1 / 11

Motor Neurone Disease What is NIV?

Motor Neurone Disease What is NIV?. Barbara Furnival Clinical Lead Physiotherapy WHH NHS FoundationTrust. NIV. None-invasive ventilation. Also known as BIPAP, Biphasic Positive Airways Pressure. Delivered by a mask onto the face, driven by a portable ventilator,

uriah-orr
Download Presentation

Motor Neurone Disease What is NIV?

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Motor Neurone DiseaseWhat is NIV? Barbara Furnival Clinical Lead Physiotherapy WHH NHS FoundationTrust

  2. NIV • None-invasive ventilation. • Also known as BIPAP, Biphasic Positive Airways Pressure. • Delivered by a mask onto the face, driven by a portable ventilator, • NOT from a tube into the airway (endotracheal intubation- tube into the mouth, or tracheal intubation- tube into the trachea as a result of surgical procedure). This is formal ventilation.

  3. NIV

  4. Why do MND Patients need NIV? Breathing Difficulties. 3 main muscle groups are responsible for healthy respiratory function: inspiratory muscles. upper airway muscles. expiratory muscles.

  5. Effects of Weakness of Muscle Groups. • Inspiratory,( breathing in) results in ventilatory failure. • Upper airway,results in swallowing difficulties. • Expiratory, (breathing out) results in weak cough, with retention of secretions-infections.

  6. Symptoms • Breathlessness on exertion (dyspnoea). • Breathlessness when lying down (orthopnoea). • Morning headaches. • Extreme fatigue. • Excessive daytime sleepiness. • Disturbed sleep.

  7. Signs. • Reduced chest expansion. • Rapid respiratory rate. • Accessory muscle recruitment. • Weak cough. • Weak sniff. • Paradoxical movement of the abdomen on inspiration.

  8. NIV: Pros and Cons • Not ideal for everyone, Physician must assess and lead on treatment choices. • Initially ventilated overnight. • Does extend life by an average of 12 months. • Does NOT halt/regress disease progression. • Alleviates most of the respiratory symptoms initially. • Dependency on NIV extends into the day. • Creates strain on family/carers.

  9. What is Cough Assist? • In-sufflator, ex-sufflator. • Mechanical device that stimulates a cough. • Inspiratory pressure is delivered from the device via a mask/mouth-piece into the patient’s mouth. • Expired air sucked back through interface, causing a cough. • Patient expectorates. • This reduces risk/impact of chest infection.

  10. Cough Assist

  11. Workshops Come to our workshop to: • Learn more about the NIV • Learn more about the cough assist • Have a try of the equipment • Ask questions

More Related