Target volume settings for home mechanical ventilation: great progress or just a gadget?: Table 1

Target volume settings for home mechanical ventilation: great progress or just a gadget?

Home mechanical ventilation (HMV) is a well-established treatment option for patients with chronic hypercapnic respiratory failure, whereby non-invasive positive pressure ventilation (NPPV) serves as the predominant means of HMV delivery. 2 In general, there are two physiologicallydifferent modes of NPPV deliveries, volume-preset NPPV and pressure-preset NPPV. During volume-preset NPPV a fixed ...

Home mechanical ventilation for COPD: high-intensity versus target volume noninvasive ventilation.

BACKGROUND High-intensity noninvasive ventilation (HI-NIV) is the most effective means of improving several physiological and clinical parameters in subjects with chronic hypercapnic COPD. Whether the newer hybrid mode using target tidal volume noninvasive ventilation (target V(T) NIV) provides additional benefits remains unclear. METHODS Subjects with COPD successfully established on long-te...

Mouthpiece ventilation: just a home-care support?

Noninvasive ventilation (NIV) is recognized nowadays as the first choice of treatment for COPD exacerbation. Compared with standard medical treatment, it can significantly reduce the intubation rate, hospital stay, nosocomial infection, and, above all, mortality rate.1,2 Physiological studies have shown that the mechanism of action of NIV in this population is the ability to sustain alveolar ve...

Choosing a ventilator for home mechanical ventilation

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...