The frequency of assisted ventilation is greater than its intensity

In the context of ventilatory assistance in neuromuscular diseases and the problems it poses, French specialists have undertaken a meta-analysis of the literature:

  • sixteen studies were selected, corresponding to 176 patients, including 113 with neuromuscular diseases,
  • In particular, data on non-invasive ventilation and biological parameters such as the measurement of oxygen and carbon dioxide in the blood were compiled,
  • according to the authors, the results obtained in terms of normalisation of capnia were more tangible when ventilation was used regularly than when it was used at high intensity,
  • This was true with the exception of patients with thoracic disease and neuromuscular patients with the most basic respiratory deficiencies.

These data should help to settle the debate between intensity and frequency of assisted ventilation.

 

Effect of Intensity of Home Noninvasive Ventilation in Individuals With Neuromuscular and Chest Wall Disorders: A Systematic Review and Meta-Analysis of Individual Participant Data. Delorme M, Leotard A, Lebret M et al. Arch Bronconeumol. 2023 May