Document Detail


The effects of one year of nocturnal cuirass-assisted ventilation in chest wall disease.
MedLine Citation:
PMID:  3164276     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The effects of one year of nocturnal cuirass-assisted ventilation using individually designed cuirass respirators have been investigated in twenty-five patients with chest wall disease. After one year, 22 (88%) of the patients were alive. Daytime arterial blood gases had improved. Functional residual capacity (FRC) had increased but there was no significant change in other lung volumes. Maximum inspiratory pressure (MIP) improved in the subjects with a scoliosis but not in those with a thoracoplasty or neuromuscular disease. Maximum expiratory pressure (MEP) was unchanged. Maximum voluntary ventilation (MVV), the ventilatory response to carbon dioxide and six minute walking distance had all increased. There was no improvement in respiratory symptoms, but a decrease in depression scores and in the time taken to complete a trail test. The mean (SD) number of days spent in hospital over the year was 21.5 (15.1) per patient, with patients consulting their general practitioners less frequently than in the year prior to commencing nocturnal cuirass-assisted ventilation. The cost of commencing a patient on domiciliary nocturnal cuirass-assisted ventilation is estimated as 2470 pounds, and of maintaining them at home for one year as 3302 pounds.
Authors:
W Kinnear; S Hockley; J Harvey; J Shneerson
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The European respiratory journal     Volume:  1     ISSN:  0903-1936     ISO Abbreviation:  Eur. Respir. J.     Publication Date:  1988 Mar 
Date Detail:
Created Date:  1988-08-08     Completed Date:  1988-08-08     Revised Date:  2013-05-23    
Medline Journal Info:
Nlm Unique ID:  8803460     Medline TA:  Eur Respir J     Country:  DENMARK    
Other Details:
Languages:  eng     Pagination:  204-8     Citation Subset:  IM    
Affiliation:
Assisted Ventilation Unit, Newmarket General Hospital, Suffolk, England.
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MeSH Terms
Descriptor/Qualifier:
Female
Follow-Up Studies
Home Nursing / economics
Hospitalization
Humans
Lung Volume Measurements
Male
Night Care / economics
Pulmonary Gas Exchange
Pulmonary Ventilation
Respiration, Artificial / instrumentation*
Thoracic Diseases / physiopathology*
Time Factors
Ventilators, Mechanical*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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