Neuromuscular respiratory dysfunction: investigations
Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .
Neuromuscular respiratory dysfunction: investigations. Vital capacity (VC), Cough peak flow, Arterial blood gases. Fully referenced neurology checklist.
Respiratory evaluation
- Vital capacity (VC)
- Cough peak flow
- Arterial blood gases
- Spirometry and volumes
- Maximal muscle pressures
- Peak cough expiratory flow
- Sniff nasal inspiratory force (SNIF Test)
- Trans-diaphragmatic pressure
- Phrenic nerve stimulation
- Ultrasound scan evaluation of diaphragm
- Respiratory pattern
Oropharyngeal evaluation
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Annual assessment of sleep-disordered breathing: indications
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References
- Hull J, Aniapravan R, Chan E, et al. British Thoracic Society guideline for respiratory management of children with neuromuscular weakness. Thorax 2012; 67:i1-i40.
- Shahrizaila N, Kinnear WJM, Wills AJ. Respiratory involvement in inherited primary muscle conditions. JNNP 2006; 77:1108-1115.
- Mehta S. Neuromuscular disease causing acute respiratory failure. Respir Care 2006; 51:1016-1021.
- Gilchrist JM. Overview of neuromuscular disorders affecting respiratory function. Semin Respir Crit Care Med 2002; 23:191-200.
- Farrero E, Antón A, Egea CJ, et al. Guidelines for the management of respiratory complications in patients with neuromuscular disease. Arch Bronconeumol 2013; 49:306-313.
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