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Tracheal Intermittent Positive Pressure ventilation for Patients with Progressive Neuromuscular DiseaseClinical Associate Professor of Pediatrics, University of Southern California School of Medicine, Department of Pediatrics
Associate Professor of Clinical Medicine, University of Southern California School of Medicine; Rancho Los Amigos Medical Center, Chest Medicine Service
Associate Professor of Physical Medicine and Rehabilitation, UMDNJ-New Jersey Medical School
Respiratory Nurse Specialist, Rancho Los Amigos Medical Center
Clinical Professor of Orthopedics, University of Southern California School of Medicine; Rancho Los Amigos Medical Center, Chief, Department of Orthopedics The purpose of this work is to review the use of long-term tracheal intermittent positive pressure ventilation (TIPPV) and its advantages and complications in the long-term management of neuromuscular ventilatory failure. Over 500 such individuals have been described who have had prolonged survival due largely to long-term TIPPV. Many of these individuals have remained active both professionally and socially. Long-term TIPPV is generally well tolerated and may become necessary to prolong the survival of individuals who already use noninvasive methods of ventilatory support but whose conditions have progressed to the point of requiring a tracheostomy.
Key Words: Mechanical ventilation • Neuromuscular disease • Duchenne muscular dystrophy • Tracheostomy.
Neurorehabilitation and Neural Repair, Vol. 6, No. 2,
93-101 (1992) |
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