Next Article in Journal
The First Report of Pure Neuritic Leprosy with Involvement of the Anterior Femoral Cutaneous Nerve
Previous Article in Journal
Delayed Diagnosed Atypical Case of Andersen-Tawil Syndrome
 
 
Search for Articles:
Title / Keyword
Author / Affiliation / Email
Journal
Article Type
 
 
Advanced Search
 
Section
Special Issue
Volume
Issue
Number
Page
 
Journals
Neurology International
Volume 11
Issue 2
10.4081/ni.2019.8102
neurolint-logo
Submit to this Journal Review for this Journal Propose a Special Issue
► Article Menu

Article Menu

share Share announcement Help format_quote Cite question_answer Discuss in SciProfiles thumb_up
...
Endorse textsms
...
Comment
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.
first_page
settings
Order Article Reprints
Font Type:
Arial Georgia Verdana
Font Size:
Aa Aa Aa
Line Spacing:
Column Width:
Background:
Case Report

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

by
Montserrat Diaz-Abad
1,*,
Chandana Chauhan
2,
Denise Epps
3,
James W. Russell
2,4 and
Justin Kwan
5
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
5
Department of Neurology, Temple University School of Medicine, Philadelphia, PA, USA
*
Author to whom correspondence should be addressed.
Neurol. Int. 2019, 11(2), 8102; https://doi.org/10.4081/ni.2019.8102
Submission received: 6 March 2019 / Revised: 6 March 2019 / Accepted: 27 May 2019 / Published: 18 June 2019

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.
Keywords: amyotrophic lateral sclerosis; non-invasive ventilation; acute respiratory failure; invasive mechanical ventilation; extubation amyotrophic lateral sclerosis; non-invasive ventilation; acute respiratory failure; invasive mechanical ventilation; extubation

Share and Cite

MDPI and ACS Style

Diaz-Abad, M.; Chauhan, C.; Epps, D.; Russell, J.W.; Kwan, J. Use of Non-Invasive Ventilation to Facilitate Extubation in a Patient with Amyotrophic Lateral Sclerosis with Hypercapnic Respiratory Failure. Neurol. Int. 2019, 11, 8102. https://doi.org/10.4081/ni.2019.8102

AMA Style

Diaz-Abad M, Chauhan C, Epps D, Russell JW, Kwan J. Use of Non-Invasive Ventilation to Facilitate Extubation in a Patient with Amyotrophic Lateral Sclerosis with Hypercapnic Respiratory Failure. Neurology International. 2019; 11(2):8102. https://doi.org/10.4081/ni.2019.8102

Chicago/Turabian Style

Diaz-Abad, Montserrat, Chandana Chauhan, Denise Epps, James W. Russell, and Justin Kwan. 2019. "Use of Non-Invasive Ventilation to Facilitate Extubation in a Patient with Amyotrophic Lateral Sclerosis with Hypercapnic Respiratory Failure" Neurology International 11, no. 2: 8102. https://doi.org/10.4081/ni.2019.8102

Article Metrics

Back to TopTop