Intermittent Abdominal Pressure Ventilation: An Alternative for Respiratory Support

Intermittent abdominal pressure ventilation is a positive pressure ventilation technique that works with abdominal compressions. It has been known since 1938; however, for many years, it was out of production. In recent years, a new device has been produced that has captured the attention to this ol...

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Bibliographic Details
Main Authors: Giuseppe Fiorentino, Anna Annunziata, Antonietta Coppola, Antonella Marotta, Francesca Simioli, Pasquale Imitazione, Maurizia Lanza, Rosa Cauteruccio, Antonio M. Esquinas
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Canadian Respiratory Journal
Online Access:http://dx.doi.org/10.1155/2021/5554765
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Summary:Intermittent abdominal pressure ventilation is a positive pressure ventilation technique that works with abdominal compressions. It has been known since 1938; however, for many years, it was out of production. In recent years, a new device has been produced that has captured the attention to this old respiratory support technique. We considered eight patients with respiratory failure secondary to a neuromuscular disease (congenital myopathy, Duchenne dystrophy, and amyotrophic lateral sclerosis) intolerant to daytime noninvasive ventilation (NIV). IAPV was proposed as an alternative to NIV. We performed baseline and post-IAPV respiratory function assessment. All patients, two years later, are still using intermittent abdominal ventilation. Intermittent positive abdominal mechanical ventilation can be a valid alternative to noninvasive mechanical ventilation with a nasal or face mask. It improves gas exchange, symptoms, and quality of life, decreases the incidence of pneumonia, and can avert the need for intubation and tracheotomy.
ISSN:1198-2241
1916-7245