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Neurology International
Volume 9
Issue 1
10.4081/ni.2017.6904
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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.
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Article

Risk of Unsuccessful Noninvasive Ventilation for Acute Respiratory Failure in Heterogeneous Neuromuscular Diseases: A Retrospective Study

by
Hiroshi Kataoka
*,
Hitoki Nanaura
,
Kaoru Kinugawa
,
Yuto Uchihara
,
Hiroya Ohara
,
Nobuyuki Eura
,
Ryogo Syobatake
,
Nobuhiro Sawa
,
Kiriyama Takao
,
Kazuma Sugie
and
Satoshi Ueno
Department of Neurology, Nara MedicalUniversity, 840 Shijo-cho, Kashihara, Nara 634-8522, Japan
*
Author to whom correspondence should be addressed.
Neurol. Int. 2017, 9(1), 6904; https://doi.org/10.4081/ni.2017.6904
Submission received: 23 September 2016 / Revised: 5 February 2017 / Accepted: 6 February 2017 / Published: 28 March 2017
Versions Notes

Abstract

If invasive ventilation can be avoided by performing noninvasive mechanical ventilation (NIV) in patients with acute respiratory failure (ARF), the disease can be effectively managed. It is important to clarify the characteristics of patients with neuromuscular diseases in whom initial NIV is likely to be unsuccessful. We studied 27 patients in stable neuromuscular condition who initially received NIV to manage fatal ARF to identify differences in factors immediately before the onset of ARF among patients who receive continuous NIV support, patients who are switched from NIV to invasive ventilation, and patients in whom NIV is discontinued. Endpoints were evaluated 24 and 72 hours after the initiation of NIV. After 24 hours, all but 1 patient with amyotrophic lateral sclerosis (ALS) received continuous NIV support. 72 hours later, 5 patients were switched from NIV to invasive ventilation, and 5 patients continued to receive NIV support. 72 hours after the initiation of NIV, the proportion of patients with a diagnosis of ALS differed significantly among the three groups (P=0.039). NIV may be attempted to manage acute fatal respiratory failure associated with neuromuscular diseases, but clinicians should carefully manage the clinical course in patients with ALS.
Keywords: Noninvasive mechanical ventilation; Acute respiratory failure; Amyotrophic lateral sclerosis; Risk Noninvasive mechanical ventilation; Acute respiratory failure; Amyotrophic lateral sclerosis; Risk

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MDPI and ACS Style

Kataoka, H.; Nanaura, H.; Kinugawa, K.; Uchihara, Y.; Ohara, H.; Eura, N.; Syobatake, R.; Sawa, N.; Takao, K.; Sugie, K.; et al. Risk of Unsuccessful Noninvasive Ventilation for Acute Respiratory Failure in Heterogeneous Neuromuscular Diseases: A Retrospective Study. Neurol. Int. 2017, 9, 6904. https://doi.org/10.4081/ni.2017.6904

AMA Style

Kataoka H, Nanaura H, Kinugawa K, Uchihara Y, Ohara H, Eura N, Syobatake R, Sawa N, Takao K, Sugie K, et al. Risk of Unsuccessful Noninvasive Ventilation for Acute Respiratory Failure in Heterogeneous Neuromuscular Diseases: A Retrospective Study. Neurology International. 2017; 9(1):6904. https://doi.org/10.4081/ni.2017.6904

Chicago/Turabian Style

Kataoka, Hiroshi, Hitoki Nanaura, Kaoru Kinugawa, Yuto Uchihara, Hiroya Ohara, Nobuyuki Eura, Ryogo Syobatake, Nobuhiro Sawa, Kiriyama Takao, Kazuma Sugie, and et al. 2017. "Risk of Unsuccessful Noninvasive Ventilation for Acute Respiratory Failure in Heterogeneous Neuromuscular Diseases: A Retrospective Study" Neurology International 9, no. 1: 6904. https://doi.org/10.4081/ni.2017.6904

APA Style

Kataoka, H., Nanaura, H., Kinugawa, K., Uchihara, Y., Ohara, H., Eura, N., Syobatake, R., Sawa, N., Takao, K., Sugie, K., & Ueno, S. (2017). Risk of Unsuccessful Noninvasive Ventilation for Acute Respiratory Failure in Heterogeneous Neuromuscular Diseases: A Retrospective Study. Neurology International, 9(1), 6904. https://doi.org/10.4081/ni.2017.6904

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