Intermittent Abdominal Pressure Ventilation: An Alternative for Respiratory Support

Autor: Giuseppe Fiorentino, Anna Annunziata, Antonietta Coppola, Antonella Marotta, Francesca Simioli, Pasquale Imitazione, Maurizia Lanza, Rosa Cauteruccio, Antonio M. Esquinas
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Canadian Respiratory Journal, Vol 2021 (2021)
Druh dokumentu: article
ISSN: 1198-2241
1916-7245
DOI: 10.1155/2021/5554765
Popis: Intermittent abdominal pressure ventilation is a positive pressure ventilation technique that works with abdominal compressions. It has been known since 1938; however, for many years, it was out of production. In recent years, a new device has been produced that has captured the attention to this old respiratory support technique. We considered eight patients with respiratory failure secondary to a neuromuscular disease (congenital myopathy, Duchenne dystrophy, and amyotrophic lateral sclerosis) intolerant to daytime noninvasive ventilation (NIV). IAPV was proposed as an alternative to NIV. We performed baseline and post-IAPV respiratory function assessment. All patients, two years later, are still using intermittent abdominal ventilation. Intermittent positive abdominal mechanical ventilation can be a valid alternative to noninvasive mechanical ventilation with a nasal or face mask. It improves gas exchange, symptoms, and quality of life, decreases the incidence of pneumonia, and can avert the need for intubation and tracheotomy.
Databáze: Directory of Open Access Journals
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