Home mechanical ventilation is the set of ventilatory support measures, both invasive and non-invasive, used as a treatment for chronic respiratory failure and carried out at the patient's home.

 

 

 

The goals of mechanical ventilation in these situations are :

 

- Increase the duration and quality of sleep

- Improve Life Quality

- Improve functional status

- Increase survival

 

 

 

Indication Criteria

 

 

The main indication for home mechanical ventilation is ventilation failure, manifested by the presence of hypercapnia in arterial blood. The patients who benefit from this treatment are those who present restrictive pathology and who suffer as a base disease any of the following:

 

Neuromuscular and neurological diseases

 

- Motor neuron disease (amyotrophic lateral sclerosis)

- Duchenne muscular dystrophy

- Muscular dystrophies of the shoulder or pelvic girdle

- Myopathies

- Merosin negative congenital muscular dystrophy

- Myasthenia gravis

- History of poliomyelitis

- Myotonic dystrophy (Steinert, Thomsen)

- Facio-scapulo-humeral muscular dystrophy

- Juvenile musculospinal atrophy type III

- Central hypoventilation

- Spinal cord damage

- Diaphragmatic paralysis

 

Chest wall disorders

 

- Kyphoscoliosis

- Sequelae of thoracoplasty or therapeutic pneumothorax

- Fibrothorax

- Diaphragmatic hernias

- Hypoventilation-obesity

 

COPD. Selected cases

 

In these diseases, respiratory failure appears at some point in their evolution, which can be the cause of significant morbidity and mortality.