Mouthpiece Ventilation in Neuromuscular Disease

Mouthpiece non invasive mechanical ventilation is more frequently used in recent years because mouthpiece ventilation modes are being introduced to available portable ventilators. Often, a patient affected by neuromuscular disease needs noninvasive mechanical ventilation. Sometimes the patient does not accept the treatment, due to excessive air leakage, claustrophobia, anxiety and congiuntivitis. The mouthpiece makes less interference with speech, better appearance, less negative impact on the patient, no risk of skin breakdown and absence of claustrophobia. The mpv has been used to treat various neuromuscular diseases such as amyotrophic lateral sclerosis, Duchenne dystrophy, Steinert dystrophy; data in literature documenting that the mouthpiece ventilation resulted an effective, preferable and comfortable alternative.