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Monitoring Patient/Ventilator Interactions: Manufacturer's Perspective.

Evers G, Loey CV - Open Respir Med J (2009)

Bottom Line: The introduction of reduced and more powerful electronics has allowed the transition of medical equipment such as respiratory support devices from the hospital to the patient's home environment.Also, remote telemedicine has been raised as a potential solution for many years without yet overall acceptance due to legal, technical and ethical problems.Benefits of new technologies in respiratory support devices give the technical foundation for the transition from hospital to home and reducing patient/ventilator asynchronies.Healthcare infrastructure has to follow this trend in terms of cost savings versus hospital stays.

View Article: PubMed Central - PubMed

Affiliation: Breas Medical AB, Företagsvägen 1, SE-435 33 Mölnlycke, Sweden.

ABSTRACT
The introduction of reduced and more powerful electronics has allowed the transition of medical equipment such as respiratory support devices from the hospital to the patient's home environment. Even if this move could be beneficial for the patient, the clinician ends up in a delicate situation where little or no direct supervision is possible on the delivered treatment.Progress in technologies led to an improved handling of patient-device interaction: manufacturers are promoting new or improved ventilation modes or cycling techniques for better patient-ventilator coupling. Even though these ventilation modes have become more responsive to patient efforts, adversely they might lead to events such as false triggering, autotriggering, delayed triggering.In addition, manufacturers are developing tools to enhance the follow-up, remotely or offline, of the treatment by using embedded memory in the respiratory devices. This logging might be beneficial for the caregiver to review and document the treatment and tune the settings to the patient's need and comfort. Also, remote telemedicine has been raised as a potential solution for many years without yet overall acceptance due to legal, technical and ethical problems.Benefits of new technologies in respiratory support devices give the technical foundation for the transition from hospital to home and reducing patient/ventilator asynchronies. Healthcare infrastructure has to follow this trend in terms of cost savings versus hospital stays.

No MeSH data available.


Various commercially available devices for establishing remote connections.
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Figure 8: Various commercially available devices for establishing remote connections.

Mentions: In addition to viewing patient waveforms, readjusting ventilator performance and settings could be possible in the home or in relatively remote settings [50, 57-59]. Many commercial non-medical devices are available to achieve that function (Fig. 8). They could be interfaced with the existing ventilators to build the bridge between home and hospital. This approach has been tested and confirmed on OSA patients [60, 61], but not yet on mechanically ventilated patients [62]. One would note that even if telecare has become more present in publications, Botsis and colleagues in a review on Telecare for elderly chronic disease patients revealed that yet less than 10% of the studies published were on COPD or respiratory related pathologies [63].


Monitoring Patient/Ventilator Interactions: Manufacturer's Perspective.

Evers G, Loey CV - Open Respir Med J (2009)

Various commercially available devices for establishing remote connections.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2682925&req=5

Figure 8: Various commercially available devices for establishing remote connections.
Mentions: In addition to viewing patient waveforms, readjusting ventilator performance and settings could be possible in the home or in relatively remote settings [50, 57-59]. Many commercial non-medical devices are available to achieve that function (Fig. 8). They could be interfaced with the existing ventilators to build the bridge between home and hospital. This approach has been tested and confirmed on OSA patients [60, 61], but not yet on mechanically ventilated patients [62]. One would note that even if telecare has become more present in publications, Botsis and colleagues in a review on Telecare for elderly chronic disease patients revealed that yet less than 10% of the studies published were on COPD or respiratory related pathologies [63].

Bottom Line: The introduction of reduced and more powerful electronics has allowed the transition of medical equipment such as respiratory support devices from the hospital to the patient's home environment.Also, remote telemedicine has been raised as a potential solution for many years without yet overall acceptance due to legal, technical and ethical problems.Benefits of new technologies in respiratory support devices give the technical foundation for the transition from hospital to home and reducing patient/ventilator asynchronies.Healthcare infrastructure has to follow this trend in terms of cost savings versus hospital stays.

View Article: PubMed Central - PubMed

Affiliation: Breas Medical AB, Företagsvägen 1, SE-435 33 Mölnlycke, Sweden.

ABSTRACT
The introduction of reduced and more powerful electronics has allowed the transition of medical equipment such as respiratory support devices from the hospital to the patient's home environment. Even if this move could be beneficial for the patient, the clinician ends up in a delicate situation where little or no direct supervision is possible on the delivered treatment.Progress in technologies led to an improved handling of patient-device interaction: manufacturers are promoting new or improved ventilation modes or cycling techniques for better patient-ventilator coupling. Even though these ventilation modes have become more responsive to patient efforts, adversely they might lead to events such as false triggering, autotriggering, delayed triggering.In addition, manufacturers are developing tools to enhance the follow-up, remotely or offline, of the treatment by using embedded memory in the respiratory devices. This logging might be beneficial for the caregiver to review and document the treatment and tune the settings to the patient's need and comfort. Also, remote telemedicine has been raised as a potential solution for many years without yet overall acceptance due to legal, technical and ethical problems.Benefits of new technologies in respiratory support devices give the technical foundation for the transition from hospital to home and reducing patient/ventilator asynchronies. Healthcare infrastructure has to follow this trend in terms of cost savings versus hospital stays.

No MeSH data available.