Open AccessRemote Monitoring of Home‐based Noninvasive Ventilation in Children with Obstructive Sleep Apnea‐Hypopnea Syndrome and Concomitant Risk Factors
Author(s) -
Sabo Liu
Publication year - 2011
Publication title -
otolaryngology–head and neck surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.232
H-Index - 121
eISSN - 1097-6817
pISSN - 0194-5998
DOI - 10.1177/0194599811415823a358
Subject(s) - medicine , hypopnea , obstructive sleep apnea , psychological intervention , intensive care medicine , emergency medicine , ventilation (architecture) , physical therapy , apnea , polysomnography , nursing , mechanical engineering , engineering
Objective Investigate whether an internet‐based remote monitoring system could provide an effective, practical, and safe clinical pattern for children with obstructive sleep apnea‐hypopnea syndrome (OSAHS) who require home‐based noninvasive positive pressure ventilation (NIPPV) therapy on a long‐term basis. Method Three patients were treated in the unit from March 2009, and the results were analyzed. Variables of the ventilator were monitored with a remote monitoring system to observe the status of home‐based treatment. Interventions were administered as appropriate, and a questionnaire survey was conducted to investigate the performance of the remote monitoring system. Results As of April 1, 2010, pulmonary hypertension in 1 patient had been cured, while the other 2 patients remained in treatment. In all three patients, poor compliance and lower efficiency of the use of the ventilator were seen in early stages of treatment. After a period of remote monitoring and education, both parameters were significantly improved. A survey conducted with the patients’ families and their professional medical staffs revealed that the TELETREK remote monitoring system was safe, convenient, and easy to operate and helped save time and cost as compared to traditional regular follow‐up visits to the hospital. Conclusion Remote monitoring systems provide an effective, practical, and safe clinical pattern for patients with OSAHS and associated risk factors who need home‐based noninvasive ventilation therapy on a long‐term basis.