Sleep & Respiratory Newsletter

September 2017

In this issue

Trial suggests HOT-HMV therapy can improve outcomes for COPD patients with persistent hypercapnia1  

 

A study evaluating the use of home noninvasive ventilation (NIV) in conjunction with home oxygen therapy (HOT) to treat COPD patients with on-going hypercapnia was investigated in a five-year, multicenter randomized clinical trial of 116 patients in the UK. The Philips co-sponsored study demonstrated a breakthrough for COPD treatment, concluding:

Among patients with persistent hypercapnia following an acute exacerbation of COPD, adding home noninvasive ventilation to home oxygen therapy prolonged the median time to re-admission or death from 1.4 months to 4.3 months .1

“Patients with severe COPD and persistent hypercapnia have historically had limited therapy options available to them and outcomes have generally been poor,” said Dr. Nicholas Hart, professor and clinical director of Lane Fox Respiratory Service at St. Thomas’ Hospital in London. 

Portable nebulizers bring power, speed, and ease of use to aerosol therapy on the go 

 

Nebulizers are useful in medication delivery for patients with certain respiratory conditions and disease severity. However, the size, power supply constraints, and inefficiency of traditional pneumatic or T-piece nebulizers can often deter clinicians from recommending them. Additionally, some patients who are prescribed nebulizers may not use them if they view the devices as burdensome – either due to lengthy treatment time, cleaning and maintenance requirements, the number of parts that need to be assembled, or a combination of the three.

 

“For patients who are home-bound or relatively immobile and require higher-volume treatments over longer periods of time, traditional nebulizers are a great aerosol delivery solution. They provide the power patients require in the comfort of their care setting,” said James Fink, PhD, RRT, FAARC, FCCP (Chief Science Officer at Aerogen Pharma Corporation). “However, active patients with conditions such as COPD and asthma can find nebulizer use limiting and time-consuming, which can impact therapy success.”

News & topics
Philips to expand its Sleep & Respiratory Care business with the acquisition of US-based RespirTech.
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Tips for proper nebulizer cleaning and storing

Nebulizer maintenance

A recent survey revealed that pulmonologists recommend hand-held small volume nebulizers (HHSVN) for patients with more severe COPD symptoms; and that patients prefer using them.2

 

However, only 53% of patients said they were extremely or very knowledgeable about the use and maintenance of HHSVNs.2 In addition, cleaning and storing their device was noted as they topic discussed least at appointments with their pulmonologist, despite the majority of clinicians believing device decontamination was essential or very important.

 

This article outlines proper maintenance, cleaning, and storage – key to optimizing HHSVN performance and life expectancy. 

Technology spotlight

DreamStation Go – Ten dreamy features that may help your OSA patients’ travel dreams come true

Did you know the discreet, slim-profile DreamStation Go Travel CPAP device weighs less than two pounds, requires 1/3 fewer components than other travel PAPs3 and is half the size of our trusted System One and DreamStation platforms? In addition to its sleek design, there are nine more features designed to make DreamStation Go a traveler’s dream.
DreamStation Go

Untreated sleep
apnea was holding
David Plummer back

David Plummer
The path to success for world-class swimmer, David Plummer4, was not always straightforward. After David missed the cut in 2012, he knew he would have to train more effectively. But his sleep apnea was holding him back.

New! Philips Respironics DreamWear Gel pillows simplify fit and comfort

Give your patients the mask that helps them experience more freedom of movement throughout the night and feels like wearing nothing at all. The DreamWear mask accommodates both gel and nasal cushions so clinicians can easily select the cushion style that works best for their patients; and, because it’s easy to switch between the two cushion types, sleep lab technicians don’t have to wake patients during titration and respiratory therapists can save valuable time. In addition, DreamWear’s frame design and tubing allow patients to sleep comfortably in any position. Learn more about how DreamWear can help your patients rediscover dreams. 

Murphy PB, et al. Effect of Home Noninvasive Ventilation With Oxygen Therapy vs Oxygen Therapy Alone on Hospital Readmission or Death After an Acute COPD Exacerbation A Randomized Clinical Trial. JAMA. Published online May 21, 2017. doi:10.1001/jama.2017.4451

Braman Sidney, MD, professor, critical care and sleep medicine, Mount Sinai School of Medicine. Webinar. COPD and Inhalation Devices: Pulmonologist and Patient Knowledge, Attitudes, Beliefs and Behaviors. March 2016, ATS and Sunovian Pharmaceuticals companion survey.

When compared against HDM Z1 and Somnetics Transcend devices (2016)

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