Document Detail

Helmet ventilation for acute respiratory failure and nasal skin breakdown in neuromuscular disorders.
MedLine Citation:
PMID:  19439687     Owner:  NLM     Status:  MEDLINE    
Noninvasive ventilation (NIV) has been widely used to decrease the complications associated with tracheal intubation in mechanically ventilated patients with neuromuscular diseases in acute respiratory failure. However, nasal ulcerations might occur when masks are used as an interface. Helmet ventilation is a possible option in this case. We describe two patients with acute respiratory failure due to Duchenne muscular dystrophy who developed nasal bridge skin necrosis during NIV. Helmet pressure support ventilation caused significant patient-ventilator asynchrony, leading to NIV intolerance. Thus, biphasic positive airway pressure delivered by helmet was applied, which improved gas exchange and patient-ventilator interaction, allowing successful NIV.
Fabrizio Racca; Lorenzo Appendini; Giacomo Berta; Luigi Barberis; Ferdinando Vittone; Cesare Gregoretti; Gabriela Ferreyra; Rosario Urbino; V Marco Ranieri
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-05-13
Journal Detail:
Title:  Anesthesia and analgesia     Volume:  109     ISSN:  1526-7598     ISO Abbreviation:  Anesth. Analg.     Publication Date:  2009 Jul 
Date Detail:
Created Date:  2009-06-18     Completed Date:  2009-07-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  1310650     Medline TA:  Anesth Analg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  164-7     Citation Subset:  AIM; IM    
Dipartimento di discipline Medico-Chirurgiche, Sezione di Anestesiologia e Rianimazione, Università di Torino, Ospedale S. Giovanni Battista-Molinette, Corso Dogliotti 14, 10126 Torino, Italy.
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MeSH Terms
Head Protective Devices*
Masks / adverse effects
Neuromuscular Diseases / complications,  physiopathology,  therapy*
Respiration, Artificial / instrumentation*,  methods
Respiratory Distress Syndrome, Adult / etiology,  therapy*
Skin Ulcer / etiology,  prevention & control*
Young Adult

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