| Noninvasive options for ventilatory support of the traumatic high level quadriplegic patient. | |
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MedLine Citation:
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PMID: 2203616 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The ventilation of 25 ventilator-dependent traumatic quadriplegic patients was supported by noninvasive means of ventilatory assistance. Twenty-four of the 25 were initially managed by endotracheal intubation, and 23 of these went on to tracheostomy intermittent positive pressure ventilation before being converted to NVA. Seventeen of the 23 patients had their tracheostomies closed. This included three patients with no significant free time except with the use of glossopharyngeal breathing. Seven of the 25 patients who used NVA for at least one year with no significant free time have employed NVA for a mean of 7.4 +/- 7.4 years (1 to 22 years). Mouth IPPV was the most common form of NVA used both during the daytime and overnight. The wrap ventilators, intermittent abdominal pressure ventilator, and GPB were also employed for long-term respiratory support. It was concluded that, in general, because of their youth, intact mental status and bulbar musculature, and absence of obstructive lung disease, patients with traumatic high level spinal cord injury are candidates to benefit from these techniques. |
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Authors:
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J R Bach; A S Alba |
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Publication Detail:
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Type: Journal Article; Research Support, U.S. Gov't, Non-P.H.S. |
Journal Detail:
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Title: Chest Volume: 98 ISSN: 0012-3692 ISO Abbreviation: Chest Publication Date: 1990 Sep |
Date Detail:
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Created Date: 1990-10-05 Completed Date: 1990-10-05 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0231335 Medline TA: Chest Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 613-9 Citation Subset: AIM; IM |
Affiliation:
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University Hospital, New Jersey Medical School, Newark 07103. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Female Humans Intermittent Positive-Pressure Ventilation / methods Male Quadriplegia / complications*, physiopathology Respiration, Artificial* / methods Respiratory Insufficiency / etiology, physiopathology, therapy* Respiratory Mechanics Spinal Cord Injuries / complications* Tracheostomy |
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