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Noninvasive airway approaches for acute neuromuscular respiratory failure in emergency departments
Author(s) -
Chen TaiHeng,
Hsu JongHau,
Jong YuhJyh
Publication year - 2017
Publication title -
pediatric pulmonology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.866
H-Index - 106
eISSN - 1099-0496
pISSN - 8755-6863
DOI - 10.1002/ppul.23693
Subject(s) - medicine , emergency department , noninvasive ventilation , airway , respiratory failure , acute respiratory failure , mechanical ventilation , intensive care medicine , intensive care , emergency medicine , anesthesia , psychiatry
Abstract Emerging evidence advocates for noninvasive ventilation (NIV) combined with mechanical in‐exsufflation (MIE) as a first‐line approach for acute respiratory failure (ARF) in patients with neuromuscular disorders (NMD). To date, most NIV studies of ARF in NMD patients have been performed in intensive care units or in hospital settings. However, the utility of using combined NIV/MIE in the emergency department (ED) settings is unclear. We report on the implementation of NIV/MIE in two children with type II spinal muscular atrophy who presented to the ED with ARF. This is the first report on the feasibility and efficacy of combining NIV/MIE in ED settings for pediatric NMD patients with ARF.