Noninvasive Ventilatory Assistance During Exercise for Patients with Kyphoscoliosis

Vila, Brian; Servera, Emilio; Marín, Julio; Díaz, Juan Carlos; M, Gimenez; Komaroff, Eugene; Bach, John R.

doi:10.1097/phm.0b013e31806dd2c8

Cited by 17 publications

(21 citation statements)

References 17 publications

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“…While ventilation was increased during exercise with NIV, exercise capacity did not improve, and the authors concluded that there was no role for NIV as an adjunct to exercise training in patients with scoliosis. In contrast, other studies have reported benefi t [4,22,23]. TSUBOI et al [22] studied seven patients with chest wall restriction secondary to tuberculosis sequelae during constant work rate.…”

Section: Nocturnal Ventilatory Support and Exercise Performancementioning

confidence: 84%

“…A signifi cant correlation between the increase in exercise endurance and the reduction in breathlessness during NIV was noted [4,22]. Using a similar randomised cross over design in eight patients with kyphoscoliosis, NIV was shown to alleviate hypoventilation associated with light cycling, while reducing dyspnoea and perceived effort [23]. However, as seen in patients with COPD the immediate response to NIV-assisted exercise was variable, with some patients greatly improving exercise duration while others were slightly impaired [4].…”

Section: Lower-limb Exercisementioning

confidence: 99%

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Noninvasive ventilation as an adjunct to exercise training in patients with chronic respiratory disease

Piper

Menadue

2009

breathe

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Educational aimsTo describe the potential benefits of noninvasive positive-pressure ventilation (NIV) as an adjunct to exercise training in selected patients with chronic obstructive pulmonary disease (COPD) or chest wall restriction.To outline the mechanisms by which NIV may improve exercise performance in selected patients with COPD or chest wall restriction.To identify characteristics of patients with chronic respiratory disease who are more likely to respond to NIV-assisted training.To highlight major practical considerations for implementing NIV-assisted training in an individual with COPD or chest wall restriction.SummarySevere exertional dyspnoea is a major impediment to physical activity and adversely affects quality of life for many individuals with chronic respiratory disease. Although exercise can improve cardiorespiratory and peripheral muscle responses, training at sufficient intensity and duration may be difficult for the very breathless, deconditioned patient. Consequently, strategies to optimise training for such individuals are gaining interest. NIV is one such option and there is a growing body of evidence outlining its benefits in selected patients. However, the technique is not without its constraints and problems. An understanding of the mechanisms underlying improvements in exercise performance with NIV-assisted training is important in targeting appropriate candidates for intervention and identifying the best therapy to achieve the maximum benefit.

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Section: Nocturnal Ventilatory Support and Exercise Performancementioning

confidence: 84%

Section: Lower-limb Exercisementioning

confidence: 99%

Noninvasive ventilation as an adjunct to exercise training in patients with chronic respiratory disease

Piper

Menadue

2009

breathe

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“…Patients who did not use ventilation experienced more significant acidosis, hypoxia, hypercapnia and dyspnoea [15].…”

Section: Exercise Training and Respiratory Rehabilitationmentioning

confidence: 99%

“…Berman et al [19] have indicated that pregnancy exacerbates scoliosis due to mechanical stress and pregnancy hormones; hence, Wong et al [16] have suggested reassessment of the spinal curvature after delivery. Obstetric complications include gestation hypertension, preeclampsia, preterm delivery and a higher risk of C-section [15,16]. Chopra et al [17] have noticed that all delivered babies had good Apgar scores and any of the babies had congenital malformations.…”

Section: Pregnancy and Deliverymentioning

confidence: 99%

Kyphoscoliosis—What Can We Do for Respiration besides NIV?

Pajdziński

Młynarczyk

Miłkowska-Dymanowska

et al. 2017

Advances in Respiratory Medicine

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Kyphoscoliosis (KS) is a significant clinical problem with no precise guidelines for management, especially concerning respiratory pathology. No exhaustive systematic review has yet been performed. The aim was to conduct a systematic review of available data concerning the pathophysiology and treatment of kyphoscoliosis. An electronic systematic search compliant with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines was conducted. The Pubmed database was examined and the search was updated to November 10, 2016. In total, 188 articles were screened, and 52 full text articles were then assessed for eligibility. As 24 of them met exclusion criteria, only 28 articles were further analysed. These articles were published in 18 journals from 1959 to 2015, with 25 being original studies, and one randomised control trial. The total corpus included 18 prospective studies, 7 retrospective studies and 3 case reports. KS is a significant complex, multidisciplinary clinical problem. The heterogeneous nature of the majority of published studies prevents unequivocal conclusions being drawn. Despite a great progress in knowledge about the respiratory system functioning and pathology in KS, the treatment seems to be not yet quite satisfactory. Therefore, there is a strong need for large prospective studies and unified clinical guidelines on the management of this group of patients.

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“…Nocturnal NIV has been suggested as an addition to diurnal pulmonary rehabilitation in COPD patients [122,123]. NIV has also been used as an aid to exercise in patients with a restrictive ventilatory pattern [124,125]. Discard all masks, circuits, filters and headsets immediately and safely after use according to routine infection control procedures…”

Section: Rehabilitationmentioning

confidence: 99%

Unusual applications of noninvasive ventilation

Ambrosino¹,

Guarracino²

2011

Eur Respir J

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The use of noninvasive ventilation (NIV) in acute hypercapnic respiratory failure, cardiogenic pulmonary oedema, acute lung injury/acute respiratory distress syndrome (ARDS), community-acquired pneumonia and weaning/post-extubation failure is considered common in clinical practice. Herein, we review the use of NIV in unusual conditions.Evidence supports the use of NIV during fibreoptic bronchoscopy, especially with high risks of endotracheal intubation (ETI), such as in immunocompromised patients. During transoesophageal echocardiography as well as in interventional cardiology and pulmonology, NIV can reduce the need for deep sedation or general anaesthesia and prevent respiratory depression induced by deep sedation. NIV may be useful after surgery, including cardiac surgery, and, with a lower level of evidence, in patients with pulmonary contusion.NIV should not be considered as an alternative to ETI in severe communicable airborne infections likely to progress to ARDS. NIV is being used increasingly as an alternative to ETI in end-stage symptomatic patients, especially to relieve dyspnoea. The role of assisted ventilation during exercise training in chronic obstructive pulmonary disease patients is still controversial.NIV should be applied under close monitoring and ETI should be promptly available in the case of failure. A trained team, careful patient selection and optimal choice of devices, can optimise outcome of NIV.

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Noninvasive Ventilatory Assistance During Exercise for Patients with Kyphoscoliosis

Cited by 17 publications

References 17 publications

Noninvasive ventilation as an adjunct to exercise training in patients with chronic respiratory disease

Noninvasive ventilation as an adjunct to exercise training in patients with chronic respiratory disease

Kyphoscoliosis—What Can We Do for Respiration besides NIV?

Unusual applications of noninvasive ventilation

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