SOMNONIV group

European group working for learning, teaching and sharing about the monitoring of home mechanical ventilation
"inhale the future and exhale the past"

[SOMNONIV group @somnoniv]

Nice first webinar for difficult traces with the SOMNONIV group, congratulations to the experts who found all the causes! not so obvious...do no be depressed...it was expert level...https://t.co/pGsrccTTE1

[SOMNONIV group @somnoniv]

Always the same question with Cheyne Stokes ventilation…are upperairway opened or closed during the « central » event. Here a CS in post stroke. Your opinion?

[SOMNONIV group @somnoniv]

Le questionnaire sur le monitoring est toujours en cours, nous avons 75 réponses, merci de rajouter les vôtres pour monter à 100!!
https://t.co/XV3JAwHUwk

[SOMNONIV group @somnoniv]

What are these big abdominal movements? spontaneous ventilation and the traces are (spo2/nasal flow/thermistance/ thorax and abdominal belts) ….our hypothesis leg movements…what do you think?

[SOMNONIV group @somnoniv]

A survey about monitoring! we would be interested to know if we are useful 😅 and to prepare the future for you ! https://t.co/unaBc4k799

[SOMNONIV group @somnoniv]

New quizz, new traces with more details in the answers...the new 2023 traces are here https://t.co/lSRZ5RbeRM Classroom : SOMNONIV2023

[SOMNONIV group @somnoniv]

Beautiful semiology : no flow and opposition phase …obstructive apnea? Noooo ….the sound gives the answer! Be aware with « respiratory » patients

[SOMNONIV group @somnoniv]

Copd patient with Paco2 at 50mm d’hg during the day….would you ventilate this patient? A polysomnography would ve very usefull but as the delay is 3 months….we are going to ventilate him…that’s real life…and that’s probably why copd is the first pathology ventilated at home

[SOMNONIV group @somnoniv]

Snoring? Heart beat? Encumbrance? Not so obvious….

[SOMNONIV group @somnoniv]

Severe COPD patient, Paco2 48mmhg under niv…the zero line is badly calculated by the software or massive autoEpap? The inefective efforts confirm that it is autoPep…what to do? That’s another question😨

[SOMNONIV group @somnoniv]

Autotriggering yes! but due to obstructions… (decrease of the flow). Here we just change the trigger that was very sensitive…few obstructions that we respect

[SOMNONIV group @somnoniv]

A good indirect sign for leaks : when the triggered cycles decrease and the control cycles (wrongly due to leaks (red circles) increase…decrease the triggered cycles is not always a good point!

[SOMNONIV group @somnoniv]

Copd are difficult patients to ventilate!!! Even if the Paco2 is normal (from 68 to 48 today!!) but even with very high IPAP sometimes the lung is at this maximum…even if the ventilator AND the patient would like more

[SOMNONIV group @somnoniv]

And many discussions to conclude…autotriggerings …not uncoupling neither reverse triggering because the first big cycles are not controlled!!!

[SOMNONIV group @somnoniv]

And many discussions to conclude…autotriggerings …not uncoupling neither reverse triggering because the first big cycles are not controlled!!!

[SOMNONIV group @somnoniv]

The level is higher and higher….😱

[SOMNONIV group @somnoniv]

The level is higher and higher….😱

[SOMNONIV group @somnoniv]

A new somnoNiv workshop today in Paris. The best moment : lecture of traces. Easy to start double triggering

[SOMNONIV group @somnoniv]

French tour of @GAVSPLF .In Metz with Dr Mercy, the local pneumologist and member or @gavsplf reading difficult traces

[SOMNONIV group @somnoniv]

Typical autotriggering : the same cycles, with quite no inspiratory volume and no expiratory volume …the problem of the very sensitive triggers! (1)