Unit of Pathophysiology and Respiratory Rehabilitation, Intensive Care, Department, Azienda Ospedaliera dei Colli, Naples, Italy.
Unit of Anesthesia and Intensive Care, Monaldi Hospital, Azienda dei Colli, Naples, Italy.
Acta Myol. 2021 Sep 30;40(3):135-137. doi: 10.36185/2532-1900-055. eCollection 2021 Sep.
Patients with Duchenne muscular dystrophy may benefit from gastrostomy tube feeding due to progressive dysphagia and malnutrition. However, due to concomitant pathologies, they are often at high risk for anesthesiologic complications. We describe how the non-invasive mechanical ventilation has been an alternative successful respiratory support option during the gastrostomy tube placement in a patient with Duchenne muscular dystrophy, on continuous NIV treatment. This report confirms how the use of NIV can support alveolar ventilation, before, during and after mini-invasive procedures, and prevent respiratory complications.
由于进行性吞咽困难和营养不良，杜氏肌营养不良症患者可能会受益于胃造口管喂养。但是，由于并存的病理状况，他们常常面临麻醉并发症的高风险。我们描述了在接受持续无创通气（NIV）治疗的杜氏肌营养不良症患者中，如何将无创通气作为在胃造口管放置期间进行呼吸支持的另一种成功选择。该报告证实了在微创程序之前、期间和之后，使用 NIV 如何能够支持肺泡通气，并预防呼吸并发症。
