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Neurology 2001;56:413-414
© 2001 American Academy of Neurology
Brief Communications

Noninvasive ventilation allows gastrostomy tube placement in patients with advanced ALS

Louis J. Boitano, MS, RRT, RPFT;, Terry Jordan, BS, RRT; and Joshua O. Benditt, MD

From the Department of Respiratory Care Services and Medicine, University of Washington Medical Center, University of Washington School of Medicine, Seattle.

Address correspondence and reprint requests to Dr. J.O. Benditt, Pulmonary and Critical Care Medicine, University of Washington Medical Center, Box 356522, Seattle, WA 98195-6522; e-mail: benditt{at}u.washington.edu

The use of noninvasive positive pressure ventilation for ventilatory support during percutaneous endoscopic gastrostomy (PEG) tube placement is described in five patients with advanced ALS, four having significant bulbar symptoms. No respiratory complications occurred in any of these patients, who were considered to be at high risk for PEG placement because of severe ventilatory impairment and might not otherwise have been considered for this procedure.




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