P136 Domiciliary Bilevel Ventilation at Sunshine Coast University Hospital

INTRODUCTION: Positive airway pressure therapy, including bilevel (BPAP) and continuous positive airway pressure (CPAP), is the mainstay of management of a group of chronic conditions that culminate in chronic hypercapnic respiratory failure such as chronic obstructive pulmonary disease (COPD), obesity hypoventilation syndrome (OHS) and respiratory muscle weakness. Heterogeneously across these conditions, BPAP can decrease hospital admission and prolong quality and duration of life. In COPD (when with comorbid obstructive sleep apnoea) and OHS, there has been some evidence to suggest that the far more economical CPAP is as effective. Here we compare local practice to guideline suggested management and previous Australasian audit data. METHODS: Adult patients currently managed with domiciliary BPAP by the SCUH Sleep Department were identified from local a database. Demographics, medical diagnoses, premorbid functional status, indications for BPAP, funding of BPAP, outcomes of therapy and attempts to de-escalate to CPAP were collected. RESULTS: 64 patient were identified. Data collection and analysis is ongoing and will be presented at full at the conference. Intended Outcome and Impact: We aim to review local practice managing chronic hypercapnic respiratory failure with BPAP with hope it could inform future local practice.