Invasive home mechanical ventilation (I-HMV) experience at a palliative care center

Year 2021, , 44 - 47, 22.01.2021

Abdullah Kahraman , Mustafa Özgür Cırık

https://doi.org/10.38053/acmj.838695

Abstract

Aim: Although palliative care has recently become widespreadin the western countries, it has
not fitted on a solid base in our country yet. There is still no consensus on the admission criteria
to palliative care units. There is no widely used guidelines for the management of the patients
after invasive home mechanical ventilation (I-HMV).
In this study, we aimed to share our one-year clinical experience about the patients who were
transferred 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 between
July 2016 and September 2017 were retrospectively analyzed. The anesthesiologist was the
responsible physician of the palliative care center during this time period. The age, sex, primary
diagnosis 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 thepatients
was 47,9 ± 16,39 years. Amyotrophic Lateral Sclerosis (ALS) was seen ın 4 patients and it was
the most commonly encountered indication for admission. The mean duration of stay in our
palliative care unit was 19,1±7,22days. The mean hospital stay was 19,1 days; the longest
hospitalization was 32 days and the shortest hospitalization was 9 days. Only 30% of the
patients 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 intensive
care units and palliative care centers is a critical step to improve the quality of life scores for
patients were on I-HMV.

Keywords

Invasive ventilation, Non invasive ventilation, Palliative care

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