Tracheal versus noninvasive mechanical ventilation in neuromuscular patients: experience and evaluation.
From the experience of following 86 long-term ventilated neuromuscular patients, some aspects of the mode of ventilation are discussed: tolerance and problems, switching from one ventilation technique to another. As a general rule, the noninvasive methods are to be preferred. Tracheostomy may continue to be indicated in the event of an insufficient cultural level, recurrent aspirations, or low pulmonary compliance.
Soudon
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Centre for Mechanical Ventilation, De Bijtjes Rehabilitation Hospital, Vlezenbeek (Brussels), Belgium.
D000328:Adult; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009468:Neuromuscular Diseases / Q000150:complications* / Q000628:therapy; D012121:Respiration, Artificial / Q000009:adverse effects / Q000379:methods*; D012131:Respiratory Insufficiency / Q000209:etiology* / Q000628:therapy*; D013997:Time Factors; D014139:Tracheostomy; D012122:Ventilators, Mechanical