TY  - JOUR
T1  - Invasive home mechanical ventilation (I-HMV) experience at a palliative care center
AU  - Kahraman, Abdullah
AU  - Cırık, Mustafa Özgür
PY  - 2021
DA  - January
DO  - 10.38053/acmj.838695
JF  - Anatolian Current Medical Journal
JO  - Anatolian Curr Med J / ACMJ / acmj
PB  - MediHealth Academy Yayıncılık
WT  - DergiPark
SN  - 2718-0115
SP  - 44
EP  - 47
VL  - 3
IS  - 1
LA  - en
AB  - Aim: Although palliative care has recently become widespreadin the western countries, it hasnot fitted on a solid base in our country yet. There is still no consensus on the admission criteriato palliative care units. There is no widely used guidelines for the management of the patientsafter invasive home mechanical ventilation (I-HMV).In this study, we aimed to share our one-year clinical experience about the patients who weretransferred from intensive care unit (ICU) first to palliative care center then home with I-HMV.The demographic and clinical data, education and discharge processes were evaluated.Materials and Methods: The cases that used HMV used in the palliative care service betweenJuly 2016 and September 2017 were retrospectively analyzed. The anesthesiologist was theresponsible physician of the palliative care center during this time period. The age, sex, primarydiagnosis and comorbidity of the patients were analyzed using statistical methods.Results: Four patients (40%) were female and 6 (60%) were male, the mean age of thepatientswas 47,9 ± 16,39 years. Amyotrophic Lateral Sclerosis (ALS) was seen ın 4 patients and it wasthe most commonly encountered indication for admission. The mean duration of stay in ourpalliative care unit was 19,1±7,22days. The mean hospital stay was 19,1 days; the longesthospitalization was 32 days and the shortest hospitalization was 9 days. Only 30% of thepatients have chronical disease Two (20%) patients had history of hypertension (HT), one (10%)patient had chronic obstructive pulmonary disease (COPD).Conclusion: The management of the critically ill patients with well coordination of intensivecare units and palliative care centers is a critical step to improve the quality of life scores forpatients were on I-HMV.
KW  - Invasive ventilation
KW  - Non invasive ventilation
KW  - Palliative care
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UR  - https://doi.org/10.38053/acmj.838695
L1  - https://dergipark.org.tr/en/download/article-file/1441196
ER  -