Noninvasive interface for transtracheal mechanical ventilation for patients with severe cervical spine deformity.
This article describes a custom-molded patient-to-ventilator interface that permits mechanical ventilation via a tracheostomy site for patients for whom tracheostomy tubes can not be used because of severe cervical deformity. The nocturnal delivery of intermittent positive-pressure ventilation resulted in normalization of oxyhemoglobin saturation and end-tidal CO2 and alleviation of symptoms of alveolar hypoventilation. Thermoplastic patient-ventilator tubing interfaces can be constructed to permit ventilatory assistance for patients with tracheostomies who can not use tracheostomy tubes.
Gonzalez
Enrique L
EL
Department of Physical Medicine and Rehabilitation, UMDNJ-New Jersey Medical School, Newark 07103, USA.
Bishop
Roberta G
RG
Bach
John R
JR
D000328:Adult; D002547:Cerebral Palsy / Q000150:complications*; D002574:Cervical Vertebrae; D004867:Equipment Design; D005260:Female; D006801:Humans; D011175:Positive-Pressure Respiration / Q000295:instrumentation* / Q000379:methods; D020182:Sleep Apnea, Central / Q000209:etiology / Q000628:therapy*; D013122:Spinal Diseases / Q000150:complications*; D014139:Tracheostomy