Section 4: Home monitoring and follow-up of home-ventilated children

  title={Section 4: Home monitoring and follow-up of home-ventilated children},
  author={A. C{\^o}t{\'e}},
  journal={Canadian Journal of Respiratory, Critical Care, and Sleep Medicine},
  pages={23 - 31}
  • A. Côté
  • Published 2018
  • Medicine
  • Canadian Journal of Respiratory, Critical Care, and Sleep Medicine
Children receiving home mechanical ventilation (HMV) are at risk of acute deterioration and adverse events. Although caregivers represent the first-line monitoring for the child to identify acute events that could be potentially life threatening, monitoring equipment is often used. This section reviews the literature on the use of home monitoring. The objective of the review is to focus on the use of external monitoring devices; however, as ventilators used in the home environment have their… Expand
2 Citations
Follow-Up and Monitoring of Children Needing Long Term Home Ventilation
Large prospective studies, together with international and national guidelines, are required in order to build evidence for standardizing practice for the follow-up and weaning of CPAP/NIV in children. Expand
Editorial: Pediatric Long-Term Non-invasive Ventilation


Assessment of compliance with home cardiorespiratory monitoring in infants at risk of sudden infant death syndrome. Collaborative Home Infant Monitoring Evaluation (CHIME).
This study population of infants at increased risk of sudden infant death syndrome had excellent compliance andDocumented monitoring provides an objective measure of compliance, and these data provide a potential goal for level of compliance with home cardiorespiratory monitoring. Expand
Initiation of home mechanical ventilation at home: a randomised controlled trial of efficacy, feasibility and costs.
This study is the first to show that initiation of HMV at home in a selective group of patients with chronic respiratory failure is as effective for gas exchange and quality of life as hospital initiation, and that more than € 3000 per patient can be saved compared to standard care. Expand
Core guidelines for the discharge home of the child on long term assisted ventilation in the United Kingdom
These core guidelines aim to assist a smooth, swift and successful transfer of chronically ventilated children from intensive care units and acute medical beds to home care. Expand
Risk Factors for Morbidity and Mortality in Pediatric Home Mechanical Ventilation
Pediatric HMV including all age and diagnostic groups shows a low incidence of emergencies, and only age, but not underlying diagnosis or mode of ventilation, correlated with incidence of emergency. Expand
Documented Home Apnea Monitoring: Effect on Compliance, Duration of Monitoring, and Validation of Alarm Reporting
Documented monitoring offers a viable alternative to traditional monitoring and pneumograms in assisting clinicians and families in evaluating their infant's progress by accurately assessing compliance, distinguishing true from false alarms, and decreasing the need for pneumograms. Expand
Outcome of home mechanical ventilation in children.
Home mechanical ventilation may be a reasonably safe and cost-effective alternative to prolonged hospitalization for the ventilator-dependent child. Expand
Analysis of home support and ventilator malfunction in 1,211 ventilator-dependent patients
Patients using HV have a substantial requirement for assistance, with most technical problems being resolved simply and where no fault can be found during an equipment check, the patient themselves may be unwell and should receive early clinical evaluation. Expand
Thirty years of home mechanical ventilation in children: escalating need for pediatric intensive care beds
Over time, there was an impressive increase in the application of HMV in children, and this increase was most obvious in the youngest age group with invasive HMV, and these children had very long stays in the PICU. Expand
Apnea, sudden infant death syndrome, and home monitoring.
Recommendations regarding the appropriate use of home cardiorespiratory monitoring after hospital discharge emphasize limiting use to specific clinical indications for a predetermined period, using only monitors equipped with an event recorder, and counseling parents that monitor use does not prevent sudden, unexpected death in all circumstances. Expand
Children on long-term ventilatory support: 10 years of progress
The last 10 years has seen a very significant increase in the number of children requiring LTV in the UK with an increasing number cared for at home, and a continuing change in attitude towards long-term support, particularly in children with neuromuscular diseases. Expand