[Intermittent self-ventilation in neuromuscular diseases. Comparison of lung function parameters in ventilated and non-ventilated patients].
BACKGROUND
Based on neuromuscular-disease patients in our case, we investigate the possibility of elaborating criteria by which to judge when home intermittent mechanical ventilation should be commenced and to access its consequences over an extended period.


METHODS
Out of 24 patients with neuromuscular diseases (6 female, 18 male, mean age 32 years), 14 were treated with IPPV. They were suffering from hypercapnic respiratory failure with heavy sleep disruption and corresponding daily symptoms.


RESULTS
The aim was to calculate significant examination parameters to facilitate indication for IPPV. The clinical situation of patients dependent on respiratory support improved under IPPV. We witnessed a "ventilation-saving effect" and--despite progression of the basic disease within the monitoring period--no deterioration of the blood-gas situation.


CONCLUSIONS
It is possible to elaborate criteria for the indication of IPPV based on our group of neuromuscular-disease patients.
Schulz
M R
MR
Thoraxklinik Heidelberg-Rohrbach, Abteilung Innere Medizin-Pneumologie, Heidelberg.
Wiebel
M
M
Schulz
V
V
D000293:Adolescent; D000328:Adult; D001784:Blood Gas Analysis; D005260:Female; D006699:Home Care Services; D006801:Humans; D007384:Intermittent Positive-Pressure Breathing; D008173:Lung Diseases, Obstructive / Q000534:rehabilitation*; D008176:Lung Volume Measurements; D008297:Male; D008875:Middle Aged; D009134:Muscular Atrophy, Spinal / Q000534:rehabilitation; D009136:Muscular Dystrophies / Q000534:rehabilitation; D009468:Neuromuscular Diseases / Q000534:rehabilitation*; D012189:Retrospective Studies; D012648:Self Care
Intermittierende Selbstbeatmung bei neuromuskulären Erkrankungen. Vergleich der Lungenfunktionsparameter bei beatmeten und nichtbeatmeten Patienten.