Use of the Intermittent Abdominal Pressure Ventilation to guarantee speech in a tracheostomized Amyotrophic Lateral Sclerosis patient

Mattia, Elisa De; Iatomasi, Marino; Garabelli, Barbara; Lunetta, Christian; Sansone, Valeria; Rao, Fabrizio

doi:10.1016/j.rppnen.2017.03.002

Cited by 6 publications

(8 citation statements)

References 6 publications

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“…There are few case reports and fewer papers about the use of abdominal ventilation in clinical practice that show that the Pneumobelt ® has the same effectiveness and safety as conventional ventilation devices [4,[7][8][9][10]. Yang et al showed the Pneumobelt® in night-time use in three patients with chronic respiratory insufficiency secondary to syringomyelia, poliomyelitis, and Friedreich's ataxia, respectively.…”

Section: Discussionmentioning

confidence: 99%

Intermittent abdominal pressure ventilation: feasibility and efficacy in neuromuscular disease. A case report

Puricelli

Volpato

Sciurello

et al. 2021

Monaldi Arch Chest Dis

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he standard treatment for patients with neuromuscular respiratory failure is non-invasive ventilation (NIV) as non-invasive ventilation support-setting (NVS). NVS is administered through a nasal or face mask and/or mouthpiece with the potential to cause nasal ulcers, discomfort, and/or aesthetic issues, resulting in poor compliance. We reported the observation of a 45-year-old woman with limb-girdle muscular dystrophy (LGMD), secondary to Dysferlin deficiency, who was on NVS since 2017 for nocturnal hypoventilation. In 2018, despite nocturnal ventilation, due to weight gain and daytime hypoventilation, a nasal mask was introduced. We initiated daytime intermittent abdominal pressure ventilation (IAPV) to mitigate cosmetic problems, improving in pO2 and decreasing in pCO2 versus baseline (52>84 mmHg, 46>33 mmHg respectively) at 6 (85 mmHg, 42 mmHg) and 18 months (93 mmHg, 38 mmHg), respectively. IAPV was effective, safe, and well-tolerated in our patients who did not tolerate standard daytime NVS with the known interface.

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Section: Discussionmentioning

confidence: 99%

Intermittent abdominal pressure ventilation: feasibility and efficacy in neuromuscular disease. A case report

Puricelli

Volpato

Sciurello

et al. 2021

Monaldi Arch Chest Dis

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“…Releasing gas by venting ("burping") a feeding tube or connecting the feeding Inflatable abdominal belts (pneumobelts) consist of an elastic air sac in corset form (Figure 7). 90,127,128 The sac is inflated, moving the diaphragm upward allowing air to enter the lungs during passive inspiration. For effective action, the trunk angle must be greater than 30 above horizontal.…”

Section: Noninvasive Positive Pressure Ventilationmentioning

confidence: 99%

Respiratory considerations in patients with neuromuscular disorders

2023

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Patients with neuromuscular disorders (NMDs) develop respiratory impairment as muscles weaken. Ensuing complications include reductions in lung volume, compliance, and cough ability and increased risk for lung infections. Sleep disordered breathing results from weakened upper airway muscles and/or impaired central ventilatory control systems. Evaluation includes measurement of seated and supine vital capacity (VC) and respiratory muscle strength. Assisted cough techniques facilitate airway clearance. The decision to initiate assisted ventilation is multifactorial, and may include consideration of patient symptoms, spirometry, pulmonary pressures, sleep studies or blood gas values. Most patients prefer noninvasive ventilation to enhance mobility and independence. Tracheostomy is indicated when bulbar function is impaired and cough assist measures fail to clear the airway. Technological advances in respiratory support have improved quality of life and longevity. Home care is the best option for most patients but remains a challenge, especially for caregivers with regard to physical, emotional, and financial implications, as well as social, administrative, and insurance concerns.

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“…Thus, again, the IAPV was a useful alternative to NVS for daytime support. 23 De Mattia et al 21 reported use of the IAPV by a patient with ALS already using TMV. The IAPV was used during the day with the tube capped and with a valve to facilitate speaking.…”

Section: A Review Of Clinical Applicationsmentioning

confidence: 99%

“…The IAPV not only improved his speech but also improved his gas exchange and secretion management, with good patient compliance. 21…”

Section: A Review Of Clinical Applicationsmentioning

confidence: 99%

The Intermittent Abdominal Pressure Ventilator as an Alternative Modality of Noninvasive Ventilatory Support

Pierucci

Lecce

Carpagnano

et al. 2021

Am J Phys Med Rehabil

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Noninvasive ventilation has become the initial treatment for symptomatic ventilatory pump failure but, when used at ventilatory support settings, can be an alternative to tracheostomy mechanical ventilation. The intermittent abdominal pressure ventilator, a corset with an internal air sack inflated by a ventilator, allows to increase tidal volumes through the raising of the diaphragm and its consequent passive descent. It has been used for daytime support for more than 70 yrs, but its knowledge among clinicians is scarce. A narrative review was performed by searching PubMed, Medline, and the Cochrane Database of Systematic Reviews using the terms "IAPV" or "pneumobelt." One hundred forty patients were cited using the intermittent abdominal pressure ventilator from 1946 until it went off the market in the 1970s, although many continued to use it. There was only one publication on its use from 2003 to 2017, but three publications from 2017 through 2021. It has been used for full diurnal ventilatory support by some patients for more than 50 yrs and has even been used throughout the labor of a mother with no ventilator-free breathing ability. The intermittent abdominal pressure ventilator is a ventilatory support alternative for patients with ventilatory pump failure. It can be effective and well tolerated and maintain quality of life without facial interfaces. More widespread application is warranted.

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Use of the Intermittent Abdominal Pressure Ventilation to guarantee speech in a tracheostomized Amyotrophic Lateral Sclerosis patient

Cited by 6 publications

References 6 publications

Intermittent abdominal pressure ventilation: feasibility and efficacy in neuromuscular disease. A case report

Intermittent abdominal pressure ventilation: feasibility and efficacy in neuromuscular disease. A case report

Respiratory considerations in patients with neuromuscular disorders

The Intermittent Abdominal Pressure Ventilator as an Alternative Modality of Noninvasive Ventilatory Support

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