Should one be awakened to use MIE when ill?

Please use this forum for any general discussions or questions you have about noninvasive ventilatory support and mechanical insufflation-exsufflation (MIE).
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curiousgeorge
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Should one be awakened to use MIE when ill?

Postby curiousgeorge » Mon Dec 07, 2015 1:30 am

Should one be awakened to use MIE when ill?

(Asked by a family member)
Last edited by curiousgeorge on Mon Dec 07, 2015 1:44 am, edited 1 time in total.

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bachjr
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Re: Should one be awakened to use MIE when ill?

Postby bachjr » Mon Dec 07, 2015 1:32 am

No, certainly not for O2 sats in the 80s, but if lower than that for more than seconds, then it is debatable. Tired, ill patients need their sleep and if choking on a mucus plug, then they will awaken unless they are very underventilated because of inadequate use of NVS.

JB
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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curiousgeorge
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Re: Should one be awakened to use MIE when ill?

Postby curiousgeorge » Mon Dec 07, 2015 1:34 am


mvherrero
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Re: Should one be awakened to use MIE when ill?

Postby mvherrero » Thu Dec 10, 2015 12:36 pm

When a patient is underventilated PCO2 levels increase and thats makes the person fall asleep. If the CO2 levels increase too much the patient is at risk of no waking up.
Herrero MV.
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