Positive airway pressure and oxygen therapy in the sleep laboratory.

Adequate titration of PAP and oxygen therapy depends on intuitive, observant, and highly skilled acquisition technicians. Sleep laboratories must have a variety of equipment to ensure that technicians have adequate resources during manual titrations. Titration policies and procedures must be determined and written by sleep laboratory staff to ensure compliance with third-party payers, provide guidance to technical staff, and enable ongoing quality improvement processes. Methods of PAP and NIPPV are discussed.