Negative-Pressure Ventilation in Neuromuscular Diseases in the Acute Setting
Abstract
:1. Introduction
2. NPV Interfaces
2.1. Iron Lung
2.2. Poncho
2.3. Cuirass
3. NPV Mode
4. NPV Candidacy
5. NPV in Acute Settings in Neuromuscular Diseases
6. Advantages and Limitations of NPV in Acute Setting
7. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Indications | Contraindications |
---|---|
Severe facial decubitus | Sleep apnea syndrome |
Interface intolerance | Severe obesity |
Facial deformity | Severe kyphoscoliosis |
Severe respiratory acidosis | Rib fractures |
Severe hypercapnic encephalopathy | Recent abdominal surgery |
Reference | Study Design | Sample Size (N°) | Age Mean | Neuromuscular Diseases | NPV | Findings |
---|---|---|---|---|---|---|
Libby et al. 1982 [12] | Case series | 20 | 52 years (13–78) | Severe scoliosis or kyphosis with ARF (6 poliomyelitis, 1 AMC) | Iron lung | The only poliomyelitis patient treated with NPV avoided EI |
Braun et al. 1987 [13] | Case series | 5 | 49 years (19–70) | 3 ALS, 2 DMD | Intermittent Pneumowrap | 1 ALS patient avoided EI, 3 ALS patients slowed pulmonary deterioration, 2 DMD patients were weaned from PPV |
Garay et al. 1981 [14] | Case series | 8 | (33–71) | Alveolar hypoventilation (3 kyphoscoliosis, 2 postpoliomyelitis, 1 MD, 1 1° alveolar hypoventilation, 1 pneumonectomy with phrenic nerve crush) | iron lung (nocturnal NPV + daytime MPV) | All patients discharged and home treatment during 10 years |
Corrado et al. 1995 [16] | Retrospective study | 15 | - | 7 ALS, 5 MD, 2 MG, 1 MS | Iron lung | Successful treatment in 12 patients |
Hino et al. 2016 [17] | Case Report | 1 | 11 years | Nemaline myopathy complicated by tension pneumothorax undergoing NIPPV | Biphasic cuirass ventilation | Successful treatment, air leak resolution |
Imitazione et al. 2021 [18] | Case Report | 1 | 56 years | Limb–girdle muscular dystrophy (LGMDs) | Poncho NPV + HFNC | Successful treatment in hospital and at home after refusing NIV. |
Hassinger et al. 2017 [21] | Retrospective chart review | 233 | 15.5 months (7.6–39.6) | 15 neuromuscular diseases | Cuirass (CNEP or biphasic) | 8 patient responders |
Nunez et al. 2019 [22] | Retrospective cohort study | 118 | 12 months | 3 neuromuscular diseases | Biphasic cuirass ventilation | 2 patient responders 1 nonresponder |
Side Effects |
---|
Apneas Intolerance of corset Severe decubitus Lack of protection of the upper airway Musculoskeletal pain |
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Annunziata, A.; Calabrese, C.; Simioli, F.; Coppola, A.; Flora, M.; Marotta, A.; Di Spirito, V.; Didonna, F.; Cicalese, M.; Fiorentino, G. Negative-Pressure Ventilation in Neuromuscular Diseases in the Acute Setting. J. Clin. Med. 2022, 11, 2589. https://doi.org/10.3390/jcm11092589
Annunziata A, Calabrese C, Simioli F, Coppola A, Flora M, Marotta A, Di Spirito V, Didonna F, Cicalese M, Fiorentino G. Negative-Pressure Ventilation in Neuromuscular Diseases in the Acute Setting. Journal of Clinical Medicine. 2022; 11(9):2589. https://doi.org/10.3390/jcm11092589
Chicago/Turabian StyleAnnunziata, Anna, Cecilia Calabrese, Francesca Simioli, Antonietta Coppola, Martina Flora, Antonella Marotta, Valentina Di Spirito, Francesco Didonna, Marcellino Cicalese, and Giuseppe Fiorentino. 2022. "Negative-Pressure Ventilation in Neuromuscular Diseases in the Acute Setting" Journal of Clinical Medicine 11, no. 9: 2589. https://doi.org/10.3390/jcm11092589
APA StyleAnnunziata, A., Calabrese, C., Simioli, F., Coppola, A., Flora, M., Marotta, A., Di Spirito, V., Didonna, F., Cicalese, M., & Fiorentino, G. (2022). Negative-Pressure Ventilation in Neuromuscular Diseases in the Acute Setting. Journal of Clinical Medicine, 11(9), 2589. https://doi.org/10.3390/jcm11092589