Home Mechanical Ventilation through Mask: Monitoring Leakage and Nocturnal Oxygenation at Home

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Home Mechanical Ventilation through Mask: Monitoring Leakage and Nocturnal Oxygenation at Home

Background: Leakage is common in patients receiving home mechanical ventilation (HMV) via a face mask. Although pressure ventilators have partial compensatory capacity, excessive leakage can compromise the effectiveness of treatment. Home ventilators are equipped with built-in software which provides information on leakage. However, the values of leakage and their effects in routine clinical pr...

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Home mechanical ventilation through mask: monitoring leakage and nocturnal oxygenation at home.

BACKGROUND Leakage is common in patients receiving home mechanical ventilation (HMV) via a face mask. Although pressure ventilators have partial compensatory capacity, excessive leakage can compromise the effectiveness of treatment. Home ventilators are equipped with built-in software which provides information on leakage. However, the values of leakage and their effects in routine clinical pra...

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Nocturnal home pulse oximetry: variability and clinical implications in home mechanical ventilation.

BACKGROUND Nocturnal home pulse oximetry (NHPO) provides information by measuring a series of variables: time spent with SaO(2) <90% expressed as percentage (T90) or in minutes (Tm90), mean SaO(2) (MnS), and lowest SaO(2) (LwS.) The presence of significant nocturnal desaturation has been proposed as a parameter in decision making with regard to initiating home mechanical ventilation (HMV) or mo...

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Home mechanical ventilation.

Mechanical ventilation originated as an in-hospital service but there is now an increasing demand for provision at home [1]. This is a consequence of social pressures, a better understanding of the significance of nocturnal hypoventilation in the pathogencsis of respiratory failure, and an awareness of respiratory muscle fatigue. It is important to recognize that there are two quite different c...

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Home mechanical ventilation

Definition and goals ofhome mechanical ventilation Born during the polio epidemics of 50 years ago, home mechanical ventilation has evolved towards two distinct concepts-a life support system for patients without respiratory independence (high cervical spinal cord injury, end stage neuromuscular disease, or chronic obstructive pulmonary disease), and elective therapy for patients with progressi...

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ژورنال

عنوان ژورنال: Respiration

سال: 2013

ISSN: 1423-0356,0025-7931

DOI: 10.1159/000341983