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Session Schedule

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0:00:00
Introduction

0:03:00
The role of professional societies in supporting home ventilation implementation and scalability for complex sleep-disordered breathing management
Claudio Cárdenas (Venezuela)

0:12:35
Practical implementation of home ventilation and remote data monitoring: Opportunities and limitations from OHS to EPOC
Alejandra Lastra (United States)

0:41:10
When CO2 is not available: Telemonitoring for treatment adjustment and guidance of home mechanical ventilation worldwide using oximetry
Naricha Chirakalwasan (Thailand)

1:03:45
Pediatric applications of CO2 monitoring and large scale implementation
Jasneek Chawla (Australia)

1:22:30
Question and answer

Summary

This interactive session highlights the pivotal role of telemonitoring in managing complex sleep-disordered breathing across diverse regions and resource settings. The role of professional societies in supporting the implementation and expansion of clinical programs for complex sleep-disordered breathing and home mechanical ventilation will be explored. By leveraging clinical effectiveness data—such as capnography, oximetry, and objective metrics from home ventilation devices—telemonitoring enables real-time adjustments to optimize therapy and improve patient outcomes. The session emphasizes the practical "real-life" integration of telemonitoring, including diverse platforms and technologies available worldwide, into routine clinical workflows in clinics, sleep laboratories, hospitals, and home settings, to launch equitable access to high-quality care in both optimal- and low-resource environments. Despite its transformative potential, telemonitoring for ventilation optimization through tailored device adjustments remains underutilized due to variability in available technologies, limited clinician training, and a lack of standardized implementation strategies. This session will provide attendees with practical tools and insights to overcome these barriers, addressing educational gaps and fostering the widespread adoption of telemonitoring to enhance care delivery and outcomes for patients with complex sleep-disordered breathing globally.

Learning Objectives:

Upon completion of this CME activity, participants will be able to:
• Analyze how professional societies can facilitate the implementation and scalability of home ventilation for patients with complex sleep-disordered breathing by addressing regional challenges, promoting clinician training, and developing tailored care strategies in limited-resource settings
• Use CO2 data to enhance ventilation adjustments for ventilation optimization regardless of device use or availability (given regional differences worldwide), including understanding applications and limitations in the sleep laboratory setting
• Examine the role of telemonitoring of oximetry data, demonstrating its potential for proactive patient management and integration into clinical workflows in resource-limited settings, when CO2 is not available
• Develop tailored strategies for using CO2 monitoring in pediatric settings beyond the sleep laboratory, focusing on practical implementation and scalability in clinical practice