Home NIV: treatment, troubleshooting and telemonitoring

Which factors make a real difference when it comes to keeping NIV patients comfortable, motivated and well cared for at home? In this episode of the OnAir podcast, respiratory expert Dr Jean-Michel Arnal and host Nina Wiklund discuss key issues in the delivery of home NIV, with a particular focus on troubleshooting, telemonitoring and patient engagement. As an ICU physician and the author of both a popular book1 and a recent article on home ventilation monitoring2, Dr Arnal has a deep interest and extensive experience in this field. He shares insights on using ventilator waveforms to identify common asynchronies, explains why the cycle feature is so important for patient comfort, and argues that our focus on finding data-driven predictors of exacerbation might be causing us to overlook an important low-tech solution. Listen now for an engaging tour of key topics in home NIV that provides useful insights for NIV experts while remaining accessible to anyone looking to learn more about the subject. Guest: Dr Jean-Michel Arnal - Resuscitation service and ventilation unit, Hôpital Sainte-Musse, Toulon. Host: Nina Wiklund is ResMed’s Global Medical Marketing Content Lead, and has a burning enthusiasm for clinical research. She is especially interested in the additional insights and possibilities real-world evidence can add to existing RCTs.  References: Monitoring Mechanical Ventilation using Ventilator Waveforms, Springer: https://link.springer.com/book/10.1007/978-3-319-58655-7 Arnal J-M, Oranger M, Gonzalez-Bermejo J. Monitoring Systems in Home Ventilation. Journal of Clinical Medicine. 2023; 12(6):2163. https://doi.org/10.3390/jcm12062163 The podcast OnAir, with Clinical Respiratory News (CRN) is a medical education non-promotional for healthcare professionals organised by ResMed. Learn more at https://webinars.resmed.eu/podcasts-list/. This podcast is intended for healthcare professionals only. Disclaimer: This programme is non promotional and is sponsored by ResMed. The speakers are being compensated and/or receiving an honorarium from ResMed in connection with this programme. The content contained in this programme was jointly developed by the speakers and ResMed, and is not eligible for continuing medical education (CME) credits. Listen to OnAir with Clinical Respiratory News, the podcast that brings you fresh insights and thought-provoking discussions about hot topics in sleep and breathing health. © ResMed