Abstract
Home ventilators with built-in software provide substantial information for monitoring home noninvasive ventilation, such as compliance, pattern of ventilator use, leaks, respiratory rate, percentage of respiratory cycles triggered and cycled by the device, and apnea-hypopnea index. Certain values are reliable and useful, however, reliability of data is not equivalent between all ventilators. The clinician should thus not rely only on these data for adjusting ventilator settings.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Abbreviations
- %Trigg:
-
Percentage of respiratory cycles triggered by the patient
- ABG:
-
Arterial blood gases
- AHI:
-
Apnea-hypopnea index
- COPD:
-
Chronic obstructive pulmonary disease
- NIV:
-
Noninvasive ventilation
- OHS:
-
Obesity hypoventilation syndrome
- RR:
-
Respiratory rate
- VE:
-
Minute volume
- VT:
-
Tidal volume
References
Janssens JP, Borel JC, Pépin JL. Nocturnal monitoring of home non-invasive ventilation: the contribution of simple tools such as pulse oximetry, capnography, built-in ventilator software and automatic markers of sleep fragmentation. Thorax. 2011;66:438–45.
Pasquina P, Adler D, Farr P, Bourqui P, Bridevaux PO, Janssens JP. What does built-in software of home ventilators tell us? An observational study of 150 patients on home ventilation. Respiration. 2012;83:293–9.
Borel JC, Pelletier J, Taleux N, Briault A, Arnol N, Pison C, Tamisier R, Timsit JF, Pepin JL. Parameters recorded by software of non-invasive ventilators predict COPD exacerbation: a proof-of-concept study. Thorax. 2015;70:284–5.
Battisti A, Tassaux D, Janssens JP, Michotte JB, Jaber S, Jolliet P. Performance characteristics of 10 home mechanical ventilators in pressure-support mode: a comparative bench study. Chest. 2005;127:1784–92.
Contal O, Vignaux L, Combescure C, Pepin JL, Jolliet P, Janssens JP. Monitoring of noninvasive ventilation by built-in software of home bilevel ventilators: a bench study. Chest. 2012;141:469–76.
Luján M, Sogo A, Pomares X, Monsó E, Sales B, Blanch L. Effect of leak and breathing pattern on the accuracy of tidal volume estimation by commercial home ventilators: a bench study. Respir Care. 2013;58:770–7.
Sogo A, Montanyà J, Monsó E, Blanch L, Pomares X, Lujà n M. Effect of dynamic random leaks on the monitoring accuracy of home mechanical ventilators: a bench study. BMC Pulm Med. 2013;13:75.
Rabec C, Georges M, Kabeya NK, Baudouin N, Massin F, Reybet-Degat O, Camus P. Evaluating noninvasive ventilation using a monitoring system coupled to a ventilator: a bench-to-bedside study. Eur Respir J. 2009;34:902–13.
Contal O, Adler D, Borel JC, Espa F, Perrig S, Rodenstein D, Pépin JL, Janssens JP. Impact of different back up respiratory rates on the efficacy of noninvasive positive pressure ventilation in obesity hypoventilation syndrome: a randomized trial. Chest. 2013;143:37–46.
Dreher M, Storre JH, Schmoor C, Windisch W. High-intensity versus low-intensity non-invasive ventilation in patients with stable hypercapnic COPD: a randomised crossover trial. Thorax. 2010;65:303–8.
Murphy P, Brignall K, Moxham J, Polkey M, Davidson C, Hart N. High pressure versus high intensity noninvasive ventilation in stable hypercapnic chronic obstructive pulmonary disease: a randomized crossover trial. Int J Chron Obstruct Pulmon Dis. 2012;7:811–8.
Georges M, Adler D, Contal O, Espa F, Perrig S, Pépin JL, Janssens JP. Reliability of apnea-hypopnea index measured by a home bi-level pressure support ventilator versus a polysomnographic assessment. Respir Care. 2015;60(7):1051–6.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Pasquina, P., Janssens, JP., Contal, O., Adler, D. (2016). Software for Home Ventilators and Leak Compensation: Key Technical and Practical Applications. In: Esquinas, A. (eds) Noninvasive Mechanical Ventilation. Springer, Cham. https://doi.org/10.1007/978-3-319-21653-9_8
Download citation
DOI: https://doi.org/10.1007/978-3-319-21653-9_8
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-21652-2
Online ISBN: 978-3-319-21653-9
eBook Packages: MedicineMedicine (R0)