Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Strapless oral-nasal interface for positive-pressure ventilation.

J R Bach1, I G McDermott

  • 1Department of PM&R, University of Medicine and Dentistry, New Jersey, Newark.

Archives of Physical Medicine and Rehabilitation
|October 1, 1990
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Continuous noninvasive ventilatory support outcomes for patients with neuromuscular disease: a multicenter data collaboration.

Pulmonology·2021
Same author

Noninvasive ventilatory support in morbid obesity.

Pulmonology·2021
Same author

Daytime non-invasive ventilatory support via intermittent abdominal pressure for a patient with Pompe disease.

Pulmonology·2020
Same author

Noninvasive ventilatory support to reverse weight loss in Duchenne muscular dystrophy: A case series.

Pulmonology·2018
Same author

Quantitation of oxygen-induced hypercapnia in respiratory pump failure.

Revista portuguesa de pneumologia·2016
Same author

Limitations of evidence-based medicine.

Revista portuguesa de pneumologia·2016
Same journal

Trends in Intrinsic Capacity: Evidence from 32 Countries.

Archives of physical medicine and rehabilitation·2026
Same journal

Cost-Effectiveness of Post-Acute Stroke Rehabilitation From a U.S. Healthcare Payer Perspective: Inpatient Rehabilitation Facilities Versus Skilled Nursing Facilities.

Archives of physical medicine and rehabilitation·2026
Same journal

Sociodemographic Determinants of Food Insecurity and Its Association with BMI in Individuals with Spinal Cord Injury: A Cross-Sectional Analysis from the All of Us Research Program.

Archives of physical medicine and rehabilitation·2026
Same journal

The effectiveness of perioperative respiratory muscle exercise in elderly cardiac surgery patients: a randomized controlled trial.

Archives of physical medicine and rehabilitation·2026
Same journal

Correlates of Loneliness in Persons with Spinal Cord Injury.

Archives of physical medicine and rehabilitation·2026
Same journal

Promoting Client-Centered Communication in Rehabilitation: Strategies for Managing Difficult Conversations.

Archives of physical medicine and rehabilitation·2026
See all related articles

A custom strapless oral-nasal interface (SONI) effectively supports patients with breathing difficulties using intermittent positive-pressure ventilation (IPPV). This noninvasive method improves blood gases and allows comfortable supine sleep for ventilator-dependent individuals.

Area of Science:

  • Biomedical Engineering
  • Respiratory Medicine
  • Medical Devices

Background:

  • Patients with paralytic or restrictive pulmonary insufficiency often require ventilatory support.
  • Noninvasive ventilation methods aim to improve patient comfort and compliance.
  • Custom interfaces can enhance the effectiveness of positive-pressure ventilation.

Purpose of the Study:

  • To describe a custom-fabricated strapless oral-nasal interface (SONI).
  • To evaluate the long-term efficacy and usability of SONI for intermittent positive-pressure ventilation (IPPV).
  • To assess patient outcomes, including blood gas levels, sleep quality, and oxygen saturation.

Main Methods:

  • A custom-fabricated acrylic shell, the SONI, was designed to seal the nose and mouth for IPPV delivery.

Related Experiment Videos

  • Eighteen patients with pulmonary insufficiency used SONI for long-term IPPV.
  • Patient outcomes were monitored, including daily arterial blood gases, sleep monitoring (oxygen saturation, end-tidal pCO2), and unassisted breathing duration.

    • Main Results:

    • All 18 patients used SONI for IPPV, with 8 being ventilator-dependent 24/7.
    • Patients requiring nocturnal support showed improved daytime arterial blood gases.
    • Sleep monitoring in 13 patients revealed a mean oxygen saturation of 95.3% and acceptable pCO2 levels; average use was 22 months.

    Conclusions:

    • SONI is a viable option for long-term noninvasive intermittent positive-pressure ventilation in patients with pulmonary insufficiency.
    • Potential impediments include gag reflex and excessive oral secretions.
    • SONI can be combined with other ventilatory aids for comprehensive noninvasive support.