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Practice
Open Access

A virtual care innovation for home mechanical ventilation

Reshma Amin, Regina Pizzuti, Francine Buchanan and Louise Rose
CMAJ April 26, 2021 193 (17) E607-E611; DOI: https://doi.org/10.1503/cmaj.202584
Reshma Amin
Division of Respiratory Medicine (Amin), Department of Pediatrics, The Hospital for Sick Children; SickKids Research Institute, (Amin, Buchanan), Toronto, Ont.; The Ontario Ventilator Equipment Pool (Pizzuti), Kingston Health Sciences Centre, Kingston, Ont.; Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care (Rose), King’s College, London, UK
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Regina Pizzuti
Division of Respiratory Medicine (Amin), Department of Pediatrics, The Hospital for Sick Children; SickKids Research Institute, (Amin, Buchanan), Toronto, Ont.; The Ontario Ventilator Equipment Pool (Pizzuti), Kingston Health Sciences Centre, Kingston, Ont.; Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care (Rose), King’s College, London, UK
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Francine Buchanan
Division of Respiratory Medicine (Amin), Department of Pediatrics, The Hospital for Sick Children; SickKids Research Institute, (Amin, Buchanan), Toronto, Ont.; The Ontario Ventilator Equipment Pool (Pizzuti), Kingston Health Sciences Centre, Kingston, Ont.; Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care (Rose), King’s College, London, UK
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Louise Rose
Division of Respiratory Medicine (Amin), Department of Pediatrics, The Hospital for Sick Children; SickKids Research Institute, (Amin, Buchanan), Toronto, Ont.; The Ontario Ventilator Equipment Pool (Pizzuti), Kingston Health Sciences Centre, Kingston, Ont.; Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care (Rose), King’s College, London, UK
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    Figure 1:

    The 6 pillars of the Long-Term In-Home Ventilator Engagement (LIVE) program.

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    Figure 2:

    Screen captures showing the features of the Long-Term In-Home Ventilator Engagement (LIVE) program. Reproduced with permission of Aetonix.

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    Figure 3:

    Geographic distribution of 251 partipants of LIVE program by forward sortation area (FSA) centroid. Map prepared by and reproduced with permission of Tom Fisher RRT, Feb. 16, 2021.

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    Table 1:

    The telehealth components of the LIVE program9

    ComponentDescription
    TelemedicineHMV and ON-VEP team members use information from secure messaging, workflows and ventilator data downloads to provide clinical management
    TelecommunicationsTwo-way secure messaging via text, voice or video between patients, families and the health care team
    TeleconsultationAd hoc consultation initiated by patients and families and provided by HMV and ON-VEP team members for management of clinical symptoms or ventilator troubleshooting
    TelemonitoringCellular connectivity and Bluetooth transmission of ventilator data downloads
    TeletherapyAd hoc consultations and interpretation of ventilator data downloads can lead to changes in prescribed ventilator settings
    TeleconferenceThree-way audio and video calls that can be initiated by patients, families or the health care team
    TelecoachingCounselling and troubleshooting that is provided by a member of the HMV team if the ventilator data downloads show poor adherence to therapy
    • Note: HMV = home mechanical ventilation, LIVE = Long-term In Home Ventilator Engagement, ON-VEP = Ontario Ventilator Equipment Pool.

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Canadian Medical Association Journal: 193 (17)
CMAJ
Vol. 193, Issue 17
26 Apr 2021
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A virtual care innovation for home mechanical ventilation
Reshma Amin, Regina Pizzuti, Francine Buchanan, Louise Rose
CMAJ Apr 2021, 193 (17) E607-E611; DOI: 10.1503/cmaj.202584

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A virtual care innovation for home mechanical ventilation
Reshma Amin, Regina Pizzuti, Francine Buchanan, Louise Rose
CMAJ Apr 2021, 193 (17) E607-E611; DOI: 10.1503/cmaj.202584
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    • What is the Long-Term In-Home Ventilator Engagement (LIVE) program?
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