory mechanics
• An estimation of exhaled patient tidal volume (Vte) for ventilation monitoring and for
AVAPS. Based on Auto-TRAK advanced technology, AVAPS ensures a close monitoring of Vte
and adjusts IPAP to maintain a true averaged patient tidal volume.

•  Obese hypoventilation patients: To compensate for changes in body position; averaged

tidal volume ensured

•  COPD patients: To achieve a combination of ventilation comfort and efficiency with no

* Conversion table to set the target tidal volume in relation to the ideal weight:
compromise. Get both benefits by applying “the right pressure at the right time”
Height Calculated ideal Target Vte Target Vte
•  Restrictive patients: To provide the comfort and leak compensation of a pressure mode, weight (if BMI = 23) if 8 ml/kg if 10 ml/kg
and the safety of a guaranteed volume 1.50 m 52.0 kg 410 ml 520 ml
1.55 m 55.0 kg 440 ml 550 ml
1.60 m 59.0 kg 470 ml 590 ml

Which benefits?
1.65 m 62.5 kg 500 ml 620 ml
1.70 m 66.5 kg 530 ml 660 ml

•  Make titration process easier, no IPAP adjustment needed 1.75 m 70.5 kg 560 ml 700 ml
1.80 m 74.5 kg 600 ml 740 ml
•  Follow disease progression as patient's ventilatory needs change
1.85 m 78.5 kg 630 ml 780 ml
•  Improve patient’s ventilation efficacy and comfort 1.90 m 83.0 kg 660 ml 830 ml
•  Increase safety by guaranteeing an averaged tidal volume Above data have been calculated with an ideal Body Mass Index of 23 kg/m² (BMI=weight/height 2)
Clinical reference Philips Healthcare is part of
Royal Philips Electronics
Philips Respironics Asia Pacific
+65 6882 5282
AVAPS
Average Volume Assured Pressure Support
Auto-TRAK algorithm How to reach us Philips Respironics Australia
www.philips.com/healthcare +61 (2) 9666 4444
• “ Performance Characteristics of 10 Home Mechanical Ventilators in Pressure-Support Mode” healthcare@philips.com
Philips Respironics China
Chest 2005, Battisti and Co Asia +86 800 820 6665
+49 7031 463 2254 +86 400 820 6665
• “Noninvasive Ventilator Triggering in Chronic Obstructive Pulmonary Disease” AJRCCM 2001,
Europe, Middle East, Africa Philips Respironics Deutschland
Stell and Co
+49 7031 463 2254 +49 8152 93 06 0
• “Performance Characteristics of Bilevel Pressure Ventilators” Chest 1997, Bunburaphong and Co Latin America Philips Respironics France
+55 11 2125 0744 +33 2 51 89 36 00
AVAPS support function
North America Philips Respironics Italy
• “Average volume assured pressure support in obesity hypoventilation: a randomized cross-over +1 425 487 7000 +39 039 203 1

trial” Chest 2006, Storre and Co 800 285 5585 (toll free, US only)
Philips Respironics Sweden
Philips Respironics +46 8 120 45 900
AVAPS, a unique clinically proven technology 1010 Murry Ridge Lane
Philips Respironics Switzerland
Murrysville, PA 15668
+41 6 27 45 17 50
• For patients with Obesity Hypoventilation Syndrome

AVAPS guide
Customer Service
“The addition of AVAPS to BPV-S/T provides beneficial physiologic improvements, resulting in a Philips Respironics United Kingdom
+1 724 387 4000
more efficient decrease of PtcCO2 compared to BPV-S/T therapy alone.” +44 800 1300 845
800 345 6443 (toll free, US only)
Average Volume Assured Pressure Support in Obesity www.philips.com/respironics
Philips Respironics International
Hypoventilation: a Randomized Cross-Over Trial. Storre, et al. Chest 2006.

• For patients with chest deformities

Headquarters
+33 1 47 28 30 82
“The right pressure at the right time for more
“After switching to BiPAP-AVAPS therapy, the results included an increase in average oxygen patient comfort and more efficient ventilation”
saturation, a reduction of pCO2 levels and an improved acceptance of therapy compared to
previously used ventilation methods.” Respironics, Synchrony, BiPAP, Auto-TRAK are trademarks of Respironics, Inc. and its affiliates
.All rights are reserved.
Average Volume Assured Pressure Support (AVAPS) for Pressure-Controlled Ventilation
(BiPAP Therapy). Kerl, et al. Please visit www.philips.com/respironics
Poster presented at the German National Home Mechanical Congress, 2004.

• For patients with hypercapnic COPD

“AVAPS mask ventilation has similar efficacy and produces better subjective effects on sleep as
compared with PS in COPD patients with chronic hypercapnia.”
A pilot study on efficacy of nocturnal AVAPS mask ventilation in patients with hypercapnic COPD.
© 2011 Koninklijke Philips Electronics N.V. All rights are reserved.
Philips Healthcare reserves the right to make changes in specifications and/or to discontinue any
product at any time without notice or
obligation and will not be liable for any consequences resulting from the use of this publication.

Crisafulli, et al. Broudy AE 5/17/11 MCI 4103857 PN 1081265

Poster presented at the ATS congress, 2008.

Clinical reference Philips Healthcare is part of
Royal Philips Electronics
Philips Respironics Asia Pacific
+65 6882 5282
AVAPS
Average Volume Assured Pressure Support
Auto-TRAK algorithm How to reach us Philips Respironics Australia
www.philips.com/healthcare +61 (2) 9666 4444
• “ Performance Characteristics of 10 Home Mechanical Ventilators in Pressure-Support Mode” healthcare@philips.com
Philips Respironics China
Chest 2005, Battisti and Co Asia +86 800 820 6665
+49 7031 463 2254 +86 400 820 6665
• “Noninvasive Ventilator Triggering in Chronic Obstructive Pulmonary Disease” AJRCCM 2001,
Europe, Middle East, Africa Philips Respironics Deutschland
Stell and Co
+49 7031 463 2254 +49 8152 93 06 0
• “Performance Characteristics of Bilevel Pressure Ventilators” Chest 1997, Bunburaphong and Co Latin America Philips Respironics France
+55 11 2125 0744 +33 2 51 89 36 00
AVAPS support function
North America Philips Respironics Italy
• “Average volume assured pressure support in obesity hypoventilation: a randomized cross-over +1 425 487 7000 +39 039 203 1

trial” Chest 2006, Storre and Co 800 285 5585 (toll free, US only)
Philips Respironics Sweden
Philips Respironics +46 8 120 45 900
AVAPS, a unique clinically proven technology 1010 Murry Ridge Lane
Philips Respironics Switzerland
Murrysville, PA 15668
+41 6 27 45 17 50
• For patients with Obesity Hypoventilation Syndrome

AVAPS guide
Customer Service
“The addition of AVAPS to BPV-S/T provides beneficial physiologic improvements, resulting in a Philips Respironics United Kingdom
+1 724 387 4000
more efficient decrease of PtcCO2 compared to BPV-S/T therapy alone.” +44 800 1300 845
800 345 6443 (toll free, US only)
Average Volume Assured Pressure Support in Obesity www.philips.com/respironics
Philips Respironics International
Hypoventilation: a Randomized Cross-Over Trial. Storre, et al. Chest 2006.

• For patients with chest deformities

Headquarters
+33 1 47 28 30 82
“The right pressure at the right time for more
“After switching to BiPAP-AVAPS therapy, the results included an increase in average oxygen patient comfort and more efficient ventilation”
saturation, a reduction of pCO2 levels and an improved acceptance of therapy compared to
previously used ventilation methods.” Respironics, Synchrony, BiPAP, Auto-TRAK are trademarks of Respironics, Inc. and its affiliates
.All rights are reserved.
Average Volume Assured Pressure Support (AVAPS) for Pressure-Controlled Ventilation
(BiPAP Therapy). Kerl, et al. Please visit www.philips.com/respironics
Poster presented at the German National Home Mechanical Congress, 2004.

• For patients with hypercapnic COPD

“AVAPS mask ventilation has similar efficacy and produces better subjective effects on sleep as
compared with PS in COPD patients with chronic hypercapnia.”
A pilot study on efficacy of nocturnal AVAPS mask ventilation in patients with hypercapnic COPD.
© 2011 Koninklijke Philips Electronics N.V. All rights are reserved.
Philips Healthcare reserves the right to make changes in specifications and/or to discontinue any
product at any time without notice or
obligation and will not be liable for any consequences resulting from the use of this publication.

Crisafulli, et al. Broudy AE 5/17/11 MCI 4103857 PN 1081265

Poster presented at the ATS congress, 2008.