6533b82dfe1ef96bd1290947

RESEARCH PRODUCT

Non-invasive management of an acute chest infection for a patient with ALS.

Pedro VergaraElia Gómez-merinoEmilio ServeraJulio MarínMaría Luisa BrionesDiego PérezJesús Marcial Conill Sancho

subject

Artificial ventilationMalemedicine.medical_specialtyRespiratory Therapymedicine.medical_treatmentHypoxemiaIntensive caremedicineHumansAmyotrophic lateral sclerosisIntensive care medicineHypoxiaAcute respiratory tract infectionEmergency TreatmentRespiratory Tract InfectionsAgedRespiratory tract infectionsbusiness.industryRespiratory diseaseAmyotrophic Lateral Sclerosismedicine.diseaseRespiration Artificialrespiratory tract diseasesNeurologyAcute DiseaseNeurology (clinical)Exsufflationmedicine.symptombusiness

description

We describe a man diagnosed with non-bulbar amyotrophic lateral sclerosis (ALS) who uses 24-h non-invasive ventilator at home, and assisted cough through the use of the mechanical insufflation-exsufflation (MAC) device (CoughAssist, J.H. Emerson). This was essential for the removal of bronchial secretions in order to provide successful non-invasive management (and indeed less suffering for the patient) during an acute respiratory tract infection with hypoxemia and failure of manually assisted cough.

10.1016/s0022-510x(03)00034-0https://pubmed.ncbi.nlm.nih.gov/12686394