How I Do It: Transitioning Between Volume Assured Pressure Support (VAPS) Modalities on Home Mechanical Ventilators for Chronic Respiratory Failure.

Abstract

Clinicians who care for patients with chronic respiratory failure are faced with complex medical decisions when initiating and managing home mechanical ventilation. The technological advances and complexities of home mechanical ventilators have outpaced the education and resources provided to clinicians who manage this unique patient population. Many clinicians are familiar with one "brand" and depend on medical equipment suppliers when prescribing and managing home ventilators. A recent national safety recall in the USA on one of the most commonly used home mechanical ventilators has led to an increase in burden and challenges facing clinicians caring for patients with chronic respiratory failure. The recall has forced clinicians to address knowledge gaps in evolving home mechanical ventilation technology. Evidence supporting the use of advanced and proprietary algorithms is limited and understanding how to initiate or transition between devices to achieve success using such modes requires education, awareness, and expertise on the risks and benefits to appropriately tailor therapy. The focus of this review is to provide practical, real-world guidance to transitioning auto-titrating algorithms between home mechanical ventilators to optimize patient therapy.

View details for DOI 10.1016/j.chest.2025.07.003

View details for PubMedID 40675546