Ventilator integrated polygraphy for patients using non-invasive ventilation; Case report
The COVID-19 pandemic has meant that home respiratory services have needed to be reviewed. As a result, new solutions have been developed and implemented. The Vivo 45™ (Breas, Mölnlycke, Sweden) is a ventilator that offers clinicians the ability to attach effort belts to the device. This allows the...
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Format: | Article |
Language: | English |
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Frontiers Media S.A.
2022-07-01
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Series: | Frontiers in Medicine |
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Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2022.852896/full |
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author | Helena López-Brull Estefanía Mira-Padilla Sarah Hussein Antoine Guerder Estelle Wozniak Violeta Esteban-Ronda Jésus Gonzalez-Bermejo Jésus Gonzalez-Bermejo |
author_facet | Helena López-Brull Estefanía Mira-Padilla Sarah Hussein Antoine Guerder Estelle Wozniak Violeta Esteban-Ronda Jésus Gonzalez-Bermejo Jésus Gonzalez-Bermejo |
author_sort | Helena López-Brull |
collection | DOAJ |
description | The COVID-19 pandemic has meant that home respiratory services have needed to be reviewed. As a result, new solutions have been developed and implemented. The Vivo 45™ (Breas, Mölnlycke, Sweden) is a ventilator that offers clinicians the ability to attach effort belts to the device. This allows the clinician to review ventilator traces with the addition of thoracic and abdominal activity. This allows more flexibility for the monitoring of patients at home and in the hospital, with detection of patient ventilator asynchrony (PVA). Decreasing PVA may improve ventilator adherence and increased ventilator usage improves survival. We report three cases of patients undergoing overnight monitoring with the Vivo 45™, highlighting the benefit of ventilator integrated polygraphy. In our three cases we demonstrate a simple safe tool to optimize NIV treatment over one or two-night recordings using ventilator downloaded software with the addition of effort belts and pulse oximetry without involving more than one machine and without hospitalization in a sleep unit. |
first_indexed | 2024-04-13T03:26:31Z |
format | Article |
id | doaj.art-ab579a3454e14a5587b5e709baf94479 |
institution | Directory Open Access Journal |
issn | 2296-858X |
language | English |
last_indexed | 2024-04-13T03:26:31Z |
publishDate | 2022-07-01 |
publisher | Frontiers Media S.A. |
record_format | Article |
series | Frontiers in Medicine |
spelling | doaj.art-ab579a3454e14a5587b5e709baf944792022-12-22T03:04:39ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2022-07-01910.3389/fmed.2022.852896852896Ventilator integrated polygraphy for patients using non-invasive ventilation; Case reportHelena López-Brull0Estefanía Mira-Padilla1Sarah Hussein2Antoine Guerder3Estelle Wozniak4Violeta Esteban-Ronda5Jésus Gonzalez-Bermejo6Jésus Gonzalez-Bermejo7Hospital General Universitario Alicante, Alicante, SpainHospital Universitario Reina Sofía, Córdoba, SpainService de Réhabilitation Respiratoire (Département R3S), AP-HP, Groupe Hospitalier Universitaire APHP-Sorbonne Université, Site Pitié-Salpêtrière, Paris, FranceService de Réhabilitation Respiratoire (Département R3S), AP-HP, Groupe Hospitalier Universitaire APHP-Sorbonne Université, Site Pitié-Salpêtrière, Paris, FranceService de Réhabilitation Respiratoire (Département R3S), AP-HP, Groupe Hospitalier Universitaire APHP-Sorbonne Université, Site Pitié-Salpêtrière, Paris, FranceHospital Universitario San Juan de Alicante, Alicante, SpainService de Réhabilitation Respiratoire (Département R3S), AP-HP, Groupe Hospitalier Universitaire APHP-Sorbonne Université, Site Pitié-Salpêtrière, Paris, FranceInstitut National de la Santé et de la Recherche Médicale (INSERM), UMRS1158 Neurophysiologie Respiratoire Expérimentale et Clinique, Sorbonne Université, Paris, FranceThe COVID-19 pandemic has meant that home respiratory services have needed to be reviewed. As a result, new solutions have been developed and implemented. The Vivo 45™ (Breas, Mölnlycke, Sweden) is a ventilator that offers clinicians the ability to attach effort belts to the device. This allows the clinician to review ventilator traces with the addition of thoracic and abdominal activity. This allows more flexibility for the monitoring of patients at home and in the hospital, with detection of patient ventilator asynchrony (PVA). Decreasing PVA may improve ventilator adherence and increased ventilator usage improves survival. We report three cases of patients undergoing overnight monitoring with the Vivo 45™, highlighting the benefit of ventilator integrated polygraphy. In our three cases we demonstrate a simple safe tool to optimize NIV treatment over one or two-night recordings using ventilator downloaded software with the addition of effort belts and pulse oximetry without involving more than one machine and without hospitalization in a sleep unit.https://www.frontiersin.org/articles/10.3389/fmed.2022.852896/fullNIVCOPDpatient ventilator asynchronymonitoringcase report |
spellingShingle | Helena López-Brull Estefanía Mira-Padilla Sarah Hussein Antoine Guerder Estelle Wozniak Violeta Esteban-Ronda Jésus Gonzalez-Bermejo Jésus Gonzalez-Bermejo Ventilator integrated polygraphy for patients using non-invasive ventilation; Case report Frontiers in Medicine NIV COPD patient ventilator asynchrony monitoring case report |
title | Ventilator integrated polygraphy for patients using non-invasive ventilation; Case report |
title_full | Ventilator integrated polygraphy for patients using non-invasive ventilation; Case report |
title_fullStr | Ventilator integrated polygraphy for patients using non-invasive ventilation; Case report |
title_full_unstemmed | Ventilator integrated polygraphy for patients using non-invasive ventilation; Case report |
title_short | Ventilator integrated polygraphy for patients using non-invasive ventilation; Case report |
title_sort | ventilator integrated polygraphy for patients using non invasive ventilation case report |
topic | NIV COPD patient ventilator asynchrony monitoring case report |
url | https://www.frontiersin.org/articles/10.3389/fmed.2022.852896/full |
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