Abstract
Long-term ventilatory support is a standard of care to treat patients with chronic ventilatory failure, however it may have some complications. There are limited data about the side effects of long use of NIV, including the effects on facial muscles. We will discuss the case of a COPD patient who developed bilateral facial muscle atrophy while using high-pressures NIV almost 24 h/day for many years.
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Abbreviations
- COPD:
-
Chronic obstructive pulmonary disease
- CRF:
-
Chronic respiratory failure
- FEV1:
-
Forced expiratory volume in 1 second
- FVC:
-
Forced vital capacity
- GOLD:
-
Global initiative for chronic obstructive lung disease
- ICS:
-
Inhaled corticosteroid
- NIV:
-
Noninvasive positive ventilation
- OCS:
-
Systemic corticosteroids
- PEEP:
-
Positive end-expiratory pressure
- T90:
-
Time Spent SpO2 <90%
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Inspiratory pressuration: flow and time variable_1 (MOV 5777 kb)
Inspiratory pressuration: flow and time variable_2 (MOV 15689 kb)
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Inspiratory Expiratory Time_4 (JPG 2843 kb)
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Gerardo, A.M., da Luz Ferreira, M.I., Valente, C.F.A.S., Liberato, H.E.S. (2022). Unusual Facial Muscle Atrophy Associated with Noninvasive Ventilation. In: Esquinas, A.M. (eds) Teaching Pearls in Noninvasive Mechanical Ventilation. Springer, Cham. https://doi.org/10.1007/978-3-030-71298-3_6
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DOI: https://doi.org/10.1007/978-3-030-71298-3_6
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