Mouthpiece ventilation in neuromuscular disorders: Narrative review of technical issues important for clinical success.
MPV
Mouthpiece ventilation
NMD
Neuromuscular disorders
Non-invasive ventilation
Journal
Respiratory medicine
ISSN: 1532-3064
Titre abrégé: Respir Med
Pays: England
ID NLM: 8908438
Informations de publication
Date de publication:
Historique:
received:
01
02
2021
revised:
15
03
2021
accepted:
16
03
2021
pubmed:
3
4
2021
medline:
17
12
2021
entrez:
2
4
2021
Statut:
ppublish
Résumé
In neuromuscular disorders (NMDs), nocturnal non-invasive ventilation (NIV) via a nasal mask is offered when hypercapnic respiratory failure occurs. With disease progression, nocturnal NIV needs to be extended into the daytime. Mouthpiece ventilation (MPV) is an option for daytime NIV. MPV represents a difficult task for home ventilators due to rapidly changing load conditions resulting from intermittent connections and disconnections from MPV circuit. The 252nd ENMC International Expert Workshop, held March 6th to 8th 2020 in Amsterdam, reported general guidelines for management of daytime MPV in NMDs. This report could not present all the detail regarding the technical issues important for clinical success of MPV. Based on the expert workshop discussions and the evidence from existing studies, the current narrative review aims to identify the technical issues of MPV and offers guidance via a decisional algorithm and educational figures providing relevant information that is important for successful implementation of MPV.
Identifiants
pubmed: 33798870
pii: S0954-6111(21)00079-2
doi: 10.1016/j.rmed.2021.106373
pii:
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
106373Informations de copyright
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