Respiratory medicine · 2021
Mouthpiece ventilation in neuromuscular disorders: Narrative review of technical issues important for clinical success.
СтатьяПоддержка исследования: вне правительства СШАОбзорНазвание и аннотация: Перевод пока не подготовлен
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Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Toussaint Michel, Chatwin Michelle, Gonçalves Miguel R, Gonzalez-Bermejo Jésus, Benditt Joshua O, McKim Doug, Sancho Jesus, Hov Brit, Sansone Valeria, Prigent Hélène, Carlucci Annalisa, Wijkstra Peter, Garabelli Barbara, Escarrabill Joan, Pinto Tiago, Audag Nicolas, Verweij-van den Oudenrijn Laura, Ogna Adam, Hughes Wendy, Devaux Christian, Chaulet Johann, Andersen Tiina, ENMC Respiratory Therapy Consortium
Аннотация
In neuromuscular disorders (NMDs), nocturnal non-invasive ventilation (NIV) via a nasal mask is offered when hypercapnic respiratory failure occurs. With disease progression, nocturnal NIV needs to be extended into the daytime. Mouthpiece ventilation (MPV) is an option for daytime NIV. MPV represents a difficult task for home ventilators due to rapidly changing load conditions resulting from intermittent connections and disconnections from MPV circuit. The 252nd ENMC International Expert Workshop, held March 6th to 8th 2020 in Amsterdam, reported general guidelines for management of daytime MPV in NMDs. This report could not present all the detail regarding the technical issues important for clinical success of MPV. Based on the expert workshop discussions and the evidence from existing studies, the current narrative review aims to identify the technical issues of MPV and offers guidance via a decisional algorithm and educational figures providing relevant information that is important for successful implementation of MPV.