Research Article
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Year 2021, Volume: 3 Issue: 1, 44 - 47, 22.01.2021
https://doi.org/10.38053/acmj.838695

Abstract

References

  • Goldstein RS, Psek JA, GortEH. Home mechanical ventilation. Demographic sand user perspectives. Chest 1995; 108: 1581-6.
  • EroğluA, Ulusoy H, ErciyesN. Mechanical venlation at home. O.M.U. Medical Journal 2003; 20: 28-31.
  • Scrinivan S, Doty SM, White TR. Frequency causes, and outcome of home ventilatorfailure. Chest 1998; 114: 1363-7.
  • Muir JF, Cuvelier A. Evaluation of candidates for long-term ventilation. Respir Care Clin North Am 2002; 8: 405-18.
  • Wallis C, Paton JY, Beaton S, Jardine E. Children on long-term ventilatory support: 10years of progress. Arch Dis Child 2011; 96: 998-1002.
  • Gowans M, Keenan HT, Bratton SL. The population prevalence of children receiving invasive home ventilation in Utah. Pediatr Pulmonol 2007; 42: 231-6.
  • Hein H, Schucher B, Magnussen H. Quality of life of various patient groups during home mechanical ventilation. Med Clin 1999; 94: 99-101.
  • KarakurtZ.Homemechanicalventilation.JournaloftheTurkishsocietyofintensivecare. 2004; 4: 145-50.
  • Amin R, Sayal P, Syed F, Chaves A, Moraes TJ, MacLusky I. Pediatric long-term home mechanical ventilation: twenty years of follow-up from one Canadian center. Pediatr Pulmonol 2014; 49: 816-24.
  • Simonds AK. Respiratory support for the severely handicapped child with neuromuscular disease: ethics and practicality. Semin Respir Crit Care Med 2007; 28: 342-54.
  • Edwards EA, O’Toole M, Wallis C. Sending children home on tracheostomy dependent ventilation: pitfall sand outcomes. Arch Dis Child 2004; 89: 251-5.

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

Year 2021, Volume: 3 Issue: 1, 44 - 47, 22.01.2021
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.

References

  • Goldstein RS, Psek JA, GortEH. Home mechanical ventilation. Demographic sand user perspectives. Chest 1995; 108: 1581-6.
  • EroğluA, Ulusoy H, ErciyesN. Mechanical venlation at home. O.M.U. Medical Journal 2003; 20: 28-31.
  • Scrinivan S, Doty SM, White TR. Frequency causes, and outcome of home ventilatorfailure. Chest 1998; 114: 1363-7.
  • Muir JF, Cuvelier A. Evaluation of candidates for long-term ventilation. Respir Care Clin North Am 2002; 8: 405-18.
  • Wallis C, Paton JY, Beaton S, Jardine E. Children on long-term ventilatory support: 10years of progress. Arch Dis Child 2011; 96: 998-1002.
  • Gowans M, Keenan HT, Bratton SL. The population prevalence of children receiving invasive home ventilation in Utah. Pediatr Pulmonol 2007; 42: 231-6.
  • Hein H, Schucher B, Magnussen H. Quality of life of various patient groups during home mechanical ventilation. Med Clin 1999; 94: 99-101.
  • KarakurtZ.Homemechanicalventilation.JournaloftheTurkishsocietyofintensivecare. 2004; 4: 145-50.
  • Amin R, Sayal P, Syed F, Chaves A, Moraes TJ, MacLusky I. Pediatric long-term home mechanical ventilation: twenty years of follow-up from one Canadian center. Pediatr Pulmonol 2014; 49: 816-24.
  • Simonds AK. Respiratory support for the severely handicapped child with neuromuscular disease: ethics and practicality. Semin Respir Crit Care Med 2007; 28: 342-54.
  • Edwards EA, O’Toole M, Wallis C. Sending children home on tracheostomy dependent ventilation: pitfall sand outcomes. Arch Dis Child 2004; 89: 251-5.
There are 11 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research Articles
Authors

Abdullah Kahraman 0000-0002-5397-8841

Mustafa Özgür Cırık 0000-0002-9449-9302

Publication Date January 22, 2021
Published in Issue Year 2021 Volume: 3 Issue: 1

Cite

AMA Kahraman A, Cırık MÖ. Invasive home mechanical ventilation (I-HMV) experience at a palliative care center. Anatolian Curr Med J / ACMJ / acmj. January 2021;3(1):44-47. doi:10.38053/acmj.838695

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