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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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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author Giuseppe Fiorentino
Anna Annunziata
Antonietta Coppola
Antonella Marotta
Francesca Simioli
Pasquale Imitazione
Maurizia Lanza
Rosa Cauteruccio
Antonio M. Esquinas
author_facet Giuseppe Fiorentino
Anna Annunziata
Antonietta Coppola
Antonella Marotta
Francesca Simioli
Pasquale Imitazione
Maurizia Lanza
Rosa Cauteruccio
Antonio M. Esquinas
author_sort Giuseppe Fiorentino
collection DOAJ
description 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.
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issn 1198-2241
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publishDate 2021-01-01
publisher Wiley
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series Canadian Respiratory Journal
spelling doaj-art-232a66111dfb4f49bb1977cf69f100762025-08-20T03:54:48ZengWileyCanadian Respiratory Journal1198-22411916-72452021-01-01202110.1155/2021/55547655554765Intermittent Abdominal Pressure Ventilation: An Alternative for Respiratory SupportGiuseppe Fiorentino0Anna Annunziata1Antonietta Coppola2Antonella Marotta3Francesca Simioli4Pasquale Imitazione5Maurizia Lanza6Rosa Cauteruccio7Antonio M. Esquinas8Sub-intensive Care Unit, Department of Respiratory Pathophysiology and Rehabilitation Monaldi—A.O. Dei Colli, Monaldi Hospital, Naples, ItalySub-intensive Care Unit, Department of Respiratory Pathophysiology and Rehabilitation Monaldi—A.O. Dei Colli, Monaldi Hospital, Naples, ItalySub-intensive Care Unit, Department of Respiratory Pathophysiology and Rehabilitation Monaldi—A.O. Dei Colli, Monaldi Hospital, Naples, ItalySub-intensive Care Unit, Department of Respiratory Pathophysiology and Rehabilitation Monaldi—A.O. Dei Colli, Monaldi Hospital, Naples, ItalySub-intensive Care Unit, Department of Respiratory Pathophysiology and Rehabilitation Monaldi—A.O. Dei Colli, Monaldi Hospital, Naples, ItalySub-intensive Care Unit, Department of Respiratory Pathophysiology and Rehabilitation Monaldi—A.O. Dei Colli, Monaldi Hospital, Naples, ItalySub-intensive Care Unit, Department of Respiratory Pathophysiology and Rehabilitation Monaldi—A.O. Dei Colli, Monaldi Hospital, Naples, ItalySub-intensive Care Unit, Department of Respiratory Pathophysiology and Rehabilitation Monaldi—A.O. Dei Colli, Monaldi Hospital, Naples, ItalyHospital General Universitario Morales Meseguer, Murcia, SpainIntermittent 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.http://dx.doi.org/10.1155/2021/5554765
spellingShingle Giuseppe Fiorentino
Anna Annunziata
Antonietta Coppola
Antonella Marotta
Francesca Simioli
Pasquale Imitazione
Maurizia Lanza
Rosa Cauteruccio
Antonio M. Esquinas
Intermittent Abdominal Pressure Ventilation: An Alternative for Respiratory Support
Canadian Respiratory Journal
title Intermittent Abdominal Pressure Ventilation: An Alternative for Respiratory Support
title_full Intermittent Abdominal Pressure Ventilation: An Alternative for Respiratory Support
title_fullStr Intermittent Abdominal Pressure Ventilation: An Alternative for Respiratory Support
title_full_unstemmed Intermittent Abdominal Pressure Ventilation: An Alternative for Respiratory Support
title_short Intermittent Abdominal Pressure Ventilation: An Alternative for Respiratory Support
title_sort intermittent abdominal pressure ventilation an alternative for respiratory support
url http://dx.doi.org/10.1155/2021/5554765
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