Mouthpiece ventilation and complementary techniques in patients with neuromuscular disease: A brief clinical review and update

被引：23
|
作者：
Pinto, Tiago [1 ]
Chatwin, Michelle [2 ]
Banfi, Paolo [3 ]
Winck, Joao Carlos [4 ]
Nicolini, Antonello [5 ,6 ]
机构：
[1] Dept Pulm Med, Lung Funct & Ventilat Unit, Oporto, Portugal
[2] Royal Brompton Hosp, Clin & Acad Dept Sleep & Breathing, London, England
[3] Don Gnocchi Fdn IRCSS, Milan, Italy
[4] Univ Porto, Fac Med, Oporto, Portugal
[5] Hosp Sestri Levante, Resp Dis Unit, Levante, GE, Italy
[6] Hosp Sestri Levante, ALS Ctr, Levante, GE, Italy
来源：
CHRONIC RESPIRATORY DISEASE | 2017年 / 14卷 / 02期
关键词：
Neuromuscular disease; noninvasive ventilatory support; mouthpiece ventilation; daytime ventilatory support; complementary techniques; DUCHENNE MUSCULAR-DYSTROPHY; MECHANICAL INSUFFLATION-EXSUFFLATION; AMYOTROPHIC-LATERAL-SCLEROSIS; RESPIRATORY MUSCLE AIDS; NONINVASIVE VENTILATION; MANAGEMENT PARADIGM; CONTROLLED-TRIAL; SURVIVAL; FAILURE; PROLONGATION;
D O I：
10.1177/1479972316674411
中图分类号：
R56 [呼吸系及胸部疾病];
学科分类号：
摘要：
Noninvasive ventilatory support (NVS) is sometimes reported as suboptimal in patients with neuromuscular disease (NMD). The reasons for this include inadequate ventilator settings and/or lack of interface tolerance. NVS has been used for many years in patients with NMD disorders as a viable alternative to continuous ventilatory support via a tracheostomy tube. The mouthpiece ventilation (MPV) is a ventilatory mode that is used as daytime ventilatory support in combination with other ventilatory modalities and interfaces for nocturnal NVS. However, there is still a poor understanding of this method's benefits compared with other modalities. This review aims to highlight the indications and advantages along with the disadvantages of MPV.
引用
收藏
页码：187 / 193
页数：7
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