Hospital monitoring, setting and training for home non invasive ventilation

Domenico Fiorenza, M. Vitacca, E. Clini

Research output: Contribution to journalArticlepeer-review

Abstract

Although in recent years guidelines have been published in order to define indications, applications and delivery of long-term home non invasive mechanical ventilation (HNMV), there is lack of information with regards to in-hospital assessment, planning and training to initiate and prescribe it. Discontinuation and lack of compliance versus HNMV may affect the follow-up of these patients adding a costly burden for care. The present review proposes an operative flow chart for optimisation of HNMV prescription from initial patient's selection to post discharge follow up including; 1. assessment of the correct choice of ventilator, interfaces, ventilation setting 2. Timing for different physiological monitoring (arterial gases, mechanics, sleep) 3. Timing for clinical evaluation, machine adaptation, carer training and long term follow-up.

Original languageEnglish
Pages (from-to)119-122
Number of pages4
JournalMonaldi Archives for Chest Disease - Cardiac Series
Volume59
Issue number2
Publication statusPublished - Apr 2003

Keywords

  • Home care
  • Non invasive ventilation
  • Training

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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