The Utility of Non-invasive Positive Pressure Ventilation Support during the Procedure of Percutaneous Gastrostomyin Amyotrophic Lateral Sclerosis.
- Author:
Won Ah CHOI
1
;
Wan KIM
;
Seong Woong KANG
;
Han Seung KIM
;
Jung Hyun PARK
;
Ho Hyun RYU
Author Information
1. Department of Rehabilitation Medicine and Rehabilitation Institute of Muscular Disease, Yonsei University College of Medicine, Korea. kswoong@yumc.yonsei.ac.kr
- Publication Type:Original Article
- Keywords:
Intermittent positive-pressure ventilation;
Gastrostomy;
Amyotrophic lateral sclerosis;
Respiratory insufficiency;
Deglutition disorders
- MeSH:
Amyotrophic Lateral Sclerosis;
Deglutition Disorders;
Gastrostomy;
Humans;
Intermittent Positive-Pressure Ventilation;
Positive-Pressure Respiration;
Reference Values;
Respiratory Insufficiency;
Vital Capacity
- From:Journal of the Korean Academy of Rehabilitation Medicine
2008;32(6):664-667
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: To consider the utility of non-invasive positive pressure ventilation (NIPPV) support during percutaneous gastrostomy procedure in amyotrophic lateral sclerosis (ALS) patients with severe respiratory insufficiency and weight loss. METHOD: Percutaneous gastrostomy was performed in 25 ALS patients with forced vital capacity (FVC) below 50% of predicted normal value. NIPPV was applied to all these patients during the procedure. To estimate the utility of NIPPV application during gasrtostomy tube placement, safety and procedure related complications were investigated. RESULTS: Percutaneous endoscopic gastrostomy (PEG) was performed successfully in 21/25 patients (84%). Percutaneous radiologic gastrostomy (PRG) was performed to the rest. FVCP (predicted value of FVC) in seated position were 1,239.1 ml (32.1%) in PEG-successful group and 1,065.0 ml (26.8%) in PEG-failed group, respectively. All the patients tolerated the use of NIPPV successfully and there were no respiratory complications with the procedure. There were no major complications and procedure-related mortality in all the patients. CONCLUSION: NIPPV support during percutaneous gastrostomy tube placement could make the procedure possible in ALS patients with very low vital capacities.
