MODERN ASPECTS OF ORGANIZING RESPIRATORY THERAPY AT HOME

Rationale: Chronic respiratory failure is becoming an increasingly serious problem for patients with incurable diseases, the progression of which dictates the need for respiratory therapy. Many specialists face the problem of identifying early symptoms of respiratory failure progression, diagnosing its degree, prescribing respiratory therapy and organizing continuous monitoring of vital functions at home. Both infants and adults of various age groups need such treatment. The list of diseases that require respiratory therapy for a long time or for life is quite large. In young children, this may include bronchopulmonary dysplasia, consequences of hypoxic-hemorrhagic damage to brain structures, congenital malformations and genetic diseases. At an older age, neurodegenerative and neuromuscular diseases may manifest, as well as other problems associated with the severe course of acute neuroinfections and hypoxic-traumatic damage to the central nervous system, oncological diseases, consequences of acute cerebrovascular accident, injuries, critical blood loss, cardiopulmonary resuscitation. The most promising method is non-invasive ventilation of the lungs, which allows achieving the set therapeutic goals and reducing the frequency of complications. The appointment of this type of treatment requires a different approach to these patients. The doctor should daily assess the patient’s condition, the degree of synchronization with the device, the presence of signs of obstruction of the upper respiratory tract and air leakage. Continuous telemonitoring of body functions is important for such patients. The article discusses the organization of respiratory therapy, options for its use in patients with various diseases.