- Continuous Glucose Monitoring
- Oxygen Therapy
- Sleep Apnea
- Home Ventilation
- For Professionals
- Products
Clinical Indications of home ventilation
Clinical Indications of home ventilation
Clinical Indications
- Restrictive or mixed syndrome with alveolar hypoventilation.
- Palliative cases after a decompensation or patient who can not weaned from ventilator.
Patients attained by chronic respiratory insufficiency with alveolar hypoventilation and hypercapnia:
- nocturnal PtcCO2 (transcutaneous pressure ofthe carbon dioxide) > 50 mmHg; and/or fordiurnal PACO2 (arterialpartial pressure of the carbon dioxide) >45 mmHg.
- In case of failure of the long-term oxygénothérapy in COPD patients with clinical signs of hypoventilation, PACO2> 55 mmHg and frequent hospitalisations for exacerbations.
The prescription informations
- The type of prescript: initiation, renewal, changing parameters
- type of ventilation: invasive or not;
- The type of ventilator: without battery, with internal battery, or life support;
- brand and model of the ventilator (compulsory in paediatrics patients) with the parameters;
- The length of daily ventilation (nocturne± diurnal);
- The parameters of ventilation (Inspiratory Pressure, expiratory pressure, frequency …)
- The type of interface (mark and model are compulsory in pediatrics);
- The type of circuit;
- accessories (humidification, oximeter, alarms…..).
- The monitoring of the ventilation SPO2;Ptc CO2;polygraphy…
The 4 objectives of the ventilation
| Reduce the work of breathing | Increase alveolar ventilation | Improve gas exchanges | Normalise blood gases |
Non invasive ventilation contraindication
- Absence of motivation and the collaboration of the patient
- strict Disturbances of swallowing
- bronchial Blockage resistant to assisted cough