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Article Dans Une Revue Respiratory Medicine Année : 2021

Mouthpiece ventilation in neuromuscular disorders: Narrative review of technical issues important for clinical success

Michel Toussaint
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Michelle Chatwin
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Miguel R. Gonçalves
Joshua O. Benditt
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Douglas A. Mckim
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Jesús Sancho
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Brit Hov
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Valeria Ada Sansone
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Annalisa Carlucci
Peter Jan Wijkstra
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Barbara Garabelli
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Joan Escarrabill
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Tiago C. Pinto
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Nicolas Audag
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Adam Ogna
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Wendy Hughes
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Johann Chaulet
Tiina M. Andersen
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Résumé

In neuromuscular disorders (NMDs), nocturnal non-invasive ventilation (NIV) via a nasal mask is offered when hypercapnic respiratory failure occurs. With disease progression, nocturnal NIV needs to be extended into the daytime. Mouthpiece ventilation (MPV) is an option for daytime NIV. MPV represents a difficult task for home ventilators due to rapidly changing load conditions resulting from intermittent connections and disconnections from MPV circuit. The 252nd ENMC International Expert Workshop, held March 6th to 8th 2020 in Amsterdam, reported general guidelines for management of daytime MPV in NMDs. This report could not present all the detail regarding the technical issues important for clinical success of MPV. Based on the expert workshop discussions and the evidence from existing studies, the current narrative review aims to identify the technical issues of MPV and offers guidance via a decisional algorithm and educational figures providing relevant information that is important for successful implementation of MPV.

Dates et versions

hal-03199076 , version 1 (15-04-2021)

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Michel Toussaint, Michelle Chatwin, Miguel R. Gonçalves, Jésus Gonzalez-Bermejo, Joshua O. Benditt, et al.. Mouthpiece ventilation in neuromuscular disorders: Narrative review of technical issues important for clinical success. Respiratory Medicine, 2021, 180, ⟨10.1016/j.rmed.2021.106373⟩. ⟨hal-03199076⟩
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