Invasive versus non-invasive ventilation for acute respiratory failure in neuromuscular disease and chest wall disorders

Luo, Fang; Annane, Djillali; David, Olivier; He, Li; Yang, Mi; Zhou, Muke; Liu, Guan J

doi:10.1002/14651858.cd008380.pub2

Cited by 33 publications

(27 citation statements)

References 29 publications

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“…Our data indicate that ET was the preferred method to approach critically ill patients, as it facilitated their weaning from ventilators and decreased the duration of MV. In this way, we theoretically restrict ventilatorassociated complications such as infectious complications (nosocomial pneumonia) and hospital-acquired pressure injuries (pneumothorax, pulmonary interstitial emphysema, and pneumo-mediastinum), which increase the cost of the patient's healthcare and contribute to decreased patient and family satisfaction [6,16].…”

Section: Discussionmentioning

confidence: 99%

“…Mechanical ventilation (MV) can also lead to barotrauma of the lungs. The resultant alveolar rupture can lead to pneumothorax, pulmonary interstitial emphysema (PIE), and pneumomediastinum [6]. Despite the fact that it is a common procedure, the optimal time for a tracheostomy in the intensive care unit {ICU} is not clearly defined yet [7].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Comparison of the Outcomes of Early Versus Late Tracheostomy in the Treatment of Critically Ill Patients: A Retrospective Multicenter Measurement Study Done in Two Hospital Centers in Lebanon

Moussa¹,

Moussa²,

Nasr³

et al. 2020

Cureus

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Background Benefits of early tracheostomy (ET) versus late tracheostomy (LT) while treating critically ill patients have been a matter of big debate in the last few years. Several meta-analyses tried to prove the benefits of ET in decreasing the duration of mechanical ventilation (MV), the length of intensive care unit (ICU) stay, and the mortality rates. However, no clear guidelines are available yet. This study will focus on comparing the outcomes of early tracheostomy versus late one. Methods This is a retrospective study done in two medical and surgical ICUs at "Sacre-Coeur Hospital" and "Rafik Hariri University Hospital" at Beirut, where we reviewed various files of patients who underwent elective tracheostomy for prolonged MV from January 2015 to June 2016. ET and LT were assumed to be procedures performed respectively before and after 10 days of MV. These two groups were subdivided based on the Acute Physiology and Chronic Health Evaluation II (APACHE II) score calculated in the first 24 hours of ICU admission. Data about short-and long-term mortality, the duration of MV, and the length of ICU stay were collected and compared. Results From a total of 45 patients, only 25 patients met the inclusion and exclusion criteria of whom 12 (48%) underwent ET and 13 (52%) patients underwent LT. In patients with APACHE II <25 (6 ET and 6 LT), ET was associated with 50% long-term mortality, 9.6 days mean duration of MV and 23 days mean length of ICU stay compared to 57% (P-value=0.05), 78 days (P-value=0.04) and 79 days (P-value=0.012) of respective parameters in LT groups. In patients with APACHE II >25 (6 ET and 7 LT), ET was associated with 50% longterm mortality, 8.6 days mean duration of MV and 24 days mean length of ICU stay compared to 84%, 105 days, 84 days of respective parameter in LT groups. Conclusions Our results are suggestive of the superiority of ET because it was associated with a reduced duration of MV, a decrease in the length of ICU stay, and, most importantly, a lower long-term mortality rate.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Comparison of the Outcomes of Early Versus Late Tracheostomy in the Treatment of Critically Ill Patients: A Retrospective Multicenter Measurement Study Done in Two Hospital Centers in Lebanon

Moussa¹,

Moussa²,

Nasr³

et al. 2020

Cureus

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“…Although standards of care have been identified for many acute and chronic NMDs requiring appropriate management of ARF and many guidelines have been elaborated, there are no randomized trials assessing the practice for the use of noninvasive versus invasive mechanical ventilation [90]. There is much work yet to be done in designing and conducting clinical trials to provide evidence-based data to anticipate variations in treatment responses according to disease, onset type (acute onset versus acute exacerbations on chronic NMDs), and presence or absence of bulbar dysfunction.…”

Section: Discussionmentioning

confidence: 99%

Practical approach to respiratory emergencies in neurological diseases

et al. 2019

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Many neurological diseases may cause acute respiratory failure (ARF) due to involvement of bulbar respiratory center, spinal cord, motoneurons, peripheral nerves, neuromuscular junction, or skeletal muscles. In this context, respiratory emergencies are often a challenge at home, in a neurology ward, or even in an intensive care unit, influencing morbidity and mortality. More commonly, patients develop primarily ventilatory impairment causing hypercapnia. Moreover, inadequate bulbar and expiratory muscle function may cause retained secretions, frequently complicated by pneumonia, atelectasis, and, ultimately, hypoxemic ARF. On the basis of the clinical onset, two main categories of ARF can be identified: (i) acute exacerbation of chronic respiratory failure, which is common in slowly progressive neurological diseases, such as movement disorders and most neuromuscular diseases, and (ii) sudden-onset respiratory failure which may develop in rapidly progressive neurological disorders including stroke, convulsive status epilepticus, traumatic brain injury, spinal cord injury, phrenic neuropathy, myasthenia gravis, and Guillain-Barré syndrome. A tailored assistance may include manual and mechanical cough assistance, noninvasive ventilation, endotracheal intubation, invasive mechanical ventilation, or tracheotomy. This review provides practical recommendations for prevention, recognition, management, and treatment of respiratory emergencies in neurological diseases, mostly in teenagers and adults, according to type and severity of baseline disease.

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“…There are no data comparing PPV to noninvasive positive pressure ventilation (NPPV) in patients with neuromuscular weakness. 4 NPPV may be considered in some select cases, but should be reserved for patients whose weakness is expected to quickly resolve, who are able to adequately manage secretions, and whose pulmonary parameters can be closely followed up in an ICU setting. It is preferable to perform endotracheal intubation as an elective procedure in patients who show signs of impending neuromuscular respiratory failure, rather than as an emergent response to respiratory collapse producing hypercapnia and hypoxemia.…”

Section: Respiratory Support In Neuromuscular Respiratory Failurementioning

confidence: 99%

Acute Manifestations of Neuromuscular Disease

Edmundson

Bird

2019

Semin Neurol

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Neuromuscular emergencies may be defined as disorders or exacerbation of diseases of the peripheral nervous system that are rapidly progressive and potentially life-threatening. Such disorders can affect any level of the peripheral nervous system, from the muscle to the anterior horn cell. While their clinical manifestations may vary, severe morbidity and mortality is most frequently the result of neuromuscular respiratory failure. Some disorders, such as Guillain–Barré syndrome, provide the additional threat of severe, and potentially irreversible, nerve loss. Others, such as rhabdomyolysis and malignant hyperthermia, may produce serious medical complications. This article reviews neuromuscular emergencies by localization in the peripheral nervous system of the underlying disorder, as well as the identification and management of neuromuscular respiratory failure.

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Invasive versus non-invasive ventilation for acute respiratory failure in neuromuscular disease and chest wall disorders

Abstract: Invasive versus non-invasive ventilation for acute respiratory failure in neuromuscular disease and chest wall disorders.

Cited by 33 publications

References 29 publications

Comparison of the Outcomes of Early Versus Late Tracheostomy in the Treatment of Critically Ill Patients: A Retrospective Multicenter Measurement Study Done in Two Hospital Centers in Lebanon

Comparison of the Outcomes of Early Versus Late Tracheostomy in the Treatment of Critically Ill Patients: A Retrospective Multicenter Measurement Study Done in Two Hospital Centers in Lebanon

Practical approach to respiratory emergencies in neurological diseases

Acute Manifestations of Neuromuscular Disease

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