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Ventilator weaning by lung expansion and decannulation
BACH JR; GONCALVES M
AM J PHYS MED REHABIL , 2004, vol. 83, n° 7, p. 560-568 Doc n°: 114099 Localisation : Documentation IRR Descripteurs : FD2 - EXPLORATIONS EXAMENS BILANS - APPAREIL RESPIRATOIRE This case series of ventilator-dependent patients with neuromuscular disease who had no ventilator-free breathing ability demonstrates that decannulation and switching to continuous noninvasive intermittent positive-pressure ventilation combined with regular lung expansion therapy can result in improvements in pulmonary function and at least partial ventilator weaning. These six patients were also managed using mechanical insufflation-exsufflation for regular lung expansion and cough assistance. Thus, some ventilator users with neuromuscular disease can benefit from tracheostomy tube decannulation and transition to noninvasive intermittent positive-pressure ventilation and assisted coughing for ventilator weaning to predominantly nocturnal-only use. Langue : ANGLAIS |
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