Monitoring Systems in Home Ventilation

Arnal, Jean-Michel; Oranger, Mathilde; Gonzalez-Bermejo, Jésus

doi:10.3390/jcm12062163

Cited by 9 publications

(7 citation statements)

References 58 publications

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“…Available data depend on the ventilator, the modality of ventilation (CPAP or BPAP) and the manufacturer, and are of lower quality as compared with data displayed on built-in software. 110 Statistics, trends and overnight trends are available either directly on the web-platform or as pdf reports, which is less practical. However, breath-by-breath tracing data are not available on most platforms, which precludes detailed monitoring of residual respiratory events and/or patient-ventilator asynchronies.…”

Section: Telemonitoringmentioning

confidence: 99%

“…Most ventilators are now equipped with either built‐in or external teletransmission systems to allow telemonitoring through web‐based platforms. Available data depend on the ventilator, the modality of ventilation (CPAP or BPAP) and the manufacturer, and are of lower quality as compared with data displayed on built‐in software 110 . Statistics, trends and overnight trends are available either directly on the web‐platform or as pdf reports, which is less practical.…”

Section: Niv Monitoringmentioning

confidence: 99%

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Mask interfaces and devices for home noninvasive ventilation in children

Khirani,

Ducrot

2024

Pediatric Pulmonology

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Home noninvasive ventilation (NIV), including continuous (CPAP) and bilevel (BPAP) positive airway pressure, is increasingly used in children worldwide. In this narrative review, we present a comprehensive summary of the equipment available for home NIV in pediatrics, excluding neonates. NIV may be challenging in young children, as the majority of the equipment has been developed for adults. Regarding the interfaces, only a few masks have been specifically developed for young children in recent years, while older children may benefit from a large variety of interfaces. Even though much progress has been made, skin injuries are still present, and need to be managed rapidly. Several studies addressed the management of the side effects, but recent studies are lacking regarding orofacial anomalies. No recent study reported the available interfaces for young children and the strategies for an optimal mask fit. Regarding the devices, an adapted NIV device to pediatrics that allows an adequate patient's breathing detection should guarantee optimal ventilatory efficiency and monitoring of NIV. A close follow‐up and regular monitoring should be mandatory to rule out the potential issues, optimize NIV therapy and ascertain the efficacy of NIV. However, studies are lacking to guide the choice of devices in young children and the optimal management of home NIV in pediatrics. We summarized the characteristics of the different interfaces available for young children and the limitations of NIV devices. We finally addressed potential areas for future research on long‐term home NIV in children.

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Section: Telemonitoringmentioning

confidence: 99%

Section: Niv Monitoringmentioning

confidence: 99%

Mask interfaces and devices for home noninvasive ventilation in children

Khirani,

Ducrot

2024

Pediatric Pulmonology

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“…Pulse oximetry can be carried out during ventilation, using a stand-alone POs or a POs connected to the ventilator. Anyway, it adds a lot of useful information for clinicians [ 95 ]. Currently, almost all ventilators used for treating OSA has a built-in hardware and software (built-in software - BIS stored data) which usually measure and record in own memory card among other parameters: the pressure used by the machine, the AHI as well as air leaks [ 95 ].…”

Section: Pulse-oximetry Tele-medicine and Tele-monitoringmentioning

confidence: 99%

“…Anyway, it adds a lot of useful information for clinicians [ 95 ]. Currently, almost all ventilators used for treating OSA has a built-in hardware and software (built-in software - BIS stored data) which usually measure and record in own memory card among other parameters: the pressure used by the machine, the AHI as well as air leaks [ 95 ]. The same built-in software can also be used to record data from home auto-titrating machine which finds the best therapeutic pressure [ 96 ] to start the treatment.These data can then be downloaded in the outpatient clinic for follow up, but some machines can also transmit data remotely.…”

Section: Pulse-oximetry Tele-medicine and Tele-monitoringmentioning

confidence: 99%

Improving the management of patients with chronic cardiac and respiratory diseases by extending pulse-oximeter uses: the dynamic pulse-oximetry

Nardini,

Corbanese,

Visconti

et al. 2023

Multidiscip Respir Med

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Respiratory and cardio-vascular chronic diseases are among the most common noncommunicable diseases (NCDs) worldwide, accounting for a significant portion of health-care costs in terms of mortality and disability. Their prevalence is expected to rise further in the coming years as the population ages. The current model of care for diagnosing and monitoring NCDs is out of date because it results in late medical interventions and/or an unfavourable cost-effectiveness balance based on reported symptoms and subsequent inpatient tests and treatments. Health projects and programs are being implemented in an attempt to move the time of an NCD's diagnosis, as well as its monitoring and follow-up, out of hospital settings and as close to real life as possible, with the goal of benefiting both patients' quality of life and health system budgets. Following the SARS-CoV-2 pandemic, this implementation received additional impetus. Pulse-oximeters (POs) are currently used in a variety of clinical settings, but they can also aid in the telemonitoring of certain patients. POs that can measure activities as well as pulse rate and oxygen saturation as proxies of cardio-vascular and respiratory function are now being introduced to the market. To obtain these data, the devices must be absolutely reliable, that is, accurate and precise, and capable of recording for a long enough period of time to allow for diagnosis. This paper is a review of current pulse-oximetry (POy) use, with the goal of investigating how its current use can be expanded to manage not only cardio-respiratory NCDs, but also acute emergencies with telemonitoring when hospitalization is not required but the patients' situation is uncertain. Newly designed devices, both "consumer" and "professional," will be scrutinized, particularly those capable of continuously recording vital parameters on a 24-hour basis and coupling them with daily activities, a practice known as dynamic pulse-oximetry.

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“…Arnal et al [ 9 ] tackle the important issue of monitoring NIV. This is required to optimize the ventilator settings when the lung condition changes over time and to detect common problems such as unintentional leaks, upper airway obstructions, and patient–ventilator asynchronies.…”

mentioning

confidence: 99%