Pressure-controlled ventilation via a mini-tracheostomy tube for patients with neuromuscular disease.
The authors managed 10 patients with Duchenne muscular dystrophy (DMD) and five with MG with pressure-controlled ventilation (PCV) via mini-tracheostomy tube (MTT). The arterial partial pressure of CO2 (PaCO2) of the patients with DMD decreased after conversion to PCV via MTT from biphasic positive airway pressure (BIPAP) or a body ventilator. The MG patients could be converted from conventional volume-controlled ventilation to PCV via MTT. PCV via MTT achieves more effective ventilation than either BIPAP or a body ventilator and is as effective as ventilation via a conventional tracheal tube.
Nomori
H
H
Department of Thoracic Surgery, Saiseikai Central Hospital, Tokyo, Japan.
Ishihara
T
T
D000293:Adolescent; D000328:Adult; D001784:Blood Gas Analysis; D005260:Female; D006801:Humans; D008297:Male; D009136:Muscular Dystrophies / Q000503:physiopathology / Q000601:surgery* / Q000628:therapy*; D009157:Myasthenia Gravis / Q000503:physiopathology / Q000601:surgery* / Q000628:therapy*; D012131:Respiratory Insufficiency / Q000601:surgery* / Q000628:therapy*; D014140:Tracheotomy / Q000295:instrumentation* / Q000379:methods*; D012122:Ventilators, Mechanical