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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Main Authors: Helena López-Brull, Estefanía Mira-Padilla, Sarah Hussein, Antoine Guerder, Estelle Wozniak, Violeta Esteban-Ronda, Jésus Gonzalez-Bermejo
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-07-01
Series:Frontiers in Medicine
Subjects:
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.
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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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