Noninvasive mechanical ventilation in tetraplegia

Michael A. Gaytant; Mike J. Kampelmacher

doi:10.1007/978-3-319-04259-6_37

Noninvasive mechanical ventilation in tetraplegia

Michael A. Gaytant^*, Mike J. Kampelmacher

^*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceeding › Chapter › Academic › peer-review

Abstract

Spinal cord injury (SCI) is prevalent worldwide, with an estimated 15–40 cases per million population [1]. Injury to the cervical and upper thoracic cord may disrupt the function of the diaphragm, intercostal muscles, accessory respiratory muscles, and abdominal muscles. This causes reduction in spirometric parameters and static mouth pressures and results in ineffective cough and difficulty in clearing secretions [2]. As a result, there is a predisposition to mucus retention, atelectasis, and pulmonary infections. These respiratory complications are the most common cause of morbidity and mortality in patients with SCI, particularly in patients with cervical SCI. In acute SCI, 80 % of deaths among hospitalized patients with cervical SCI are secondary to pulmonary dysfunction, with pneumonia being the cause in 50 % of the cases [3].

Original language	English
Title of host publication	Noninvasive Mechanical Ventilation and Difficult Weaning in Critical Care
Subtitle of host publication	Key Topics and Practical Approaches
Publisher	Springer International Publishing AG
Pages	287-295
Number of pages	9
ISBN (Electronic)	9783319042596
ISBN (Print)	9783319042589
DOIs	https://doi.org/10.1007/978-3-319-04259-6_37
Publication status	Published - 1 Jan 2016

Keywords

Intrapulmonary percussive ventilation
Mechanical ventilation
Mechanically assisted coughing
Noninvasive ventilation
Positive-pressure ventilation
Sleep disordered breathing
Spinal cord injury
Tetraplegia

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10.1007/978-3-319-04259-6_37

Cite this

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abstract = "Spinal cord injury (SCI) is prevalent worldwide, with an estimated 15–40 cases per million population [1]. Injury to the cervical and upper thoracic cord may disrupt the function of the diaphragm, intercostal muscles, accessory respiratory muscles, and abdominal muscles. This causes reduction in spirometric parameters and static mouth pressures and results in ineffective cough and difficulty in clearing secretions [2]. As a result, there is a predisposition to mucus retention, atelectasis, and pulmonary infections. These respiratory complications are the most common cause of morbidity and mortality in patients with SCI, particularly in patients with cervical SCI. In acute SCI, 80 % of deaths among hospitalized patients with cervical SCI are secondary to pulmonary dysfunction, with pneumonia being the cause in 50 % of the cases [3].",

keywords = "Intrapulmonary percussive ventilation, Mechanical ventilation, Mechanically assisted coughing, Noninvasive ventilation, Positive-pressure ventilation, Sleep disordered breathing, Spinal cord injury, Tetraplegia",

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Noninvasive mechanical ventilation in tetraplegia

Abstract

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