Initiation of Chronic Non-invasive Ventilation

Autor: Duiverman, Marieke L., Jesus, Filipa, Bladder, Gerrie, Wijkstra, Peter J.
Zdroj: Sleep Medicine Clinics; September 2024, Vol. 19 Issue: 3 p419-430, 12p
Abstrakt: Initiation of home non-invasive ventilation (NIV) requires careful consideration of the patient’s condition, motivation, expectations, wishes, and social circumstances. The decision to start NIV depends on a combination of factors including patient symptoms and objective evidence of nocturnal hypoventilation. A solid understanding of the underlying pathophysiology is key to a systematic and well-balanced clinical approach to titrating NIV. The location where NIV is initiated is not the most relevant issue, provided that it is a comfortable, safe environment in which adequate monitoring can be assured. The majority of patients prefer their own home for treatment initiation.
Databáze: Supplemental Index