Choosing a ventilator for home mechanical ventilation | 合法醫療器材資訊網

由CGregoretti著作·2013·被引用28次—PhilipsRespironicsTrilogyseries,LindeGarbinseries,WienmannMedicalTechnologyVentilogicLS,Breas/GEVivo50,CovidienPB520/560,AirLiquideMedical ...

Mechanical ventilation, applied either invasively through a tracheotomy tube or non-invasively via a mask, is increasingly used for the long-term management of many forms of severe chronic respiratory failure in the home setting [1–3].

A wide range of home care ventilators (HCV) are now available for long-term mechanical ventilation [4–7]. HCVs are heterogeneous with respect to technical performance and reliability [6, 8], and their user-friendliness for the operator [9, 10]. However, this extended range of commercially available machines makes the choice of the best device for different categories of patients more difficult [8]. Further, manufacturers often propose new ventilatory modes, but, as in the acute critical care setting [11], scientific evidence of their effectiveness and clinical benefit is often lacking.

When choosing a HCV, clinicians rely on personal experience and on the results of observation...