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Journal of the Korean Academy of Rehabilitation Medicine 2004;28(5):501-504.
Non-invasive Intermittent Positive Pressure Ventilation Apply to Complete Tetraplegia due to C1 Spinal Cord Injury: A case report.
Park, Jung Hyun , Kang, Seong Woong , Cho, Dong Hee
Department of Rehabilitation Medicine and Rehabilitation Institute of Muscular Disease, Yonsei University College of Medicine, Korea. kswoong@yumc.yonsei.ac.kr
제1 경수 완전 사지마비 환자의 비침습적 호흡기 사용 ⁣증례 보고⁣
박중현, 강성웅, 조동희
연세대학교 의과대학 재활의학교실 및 근육병재활연구소
The patients who have high cervical cord injury with paralysis of diaphragm are not able to live without mechanical ventilatory support. In conventional concept, tracheostomy is necessary for long-term use of mechanical ventilation. We reported a 33-year-old man diagnosed with complete tetraplegia due to C1 spinal cord injury. He had used intermittent mechanical ventilation via tracheostomy tube. He had no movement of diaphragm and showed hypercapnia and hypoxemia without ventilatory support for several hours. He showed 400 ml of vital capacity and un-obtainable peak cough flow level but it could be obtained 300 L/min of assisted peak cough flow. Noninvasive intermittent positive pressure ventilation (NIPPV) was applied from invasive method and decannulation and tracheostomy closure was performed successfully. He had no pulmonary complications for six months. This case could be a good model for the indication of NIPPV application and decannulation. (J Korean Acad Rehab Med 2004; 28: 501-504)
Key Words: Tetraplegia, Tracheostomy, Decannulation, Pulmonary rehabilitation, Noninvasive intermittent positive pressure ventilation


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