Abstract
The first patients on home mechanical ventilation were treated already about 80 years ago. The technical development of compact, easy to use and less expensive ventilators contributes to a still increasing number of patients with home mechanical ventilation.
The term home mechanical ventilation neither distinguishes between invasive and non-invasive ventilation nor provides any information about the location where the patient is cared for (patient’s home, long-term care facility, or a specialized nursing home).
The indication for home mechanical ventilation is chronic hypercapnic failure and in most cases intermittent use of NIV is sufficient. NIV is superior to invasive ventilation regarding self-administration of NIV by the patient, speaking, swallowing, coughing, prevention of pneumonia, quality of life, and cost-effectiveness. NIV teams (pulmonologist, respiratory therapist, respiratory care nurse) are essential for successful acute NIV intervention and the initiation of home mechanical ventilation is not imaginable without such an expert team.
Focusing on elder, palliative, and end-of-life care patients, there is in fact an indication for NIV though NIV for end-of-life care is a rather an issue at hospital than at home.
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Stieglitz, S. (2020). Home Mechanical Ventilation. In: Esquinas, A., Vargas, N. (eds) Ventilatory Support and Oxygen Therapy in Elder, Palliative and End-of-Life Care Patients . Springer, Cham. https://doi.org/10.1007/978-3-030-26664-6_28
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DOI: https://doi.org/10.1007/978-3-030-26664-6_28
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