CHEST releases clinical practice guideline on respiratory management of patients with neuromuscular weakness
The American College of Chest Physicians (CHEST) recently released a new clinical guideline on respiratory management of patients with neuromuscular weakness. Published in the journal CHEST®, the guideline contains 15 evidence-based recommendations, a good practice statement and an ungraded consensus-based statement.
Endorsed by the American Association for Respiratory Care, the American Thoracic Society, the American Academy of Sleep Medicine and the Canadian Thoracic Society, the guideline recommendations include mouthpiece ventilation, transition to home mechanical ventilation, salivary secretion management and airway clearance therapies.
“Respiratory muscle weakness is a serious concern in patients with neuromuscular diseases. It can lead to inadequate ventilation, nighttime hypoventilation and the inability to mobilize secretions, which is frequently the cause of death in this population,” says Akram Khan, MD, FCCP, Associate Professor, Pulmonary, Allergy and Critical Care Medicine, Oregon Health & Science University, and the lead author on the guideline. “We anticipate this guideline will standardize and improve the care provided to patients with neuromuscular diseases and subsequent weakness.”
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