Abstract
In this chapter, we discuss noninvasive positive pressure ventilation (NPPV) for patients with respiratory paralysis due to high-level spinal cord injuries (SCIs). Especially in the acute phase, 84% of those with SCIs with a level of C1–C4 and Frankel grade A, B, C suffered from respiratory complications such as pneumonia, ventilator failure, and atelectasis [1]. Another study [2] reported that the 1-year survival rate of ventilator-dependent persons with SCIs was 25.4%. However, among those who survived the first year, cumulative survival over the next 14 years was 61.4%. We recommend them this technology, which does not have complications and maintains their long-term quality of life.
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References
Jackson AB, Groomes TE (1994) Incidence of respiratory complications following spinal cord injury. Arch Phys Med Rehabil 75:270–275
De Vivo MJ, Ivie CS III (1995) Life expectancy of ventilator-dependent persons with spinal cord injuries. Chest 108:226–232
Bach JR, Alba AS (1990) Noninvasive options for ventilatory support of the traumatic high level quadriplegic patient. Chest 98:613–619
Kirshblum S, Johnston MV, Brown J et al (1999) Predictors of dysphagia after spinal cord injury. Arch Phys Med Rehabil 80:1101–1105
Bach JR (1991) New approaches in the rehabilitation of the traumatic high level quadriplegic. Am J Phys Med Rehabil 70:13–19
Bach JR (1999) Guide to the evaluation and management of neuromuscular disease. Hanley and Belfus, Philadelphia, pp 89–122
Consortium for Spinal Cord Medicine (2005) Respiratory management following spinal cord injury: a clinical practice guideline for health-care professionals. Paralyzed Veterans of America, Washington, DC, pp 34–35
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Toki, A., Sumida, M. (2010). Noninvasive Positive Pressure Ventilation for Long-Term Ventilatory Management. In: Esquinas, A. (eds) Noninvasive Mechanical Ventilation. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-11365-9_30
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DOI: https://doi.org/10.1007/978-3-642-11365-9_30
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