Home ventilation

Simonds, Anita K.

doi:10.1183/09031936.03.00029803

Cited by 125 publications

(106 citation statements)

References 39 publications

(51 reference statements)

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“…It has been proved since 1970s that these devices can be used at home for medically stable patients suffering from chronic respiratory failure (5). HMV allows patients to go home and grow and develop in their natural environment (6). In the past two decades, more and more patients with chronic respiratory failure have been treated with HMV (7).…”

Section: Discussionmentioning

confidence: 99%

Clinical Evaluation of Invasive Home Mechanical Ventilation Dependent Pediatric Patients

et al. 2017

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Objectives: With the advancements in neonatal and pediatric intensive care services and technology, the number of children requiring long term mechanical ventilation support is increasing. Home mechanical ventilators enable discharge of patients with chronic respiratory failure from hospital and allows children to grow in natural environment. The objective of this study was to define clinical characteristics and follow up results of pediatric patients who are dependent on invasive home mechanical ventilation support. Methods:This retrospective study included a total of 61 patients discharged from pediatric intensive care unit while on mechanical ventilation (HMV). Results:The median age of patients was 8.5 (2 -196) months with 60% of them being younger than 12 months. The decision for HMV was made after median 38 ± 37.2 days of mechanical ventilation in hospital. The most common reason of dependency on invasive HMV was found as central nervous system and neuromuscular diseases by 94%. The median duration of follow up was 11 months (4 days-7.5 years). HMV was no longer necessary in 12% of patients ventilated for neurological reasons and 50% for chronic pulmonary diseases. Anthropometric measures were observed to be improved in 69% of the patients. Mortality rate attributed to complications of tracheostomy was 15% and overall mortality was found as 46.7%. Conclusions:HMV enables ventilator dependent patients to be discharged and allows patients to develop and grow in their natural environment which helps them to catch up their growth potentials. The survival and quality of life (QoL) of these patients can be improved by family education and with the support by nutrition and care rehabilitation programs.

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Section: Discussionmentioning

confidence: 99%

Clinical Evaluation of Invasive Home Mechanical Ventilation Dependent Pediatric Patients

et al. 2017

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“…Moreover, improvements in the management of chronic respiratory failure translate into differences in breathing conditions across patients and over time, and this variability is likely to complicate the evaluation of breathing-swallowing interactions. These breathing conditions are now well defined and include spontaneous breathing (SB), (Raphael, Chevret et al 1994), noninvasive mechanical ventilation (NIV) (Bach, Alba et al 1993;Mehta and Hill 2001 (Bach and Alba 1990;Chadda, Louis et al 2002), and tracheostomy with MV (Bach and Alba 1990;Bach 1993;Simonds 2003). In contrast to spontaneously breathing patients, tracheostomized patients receiving assistcontrol MV cannot prolong their expiratory phase.…”

Section: Breathing-swallowing Interaction In Neuromuscular Patientsmentioning

confidence: 99%

Noninvasive Monitoring of Breathing and Swallowing Interaction

Terzi¹,

David²,

Prigent³

et al. 2012

EMG Methods for Evaluating Muscle and Nerve Function

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“…NIV is the primary treatment option for restrictive thoracic disease patients with CRF [8, 53 -55]. This generally encompasses the following conditions [9,56]: " Scoliosis " Kyphosis " Pectus carinatum (pigeon chest)…”

Section: Restrictive Thoracic Diseasesmentioning

confidence: 99%