Practical Insight to Monitor Home NIV in COPD Patients

@article{Arnal2017PracticalIT,
  title={Practical Insight to Monitor Home NIV in COPD Patients},
  author={J. Arnal and J. Texereau and A. Garnero},
  journal={COPD: Journal of Chronic Obstructive Pulmonary Disease},
  year={2017},
  volume={14},
  pages={401 - 410}
}
ABSTRACT Home noninvasive ventilation (NIV) is used in COPD patients with concomitant chronic hypercapnic respiratory failure in order to correct nocturnal hypoventilation and improve sleep quality, quality of life, and survival. Monitoring of home NIV is needed to assess the effectiveness of ventilation and adherence to therapy, resolve potential adverse effects, reinforce patient knowledge, provide maintenance of the equipment, and readjust the ventilator settings according to the changing… Expand
Two-way remote monitoring allows effective and realistic provision of home-NIV to COPD patients with persistent hypercapnia.
TLDR
Findings confirm the benefits of home-NIV in clinical practice and support the use of two-way remote monitoring as a feasible solution to managing the delivery of home -NIV for COPD patients with persistent hypercapnia. Expand
European Respiratory Society guidelines on long-term home non-invasive ventilation for management of COPD
TLDR
The task force conditionally supports the application of LTH-NIV to improve health outcome by targeting a reduction in carbon dioxide in COPD patients with persistent hypercapnic respiratory failure. Expand
Domiciliary Noninvasive Ventilation: Strategies for Improving Adherence to Home Use
TLDR
Domiciliary noninvasive ventilation is increasingly used in patients with chronic respiratory failure, and discharge plans and training on the equipment, illustrating potential problems and identifying possible solutions are essential. Expand
The Site of Oxygen Delivery Into a Home Ventilator Affects Recorded Volumes
TLDR
The monitored VT may be inaccurate if oxygen is added with a connector in the circuit, which may have consequences on both the individual level and collective level (ie, big data analysis). Expand
Titration and follow‐up for home noninvasive positive pressure ventilation in chronic obstructive pulmonary disease: The potential role of tele‐monitoring and the Internet of things
TLDR
Reliable tele‐monitoring and transmission of clinical parameters from home to hospitals have prompted the development of IoT‐based home NIPPV. Expand
Continuous remote monitoring of COPD patients—justification and explanation of the requirements and a survey of the available technologies
TLDR
An overview of the available technologies for the remote monitoring of chronic obstructive pulmonary disease patients, together with the most important medical information regarding COPD in a language that is adapted for engineers is presented to bridge the gap between the technical and medical worlds. Expand
Long-term non-invasive ventilation in patients with chronic obstructive pulmonary disease (COPD): 20
BACKGROUND: Chronic hypercapnic respiratory failure is common in advanced chronic obstructive pulmonary disease (COPD) and it is associated with adverse outcomes such as repeat hospitalization andExpand
High-flow nasal cannula oxygen therapy versus non-invasive ventilation for chronic obstructive pulmonary disease patients after extubation: a multicenter, randomized controlled trial
TLDR
Among COPD patients with severe hypercapnic respiratory failure who received invasive ventilation, the use of HFNC after extubation did not result in increased rates of treatment failure compared with NIV, and HFNC also had better tolerance and comfort than NIV. Expand
Long-term non-invasive ventilation in patients with chronic obstructive pulmonary disease (COPD): 2021 Canadian Thoracic Society Clinical Practice Guideline update
Abstract BACKGROUND: Chronic hypercapnic respiratory failure is common in advanced chronic obstructive pulmonary disease (COPD) and it is associated with adverse outcomes such as repeatExpand
Noninvasive Ventilation in COPD
TLDR
A systematic literature search in the PubMed database was performed including clinical trials, meta-analysis and reviews published between January 2017 and March 2019 to give an update on NIV in acute and chronic COPD patients. Expand
...
1
2
...

References

SHOWING 1-10 OF 64 REFERENCES
What Does Built-In Software of Home Ventilators Tell Us? An Observational Study of 150 Patients on Home Ventilation
TLDR
Built-in software of home ventilators provides the clinician with new parameters, some of which are a useful adjunct to recommended tools for monitoring NIV and may contribute to a better understanding of residual hypoventilation and/or desaturations. Expand
Home Mechanical Ventilation for COPD: High-Intensity Versus Target Volume Noninvasive Ventilation
TLDR
Switching subjects from well-established HI-NIV to target VT NIV shows no clinical benefits in chronic hypercapnic COPD, and targetVT NIV might offer some physiological advantages in breathing pattern and might be beneficial in some individual patients. Expand
Nocturnal monitoring of home non-invasive ventilation: the contribution of simple tools such as pulse oximetry, capnography, built-in ventilator software and autonomic markers of sleep fragmentation
TLDR
Data provided by ventilator software help the clinician by estimating ventilation, tidal volume, leaks and the rate of inspiratory or expiratory triggering by the patient, although further validation of these signals by independent studies is indicated. Expand
Polysomnography in stable COPD under non-invasive ventilation to reduce patient–ventilator asynchrony and morning breathlessness
TLDR
The subgroup of COPD patients treated by home NIV, who present marked deventilation dyspnea and unrewarded efforts may benefit from adjustment of ventilator settings under PSG or polygraphy. Expand
Domiciliary nocturnal intermittent positive pressure ventilation in patients with respiratory failure due to severe COPD: long term follow up and effect on survival
TLDR
Domiciliary NIPPV results in improvements in arterial blood gas tensions which are sustained after two years of treatment and reduces both hospital admissions and general practitioner visits by patients with severe COPD in hypercapnoeic respiratory failure. Expand
Noninvasive Ventilation in Chronic Respiratory Failure: Effects on Quality of Life
TLDR
Improvements in HRQoL were associated with improvements in PaO2 and dyspnea in COPD patients, and with total hours of daily ventilator use, improvement in Dyspnea, pressure support and expiratory positive airway pressure in RTD patients. Expand
Home Non-Invasive Mechanical Ventilation and Long-Term Oxygen Therapy in Stable Hypercapnic Chronic Obstructive Pulmonary Disease Patients: Comparison of Costs
TLDR
The present report suggests that long-term management with addition of non-invasive ventilation does not increase costs compared with the usual LTOT regimen: the hospital-related costs were reduced when using the ventilator in these hypercapnic COPD patients. Expand
Effect of sleep on patient/ventilator asynchrony in patients undergoing chronic non-invasive mechanical ventilation.
TLDR
It is concluded that IE to breath are common during nocturnal NIV and that they may be associated with desaturations even in patients who are considered compliant and effectively treated. Expand
Leaks can dramatically decrease FiO2 on home ventilators: a bench study
TLDR
During application of NIV on home ventilators, leakage can dramatically decrease inspired FiO2 making it less effective, so it is important to know theFiO2 dispensed when NIV is used for COPD at home. Expand
Predictors of survival in COPD patients with chronic hypercapnic respiratory failure receiving noninvasive home ventilation.
TLDR
In patients with COPD and CHRF, nutritional status, hyperinflation, and BE, which turned out to be reliable and consistent markers inCHRF, were independent prognostic factors for mortality. Expand
...
1
2
3
4
5
...