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MINERVA ANESTESIOLOGICA

A Journal on Anesthesiology, Resuscitation, Analgesia and Intensive Care


Official Journal of the Italian Society of Anesthesiology, Analgesia, Resuscitation and Intensive Care
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ORIGINAL ARTICLES  ANESTESIOLOGY


Minerva Anestesiologica 2000 December;66(12):895-9

language: Italian

Home mechanical ventilation: an extra-hospital phase

Antonelli M., Conti G., Pennisi M. A., Arcangeli A., Proietti R.

Policlinico A. Gemelli - Roma Università Cattolica del Sacro Cuore Istituto di Anestesiologia e Rianimazione


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Home mechanical ventilation is the choice option, when there are no contraindications of medical or socio-economic order, in all cases of impossible complete weaning from ventilatory support. Easy to use, reliable and size limited positive pressure ventilators lead to a spread diffusion of this technique. In the patient/ventilator interface, tracheostomy is the golden choice for patient with great reduction in spontaneous ventilatory ability. For all other patients, perfectioning of non-invasive access (nasal and oral nasal mask) represent an effective progress. Major limitations in home ventilation are still, up to present, the lack of multidisciplinary structures able to give territorial assistance. Home ventilation therapy in the experience of the Policlinico Universtitario “La Sapienza”, Rome is presented.

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