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An outpatient approach to home mechanical ventilation follow-up

Luís Lázaro Ferreira, Nicole Fernandes, Carla Nogueira, Daniela Ferreira, Sara Conde, Carla Ribeiro
European Respiratory Journal 2021 58: PA3577; DOI: 10.1183/13993003.congress-2021.PA3577
Luís Lázaro Ferreira
1Pulmonology Department, Centro Hospitalar de Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal
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  • For correspondence: luislazaro.08@gmail.com
Nicole Fernandes
1Pulmonology Department, Centro Hospitalar de Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal
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Carla Nogueira
1Pulmonology Department, Centro Hospitalar de Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal
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Daniela Ferreira
1Pulmonology Department, Centro Hospitalar de Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal
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Sara Conde
1Pulmonology Department, Centro Hospitalar de Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal
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Carla Ribeiro
1Pulmonology Department, Centro Hospitalar de Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal
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Abstract

The COVID-19 pandemic brought the outpatient management to the spotlight, especially in what home mechanical ventilation (HMV) is regarded. Our goal was to assess the main complaints/problems and the adjustments made in the appointment.

We performed a transversal retrospective analysis of patients on HMV for at least a month, followed in the outpatient clinic of a tertiary hospital, in 2019’s 2nd semester. The HMV outpatient clinic consists of a pulmonologist, a nurse and a technician from the home respiratory care company (provider of HMV in Portugal). In a day-hospital regimen, patients are monitored on HMV with their equipment for at least 30 minutes with blood gas analysis and/or capnography. Ventilator data is observed in real time and also collected from the previous 3 months.

A total of 301 patients were analyzed. No changes were made in 138 cases (45.8%). A total of 212 changes were made in the remainder 163 patients. Most detected problems were found in HMV software data (33.5%), such as usage, leakage and volumes. HMV parameters suffered the most adjustments (36.3%). Only 5 problems (2.4%) lead to stop HMV. All results are shown in this table:

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Almost half of the patients needed no changes. On the other hand, our results show how an outpatient approach to HMV follow-up allows clinicians to detect a diverse amount of patients’ complaints or problems regarding the treatment itself and, at the same time, address changes to try to fix them.

  • Personalised medicine
  • Monitoring
  • Mechanical ventilation - ventilator-associated

Footnotes

Cite this article as: European Respiratory Journal 2021; 58: Suppl. 65, PA3577.

This abstract was presented at the 2021 ERS International Congress, in session “Prediction of exacerbations in patients with COPD”.

This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).

  • Copyright ©the authors 2021
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An outpatient approach to home mechanical ventilation follow-up
Luís Lázaro Ferreira, Nicole Fernandes, Carla Nogueira, Daniela Ferreira, Sara Conde, Carla Ribeiro
European Respiratory Journal Sep 2021, 58 (suppl 65) PA3577; DOI: 10.1183/13993003.congress-2021.PA3577

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An outpatient approach to home mechanical ventilation follow-up
Luís Lázaro Ferreira, Nicole Fernandes, Carla Nogueira, Daniela Ferreira, Sara Conde, Carla Ribeiro
European Respiratory Journal Sep 2021, 58 (suppl 65) PA3577; DOI: 10.1183/13993003.congress-2021.PA3577
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