In the event of severe distress, exhaustion, O2 desaturation, or respiratory arrest from a mucus plug, do not refuse or evade intubation because intubated patients can recover more quickly and sleep better than patients struggling to clear airway secretions. When intubated, ventilation is controlled and oxygen administration is generally not harmful. Although, the local doctors will think that intubation will necessitate tracheotomy since you may not be “weanable” by conventional standards. Visit to learn about how only advanced ALS patients can not always be extubated to CNVS and MIE without needing a tracheostomy tube.
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