Telemedicine in children with medical complexity on home ventilation during the COVID-19 pandemic.
mechanical ventilation
noninvasive ventilation
respiratory technology
telemedicine
telemonitoring
Journal
Pediatric pulmonology
ISSN: 1099-0496
Titre abrégé: Pediatr Pulmonol
Pays: United States
ID NLM: 8510590
Informations de publication
Date de publication:
06 2021
06 2021
Historique:
revised:
15
01
2021
received:
14
10
2020
accepted:
18
01
2021
pubmed:
2
2
2021
medline:
2
6
2021
entrez:
1
2
2021
Statut:
ppublish
Résumé
Children with medical complexity (CMC) are patients with one or more complex chronic conditions dependent on medical technologies. In our unit (Pediatric Pulmonology and Respiratory Intermediate Care Unit, Department of Pediatrics, "Bambino Gesù" Children's Hospital and Research Institute), we regularly follow-up CMC patients, particularly children on long-term, invasive (IMV) or noninvasive (NIV), ventilation. Children suffering from chronic diseases and with medical complexity have lost the possibility to go to the hospital during the COVID-19 pandemic. The aim of this article is to describe our experience with telemedicine (teleconsultation [TC] and telemonitoring of ventilator [TM]) in CMC on ventilation. We presented 21 children on long-term ventilation (NIV or IMV) whose planned hospital admission was postponed due to lockdown. A total of 12 healthcare problems were detected during scheduled TCs. Only one problem was not solved by our remote intervention. Specifically, TM has allowed us to change the ventilator parameters and to monitor patients on ventilation remotely. In conclusion, the use of telemedicine in CMC ventilated patients resulted in a feasible tool to avoid in-person visits during the pandemic.
Identifiants
pubmed: 33524228
doi: 10.1002/ppul.25289
pmc: PMC8013575
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1395-1400Informations de copyright
© 2021 Wiley Periodicals LLC.
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