Intermittent Abdominal Pressure Ventilation: An Alternative for Respiratory Support

Intermittent Abdominal Pressure Ventilation: An Alternative for Respiratory Support

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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 Horse Care 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 OAK 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.