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Home mechanical ventilation: back to basics

机译：家用机械通风：返回基础知识

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Over recent decades, the use of home mechanical ventilation (HMV) has steadily increased worldwide, with varying prevalence in different countries. The key indication for HMV is chronic respiratory failure with alveolar hypoventilation (e.g., neuromuscular and chest wall disease, obstructive airway diseases, and obesity-related respiratory failure). Most modern home ventilators are pressure-targeted and have sophisticated modes, alarms, and graphics, thereby facilitating optimization of the ventilator settings. However, different ventilators have different algorithms for tidal volume estimation and leak compensation, and there are also several different circuit configurations. Hence, a basic understanding of the fundamentals of HMV is of paramount importance to healthcare workers taking care of patients with HMV. When choosing a home ventilator, they should take into account many factors, including the current condition and prognosis of the primary disease, the patient’s daily performance status, time (hr/day) needed for ventilator support, family support, and financial costs. In this review, to help readers understand the basic concepts of HMV use, we describe the indications for HMV and the factors that influence successful delivery, including interface, circuits, ventilator accessories, and the ventilator itself.
机译：近几十年来，家庭机械通气（HMV）的使用稳步增加，不同国家流行不同。 HMV的关键指示是肺泡呼吸悬浮液的慢性呼吸失败（例如，神经肌肉和胸壁疾病，阻塞性气道疾病和肥胖相关的呼吸衰竭）。大多数现代家用呼吸机都是压力目标，具有复杂的模式，报警和图形，从而促进呼吸机设置的优化。然而，不同的呼吸机具有不同的速度估计和泄漏补偿算法，并且还存在几种不同的电路配置。因此，对HMV基本面的基本理解对照顾HMV患者的医疗保健工人至关重要。在选择家庭呼吸机时，他们应该考虑许多因素，包括原发性疾病的现状和预后，患者的日常绩效状况，呼吸机支持，家庭支持和财务成本所需的时间（HR /日）。在本次审查中，为了帮助读者了解HMV使用的基本概念，我们描述了HMV的迹象和影响成功交付的因素，包括接口，电路，呼吸机配件和呼吸机本身。

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