Intermittent negative pressure ventilation in the treatment of respiratory failure in progressive neuromuscular disease.

Abstract:

:Five men with degenerative neuromuscular diseases (three with amyotrophic lateral sclerosis [ALS] and two with Duchenne's muscular dystrophy [DMD]) who had respiratory failure were treated with intermittent negative pressure ventilation (NPV). One patient with ALS in severe acute respiratory failure was successfully treated with NPV alone. This patient and two other ALS patients in chronic respiratory failure with PaCO2 elevation stabilized or improved their vital capacity (VC) and lowered their PaCO2 after 5 to 11 weeks of therapy. Finally, intermittent NPV was used to replace 24-hour positive pressure ventilation in two patients with DMD. It is concluded that intermittent NPV may stabilize or temporarily improve the respiratory status in patients with progressive neuromuscular diseases.

journal_name

Neurology

journal_title

Neurology

authors

Braun SR,Sufit RL,Giovannoni R,O'Connor M,Peters H

doi

10.1212/wnl.37.12.1874

subject

Has Abstract

pub_date

1987-12-01 00:00:00

pages

1874-5

issue

12

eissn

0028-3878

issn

1526-632X

journal_volume

37

pub_type

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