| Follow up Survey of Non-invasive Intermittent Positive Pressure Ventilatory Support in Patients with Neuromuscular Diseases. |
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Kim, Dong Hyun , Kang, Seong Woong , Kim, Wan , Lee, Sang Chul , Yoo, Tae Won , Moon, Jae Ho |
1Department of Rehabilitation Medicine and Rehabilitation Institute of Muscular Disease, Yonsei University College of Medicine, Korea. kswoong@yumc.yonsei.ac.kr
2Department of Physical Medicine and Rehabilitation, Myongji Hospital, Kwandong University College of Medicine, Korea.
3Department of Physical Medicine and Rehabilitation, Sol Hospital, Korea. |
| 신경근육질환 환자에서 비침습적 호흡기 사용 경과 고찰 |
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김동현, 강성웅, 김완, 이상철1, 유태원2, 문재호 |
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연세대학교 의과대학 재활의학교실 및 근육병 재활연구소, 1관동대학교 의과대학 명지병원 재활의학교실, 2솔병원 재활의학과 |
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| Abstract |
Objective
To report an overall survey of the application state of non-invasive intermittent positive pressure ventilator (NIPPV) in patients with neuromuscular diseases who were managed successfully in this hospital.
Method
To estimate current state of NIPPV application, chart review and telephone survey were performed in neuromuscular patients who applied NIPPV successfully from March 2001 to January 2006 in this hospital.
Results
Among 161 patients who once tried NIPPV, 100 patients applied NIPPV successfully. The composition was 66 patients with myopathy, 20 patients with amyotrophic lateral scoliosis, 6 patients with spinal muscular atrophy, 3 patients with cervical cord injury, and 5 patients with other neuromuscular diseases. Among them, 12 patients who had undertaken tracheostomy were switched into NIPPV, however 3 ALS paients who had first applied NIPPV successfully were taken tracheostomy later.
Conclusion
NIPPV is an equally effective and safe tool for ventilatory support, which can be used as an alternative method of invasive ventilatory support for patients with advanced neuromuscular diseases. We assume that more neuromuscular patients can improve their quality of life, and prolong their life span through application of NIPPV. (J Korean Acad Rehab Med 2007; 31: 427-433) |
| Key Words:
Neuromuscular disease, Non-invasive intermittent positive pressure ventilator, Amyotrophic lateral sclerosis |
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