A pneumobelt with a positive pressure respirator was used for sleep for three patients with chronic respiratory insufficiency secondary to syringomyelia, poliomyelitis, and Friedreich's ataxia respectively. This device was found to be effective in improving and maintaining their daily functioning in the community or institute. articolo originale: https://pubmed.ncbi.nlm.nih.gov/2774892/ autori: G F Yang 1, A Alba, M [...]
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Finora hrg70uAISt ha creato 14 post nel blog.
The loss of normal respiratory functions is usually seen following high cervical spinal cord injuries. Since respiration is mainly a function of the diaphragm and intercostal muscles, paralysis of these groups will result in respiratory insufficiency. The traditional management approach of bedside ventilator support has been supplemented in recent years with more sophisticated [...]
Daytime noninvasive ventilatory support for patients with ventilatory pump failure: a narrative reviewhrg70uAISt2020-07-16T10:35:01+02:00
Over the past three decades, the use of noninvasive ventilation or “NIV” to assuage symptoms of hypoventilation for patients with early onset or mild ventilatory pump failure has been extended to up to the use of continuous noninvasive ventilatory support (CNVS) at full ventilatory support settings as a definitive alternative to tracheostomy mechanical [...]
This article describes noninvasive acute and long-term management of the respiratory muscle paralysis of high spinal cord injury (SCI). This includes full-setting, continuous ventilatory support by noninvasive intermittent positive pressure ventilation (NIV) to support inspiratory muscles and mechanically assisted coughing (MAC) to support inspiratory and expiratory muscles. The NIV and MAC can also [...]
In this paper we present a device for improving blood oxygenation in patients with Acute Respiratory Distress Syndrome (ARDS). ARDS is caused by lung-related illness or injury, and can occur in mechanically ventilated ICU patients due to volutrauma or barotrauma. In ARDS, the lower lung is closed resulting in impaired gas exchange, and [...]
Pulmonary rehabilitation coupled with negative pressure ventilation decreases decline in lung function, hospitalizations, and medical cost in COPD: A 5-year studyhrg70uAISt2020-07-16T10:27:30+02:00
Pulmonary rehabilitation (PR) brings benefits to patients with chronic obstructive pulmonary disease (COPD). Negative pressure ventilation (NPV) increases ventilation and decreases hyperinflation as well as breathing work in COPD. We evaluated the long-term effects of a hospital-based PR program coupled with NPV support in patients with COPD on clinical outcomes.One hundred twenty-nine patients [...]
Successful Treatment of Protein-Losing Enteropathy and Plastic Bronchitis by Biphasic Cuirass Ventilation in a Patient with Failing Fontan Circulationhrg70uAISt2020-07-16T10:26:14+02:00
We present a 16-year-old male patient with hypoplastic left heart syndrome who developed protein-losing enteropathy (PLE) and plastic bronchitis (PB) after a Fontan operation. He received medical therapies, including albumin infusion, unfractionated heparin, and high-dose anti-aldosterone therapy but could not obtain clinical relief. Biphasic cuirass ventilation (BCV) led to expectoration of bronchial casts [...]
OBJECTIVE:To compare iron lung (ILV) versus mask ventilation (NPPV) in the treatment of COPD patients with acute on chronic respiratory failure (ACRF). DESIGN:Randomised multicentre study. SETTING:Respiratory intermediate intensive care units very skilled in ILV. PATIENTS AND METHODS:A total of 141 patients met the inclusion criteria and were assigned: 70 to ILV and 71 [...]
Long-term ventilation of patients with Duchenne muscular dystrophy: experiences at the Neuromuscular Centre Ulmhrg70uAISt2020-07-16T10:00:28+02:00
The various measures used to treat the symptoms of Duchenne muscular dystrophy (DMD), i.e. medication with steroids, early operation on contractures and spine deformities as well as cardiac diagnostics and therapy, should always be accompanied by careful monitoring of the patient's respiratory status. Therapy for respiratory failure, in particular long-term ventilation, is now [...]
Coughing is the body’s defense mechanism to clear the airways from the foreign bodies and secretions. In patients with neuromuscular disorders or other diseases affecting the airways such as cystic fibrosis (CF), the effectiveness of this defense mechanism is often reduced due to respiratory exhaustion. Some COPD patients have also difficulty in airway [...]