Setting up home noninvasive ventilation

Author:

Arnal Jean-Michel1ORCID,Thevenin Charles-Philippe2,Couzinou Benoit2,Texereau Joelle3,Garnero Aude1

Affiliation:

1. Service de Réanimation Polyvalente, Hôpital Sainte Musse, Toulon, France

2. Centre EXPLOR, Air Liquide HealthCare, Gentilly, France

3. VitalAire France, Air Liquide HealthCare, Gentilly, France

Abstract

Home noninvasive ventilation (NIV) is widely used to correct nocturnal alveolar hypoventilation in patients with chronic respiratory failure of various etiologies. The most commonly used ventilation mode is pressure support with a backup respiratory rate. This mode requires six main settings, as well as some additional settings that should be adjusted according to the individual patient. This review details the effect of each setting, how the settings should be adjusted according to each patient, and the risks if they are not adjusted correctly. The examples described here are based on real patient cases and bench simulations. Optimizing the settings for home NIV may improve the quality and tolerance of the treatment.

Publisher

SAGE Publications

Subject

Pulmonary and Respiratory Medicine

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