Abstract

MARTINEZ FRAGA, Alejandro et al. Ventilación mecánica domiciliaria con doble nivel de presión positiva: Experiencia de un hospital de Buenos Aires. Rev. am. med. respir. [online]. 2014, vol.14, n.2, pp.136-143. ISSN 1852-236X.

Introduction: Mechanical ventilation equipment for home use is an increasingly common treatment in clinical practice. Objective: Analyze the current situation of patients attending Churruca Hospital with home mechanical ventilation. Describe demographic and clinical characteristics, related to ventilator use and to provision of the home technical services. Materials and Methods: We identified the patients who were prescribed mechanical ventilation from 2000 to 2013. We invited them to come to the hospital to complete and update data about the ventilator use. The Eurovent methodology was used for the classification of respiratory diseases. A questionnaire was delivered to evaluate aspects related to health service access and home control. Results: 43 patients were analyzed; 58% were females, the body mass index was 37.52 ± 11.5 kg/m2. Respiratory diseases: Lung pathologies, 58%; Thoracic pathologies, 26%; Neuromuscular diseases, 14%. 79% of patients were located and 21% were considered lost of sight. 62% currently used the equipment, 26% had stopped using the ventilator and 12% of patients had died. Dropout was registered in 50% of the thoracic group. Among all located patients, 56% reported knowing how to access to home technical service and 50% had never had an equipment control at home. Conclusions: We observed both a female predominance and a high prevalence of obesity among the patients included in the study. Pulmonary diseases were the major reason for prescription of mechanical ventilation at home .We observed a high default rate, especially in the thoracic pathology group. There were few equipment controls at home.

Keywords : invasive ventilation; Home ventilation; Bilevel.

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