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Neurology 2000;55:698-702
© 2000 American Academy of Neurology
Brief Communications

Pressure-controlled ventilation via a mini-tracheostomy tube for patients with neuromuscular disease

Hiroaki Nomori, MD and Tadayuki Ishihara, MD

From the Department of Thoracic Surgery, Saiseikai Central Hospital (Dr. Nomori), Tokyo; and the Department of Neurological Medicine, National Higashi Saitama Hospital (Dr. Ishihara), Saitama, Japan.

Address correspondence and reprint requests to Dr. Hiroaki Nomori, Department of Thoracic Surgery, Saiseikai Central Hospital, 1-4-17 Mita, Minato-ku, Tokyo 108-0073, Japan.

The authors managed 10 patients with Duchenne muscular dystrophy (DMD) and five with MG with pressure-controlled ventilation (PCV) via mini-tracheostomy tube (MTT). The arterial partial pressure of CO2 (PaCO2) of the patients with DMD decreased after conversion to PCV via MTT from biphasic positive airway pressure (BIPAP) or a body ventilator. The MG patients could be converted from conventional volume-controlled ventilation to PCV via MTT. PCV via MTT achieves more effective ventilation than either BIPAP or a body ventilator and is as effective as ventilation via a conventional tracheal tube.




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