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  • Neurology International is published by MDPI from Volume 12 Issue 3 (2020). Previous articles were published by another publisher in Open Access under a CC-BY licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
  • Case Report
  • Open Access

18 June 2019

3 Pages

Use of Non-Invasive Ventilation to Facilitate Extubation in a Patient with Amyotrophic Lateral Sclerosis with Hypercapnic Respiratory Failure

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1
Department of Medicine, University of Maryland School of Medicine, Baltimore, MD, USA
2
Department of Neurology, University of Maryland School of Medicine, Baltimore, MD, USA
3
Department of Rehabilitation Services, University of Maryland Medical Center Midtown Campus, Baltimore, MD, USA
4
VA Maryland Health Care System, Baltimore, MD, USA
Neurol. Int.2019, 11(2), 8102;https://doi.org/10.4081/ni.2019.8102
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Abstract

We present the case of a 44-year-old man with amyotrophic lateral sclerosis (ALS) intubated for hypercapnic respiratory failure and aspiration pneumonia. The patient was successfully extubated, transitioned to non-invasive ventilation and lived at home comfortably for 17 months, with good functional status for the first year. This case highlights the potential of prolonged survival post extubation in patients with advanced ALS and respiratory failure. The patient was managed post-discharge in a multidisciplinary ALS clinic by experienced neuromuscular and pulmonary specialists.

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