The traditional clinical pathway for long-term mechanically ventilated patients tends to involve progressing from an intensive care unit (ICU) directly to a home or unspecialised nursing home setting. This is not ideal from either the patient’s or hospital’s perspective as the patient needs structured support along an integrated ventilation care path.
Although long-term mechanically ventilated patients only account for around 10 percent of all ICU patients, they can consume up to 50 percent of an ICU resources. This is compounded by the fact that ICUs generally do not have specialised respiratory rehabilitation and weaning programmes. As a result, long-term mechanically ventilated patients do not receive the integrated rehabilitation or therapy programmes they require. Also, hospital resources can become strained at the expense of more urgent and complex cases. Various published studies illustrate how an ICU is not the ideal location for long-term mechanically ventilated patients and that dedicated ventilation services outside of a hospital setting can greatly improve medical outcomes.
In addition, patients returning home without professional support can be a challenge for the family caregivers, often resulting in unplanned patient readmission to the hospital and ICU.
Dedicated care with an integrated clinical pathway
The integrated pathway for REMEO® patients brings together a vast array of clinical specialists and support staff to provide an extensive treatment plan. These include pulmonologists, intensive care physicians, anaesthetists and neurologists, respiratory therapists and physiotherapists, as well as specialised and auxiliary nurses. At specialist, dedicated REMEO® centres, 24-hour care and weaning support is provided in a comfortable, home-like, environment. The warm, inviting design and layout of REMEO® centres provides a welcome and uplifting change for many long-term mechanically ventilated patients after weeks or months in a noisy and impersonal ICU environment.
Benefits to the patient
Building on our global commitment to excellence in ventilation care, at REMEO® we aim to combine medical know-how, therapeutic skills and clinical care with state-of-the-art equipment. As a result, REMEO® helps to reduce the length of time that long-term mechanically ventilated patients need to stay in ICUs to the advantage of the patient. The success of REMEO® has been documented in various published studies.