In this light, INTENSIVE CARE AT HOME’s service for mechanical home ventilation affords on the one hand the chance to relieve the extent of Chronic Respiratory Failure and markedly improve the Quality of life and/or Quality of end of life. The nursing team being involved in the day to day care of a ventilated Client at home must have the following minimum qualifications: The transition-management team should consist of the following professionals: A check list of the minimal requirements for Client discharge and subsequent set-up of the home ventilation station comprises the following: In cases of permanent ventilation, the ventilation parameters and measured values should be continuously monitored and documented accordingly; this should be performed at least once per shift and/or as required. Effects of a heat and moisture exchanger and a heated humidifier on respiratory mucus in patients undergoing mechanical ventilation. Mechanical Home ventilation and Intensive Home Care nursing prior to discharge from Intensive Care to a home care setting. Changing of Tracheostomy tube every 30 to 90 days, 4. Unit-side particle filters fitted at the point of air inlet are necessary. Today, invasive and non-invasive home mechanical ventilation have become a well-established … Appropriate interface mask or mouthpiece, 3. If the Client uses ventilation during the daytime, wheelchairs may need to be fitted with ventilator equipment and may have larger space requirements that need to be taken into account (hallways and room entrances, in particular). Abstract Today, invasive and non-invasive home mechanical ventilation have become a well-established treatment option. Epub 2020 Jul 10. Consequently, in 2010, the German Respiratory Society (DGP) has leadingly published the guidelines on "Non-Invasive and Invasive Mechanical Ventilation for Treatment of … 1. for respiratory support. to a complex home ventilation unit because of weaning failure. Medical recommendations are to deliver humidification at. Thorax 2006;61:369-371. These steps should be considered in consultation with a heating, ventilation and air conditioning (HVAC) professional. Your privacy will be protected. Crit Care Med 2003; 31: 2178– 2182, 14 Younes M, Kun J, Webster K, Roberts D. Response of ventilator-dependent patients to delayed opening of exhalation valve. Respiration. INTENSIVE CARE AT HOME exclusively works with Critical Care trained nursing staff and therefore provides a high level Intensive Home Care nursing service, enabling ventilator dependent adults or children to live at home, as a genuine alternative to a long term stay in Intensive Care and keeps readmissions back to Intensive Care at a minimum. Home Ventilation is also known as assisted mechanical ventilation which is provided in a patient’s own home, Hospice, Nursing or Care home setting. Assisted mechanical ventilation provides support for the lungs through a tight mask fitted over the nose and/or mouth. Clients who may be considered successful candidates for long-term Mechanical Home Ventilation may have other associated medical illnesses. If the duration of mechanical home ventilation exceeds 16 hours/day, an additional identical ventilator must be provided. Recognizing that children dependent on long-term mechanical ventilation are at risk for several complications, including pulmonary hypertension, recurrent pulmonary infections, poor growth and developmental delay, the work group recommended as the centerpiece of the guidelines a medical home model—co-managed by a generalist and a respiratory subspecialist—to improve care coordination. In this document, we endeavour to answer all questions when it comes to mechanical ventilation with Tracheostomy in the home, as a genuine alternative to a long-term stay in Intensive Care. Schönhofer B, Geiseler J, Dellweg D, Fuchs H, Moerer O, Weber-Carstens S, Westhoff M, Windisch W, Hirschfeld-Araujo J, Janssens U, Rollnik J, Rosseau S, Schreiter D, Sitter H; Weitere beteiligte wissenschaftliche Fachgesellschaften und Institutionen: Deutsche Gesellschaft für Anästhesiologie und Intensivmedizin e. V. (DGAI); Deutsche Gesellschaft für Chirurgie e. V. (DGCH); Deutsche Gesellschaft für Ernährungsmedizin e. V. (DGEM); Deutsche Gesellschaft für Geriatrie e. V. (DGG); Deutsche Gesellschaft für Internistische Intensivmedizin und Notfallmedizin e. V. (DGIIN); Deutsche Gesellschaft für Kardiologie – Herz- und Kreislaufforschung e. V. (DGK); Deutsche Gesellschaft für Neurointensiv- und Notfallmedizin e. V. (DGNI); Deutsche Gesellschaft für Neurorehabilitation e. V. (DGNR); Deutsche Gesellschaft für Palliativmedizin e. V. (DGP); Deutsche Interdisziplinäre Vereinigung für Intensiv- und Notfallmedizin e. V. (DIVI)); Gesellschaft für Neonatologie und pädiatrische Intensivmedizin e. V. (GNPI); Deutsche Gesellschaft für Neurochirurgie e. V. (DGNC); Deutsche Gesellschaft für Neurologie e. V. (DGN); Deutschsprachige Medizinische Gesellschaft für Paraplegie e. V. (DMPG); Deutsche Gesellschaft für Thorax-, Herz- und Gefäßchirurgie e. V. (DGTHG); Deutsche Gesellschaft für Fachkrankenpflege und Funktionsdienste e. V. (DGF); Deutsche Interdisziplinäre Gesellschaft für Außerklinische Beatmung e. V. (DIGAB); Deutscher Verband für Physiotherapie e. V. (ZVK); Deutscher Bundesverband für Logopädie e. V. (dbl).