Lane Fox Respiratory Unit, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Thorax. 2013 Sep;68(9):880-1. doi: 10.1136/thoraxjnl-2013-203566. Epub 2013 Apr 20.
The Department of Health is promoting the generation of specialist networks to manage long term ventilatory weaning and domiciliary non-invasive ventilation patients. Currently the availability of these services in England is not known. We performed a short survey to establish the prevalence of sleep and ventilation diagnostic and treatment services. The survey focussed on diagnostic services and Home Mechanical Ventilation (HMV) provision, and was divided into (a) availability of diagnostics, (b) funding, and (c) patient groups. This survey has confirmed that the majority of Home Mechanical Ventilation set-ups are currently for Obesity Related Respiratory Failure and Chronic Obstructive Pulmonary Disease. We have found that there is variable provision of diagnostic services, with the majority of units offering overnight oximetry (95%) but only 55% of responders providing a home mechanical ventilation service. Even more interestingly, less than two thirds of units charged their primary care trust for this service. These data may assist in the development of regional networks and specialist home mechanical ventilation centres.
卫生部正在推动建立专门的网络，以管理长期通气撤机和家庭无创通气患者。目前，英国尚不清楚这些服务的提供情况。我们进行了一项简短的调查，以确定睡眠和通气诊断及治疗服务的普及程度。该调查侧重于诊断服务和家庭机械通气（HMV）的提供情况，分为（a）诊断服务的可用性，（b）资金情况，和（c）患者群体。这项调查证实，目前大多数家庭机械通气的设置是针对肥胖相关呼吸衰竭和慢性阻塞性肺疾病的。我们发现，诊断服务的提供情况存在差异，大多数单位提供夜间血氧饱和度监测（95%），但只有 55%的应答者提供家庭机械通气服务。更有趣的是，不到三分之二的单位向其初级保健信托机构收取这项服务的费用。这些数据可能有助于建立区域网络和专门的家庭机械通气中心。
