Telemonitoramento da ventilação mecânica pela fisioterapia domiciliar

Abstract

Introduction: Telemonitoring is efficient as a surveillance system for home care patient, minimizing complications, enhancing care and offering security. The aim of the study was to identify and evaluate the ventilatory and telemonitoring variables associated with physiotherapeutic conducts in patients on home mechanical ventilation (HMV). Methods: Vital and ventilatory data, complications, antibiotic therapy and ventilatory weaning of 25 patients on HMV were evaluated. The follow-up was carried out for eight months and the data was stored using cloud technology. Results: From patients included, 40% were male and 60% female. Of these, 68% were diagnosed with neurological diseases and 32% with respiratory disorders. Significant changes were observed in the period before and after telemonitoring, such as: minute volume decreased 12.7%; Respiratory Rate decreased from 26.6 to 22.7 (P=0.0003); Percentage leakage from 8.9% to 7.8%; Saturation increased from 92.7% to 94.5%, antibiotic prescription decreased from 11.36 to 2.86 (P=0.001). Total mechanical ventilation weaning increased 33% (P=0.0063), and it was possible verify a reduction in extra care (P=0.01). Conclusion: Telemonitoring impact in the management of home care presented promising results, showing ventilatory parameters optimization, improved weaning, lower complications and/or hospitalization frequency, reduced antibiotic therapy use, which reflects lower costs and improved patient care.