Self-management of nocturnal respiratory insufficiency with a portable ventilator "Pneu-PAC" by an amyotrophic lateral sclerosis patient.
A 76-year-old man with amyotrophic lateral sclerosis was admitted to our hospital because of progressive exertional dyspnea (PaCO2 = 68.5 torr, PaO2 = 62.5 torr). He was put on mechanical ventilation, and thereafter sleep apnea of a central type was recognized. After improvement of general conditions, a portable ventilator "Pneu-PAC" was used for the self-management of nocturnal respiratory insufficiency. A portable ventilator might be of clinical benefit for the management of a patient with neuromuscular disorder whose activities of daily living are still functional.
First Department of Internal Medicine, Toyama Medical and Pharmaceutical University, Japan.
K
K
Hoshino
A
A
Kuroda
Y
Y
Mizushima
T
T
Morikage
S
S
Yano
D000368:Aged; D000690:Amyotrophic Lateral Sclerosis / Q000150:complications* / Q000175:diagnosis; D003131:Combined Modality Therapy; D003951:Diagnostic Errors; D004315:Doxapram / Q000627:therapeutic use; D004417:Dyspnea / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D006801:Humans; D008297:Male; D011175:Positive-Pressure Respiration / Q000295:instrumentation; D012648:Self Care; D012891:Sleep Apnea Syndromes / Q000209:etiology / Q000628:therapy*; D013966:Thyroiditis / Q000175:diagnosis; D014139:Tracheostomy
D004315:Doxapram