Nighttime Bipap

Please use this community for general discussions about Spinal Muscular Atrophy (SMA).
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curiousgeorge
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Nighttime Bipap

Postby curiousgeorge » Wed Aug 24, 2016 10:41 am

Any proof that the proactive and therapeutic use of nighttime Bipap is beneficial to type 2 sma kids?

Any proof that the use of nighttime Bipap is effective in reversing and correcting Pectus Excavatum and promote healthy chest wall growth?

Any chance, the use of nighttime use bipap would cause early dependency and atrophy of the lungs/intercostal muscles?

(Asked by a parent)

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bachjr
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Re: Nighttime Bipap

Postby bachjr » Wed Aug 24, 2016 10:43 am

curiousgeorge wrote:Any proof that the proactive and therapeutic use of nighttime Bipap is beneficial to type 2 sma kids?

BiPAP is suboptimal. Need noninvasive ventilation support. Go to http://www.breatheNVS.com and look up SMA 2 or NMD 2.

curiousgeorge wrote:Any proof that the use of nighttime Bipap is effective in reversing and correcting Pectus Excavatum and promote healthy chest wall growth?

Absolutely! My studies. But not using BiPAP.

curiousgeorge wrote:Any chance, the use of nighttime use bipap would cause early dependency and atrophy of the lungs/intercostal muscles?

Absolutely none plus it tends to be the opposite.
John R. Bach MD
Medical Director, VentilaMed BreatheNVS
Medical Director, Center for Ventilator Management Alternatives
Professor of Physical Medicine and Rehabilitation, Professor of Neurology, Rutgers New Jersey Medical School

Dominic
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Re: Nighttime Bipap

Postby Dominic » Wed Aug 24, 2016 6:52 pm

Clarifications needed in regards to the reversing of the Pectus Excavatum, is the nighttime BIPAP effective or not?

Dominic
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Re: Nighttime Bipap

Postby Dominic » Thu Aug 25, 2016 8:26 am

Would the use of Bipab OR NIV be more appropriate for pectus excavatum and therapeutic lung health?

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bachjr
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Re: Nighttime Bipap

Postby bachjr » Sat Aug 27, 2016 7:31 pm

BiPAP is better than nothing but should be used at about 22/4 with a back up rate, that is, relatively high IPAP to reverse paradoxing when a child has paradoxing. If no paradoxing, then no sleep ventilation is usually needed.
John R. Bach MD
Medical Director, VentilaMed BreatheNVS
Medical Director, Center for Ventilator Management Alternatives
Professor of Physical Medicine and Rehabilitation, Professor of Neurology, Rutgers New Jersey Medical School

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bachjr
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Re: Nighttime Bipap

Postby bachjr » Sat Aug 27, 2016 7:32 pm

PS Not NIV, "NVS".
John R. Bach MD
Medical Director, VentilaMed BreatheNVS
Medical Director, Center for Ventilator Management Alternatives
Professor of Physical Medicine and Rehabilitation, Professor of Neurology, Rutgers New Jersey Medical School

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bachjr
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Re: Nighttime Bipap

Postby bachjr » Sat Aug 27, 2016 7:34 pm

PS Not NIV, "NVS".
John R. Bach MD
Medical Director, VentilaMed BreatheNVS
Medical Director, Center for Ventilator Management Alternatives
Professor of Physical Medicine and Rehabilitation, Professor of Neurology, Rutgers New Jersey Medical School


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