ReviewCanadian journal of respiratory therapy : CJRT = Revue canadienne de la therapie respiratoire : RCTR2026
Home mechanical ventilator device transitions: A narrative review of clinical considerations to create a transition tool.
Review in Canadian journal of respiratory therapy : CJRT = Revue canadienne de la therapie respiratoire : RCTR, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: Home mechanical ventilation (HMV) provides chronic respiratory support through invasive or non-invasive ventilation. Ventilator assisted individuals (VAI) represent a complex population with highly specialized care needs and increased healthcare utilization. The global Phillips Respironics recall resulted in the need to transition many VAI in Ontario to the alternative ResMed Astral 150 ventilator device. HMV device transitions are complex and require careful planning. The purpose of this narrative review is to assess clinical considerations for ventilator transition in patients receiving HMV in exisiting literature over the past 20 years to support the build of a ventilator key consideration checklist tool. Methods: A narrative review of literature from two online databases (Ovid MEDLINE(R) ALL and EBSCOhost CINAHL Plus) was conducted to identify relevant articles. The review was completed in a systematic approach via Covidence. Results: Evidence and key considerations were grouped into four themes: Patient Ventilator Synchrony, Equipment Selection, Interface and Circuit Considerations, Bench Testing and Ventilator Performance, and Standardization and Interdisciplinary Approach. Successful transitions require a standardized, interdisciplinary approach with appropriate readiness assessments, clearly defined failure criteria, a patient-centered approach, and strong knowledge of ventilator performance and available adjunctive supports. There is limited existing literature in providing guidance for safety switching ventilators for HMV patients. Further research is needed to guide data-driven development and implementation of standardized protocols as well as assessment of long-term patient and family outcomes. Conclusion: Switching home mechanical ventilator devices for VAI is a complex process and requires careful planning with interdisciplinary collaboration, patient-centred focus, and evidence-based guidelines.
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Registered trials
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