Equipment options for cough augmentation, ventilation, and noninvasive interfaces in neuromuscular respiratory management.
نویسنده
چکیده
This is a summary of the presentation on equipment options for cough augmentation, ventilation, and noninvasive interfaces in neuromuscular respiratory management presented as part of the program on pulmonary management of pediatric patients with neuromuscular disorders at the 30th annual Carrell-Krusen Neuromuscular Symposium on February 20, 2008.
منابع مشابه
Management of airway clearance in neuromuscular disease.
The clearance of airway secretions from the lungs is normally supported by the mucociliary escalator and by cough. These protective mechanisms provide an effective means of pulmonary-hygiene maintenance in healthy individuals. Patients with neuromuscular disease that affects the respiratory pump (the muscles of breathing) can experience mild to profound limitation in both ventilation and cough....
متن کاملCough Augmentation in Subjects With Duchenne Muscular Dystrophy: Comparison of Air Stacking via a Resuscitator Bag Versus Mechanical Ventilation.
BACKGROUND Air stacking improves cough effectiveness in people with Duchenne muscular dystrophy (DMD) and respiratory muscle weakness. However, it is not known whether air stacking is more effective via a resuscitator bag or a home ventilator. METHODS This prospective randomized study investigated the effect of air stacking via a volume-cycled home ventilator versus via a resuscitator bag in ...
متن کاملCough augmentation with mechanical insufflation/exsufflation in patients with neuromuscular weakness.
Adults and children with neuromuscular disease exhibit weak cough and are susceptible to recurrent chest infections, a major cause of morbidity and mortality. Mechanical insufflation/exsufflation may improve cough efficacy by increasing peak cough flow. It was hypothesised that mechanical insufflation/exsufflation would produce a greater increase in peak cough flow than other modes of cough aug...
متن کاملNoninvasive ventilation in neuromuscular disease: equipment and application.
Noninvasive support of ventilation is commonly needed in patients with neuromuscular disease. Body ventilators, which are used rarely, function by applying intermittent negative pressure to the thorax or abdomen. More commonly, noninvasive positive-pressure ventilation (NPPV) is used. This therapy can be applied with a variety of interfaces, ventilators, and ventilator settings. The patient int...
متن کاملAlternatives to endotracheal intubation for patients with neuromuscular diseases.
OBJECTIVE To evaluate the usefulness of continuous noninvasive mechanical ventilation and mechanical coughing aids to avoid endotracheal intubation and tracheostomy during episodes of acute respiratory failure in patients with neuromuscular disease. DESIGN We conducted a prospective cohort study at the respiratory medicine ward of a university hospital to study the success rate of the use of ...
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عنوان ژورنال:
- Pediatrics
دوره 123 Suppl 4 شماره
صفحات -
تاریخ انتشار 2009