Abstract:
Telemonitoring in non-invasive ventilation is constantly evolving to enable follow-up of adults and children. Depending on the device and manufacturer, different ventilator variables are displayed on web-based platforms. However, high-granularity measurement is not always available remotely, which precludes breath-by-breath waveforms and precise monitoring of nocturnal gas exchange. Therefore, telemonitoring is mainly useful for monitoring utilization of the device, leaks, and respiratory events. Coordinated relationships between patients, homecare providers, and hospital teams are necessary to transform available data into diagnosis and actions. Telemonitoring is time and cost-consuming. The balance between cost, workload, and clinical benefit should be further evaluated.
摘要:
无创通气中的远程监测正在不断发展,以实现对成人和儿童的随访。根据设备和制造商的不同,不同的呼吸机变量显示在基于Web的平台上。然而,高粒度测量并不总是远程可用的,这排除了逐次呼吸波形和夜间气体交换的精确监测。因此,远程监控主要用于监控设备的使用情况,泄漏,和呼吸事件。协调患者之间的关系,家庭护理提供者,医院团队需要将可用数据转化为诊断和行动。远程监测是耗时和成本的。成本之间的平衡,工作量,临床获益应进一步评估。