Using Telemedicine to Monitor the Patient with Chronic Respiratory Failure

Ambrosino, Nicolino; Pierucci, Paola

doi:10.3390/life11111113

Cited by 9 publications

(11 citation statements)

References 92 publications

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“…Tables 1 and 2 summarize the main results on the effectiveness of TM and tele-rehabilitation in lung diseases. However, in general, positive results are demonstrated in emergency room admissions, exacerbation-related readmissions, early detection of acute exacerbation of COPD, and health-related outcomes [25][26][27][28][29][30][31][32][33][34][35][36]. Additionally, a review of tele-rehabilitation papers showed similar, favorable outcomes compared to standard, center-based pulmonary rehabilitation in functional exercise capacity, health related quality of life, and dyspnea [37][38][39][40][41].…”

Section: Published Results On Effectivenessmentioning

confidence: 99%

“…Oxygen saturation measurements utility [32] Asthma Symptoms and total dose of oral prednisolone [33] Respiratory diseases Utility of noninvasive portable Digital Technologies [34] COPD Use of Forced expiratory volume assessed daily, resting respiratory rate, respiratory sounds, end-tidal carbon dioxide level [28] COPD/asthma Adherence to therapy [35] Chronic Respiratory Failure Reduction in emergency room visits, exacerbation-related readmissions, GP urgent calls, and hospitalizations [36] Table 2. Effectiveness of tele-rehabilitation in lung diseases (reviews and meta-analyses).…”

Section: Copdmentioning

confidence: 99%

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Telemedicine as a Means to an End, Not an End in Itself

Vitacca

Scalvini

2022

Life

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Telemedicine (TM)—the management of disease at a distance—has potential usefulness for patients with advanced respiratory disease. Underscoring this potential is the dramatic expansion of its applications in clinical medicine. However, since clinical studies testing this intervention often provide heterogeneous results, its role in the medical management of respiratory disorders remains inconclusive. A major problem in establishing TM’s effectiveness is that it is not a single intervention; rather, it includes a number of divergent diagnostic and therapeutic modalities—and each must be tested separately. Reflecting the discord between the need for further documentation of its approaches and effectiveness and its rapid utilization without this needed information, a major challenge is the lack of international guidelines for its integration, regulation, operational plans, and guidance for professionals. Tailored TM, with increased flexibility to address differing healthcare contexts, has the potential to improve access to and quality of services while reducing costs and direct input by health professionals. We should view TM as a tool to aid healthcare professionals in managing their patients with respiratory diseases rather than as a stand-alone substitute to traditional medical care. As such, TM is a means rather than an end.

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Section: Published Results On Effectivenessmentioning

confidence: 99%

Section: Copdmentioning

confidence: 99%

Telemedicine as a Means to an End, Not an End in Itself

Vitacca

Scalvini

2022

Life

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“…This is true except for the most vulnerable patients, including those with tracheotomy and HIMV and their caregivers. In these categories, telemedicine may be considered to replace the usual in-person care in the referring center, depending on circumstances and patient/career preferences, with the help of structured integrated care with a multidisciplinary team of specialists and general physicians and local/home-based health care providers [ 39 , 48 ]. It is also to be considered that a diverse relationship between caregiver and patient (spouse vs. parent of the patient) may vary the approach to the problem and the related outcome.…”

Section: Discussionmentioning

confidence: 99%

Caregivers of Neuromuscular Patients Living with Tracheostomy during COVID-19 Pandemic: Their Experience

Pierucci

Volpato

Grosso

et al. 2023

JCM

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Background: During a pandemic, tracheostomy management in neuromuscular disease (NMD) patients can be complex. Methods: Using a multicentre, multiple case study approach, we sought perspectives through semi-structured interviews via hybrid quali-quantitative analysis. The qualitative analysis involved a semi-structured interview and the quantitative analysis the completion of a battery of questionnaires. Aim: To investigate the caregivers’ experiences, burden and beliefs regarding tracheostomy during the Italian COVID-19 pandemic. The following instruments were administered: Connor and Davidson Resilience Scale (CD-RISC-25); Acceptance and Action Questionnaire-II (AAQ-II); State-Trait Anxiety Inventory (STAI); Langer Mindfulness Scale (LMS); Zarit Burden Interview (ZBI). Results: Fifty-three caregivers (62.3% female, mean age 52.2 (SD = 18.2)) participated in the study. The more resilient the carers, the more they were psychologically flexible (r = 0.380, p = 0.014) and able to cope adaptively with the emergency (r = 0.378, p < 0.006). Similarly, perceived control was higher the more resilient they were (r = 0.897, p < 0.001). The main emotions emerging were isolation and loneliness (15; 34.88%). The perception of tracheostomy meant that it could be seen as a lifesaver or as a condemnation. Similarly, the relationship with health professionals moves from satisfaction to a feeling of abandonment over the course of the pandemic. Conclusions: These findings offer a unique opportunity to understand the point of view of caregivers of NMD patients living with tracheotomy during the COVID-19 pandemic, when going to the hospital may have been hampered.

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“…More recently, modalities of tele-monitoring have been proposed as a means to manage difficult-to-wean patients and VAIs 45,46 .…”

Section: Specialised Weaning Unitmentioning

confidence: 99%

Prolonged Weaning and Respiratory Intensive Care Units. A Narrative Review

Ambrosino¹,

Vitacca²

2022

BRN

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Progress in management, while improving hospital survival of critically ill individuals in intensive care units (ICU), has also increased the prevalence of individuals needing prolonged weaning from mechanical ventilation (PMV). Respiratory intensive care units (RICUs) may provide an environment also for these individuals. A narrative review searching literature was performed in PubMed and Scopus databases of publications between 1990 and 2022 using the keywords "chronic critical illness", "non-invasive mechanical ventilation", "physiotherapy and ICU", "RICU", "tracheostomy", "ventilator assisted individuals", "weaning mechanical ventilation". Results show that there are recent developments in ventilatory strategies, protocols, physiotherapy, and location for individuals needing PMV to be managed also in RICU. In conclusion, present medical training of clinicians and locations like ICU do not appear to be enough to face problems posed by PMV. RICU may be helpful.

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Using Telemedicine to Monitor the Patient with Chronic Respiratory Failure

Cited by 9 publications

References 92 publications

Telemedicine as a Means to an End, Not an End in Itself

Telemedicine as a Means to an End, Not an End in Itself

Caregivers of Neuromuscular Patients Living with Tracheostomy during COVID-19 Pandemic: Their Experience

Prolonged Weaning and Respiratory Intensive Care Units. A Narrative Review

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