Data from home spirometry and noninvasively measured blood gas tensions can complement ventilator data to reflect physiological response. Remote monitoring permits early data review, refinement of device settings to optimize ventilatory function, and troubleshooting if a new problem arises after initial setup. In this Focused Review, we provide an update on available technology, suggest practical applications for clinical care and research, and review supporting literature. Home ventilation machines (i.e., respiratory assist devices and portable ventilators) can now wirelessly transmit usage and performance data to cloud-based web servers for remote access by participating clinicians. The recent advent of remote ventilator telemonitoring has the potential to revolutionize home-assisted ventilation care in the United States and elsewhere.
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