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근이축성 측삭경화증에서 경피위조루술 중 비침습적 호흡 보조의 유용성

Other Titles
 The Utility of Non-invasive Positive Pressure Ventilation Support during the Procedure of Percutaneous Gastrostomy in Amyotrophic Lateral Sclerosis 
Authors
 최원아  ;  김완  ;  강성웅  ;  김한승  ;  박중현  ;  류호현 
Citation
 Journal of the Korean Academy of Rehabilitation Medicine (대한재활의학회지), Vol.32(6) : 664-667, 2008 
Journal Title
 Journal of the Korean Academy of Rehabilitation Medicine (대한재활의학회지) 
ISSN
 1225-584X 
Issue Date
2008
Keywords
Intermittent positive-pressure ventilation ; Gastrostomy ; Amyotrophic lateral sclerosis ; Respiratory insufficiency ; Deglutition disorders
Abstract
Objectives: To consider the utility of non-invasive positive pressure ventilation (NIPPV) support during percutaneous gastrostomy procedure in amyotrophic lateral sclerosis (ALS) patients with severe respiratory insufficiency and weight loss. Methods: Percutaneous gastrostomy was performed in 25 ALS patients with forced vital capacity (FVC) below 50% of predicted normal value. NIPPV was applied to all these patients during the procedure. To estimate the utility of NIPPV application during gasrtostomy tube placement, safety and procedure related complications were investigated. Results: Percutaneous endoscopic gastrostomy (PEG) was performed successfully in 21/25 patients (84%). Percutaneous radiologic gastrostomy (PRG) was performed to the rest. FVCP (predicted value of FVC) in seated position were 1,239.1 ml (32.1%) in PEG-successful group and 1,065.0 ml (26.8%) in PEG-failed group, respectively. All the patients tolerated the use of NIPPV successfully and there were no respiratory complications with the procedure. There were no major complications and procedure-related mortality in all the patients. Conclusion: NIPPV support during percutaneous gastrostomy tube placement could make the procedure possible in ALS patients with very low vital capacities
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers
Yonsei Authors
Kang, Seong Woong(강성웅) ORCID logo https://orcid.org/0000-0002-7279-3893
Ryu, Ho Hyun(류호현)
Park, Jung Hyun(박중현) ORCID logo https://orcid.org/0000-0003-3262-7476
Choi, Won Ah(최원아) ORCID logo https://orcid.org/0000-0003-0403-8869
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/108451
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