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 ineffective cough. In contrast, lung and airway diseases are characterized by hypoxia with eucapnia or hypocapnia, which often occur during an exacerbation resulting in acute respiratory failure (ARF). Often physicians evaluate and treat both as respiratory insufficiency/failure.