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...

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...

Home mechanical ventilation of children.

The medical records of 89 ventilator-assisted children followed at the University of Michigan Medical Center from 1978 to 1993 were reviewed. The status of these children was remarkably stable. Parameters of communication, nutrition, education, and mobility changed very little over time, and fewer than half had to be re-admitted. Children aged 9 to 12 years had the most nursing hours; in terms ...

Choosing a ventilator for home mechanical ventilation

Who benefits from home mechanical ventilation?

chronic respiratory failure (CRF) in the home has been one of the major advances of respiratory medicine. The delivery of ventilatory support has progressed from negative pressure devices, introduced as a consequence of the poliomyelitis epidemics in the 1940s and 1950s, through ventilation via tracheostomy to non-invasive ventilation (NIV) via face or nasal masks. NIV has expanded from its ini...