B Acad Nat Med Paris
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B Acad Nat Med Paris · Jun 1989
[From poliomyelitis to myopathies: management of respiratory insufficiency in neuromuscular disease].
Chronic respiratory insufficiency by neuromuscular disease is a problem with unknown fullness. Thirty eight patients were followed in a specialized center and have been treated by several means: Intermittent positive pressure breathing was employed for 6 patients with a vital capacity which was between 30 and 50% of normal values. It prevents thoracic deformation and aggravation of restrictive syndrome. ⋯ Ventilation by extra thoracic prosthesis was used in eighteen patients. Body ventilator, wrap, pneumo-belt were chosen in function of abdominothoracic morphology. "Personalized" nasal mask ventilation is a great interest non invasive method. It was applied in one case (myopathy with sleep apnea syndrome).