Noninvasive Mechanical Ventilation Improves Breathing-Swallowing Interaction of Ventilator Dependent Neuromuscular Patients: A Prospective Crossover Study
| العنوان: | Noninvasive Mechanical Ventilation Improves Breathing-Swallowing Interaction of Ventilator Dependent Neuromuscular Patients: A Prospective Crossover Study |
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| المؤلفون: | David Orlikowski, Hélène Prigent, Nicolas Terzi, Marine Garguilo, Frédéric Lofaso, Isabelle Vaugier, M. Lejaille |
| المصدر: | PLoS ONE PLoS ONE, Vol 11, Iss 3, p e0148673 (2016) |
| سنة النشر: | 2015 |
| مصطلحات موضوعية: | Male, Heredity, Pulmonology, Physiology, Genetic Linkage, medicine.medical_treatment, lcsh:Medicine, Electromyography, Duchenne Muscular Dystrophy, 030204 cardiovascular system & hematology, Muscular Dystrophies, 0302 clinical medicine, Bolus (medicine), Medicine and Health Sciences, Expiration, Prospective Studies, lcsh:Science, education.field_of_study, Multidisciplinary, Cross-Over Studies, medicine.diagnostic_test, Respiration, Ingestion, digestive, oral, and skin physiology, Neuromuscular Diseases, Middle Aged, Plethysmography, Laboratory Equipment, Neurology, Breathing, X-Linked Traits, Sex Linkage, Anesthesia, Engineering and Technology, Female, Respiratory Insufficiency, Research Article, Adult, Adolescent, Chronic Obstructive Pulmonary Disease, Population, Ventilators, Equipment, 03 medical and health sciences, Swallowing, stomatognathic system, Respiratory Failure, medicine, otorhinolaryngologic diseases, Genetics, Humans, education, Nutrition, Mechanical ventilation, Clinical Genetics, Noninvasive Ventilation, Ventilators, Mechanical, business.industry, Swallowing Disorders, lcsh:R, Malnutrition, Biology and Life Sciences, Deglutition, Dyspnea, Respiratory failure, lcsh:Q, Patient Participation, business, Physiological Processes, 030217 neurology & neurosurgery |
| الوصف: | Background Respiratory involvement in neuromuscular disorders may contribute to impaired breathing-swallowing interactions, swallowing disorders and malnutrition. We investigated whether the use of non-invasive ventilation (NIV) controlled by the patient could improve swallowing performances in a population of neuromuscular patients requiring daytime NIV. Methods Ten neuromuscular patients with severe respiratory failure requiring extensive NIV use were studied while swallowing without and with NIV (while ventilated with a modified ventilator allowing the patient to withhold ventilation as desired). Breathing-swallowing interactions were investigated by chin electromyography, cervical piezoelectric sensor, nasal flow recording and inductive plethysmography. Two water-bolus sizes (5 and 10ml) and a textured yogurt bolus were tested in a random order. Results NIV use significantly improved swallowing fragmentation (defined as the number of respiratory interruption of the swallowing of a single bolus) (p = 0.003) and breathing-swallowing synchronization (with a significant increase of swallows followed by an expiration) (p |
| تدمد: | 1932-6203 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::932dcb4fa0a465f416d4dc4b74f349cdTest https://pubmed.ncbi.nlm.nih.gov/26938617Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....932dcb4fa0a465f416d4dc4b74f349cd |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 19326203 |
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