title: [Non-invasive mechanical ventilation with a facial interface during sedation for a percutaneous endoscopic gastrostomy in a patient with amyotrophic lateral sclerosis].
abstract: Amyotrophic lateral sclerosis is a chronic neurodegenerative disease of the central nervous system which affects the motor neurons and produces a progressive muscle weakness, leading to atrophy and muscle paralysis, and ultimately death. Performing a percutaneous endoscopic gastrostomy with sedation in patients with amyotrophic lateral sclerosis can be a challenge for the anesthesiologist. The case is presented of a 76-year-old patient who suffered from advanced stage amyotrophic lateral sclerosis, ASA III, in which a percutaneous endoscopic gastrostomy was performed with deep sedation, for which non-invasive ventilation was used as a respiratory support to prevent hypoventilation and postoperative respiratory complications.
authors: Servicio de Anestesiología, Reanimación y Tratamiento del Dolor, Hospital Universitario La Ribera, Alzira, Valencia, España. Electronic address: gonmacar@gmail.com.
authors: M C
authors: MC
authors: González-Frasquet
authors: Servicio de Anestesiología, Reanimación y Tratamiento del Dolor, Hospital Universitario La Ribera, Alzira, Valencia, España.
authors: N
authors: N
authors: García-Covisa
authors: Enfermería, Hospital Universitario La Ribera, Alzira, Valencia, España.
authors: L
authors: L
authors: Vidagany-Espert
authors: Servicio de Anestesiología, Reanimación y Tratamiento del Dolor, Hospital Universitario La Ribera, Alzira, Valencia, España.
authors: A
authors: A
authors: Herranz-Gordo
authors: Servicio de Anestesiología, Reanimación y Tratamiento del Dolor, Hospital Universitario La Ribera, Alzira, Valencia, España.
authors: J E
authors: JE
authors: Llopis-Calatayud
mesh_terms: D000368:Aged; D000690:Amyotrophic Lateral Sclerosis / Q000601:surgery*; D054810:Deep Sedation; D004867:Equipment Design; D005773:Gastroscopy / Q000379:methods*; D005774:Gastrostomy; D006801:Humans; D008297:Male; D008397:Masks; D018908:Muscle Weakness / Q000209:etiology / Q000503:physiopathology; D063087:Noninvasive Ventilation / Q000295:instrumentation / Q000379:methods*; D011183:Postoperative Complications / Q000517:prevention & control; D012132:Respiratory Muscles / Q000503:physiopathology
keywords: Amyotrophic lateral sclerosis; Esclerosis lateral amiotrófica; Gastrostomía endoscópica percutánea; Non-invasive mechanical ventilation; Percutaneous endoscopic gastrostomy; Sedación para procesos endoscópicos; Sedation for endoscopic procedures; Ventilación mecánica no invasiva