Respiratory failure in neuromuscular diseases.

Respiratory Muscle Aids in the Management of Neuromuscular Respiratory Impairment to Prevent Respiratory Failure and Need for Tracheostomy

Respiratory impairment results from primary disease of the lungs / airways or from impairment of the respiratory muscles. The proper identification of the respiratory impairment allows for proper management to decrease morbidity and mortality. Patients with neuromuscular impairment typically have hypoventilation or ventilator insufficiency/failure resulting in hypercapnia, hypoxia and an ineffe...

Neuromuscular disorders and acute respiratory failure: diagnosis and management.

Respiratory failure could result from a cardiopulmonary or a primary neurological disease. The latter could happen as a result of involvement of the central nervous system or a neuromuscular disease. Different neuromuscular diseases could result in respiratory failure by causing significant weakness of the respiratory and upper airways muscles. When confronted with a patient who presents with r...

Practical approach to management of respiratory complications in neurological disorders

Patients with certain neurological diseases are at increased risk of developing chest infections as well as respiratory failure due to muscular weakness. In particular, patients with certain neuromuscular disorders are at higher risk. These conditions are often associated with sleep disordered breathing. It is important to identify patients at risk of respiratory complications early in the cour...

The diagnosis and management of neuromuscular diseases causing respiratory failure.

Management and long-term outcome of patients with chronic neuromuscular disease admitted to the intensive care unit for acute respiratory failure: a single-center retrospective study.

BACKGROUND Patients with chronic neuromuscular disease represent less than 10% of those receiving mechanical ventilation in the intensive care unit (ICU). Little has been reported regarding either ICU management of acute respiratory failure (ARF) in the era of noninvasive mechanical ventilation (NIV) or long-term outcomes. OBJECTIVE To describe the respiratory management of patients with chro...

Novel uses of noninvasive ventilation.

Noninvasive ventilation (NIV) and continuous positive airway pressure (CPAP) have been used in various unusual settings to assist breathing. NIV is now frequently used to treat exacerbations of chronic obstructive pulmonary disease and chronic respiratory failure in neuromuscular disease. This paper discusses CPAP and NIV for postoperative hypoxemia, preventing intubation in high-risk bronchosc...