Intermittent abdominal pressure ventilation: feasibility and efficacy in neuromuscular disease. A case report

Submitted: March 1, 2021
Accepted: May 30, 2021
Published: August 3, 2021
Abstract Views: 1046
PDF: 442
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Authors

The standard treatment for patients with neuromuscular respiratory failure is non-invasive ventilation (NIV) as non-invasive ventilation support-setting (NVS). NVS is administered through a nasal or face mask and/or mouthpiece with the potential to cause nasal ulcers, discomfort, and/or aesthetic issues, resulting in poor compliance. We reported the observation of a 45-year-old woman with limb-girdle muscular dystrophy (LGMD), secondary to Dysferlin deficiency, who was on NVS since 2017 for nocturnal hypoventilation. In 2018, despite nocturnal ventilation, due to weight gain and daytime hypoventilation, a nasal mask was introduced. We initiated daytime intermittent abdominal pressure ventilation (IAPV) to mitigate cosmetic problems, improving in pO2 and decreasing in pCO2 versus baseline (52>84 mmHg, 46>33 mmHg respectively) at 6 (85 mmHg, 42 mmHg) and 18 months (93 mmHg, 38 mmHg), respectively. IAPV was effective, safe, and well-tolerated in our patients who did not tolerate standard daytime NVS with the known interface.

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Citations

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The authors have obtained the written informed consent of the patient mentioned in the article to collect her data and share her photo. The corresponding author is in possession of the written informed consent.

How to Cite

Puricelli, Cristina, Eleonora Volpato, Salvatore Sciurello, Antonello Nicolini, and Paolo Banfi. 2021. “Intermittent Abdominal Pressure Ventilation: Feasibility and Efficacy in Neuromuscular Disease. A Case Report”. Monaldi Archives for Chest Disease 91 (4). https://doi.org/10.4081/monaldi.2021.1828.