Document Detail


Noninvasive respiratory management and diaphragm and electrophrenic pacing in neuromuscular disease and spinal cord injury.
MedLine Citation:
PMID:  23349084     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
The purpose of this monograph is to describe noninvasive management of respiratory muscle weakness/paralysis for patients with neuromuscular disease (NMD) and spinal cord injury (SCI). Noninvasive ventilation (NIV) assists and supports inspiratory muscles, whereas mechanically assisted coughing (MAC) simulates an effective cough. Long-term outcomes will be reviewed as well as the use of NIV, MAC, and electrophrenic pacing (EPP) and diaphragm pacing (DP) to facilitate extubation and decannulation. Although EPP and DP can facilitate decannulation and maintain alveolar ventilation for high-level SCI patients when they cannot use NIV because of lack of access to oral interfaces, there is no evidence that they have any place in the management of NMD. Muscle Nerve, 2013.
Authors:
John R Bach
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Muscle & nerve     Volume:  47     ISSN:  1097-4598     ISO Abbreviation:  Muscle Nerve     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-01-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7803146     Medline TA:  Muscle Nerve     Country:  United States    
Other Details:
Languages:  eng     Pagination:  297-305     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 Wiley Periodicals, Inc.
Affiliation:
Department of Physical Medicine and Rehabilitation, University of Medicine and Dentistry of New Jersey (UMDNJ), B403, 150 Bergen Street, Newark, New Jersey 07103, USA; Department of Neurosciences, UMDNJ, Newark, New Jersey, USA; Center for Ventilator Management Alternatives, University Hospital, Newark, New Jersey, USA. bachjr@umdnj.edu.
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