Weaning from Mechanical Ventilation Followed at Home with the Aid of a Telemedicine Program
| Autor: | Giuliano Assoni, Simonetta Scalvini, Lucia Marchina, Bruno Balbi, Alberto Guerra, Michele Vitacca, Piera Pizzocaro |
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| Rok vydání: | 2007 |
| Předmět: |
Telemedicine
medicine.medical_specialty medicine.medical_treatment Health Informatics Spontaneous breathing trial Breathing pattern Health Information Management Heart Rate Heart rate Humans Medicine Weaning Monitoring Physiologic Mechanical ventilation business.industry Respiration Pulmonologist General Medicine Middle Aged medicine.disease Home Care Services Caregivers Emergency medicine Breathing Female Medical emergency business Ventilator Weaning |
| Zdroj: | Telemedicine and e-Health. 13:445-450 |
| ISSN: | 1556-3669 1530-5627 |
| DOI: | 10.1089/tmj.2006.0069 |
| Popis: | We describe the use of telemedicine in support of weaning from invasive mechanical ventilation on a 63-year-old woman of at home by means of a telepneumology program (TPP). Under telephone assistance of a pulmonologist and a TPP nurse tutor, the pulsed arterial saturimetric (pSaT), heart rate (HR), breathing pattern tracing monitoring transmitted via a home telephone line and the aid of the caregiver, the patient was able to maintain diurnal spontaneous breathing after 24 spontaneous breathing trial (SBT) steps twice daily. The duration of each SBT period progressively increased starting from 30 minutes up to 8 hours. This case report shows that many patients at home on ventilators could possibly be weaned through the use of remote monitoring and call center response, with only family/caregivers on-site. |
| Databáze: | OpenAIRE |
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