Title |
Current issues in the respiratory care of patients with amyotrophic lateral sclerosis
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Published in |
Arquivos de Neuro-Psiquiatria, September 2015
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DOI | 10.1590/0004-282x20150132 |
Pubmed ID | |
Authors |
Marco Orsini, Agnaldo José Lopes, Sara Lucia Silveira de Menezes, Acary Bulle Oliveira, Marcos Raimundo Gomes de Freitas, Osvaldo Jose Moreira do Nascimento, Fernando Silva Guimarães |
Abstract |
Amyotrophic lateral sclerosis is a progressive neuromuscular disease, resulting in respiratory muscle weakness, reduced pulmonary volumes, ineffective cough, secretion retention, and respiratory failure. Measures as vital capacity, maximal inspiratory and expiratory pressures, sniff nasal inspiratory pressure, cough peak flow and pulse oximetry are recommended to monitor the respiratory function. The patients should be followed up by a multidisciplinary team, focused in improving the quality of life and deal with the respiratory symptoms. The respiratory care approach includes airway clearance techniques, mechanically assisted cough and noninvasive mechanical ventilation. Vaccination and respiratory pharmacological support are also recommended. To date, there is no enough evidence supporting the inspiratory muscle training and diaphragmatic pacing. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Brazil | 1 | 50% |
Unknown | 1 | 50% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 2 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Malaysia | 1 | 1% |
Unknown | 94 | 99% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Bachelor | 18 | 19% |
Student > Master | 17 | 18% |
Researcher | 8 | 8% |
Student > Ph. D. Student | 5 | 5% |
Professor | 4 | 4% |
Other | 18 | 19% |
Unknown | 25 | 26% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 30 | 32% |
Nursing and Health Professions | 12 | 13% |
Sports and Recreations | 8 | 8% |
Biochemistry, Genetics and Molecular Biology | 4 | 4% |
Neuroscience | 4 | 4% |
Other | 9 | 9% |
Unknown | 28 | 29% |