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Continuous noninvasive ventilatory support outcomes for patients with neuromuscular disease: a multicenter data collaboration
Author(s) -
Miguel Gonçalves,
John R. Bach,
Yuka Ishikawa,
Louis R. Saporito,
João Carlos Winck
Publication year - 2021
Publication title -
pulmonology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.826
H-Index - 22
eISSN - 2531-0437
pISSN - 2531-0429
DOI - 10.1016/j.pulmoe.2021.06.007
Subject(s) - medicine , amyotrophic lateral sclerosis , neuromuscular disease , mechanical ventilation , respiratory failure , duchenne muscular dystrophy , anesthesia , disease
Typically, patients with progressive neuromuscular disorders (NMDs) develop acute respiratory failure (ARF), are intubated, and when failing spontaneous breathing trials (SBTs) undergo a tracheotomy and receive tracheostomy mechanical ventilation (TMV). However, increasing numbers of patients use nasal noninvasive ventilation (NIV), initially for sleep and this is extended to continuous dependence (CNVS). This can be used as a strategy to assist in successful extubation . We retrospectively reviewed 19 centers offering CNVS and mechanical insufflation-exsufflation (MI-E) as an alternative to TMV.

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