Definitional Criteria for Patient Transitions Relevant to Prolonged and Long-term Mechanical Ventilation: A Delphi Study

The response rate was 84% (54 of 64), with 44 adult and 10 pediatric centres providing data for 428 VAIs (301 invasive ventilation; 127 noninvasive ventilation [NIV]), equivalent to 1.3 VAIs per 100,000 population. An additional 106 VAIs were on wait lists in 18 centres. More VAIs with progressive neuromuscular disease received invasive ventilation than NIV (P<0.001); more VAIs with chronic obstructive pulmonary disease (P<0.001), obesity hypoventilation syndrome (P<0.001) and central hypoventilation syndrome (P=0.02) required NIV. All centres used positive pressure ventilators, 21% diaphragmatic pacing, 15% negative pressure and 13% phrenic nerve stimulation. Most centres used lung volume recruitment (55%), manually (71%) and mechanically assisted cough (55%). Lack of beds and provincial funding were common admission barriers.CONCLUSIONS: Variable models and care practices exist for institutionalized care of Canadian VAIs. Patient prevalence was 1.3 per 100,000 Canadians.

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Institutional Care for Long‐Term Mechanical Ventilation in Canada: A National Survey

Rose

McKim

Katz

et al. 2014

Canadian Respiratory Journal

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Definitional Criteria for Patient Transitions Relevant to Prolonged and Long-term Mechanical Ventilation: A Delphi Study

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Institutional Care for Long‐Term Mechanical Ventilation in Canada: A National Survey

Institutional Care for Long‐Term Mechanical Ventilation in Canada: A National Survey

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