Intermittent Abdominal Pressure Ventilation: An Alternative for Respiratory Support
Open accessAbstract
Intermittent abdominal pressure ventilation is a positive pressure ventilation technique that works with abdominal compressions. It has been known since 1938; however, for many years, it was out of production. In recent years, a new device has been produced that has captured the attention to this old respiratory support technique. We considered eight patients with respiratory failure secondary to a neuromuscular disease (congenital myopathy, Duchenne dystrophy, and amyotrophic lateral sclerosis) intolerant to daytime noninvasive ventilation (NIV). IAPV was proposed as an alternative to NIV. We performed baseline and post-IAPV respiratory function assessment. All patients, two years later, are still using intermittent abdominal ventilation. Intermittent positive abdominal mechanical ventilation can be a valid alternative to noninvasive mechanical ventilation with a nasal or face mask. It improves gas exchange, symptoms, and quality of life, decreases the incidence of pneumonia, and can avert the need for intubation and tracheotomy.
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Both continuous non-invasive ventilation support and invasive mechanical ventilation via tracheostomy allow patients to continue to live at home, with different impacts on quality of life.
“Both these forms of ventilation allow patients to continue to live at home with different impacts on Quality of Life (QoL) [3–6].”
From Life Experiences in Neuromuscular Tracheotomized Patients in Times of Covid-19 (2023) · cites this paper as [4]
The Background (page unavailable) says mask-based noninvasive ventilation can interfere with quality of life, and the Conclusion discusses complications for patients needing continuous support. The paper does not establish that both noninvasive ventilation and invasive ventilation via tracheostomy allow patients to live at home, or compare their quality-of-life impacts. (LLM, conf=0.84)
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Life Experiences in Neuromuscular Tracheotomized Patients in Times of Covid-19
Volpato, E., Pierucci, P., De Candia, M. L., Casparrini, M., Volpi, V., Pagnini, F., Carpagnano, G. E., & Banfi, P. (2023) · Journal of Neuromuscular Diseases · doi:10.3233/jnd-221597 · Cited by 2 · see citing works
- Authors
- Fiorentino, G., Annunziata, A., Coppola, A., Marotta, A., Simioli, F., Imitazione, P., Lanza, M., Cauteruccio, R., & Esquinas, A. M.
- Affiliations
- Ospedale Monaldi (IT)
- Hospital General Universitario Morales Meseguer (ES)
- Corresponding author
- Coppola, Antonietta
- ORCID
- Venue
- Canadian Respiratory Journal
- Publisher
- Wiley
- Published
- 2021-08-23
- Volume
- 2021
- Pages
- 1-5
- ISSN
- 1198-2241 (ISSN-L)
- 1916-7245
- PMC
- PMC8405303
- OpenAlex
- W3196187808
- Cited by
- 7
- References
- 16
- Citations by year
- 2025: 2 · 2023: 4 · 2022: 1
- FWCI
- 0.81
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Canadian Respiratory Journal (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Respiratory Support and Mechanisms
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Neonatal Respiratory Health Research
- Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
- Keywords
- positive pressure ventilation, neuromuscular disorders, respiratory failure, congenital myopathy, amyotrophic lateral sclerosis, gas exchange, pneumonia prevention, tracheostomy avoidance
- MeSH terms
- Adult, Aged, Female, Humans, Intermittent Positive-Pressure Ventilation, Male, Middle Aged, Neuromuscular Diseases, Positive-Pressure Respiration, Quality of Life, Respiratory Insufficiency, Treatment Outcome, Noninvasive Ventilation
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