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VOLUME 6 , ISSUE 1 ( January-June, 2017 ) > List of Articles

REVIEW ARTICLE

Mechanical ventilation in neuromuscular disorders- A review

Keywords : Invasive, mechanical ventilation, neuromuscular disorders, noninvasive

Citation Information : Mechanical ventilation in neuromuscular disorders- A review. Indian J Respir Care 2017; 6 (1):769-772.

DOI: 10.5005/jp-journals-11010-06105

License: NA

Published Online: 02-12-2022

Copyright Statement:  NA


Abstract

Neuromuscular disorders (NMD) are a group of disorders characterised by weakness of muscles and may have a slow and progressing alveolar hypoventilation leading to the ventilatory failure. It may necessitate initiation of mechanical ventilation. Noninvasive ventilation is the method of choice. Invasive mechanical ventilation is indicated when noninvasive mechanical ventilation fails. Tracheostomy is the airway of choice for invasive mechanical ventilation. Endotracheal intubation is used only as an emergency airway or when reversible causes of acute respiratory failure are being considered. This article details ventilation in patients with neuromuscular disorders.


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  1. Lisboaa C, Díaza O, Fadicb R. Noninvasive mechanical ventilation in patients with neuromuscular diseases and in patients with chest restriction. Arch Bronconeumol 2003;39(7):314-20
  2. Simonds A. Recent advances in respiratory care for neuromuscular disease. Chest 2006;130: 1879-86.
  3. Mangera Z, Panesar G, Makker H. Practical approach to management of respiratory complications in neurological disorders. Int J Gen Med 2012;5:255-63.
  4. Rochester DF, Esau SA. Assessment of ventilatory function in patients with neuromuscular disease. Clin Chest Med 1994;15: 751-63
  5. Pfeffer G, Povitz M. Respiratory management of patients with neuromuscular disease: current perspectives. Degenerative Neurological and Neuromuscular Disease 2016;6:111-8
  6. Davidson AC, Banham S, Elliott M, et al. BTS/ ICS Guidelines for the ventilatory management of acute hypercapnic respiratory failure in adults. Thorax 2016;71:ii1–ii35
  7. Mehta S. Neuromuscular disease causing acute respiratory failure. Respir Care 2006;51:1016– 1023
  8. Fiorentino G, Annunziata A, Cauteruccio R, di Frega GS, Marotta A. Mouthpiece Ventilation in Neuromuscular Disease. Arch Emerg Med Crit Care 2016;1(3): 1011
  9. Johnson S, Unnikrihnan R. Noninvasive ventilation: Selection of patient, interfaces, initiation and weaning. Ind J Resp Care 2015; 4(2): 632-6.
  10. S Ward, M Chatwin, S Heather, A K Simonds. Randomised controlled trial of noninvasive ventilation (NIV) for nocturnal hypoventilation in neuromuscular and chest wall disease patients with daytime normocapnia. Thorax 2005;60:1019–24
  11. Fernandez-Vivas M, Caturla-Such J, Gonzalez de la Rosa J, AcostaEscribano J, Alvarez-Sanchez B, Canovas-Robles J. Noninvasive pressure support versus proportional assist ventilation in acute respiratory failure. Intensive Care Med 2003;29(7):1126–33.
  12. Wysocki M, Richard JC, Meshaka P. Noninvasive proportional assist ventilation compared with noninvasive pressure support ventilation in hypercapnic acute respiratory failure. Crit Care Med 2002;30(2): 323–29.
  13. Gay PC, Hess DR, Hill NS. Noninvasive proportional assist ventilation for acute respiratory insufficiency: comparison with pressure support ventilation. Am J Respir Crit Care Med 2001;164(9):1606– 1611.
  14. Hart N, Hunt A, Polkey MI, Fauroux B, Lofaso F, Simonds AK. Comparison of proportional assist ventilation and pressure support ventilation in chronic respiratory failure due to neuromuscular and chest wall deformity. Thorax 2002;57(11):979–81
  15. Hess DR. Noninvasive Ventilation in Neuromuscular Disease: Equipment and Application. Respir Care 2006;51(8):896–91
  16. Lellouche F, Maggiore SM, Deye N, Taille S, Pigeot J, Harf A, Brochard L. Effect of the humidification device on the work of breathing during noninvasive ventilation. Intensive Care Med 2002; 28(11):1582–9.
  17. Jaber S, Chanques G, Matecki S, Ramonatxo M, Souche B, Perrigault PF, Eledjam JJ. Comparison of the effects of heat and moisture exchangers and heated humidifiers on ventilation and gas exchange during non-invasive ventilation. Intensive Care Med 2002;28(11): 1590–4.
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