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Long-term noninvasive ventilation for patients with thoracic cage abnormalities
1Association Lyonaise contra la Poliomyelite, Home Respiratory Care Organization, Croix Rousse Hospital, Lyon, France.
Respiratory Care Clinics of North America
|June 1, 1996
Summary
Long-term noninvasive ventilation improves survival and prevents cor pulmonale in patients with thoracovertebral deformities. Nocturnal use is convenient and effective, comparable to tracheostomy ventilation without the drawbacks.
Area of Science:
- Pulmonary Medicine
- Respiratory Physiology
Background:
- Thoracovertebral deformities, often sequelae of tuberculosis, can lead to severe respiratory compromise.
- Chronic hypoventilation in these patients can result in cor pulmonale and reduced survival.
- Existing treatments may be invasive or inconvenient.
Purpose of the Study:
- To evaluate the efficacy and benefits of long-term noninvasive ventilation in patients with thoracovertebral deformities.
- To compare noninvasive ventilation with other treatment modalities.
Main Methods:
- Application of long-term noninvasive intermittent positive pressure ventilation, primarily during nocturnal hours.
- Assessment of patient survival, prevention/alleviation of cor pulmonale, and quality of life.
Main Results:
- Noninvasive ventilation significantly improves survival and prevents or alleviates cor pulmonale.
- Nocturnal ventilation corrects hypoventilation, enabling daytime independence from ventilatory support.
- Efficacy is comparable to intermittent positive pressure ventilation via tracheostomy, with greater patient convenience.
Conclusions:
- Long-term noninvasive ventilation is a valuable therapeutic option for patients with thoracovertebral deformities.
- Nocturnal noninvasive ventilation offers a convenient and effective alternative to invasive ventilation.
- This approach enhances survival and quality of life by addressing respiratory insufficiency.