Home mechanical ventilation (HMV) is a critical intervention for patients with chronic respiratory failure, allowing them to receive life-sustaining support in a non-hospital setting. As a healthcare provider, effective monitoring of patients on HMV is essential to ensure optimal ventilation, detect complications early and adjust therapy as needed. Utilising standard ventilator data and waveform analysis enables precise assessment of patient-ventilator interaction, ventilation efficiency and potential issues such as leaks, obstructions, or asynchrony. By closely interpreting these parameters, you can make informed clinical decisions that enhance patient safety, comfort and quality of life.