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Monitorización de la ventilación mecánica domiciliaria: ¿polisomnografía o software integrado del ventilador?

Jean-Michel Arnal¹, Sonia Khirani²

¹Service de Réanimation Polyvalente et Unité de Ventilation à Domicile, Hôpital Sainte Musse, Toulon, France.

Respiratory medicine

|February 15, 2026

Resumen

La monitorización de la ventilación mecánica domiciliaria (VMD) y CPAP es crucial. El software integrado del ventilador ofrece una alternativa práctica a la polisomnografía (PSG), aunque existen limitaciones para una atención óptima al paciente.

Área de la Ciencia:

Medicina Respiratoria; Ingeniería Biomédica; Ciencia del Sueño

Sus antecedentes:

La monitorización eficaz de la ventilación mecánica domiciliaria (VMD) y la presión positiva continua en las vías respiratorias (CPAP) es vital para los resultados del paciente.; La polisomnografía (PSG) tradicional basada en el hospital es eficaz pero poco práctica debido a los costos y las limitaciones de tiempo.

Objetivo del estudio:

Revisar la utilidad de los datos del software integrado del ventilador para la monitorización de VMD/CPAP.; Comparar las ventajas y desventajas del software del ventilador frente a la PSG para la monitorización.

Principales métodos:

Revisión de la literatura actual sobre el análisis de datos del software del ventilador para la monitorización de VMD/CPAP.; Comparación de datos del software integrado con la PSG y la poligrafía respiratoria estándar de oro.; Evaluación de parámetros específicos como la adherencia, las fugas y la asincronía paciente-ventilador (PVA).

Principales resultados:

El software integrado del ventilador monitoriza eficazmente la adherencia, las fugas y la PVA.; La identificación y caracterización de eventos respiratorios residuales mediante software puede ser subóptima.; La PSG puede ser necesaria cuando el análisis del software de las formas de onda de respiración a respiración no es concluyente o para la PVA relacionada con un soporte de presión insuficiente.

Conclusiones:

El software del ventilador proporciona una alternativa valiosa y práctica para la monitorización de VMD/CPAP, complementando la PSG.; Los cinturones toracoabdominales integrados con los ventiladores ofrecen potencial para una monitorización mejorada, especialmente en entornos con recursos limitados.

Palabras clave:

CPAP VMD software integrado del ventilador monitorización polisomnografía

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