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Review Article
- Pulmonary
- Home mechanical ventilation: back to basics
- Sunghoon Park, Eui-Sik Suh
- Acute Crit Care. 2020;35(3):131-141. Published online August 31, 2020
- DOI: https://doi.org/10.4266/acc.2020.00514
- 11,672 View
- 522 Download
- 7 Web of Science
- 5 Crossref
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Abstract
PDF - Over recent decades, the use of home mechanical ventilation (HMV) has steadily increased worldwide, with varying prevalence in different countries. The key indication for HMV is chronic respiratory failure with alveolar hypoventilation (e.g., neuromuscular and chest wall disease, obstructive airway diseases, and obesity-related respiratory failure). Most modern home ventilators are pressure-targeted and have sophisticated modes, alarms, and graphics, thereby facilitating optimization of the ventilator settings. However, different ventilators have different algorithms for tidal volume estimation and leak compensation, and there are also several different circuit configurations. Hence, a basic understanding of the fundamentals of HMV is of paramount importance to healthcare workers taking care of patients with HMV. When choosing a home ventilator, they should take into account many factors, including the current condition and prognosis of the primary disease, the patient’s daily performance status, time (hr/day) needed for ventilator support, family support, and financial costs. In this review, to help readers understand the basic concepts of HMV use, we describe the indications for HMV and the factors that influence successful delivery, including interface, circuits, ventilator accessories, and the ventilator itself.
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Citations
Citations to this article as recorded by
- Nusinersen for Spinal Muscular Atrophy Type I with Chronic Respiratory Failure: A Retrospective Study in South Korea
Hui Jin Shin, Ji-Hoon Na, Hyunjoo Lee, Young-Mock Lee
Yonsei Medical Journal.2023; 64(12): 705. CrossRef - Adaptation of Caregivers of Individuals on Mechanical Ventilation to Caregiving Role
Tuba Yilmaz Bulut, İlknur Aydin Avci, Mesiya Aydin
Indian Journal of Critical Care Medicine.2023; 28(1): 41. CrossRef - Indications and evidence for domiciliary noninvasive ventilation
Anita Saigal, Amar J Shah, Swapna Mandal
Expert Review of Respiratory Medicine.2023; 17(12): 1141. CrossRef - Treatment of acute respiratory failure: noninvasive mechanical ventilation
Sunghoon Park
Journal of the Korean Medical Association.2022; 65(3): 144. CrossRef - Mental health reported in adult invasive home mechanical ventilation through a tracheostomy: A scoping review
Martin Locht Pedersen, Charlotte Handberg, Pia Dreyer
International Journal of Nursing Studies Advances.2022; 4: 100110. CrossRef
- Nusinersen for Spinal Muscular Atrophy Type I with Chronic Respiratory Failure: A Retrospective Study in South Korea
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