Limits...
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.


Troubleshooting of crucial issues in pressure support ventilation [67].
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC2682925&req=5

Figure 9: Troubleshooting of crucial issues in pressure support ventilation [67].

Mentions: The same causes were identified by Schönhofer and he proposed corrective actions [66], mostly aimed at inspiratory and expiratory triggers, inspiratory risetime and respiratory rates. This work by Schönhofer leads to investigate various critical components and reasons for failure of putting a ventilator on a patient (Fig. 9). Schönhofer and co-author conclude that, in addition to mask adjustment, adjusting some of the ventilator settings is also a key action to reduce patient ventilator disturbances.


Monitoring Patient/Ventilator Interactions: Manufacturer's Perspective.

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

Troubleshooting of crucial issues in pressure support ventilation [67].
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 9: Troubleshooting of crucial issues in pressure support ventilation [67].
Mentions: The same causes were identified by Schönhofer and he proposed corrective actions [66], mostly aimed at inspiratory and expiratory triggers, inspiratory risetime and respiratory rates. This work by Schönhofer leads to investigate various critical components and reasons for failure of putting a ventilator on a patient (Fig. 9). Schönhofer and co-author conclude that, in addition to mask adjustment, adjusting some of the ventilator settings is also a key action to reduce patient ventilator disturbances.

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.