Respiratory adjuncts to NIV in neuromuscular disease
نویسندگان
چکیده
منابع مشابه
Respiratory involvement in neuromuscular disease.
72 © Royal College of Physicians 2014. All rights reserved. In neuromuscular disease (NMD), respiratory muscle weakness (RMW) is common and death often results from respiratory failure. RMW initially causes sleep-related hypoventilation, with sleep disruption. With progression, daytime respiratory failure ensues. Bulbar muscle weakness causes diffi culty with speech and swallowing, often compli...
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BACKGROUND Non-invasive ventilation (NIV) can increase exercise tolerance, reduce exercise induced desaturation and improve the outcome of pulmonary rehabilitation in patients with chronic respiratory disease. It is not known whether it can be applied to increase exercise capacity in patients admitted with non-hypercapnic acute exacerbations of COPD (AECOPD). We investigated the acceptability a...
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failure with NIV In their recent paper Nickol et al studied the possible mechanisms by which non-invasive ventilation (NIV) improves ventilatory failure in patients with a restrictive defect due to either neuromuscular disease or kyphoscoliosis. They investigated three possible hypotheses for reduction in daytime hypercapnia— namely, increased ventilatory sensitivity to CO2, improved respirator...
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In the developed world, Guillain-Barré syndrome and myasthenia gravis account for the majority of cases of acute respiratory failure associated with neuromuscular disease. The 4 components that contribute to respiratory failure are upper-airway dysfunction, inspiratory-muscle weakness, expiratory-muscle weakness, and the pulmonary complications associated with these conditions. Careful observat...
متن کاملNeuromuscular disease, respiratory failure and cor pulmonale.
Respiratory muscle weakness is an uncommon cause of chronic respiratory failure and a rare cause of cor pulmonale. The problem may not be apparent unless specific physical signs are sought or appropriate investigations performed. We present three patients who presented diagnostic difficulty for prolonged periods until the presence of respiratory muscle weakness was considered. Once the diagnosi...
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ژورنال
عنوان ژورنال: Respirology
سال: 2018
ISSN: 1323-7799,1440-1843
DOI: 10.1111/resp.13431