Thinking outside the thorax for patients difficult to wean from non-invasive ventilation: amyotrophic lateral sclerosis diagnosis and management in a Respiratory Intermediate Care Unit.
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چکیده
منابع مشابه
Amyotrophic Lateral Sclerosis Presenting
osis are known to have respiratory complications, but these difficulties usually occur late in the course of the disease. A few cases of amyotrophic lateral sclerosis have been reported in which the original symptom was exertional dyspnea.5 To our knowledge, the two patients in this report represent the first two cases where acute respiratory failure requiring mechanical ventilation was the ini...
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Amyotrophic Lateral Sclerosis (als) is a devastating neurodegenerative disease causing motor impairment. It is the third in the ranking of incidence of neurodegenerative diseases, has no cure, and its survival time after diagnosis is very limited. Since most patients die from respiratory failure, predicting the onset of hypoventilation is of major importance to prolong survival and improve the ...
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Amyotrophic lateral sclerosis (ALS) is a neurodegenerative disease affecting the motor nervous system. It causes progressive and cumulative physical disabilities in patients, and leads to eventual death due to respiratory muscle failure. The disease is diverse in its presentation, course, and progression. We do not yet fully understand the cause or causes of the disease, nor the mechanisms for ...
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Diaphragmatic pacing is a valuable tool that can significantly benefit certain patients with respiratory insufficiency provided they have an intact phrenic nerve and a functional diaphragm. Careful patient selection is critical to successful long-term results. The main populations that derive benefit from pacing include those with congenital or acquired central hypoventilation syndrome and more...
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Although amyotrophic lateral sclerosis and its variants are readily recognised by neurologists, about 10% of patients are misdiagnosed, and delays in diagnosis are common. Prompt diagnosis, sensitive communication of the diagnosis, the involvement of the patient and their family, and a positive care plan are prerequisites for good clinical management. A multidisciplinary, palliative approach ca...
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عنوان ژورنال:
- Pulmonology
دوره شماره
صفحات -
تاریخ انتشار 2017