Leak out of the mouth

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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Leak out of the mouth

Postby curiousgeorge » Mon Dec 07, 2015 1:36 am

I breathe through my mouth or leak too much out of the mouth when I use nasal ventilation. What should I do?

(Asked by a patient)

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bachjr
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Re: Leak out of the mouth

Postby bachjr » Mon Dec 07, 2015 1:38 am

By avoiding O2 administration and sedative medications, the brain stays alert even during sleep, so nasal NVS will still be effective about 97% of the time. The brain will not let one leak too much provided that the ventilator settings are adequate:
-Volume-preset at 700-1500 mL for older children and adults.
-About 20 cm H2O pressures for small children.

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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