Effect of different modes of NIV in neuromuscular disease (Abstract/Poster in atti di convegno)

Type
Label
  • Effect of different modes of NIV in neuromuscular disease (Abstract/Poster in atti di convegno) (literal)
Anno
  • 2010-01-01T00:00:00+01:00 (literal)
Alternative label
  • Crescimanno G; Marrone O (2010)
    Effect of different modes of NIV in neuromuscular disease
    in European Respiratory Society Annual Congress, Barcellona, 18-22 settembre 2010
    (literal)
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  • Crescimanno G; Marrone O (literal)
Pagina inizio
  • 699s (literal)
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  • http://www.ersnet.org/learning_resources_player/abstract_print_10/files/367.pdf (literal)
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  • 36 (literal)
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  • 1 (literal)
Note
  • Abstract (literal)
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  • National Research Council of Italy (literal)
Titolo
  • Effect of different modes of NIV in neuromuscular disease (literal)
Abstract
  • Background: Noninvasiveventilation(NIV)isusedinpatientswithchronicneu- romusculardisorders,butwhichmodeofventilationisassociatedwithanoptimal patient-ventilatorinteractionispoorlyknown Objectives: WecompareddifferentmodesofNIVi.e.pressuresupportwithvol- ume guarantee(PSV-VG),pressuresupport(PSV)andassistedpressuresupport (APCV)inneuromuscularpatientsonnocturnalpolygraphicvariables,including patient-ventilatorsynchrony,andondiurnalbloodgases. Methods: Twentyeightpatientswithneuromusculardiseasewereincluded.The threeventilatorymodeswereappliedinthreeconsecutivenights.Duringeachnight a cardio-respiratorypolygraphicmonitoringwasperformed.Thenextmornings arterialbloodgasesweremeasured.Analysiswasextendedtorecurrenceofmajor patternsofasynchrony Results: No significantdifferencesinnocturnalanddiurnalbloodgaseswere found.Prolongedinsufflationwasthemost frequentasynchronyandwasstrictly correlatedwiththemagnitudeofleaksineachmodalityofNIV(PSV-VGr=0.53 p=0.005,PSVr=0.67p=0.0004,PSVplusPEEPr=0.61p=0.001,APCVr=0.62 p=0.0001,APCVplusPEEPr=0.55p=0.003).Thenumberofprolongedin- spirationswasstatisticallyhigherinPSVmodethaninAPCVmode(p=0.028). Ineffectiveefforts(IE)werefoundmainlyinthePSV-VTGmodeandwere correlatedwithdurationofleaks(r=-0.49,p=0.027)andBMI(r=-0.39,p=0.03 Conclusion: Differentmodesofventilationmaybeassociatedwithadifferentin- cidenceofpatient-ventilatorasynchronies,althoughsignificantdifferencesintheir effectsondiurnalornocturnalrespiratoryfunctionmaynotbeacutelydetected (literal)
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