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. 2021 Jan-Mar;14(Spec 1):31–40. doi: 10.5935/1984-0063.20200086

Table 2. Face-to-face appointment.

Face-to-face appointment Actions
D0 The PAP prescription, mask and pressure setting must be performed by a doctor. A health professional duly qualified in sleep- disordered breathing can provide services that include mask testing, PAP equipment adjustments and usage guidelines.
  Evaluation of clinical complaints and PAP parameters together with the prescribing physician
  Issue adherence and effectiveness report and detailed report.
  Evaluate:
D15 Annually • Usage time: in the adherence and effectiveness report, analyze the average hours of use in the period, the percentage of days of use of >4h, and use of PAP for more than 4 hours per night in 70% of the nights evaluated. In the detailed report, note whether there is sleep fragmentation during the period of night use or in other periods, for example, disguised as good hours of use.
 D30 (1st month) • Residual AHI: considering the data from the polysomnography exam, check residual AHI (>10/h), weighing the indices for all events that can be detected, such as obstructive apnea, central apnea, hypopneas, RERA and Cheyne-Stokes respiration;
 D90 (3rd month) • Leakage/escape: in the reports, evaluate the total leakage value according to Table 4 of standardized maximum leakage, and check the efficiency of the mask adjustment and the residual AHI.
 D180 (6th month) Whenever necessary, perform adjustment of settings of the PAP equipment, according to the efficiency results presented in the reports generated by the equipment. This information must be registered in the medical record, and the patient must be aware of the adjustment made
 D360 (12th month) D30: Final adjustment of parameters of the PAP equipment, according to the efficiency results presented in the reports generated by the equipment.
Annually Guidance regarding the replacement and cleaning of accessories, such as filters and mask.
  Completion of the medical report and send to patient.