Document Detail

Prevention of pectus excavatum for children with spinal muscular atrophy type 1.
MedLine Citation:
PMID:  14508413     Owner:  NLM     Status:  MEDLINE    
To demonstrate the elimination of pectus excavatum and promotion of more normal lung growth and chest wall development by the use of high-span positive inspiratory pressure plus positive end-expiratory pressure (PIP+PEEP), patients with spinal muscular atrophy type 1 with paradoxical breathing were placed on high-span PIP+PEEP when sleeping from the point of diagnosis of spinal muscular atrophy. Although the appearance of pectus excavatum is ubiquitous in untreated infants with spinal muscular atrophy type 1, after institution of high-span PIP+PEEP, pectus resolves and lungs and chest walls grow more normally. High-span PIP+PEEP is indicated for all infants diagnosed with spinal muscular atrophy who demonstrate paradoxical breathing for the purpose of promoting more normal lung and chest development.
John R Bach; Carlo Bianchi
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  American journal of physical medicine & rehabilitation / Association of Academic Physiatrists     Volume:  82     ISSN:  0894-9115     ISO Abbreviation:  Am J Phys Med Rehabil     Publication Date:  2003 Oct 
Date Detail:
Created Date:  2003-09-25     Completed Date:  2003-10-28     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8803677     Medline TA:  Am J Phys Med Rehabil     Country:  United States    
Other Details:
Languages:  eng     Pagination:  815-9     Citation Subset:  AIM; IM    
Department of Physical Medicine and Rehabilitation and Neurosciences UMDNJ- New Jersy Medical School, Newark, New Jersey 07103, USA.
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MeSH Terms
Child, Preschool
Funnel Chest / etiology,  prevention & control*
Positive-Pressure Respiration / methods*
Spinal Muscular Atrophies of Childhood / complications,  rehabilitation*

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