[Invasive and non-invasive home ventilation--changes between 1982 and 1996].
METHODS
In our centre, 111 patients with chronic ventilatory insufficiency (33 females, 78 males, age 48 +/- 18 years, range 3 to 76 years) were treated by intermittent positive pressure ventilation between 1982 and 1996. Underlying diseases were neuromuscular diseases in 29%, sleep-related hypoventilation in 26%, kyphoscoliosis in 15%, chronic obstructive airway disease in 15%, and post-tuberculosis syndromes in 12%. Singular indications were 1 bronchiectasis, 1 lung fibrosis and 1 cystic fibrosis.


RESULTS
Until 1991, most patients were ventilated via tracheostoma (10 of 16), in the following years 87 of 95 patients could be ventilated via a nasal or facial mask. Ventilation mode was a controlled one in 80 patients and an assisted one in 31 patients, average ventilation time during night was 6 to 8 hours. In the majority of patients hypercapnia was not only removed during ventilation but also at daytime as an indicator of improvement of ventilatory insufficiency accomplished by a clearly better quality of life and daytime activity. Ten patients (9%) died due to their underlying diseases, 5 of them in the first year of intermittent ventilation.
Raffenberg
M
M
Lungenklinik Heckeshorn, Krankenhaus Berlin-Zehlendorf, Akademisches Lehrkrankenhaus der Freien Universität Berlin.
Geerdes-Fenge
H
H
Müller-Pawlowski
H
H
Petri
M
M
Schaberg
T
T
Loddenkemper
R
R
Lode
H
H
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D005260:Female; D006701:Home Nursing / Q000379:methods*; D006801:Humans; D007385:Intermittent Positive-Pressure Ventilation / Q000639:trends*; D008297:Male; D008875:Middle Aged; D012121:Respiration, Artificial / Q000639:trends*
Invasive und nichtinvasive intermittierende Selbstbeatmung--Wandel zwischen 1982 und 1996.