Mouthpiece ventilation: just a home-care support?
نویسندگان
چکیده
Noninvasive ventilation (NIV) is recognized nowadays as the first choice of treatment for COPD exacerbation. Compared with standard medical treatment, it can significantly reduce the intubation rate, hospital stay, nosocomial infection, and, above all, mortality rate.1,2 Physiological studies have shown that the mechanism of action of NIV in this population is the ability to sustain alveolar ventilation by reducing the work of breathing,3 as during
منابع مشابه
Evaluation of ventilators for mouthpiece ventilation in neuromuscular disease.
BACKGROUND Daytime mouthpiece ventilation is a useful adjunct to nocturnal noninvasive ventilation (NIV) in patients with neuromuscular disease. The aims of the study were to analyze the practice of mouthpiece ventilation and to evaluate the performance of ventilators for mouthpiece ventilation. METHODS Practice of mouthpiece ventilation was assessed by a questionnaire, and the performance of...
متن کاملAn evaluation of home volume ventilators that support open-circuit mouthpiece ventilation.
BACKGROUND Open-circuit mouthpiece ventilation (MPV) is a form of noninvasive ventilation that can be used to provide portable daytime ventilatory support for neuromuscular patients with chronic respiratory failure. MPV has been reported to reduce the risk of respiratory infection due to tracheostomy, and to improve cough and voice function and patient quality of life. Despite these potential b...
متن کاملMaintaining an "oral tradition": specific equipment requirements for mouthpiece ventilation instead of tracheostomy for neuromuscular disease.
Boitano and Benditt1 have applied the scientific method to provide further understanding of an aspect of airway management that is practiced by very few centers— one that is in great need of critical investigation and dissemination. It has been demonstrated that the improvement in nocturnal ventilation provided by noninvasive means carries over into the daytime hours and improves diurnal gas ex...
متن کاملHome mechanical ventilation
Definition and goals ofhome mechanical ventilation Born during the polio epidemics of 50 years ago, home mechanical ventilation has evolved towards two distinct concepts-a life support system for patients without respiratory independence (high cervical spinal cord injury, end stage neuromuscular disease, or chronic obstructive pulmonary disease), and elective therapy for patients with progressi...
متن کاملHome monitoring of daytime mouthpiece ventilation effectiveness in patients with neuromuscular disease.
Mouthpiece ventilation (MPV) allows patients with neuromuscular disease to receive daytime support from a portable ventilator, which they can disconnect at will, for example, for speaking, eating, swallowing, and coughing. However, MPV carries a risk of underventilation. Our purpose here was to evaluate the effectiveness of daytime MPV under real-life conditions. Eight wheelchair-bound patients...
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عنوان ژورنال:
- Respiratory care
دوره 59 12 شماره
صفحات -
تاریخ انتشار 2014