Related Experiment Video
Updated: Jul 21, 2025
12:09
Ex Vivo Porcine Experimental Model for Studying and Teaching Lung Mechanics
Published on: April 19, 2024
1.5K
Home Mechanical Ventilation Practices in Spain and Portugal
Antonio Antón1, Salvador Díaz Lobato2, Maria José Guimarães3
1Hospital Santa Creu I Sant Pau, Barcelona, Spain.
Open Respiratory Archives
|July 27, 2023
Summary
Home mechanical ventilation practices differ significantly between Spain and Portugal, highlighting the need for targeted education. Understanding these clinical variations ensures optimal patient management with HMV.
Area of Science:
- Pulmonology
- Medical Technology
- Healthcare Management
Background:
- Home mechanical ventilation (HMV) practices evolve with new evidence and technologies.
- Significant international variation exists in HMV implementation and patient care.
- This study addresses the need to understand current HMV practices in Spain and Portugal.
Purpose of the Study:
- To investigate and compare current home mechanical ventilation (HMV) use and practices in Spain and Portugal.
- To identify differences in non-invasive ventilation (NIV) care structure, patient profiles, and management strategies.
- To explore potential future improvements in HMV based on healthcare professional insights.
Main Methods:
- An online questionnaire was distributed to 94 healthcare professionals involved in HMV.
- The survey included 40 items covering demographics, NIV structure, patient profiles, work habits, and future practice improvements.
- A 70% response rate was achieved, with 66 completed questionnaires (36 from Spain, 30 from Portugal).
Main Results:
- Significant differences were observed in NIV unit availability (Spain 100% vs. Portugal 63%) and primary indications for HMV (neuromuscular disorders in Spain vs. obstructive diseases in Portugal).
- Responsibility for HMV management varied, with Homecare Providers (HCPs) more involved in Portugal.
- Telemonitoring use was higher in Portugal (20%) compared to Spain (3%), and follow-up practices differed markedly.
Conclusions:
- Substantial differences in HMV management exist between Spain and Portugal, despite their geographical proximity.
- Understanding these clinical practice variations is crucial for developing targeted educational and training programs.
- Optimizing HMV requires a focus on identifying new patient groups and personalizing therapy through phenotyping.
Related Concept Videos
01:29Mechanical Ventilation I: Indication and Settings
496
Mechanical ventilation is a life-saving technique for managing acute respiratory failure and other respiratory complications. The process involves using a machine known as a ventilator to supply oxygen to the lungs and assist in removing carbon dioxide. It serves as a bridge to long-term mechanical ventilation or a temporary measure until ventilatory support is discontinued. The ventilator can maintain this function for a prolonged period, providing critical support for patients until they can...
496
01:23Mechanical Ventilation II: Invasive Ventilation
178
Ventilators are essential medical equipment used to aid patients with respiratory difficulties. Their primary function is to assist or replace spontaneous breathing by providing mechanical ventilation. There are two general classes of mechanical ventilators: negative-pressure and positive-pressure ventilators.
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...
178
01:23Mechanical Ventilation III: Noninvasive Ventilation
152
Noninvasive positive-pressure ventilation (NIPPV), continuous positive airway pressure (CPAP), and bilevel positive airway pressure (BiPAP) are essential methods in respiratory care. These ventilation techniques offer unique benefits for patients with various respiratory conditions, providing adequate support without requiring intubation. Let's explore how each method is crucial in improving patient outcomes and enhancing respiratory therapy.
Noninvasive Positive-Pressure Ventilation...
Noninvasive Positive-Pressure Ventilation...
152
01:14Ventilatory Modes
221
Mechanical ventilators are life-saving devices that support or replace spontaneous breathing. They deliver breaths to patients through varying methods known as ventilator modes. Understanding these modes is critical for healthcare providers managing patients with respiratory failure.
There are three ventilatory modes: full support, partial support, and spontaneous. These are described below.
Full Support Modes
Full support modes include controlled mechanical ventilation, continuous mandatory...
There are three ventilatory modes: full support, partial support, and spontaneous. These are described below.
Full Support Modes
Full support modes include controlled mechanical ventilation, continuous mandatory...
221
01:19Factors Affecting Pulmonary Ventilation
1.5K
Besides the pressure difference between the external environment and the lungs, the airflow rate and ease of pulmonary ventilation are also influenced by three other factors: surface tension of the fluid in the alveoli, compliance of the lungs, and airway resistance.
Alveolar Surface Tension
The alveolar fluid lines the luminal surface of the alveoli and exerts a force called surface tension. This force is caused by the polar water molecules in the liquid being more strongly attracted to each...
Alveolar Surface Tension
The alveolar fluid lines the luminal surface of the alveoli and exerts a force called surface tension. This force is caused by the polar water molecules in the liquid being more strongly attracted to each...
1.5K
01:20Assessment of Ventilation I: Respiratory Rate
1.2K
Assessment of Ventilation
A Ventilation assessment is critical for monitoring a patient's health status. Respiration, one of the most accessible vital signs, provides insights into the function of numerous body systems and can indicate serious health issues, such as brainstem injuries from head trauma.
Critical Guidelines for Assessing Ventilation:
A Ventilation assessment is critical for monitoring a patient's health status. Respiration, one of the most accessible vital signs, provides insights into the function of numerous body systems and can indicate serious health issues, such as brainstem injuries from head trauma.
Critical Guidelines for Assessing Ventilation:
1.2K