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    The AAST Advanced Sleep Titration e-Learning Course is an online education offering dedicated to state-of-the-art titration technology and techniques. The course is a series of five modules that progressively build on the lessons of the previous module(s), resulting in a thorough understanding of cardiorespiratory anatomy and physiology and enhancement of your Positive Airway Pressure (PAP) titration skills.

     A companion piece to the AAST Advanced Sleep Titration e-Learning Course, the hardcopy 126-page Advanced Titration Workbook will assist sleep health professionals gain a thorough understanding of cardiorespiratory anatomy and physiology and enhancement of your Positive Airway Pressure (PAP) titration skills. The workbook is also available in an e-Book version.

    Modules Overview

    AAST_499553-20_Titration_Graphics_updates_600x600Topics covered in this online course include:

    • Anatomy and Physiology
    • CPAP and BPAP Titration Guidelines
    • Adaptive Servo Ventilation (ASV)
    • Noninvasive Positive Pressure Ventilation (NPPV)
    • Average Volume Assured Pressure Support Auto EPAP (AVAPS-AE)

    As an added benefit, each module includes a glossary and a knowledge check section to validate key learning objectives. In addition to the learning modules there are three interactive titration scenarios that will allow students to practice new titration skills, and apply lessons learned through the course. 

    Pricing and Purchase Information

    AAST Members: $95

    Login to your AAST Member account before purchasing the Advanced Sleep Titration Course to track your CECs in your Continuing Education Transcript. 

    Purchase - Member

    Non-Members: $120

    Login to your AAST Guest account or create a Guest account before purchasing the course.Purchase - Nonmember

    Module Descriptions

    Module 1 - Anatomy & Physiology: This module provides a review of the basic concepts of the cardiopulmonary system from the primary components of the respiratory system, ventilatory assessment and control, and the impact of common lung diseases to anatomical issues that impact management of sleep-disordered breathing. This module provides a basis for implementing problem-based therapy and the rationale for where to start and why.

    Module 2- CPAP & BPAP Titration Guidelines: This module outlines the indications for and goals of PAP therapy and reviews the CPAP and BPAP titration guidelines for adult and pediatric patients. Also covered is the importance of patient education regarding symptoms and health effects of sleep-disordered breathing, the therapy itself, and long-term management. This module concludes by addressing the rationale and methods for switching to bi-level therapy and titration protocols, based on when and how the switch occurs, along with a reminder of the importance of knowledge of physiology and disease in the titration process.

    Module 3 - Adaptive Servo Ventilation (ASV): This module reviews the indications and contraindications for use of ASV therapy in patients with central sleep apnea, variable breathing patterns such as seen in Cheyne-Stokes respiration, or treatment emergent complex sleep apnea in OSA patients. This module includes a comprehensive overview of what ASV is, how it works, which patients benefit from ASV therapy, and the potential risks. The module concludes by addressing the pathophysiology of the disorders that require this type of therapy, principles of operation, and the titration protocol itself, thereby ensuring a thorough understanding of the appropriate use of this therapy.

    Module 4 - Noninvasive Positive Pressure Ventilation (NPPV): This module covers the use of noninvasive mechanical ventilation and Average Volume Assured Pressure Support or AVAPS to reduce work of breathing in patients with respiratory failure. The common disorders that affect patients who are appropriate for this therapy and the goals of therapy, along with detailed equipment settings and titration protocols, are provided. The benefits of therapy and adjustments to therapy related to comfort and disease progression are outlined. A case study that includes a demonstration of the changes in breathing pattern throughout the titration and rationale for the final settings is included so that students gain an understanding of how to appropriately apply this therapy.

    Module 5 - Average Volume Assured Pressure Support AVAPS-Auto EPAP (AVAPS-AE): This module provides an overview of AVAPS-AE technology and how and when to employ it.  AVAPS technology provides noninvasive ventilation for patients with chronic respiratory insufficiency, and in the AE mode also treats Obstructive Sleep Apnea (OSA) using auto EPAP. Moreover, this technology utilizes and adjusts pressure support to maintain a target tidal volume and can provide an adjustable backup rate when needed. Covered in this module are the disorders appropriate for this therapy, a thorough explanation of the device algorithm and operation, appropriate settings based on specific sleep-disordered breathing problems, and patient comfort settings information. Titration protocols are also provided that address appropriate titration settings based on the specific sleep-disordered breathing problems for which this therapy is appropriate. Contents of this module provide an excellent introduction to AVAPS-AE technology and its effectiveness in patients with advanced therapy needs.

    Advanced Titration Workbook & e-Book Overview

    AAST Advanced Sleep Titration Workbook To further your learning, purchase Advanced Sleep Titration Workbook. This valuable reference for both new and seasoned sleep technologists performing advanced PAP titration is designed as a complimentary resource to the AAST Advanced Sleep Titration e-Learning Course.

    The workbook, and e-Book version, covers the same five topical areas as the online course:

    • Anatomy and Physiology
    • CPAP and BPAP Titration Guidelines
    • Adaptive Servo Ventilation (ASV)
    • Noninvasive Positive Pressure Ventilation (NPPV)
    • Average Volume Assured Pressure Support Auto EPAP (AVAPS-AE)

    A knowledge check section for each module reinforces learning and allows you to test your comprehension after reading and reviewing. 

    Pricing and Purchase Information

    Whether you prefer a hard copy at your side or the easily accessed online version, AAST members receive a $25 discount.

    AAST Member: $80 | Non-Member: $105

    To purchase the AAST Advanced Sleep Titration Workbook, visit the AAST Online Store. Please anticipate 5-7 business days for shipping.

    AAST Store
    Pricing for Online e-Book
    Upon purchase, your e-Book is immediately available in your Learning Center.

    AAST Member: $75 | Non-Member: $95

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    Sleep technologists, sleep physicians, and respiratory therapists looking to build their knowledge of, and hone their skills in utilizing advanced titration technologies.

    CEC Information

    This course has been approved for 6.0 AAST CECs and has been approved by the AARC for 6.0 CECs.

    Access Information

    The AAST Advanced Sleep Titration e-Learning Course is currently available through the AAST Learning Center. Upon completion of your online transaction, you will receive immediate access to all five modules, glossary of terms, and interactive titration scenarios wherein students can validate lessons learned in the course. Students enjoy unlimited access to the course for 90 days following the date of purchase.

    Group Discount Opportunity

    Program managers, professors, or organizations who purchase 5+ licenses to the AAST Advanced Titration e-Learning Course qualify for a 5% discount on the total purchase price.

    If you or your organization would like to take advantage of this discount, please email AAST at info@aastweb.org and provide your first name, last name, and email addresses of all those who you would like to enroll in the e-learning course. Upon receipt of payment, access to the course will be provided to those on the list provided.