Chronic noninvasive ventilation (NIV) has become the standard of care for patients affected with severe stable chronic respiratory failure (CRF) and sleep-disordered breathing (SDB) following chronic obstructive pulmonary disease (COPD). Daytime NIV in awake patients with CRF leads to an improvement in both spontaneous daytime and nocturnal ventilation without direct treatment of the associated SDB itself. The quality of care provided by a sleep centre is mainly determined by individual patient management over the long term, including continuing efforts to maintain optimal NIV therapy, rapid detection of low compliance and personalised consideration of alternatives to NIV, if and where appropriate. E-geriatrics offers possibilities in diagnosing and following up patients.
Sleep-Related Breathing Disorders
Castagna A.;
2023-01-01
Abstract
Chronic noninvasive ventilation (NIV) has become the standard of care for patients affected with severe stable chronic respiratory failure (CRF) and sleep-disordered breathing (SDB) following chronic obstructive pulmonary disease (COPD). Daytime NIV in awake patients with CRF leads to an improvement in both spontaneous daytime and nocturnal ventilation without direct treatment of the associated SDB itself. The quality of care provided by a sleep centre is mainly determined by individual patient management over the long term, including continuing efforts to maintain optimal NIV therapy, rapid detection of low compliance and personalised consideration of alternatives to NIV, if and where appropriate. E-geriatrics offers possibilities in diagnosing and following up patients.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.