PMID: 7940434Sep 1, 1994Paper

Long term non-invasive domiciliary assisted ventilation for respiratory failure following thoracoplasty

Thorax
M JacksonJ Shneerson

Abstract

Ventilatory failure is a well recognised complication of patients who have had a thoracoplasty for tuberculosis, but there are few data regarding the value of long term non-invasive assisted ventilation in this situation. Thirty two patients who had had a thoracoplasty 20-46 years previously and who had developed respiratory failure were treated with nocturnal cuirass assisted ventilation or nasal positive pressure ventilation. Their survival and changes in arterial blood gases, nocturnal oximetry, and pulmonary function tests were assessed. The actuarial survival rates at one, three, five, and seven years after starting treatment were 91%, 74%, 64%, and 55%, respectively. Only seven of the 13 deaths were directly attributable to chronic respiratory or cardiac failure. The arterial PO2, PCO2, mean nocturnal oxygen saturation, vital capacity, and maximal inspiratory and expiratory pressures had all improved at the time of the initial post-treatment assessment (mean 12 days after starting treatment), but no subsequent improvements were seen after up to 48 months of follow up. Neither survival nor physiological improvements were correlated with the patients' age, the interval since thoracoplasty, or the pretreatment arterial blood...Continue Reading

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Citations

Feb 17, 2009·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Jan OlofsonBengt Bergman
Dec 24, 1997·Respirology : Official Journal of the Asian Pacific Society of Respirology·J K ChanC K Lai
Aug 27, 2014·Clinics in Chest Medicine·Kelly NewtonTeofilo Lee-Chiong
Jul 1, 2014·Current Opinion in Supportive and Palliative Care·Alex H Gifford
Oct 6, 2005·Respiration; International Review of Thoracic Diseases·Stephan BudweiserMichael Pfeifer
Feb 9, 2002·Chest·Anne-Marie NugentJohn M Shneerson
Oct 27, 2012·The Annals of Thoracic Surgery·Kazuhiro KurisuYoshie Ochiai
May 22, 2010·Clinics in Chest Medicine·Lee K Brown
May 2, 2007·Sleep Medicine·Dominique Robert, Laurent Argaud

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