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Volume 151, Issue 5, Pages (May 2017)

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Presentation on theme: "Volume 151, Issue 5, Pages (May 2017)"— Presentation transcript:

1 Volume 151, Issue 5, Pages 962-965 (May 2017)
POINT: Is Noninvasive Ventilation Always the Most Appropriate Manner of Long-term Ventilation for Infants With Spinal Muscular Atrophy Type 1? Yes, Almost Always  John R. Bach, MD  CHEST  Volume 151, Issue 5, Pages (May 2017) DOI: /j.chest Copyright © 2016 American College of Chest Physicians Terms and Conditions

2 Figure 1 Chest of child aged 1½ years with typical spinal muscular atrophy type 1 who did not benefit from sleep noninvasive ventilatory support. CHEST  , DOI: ( /j.chest ) Copyright © 2016 American College of Chest Physicians Terms and Conditions

3 Figure 2 Brothers ages 3 and 1 years with spinal muscular atrophy type 1 continuously dependent on noninvasive ventilatory support from 8 and 4 months of age, respectively, with well-formed chests. CHEST  , DOI: ( /j.chest ) Copyright © 2016 American College of Chest Physicians Terms and Conditions

4 Figure 3 The same brothers from Figure 2 at 20 and 18 years of age at the high school graduation of the younger brother, both with 0 mL of vital capacity for > 10 years and only residual eye movements. CHEST  , DOI: ( /j.chest ) Copyright © 2016 American College of Chest Physicians Terms and Conditions

5 Figure 4 A 1-year-old with typical spinal muscular atrophy type 1 just before beginning sleep noninvasive ventilatory support. CHEST  , DOI: ( /j.chest ) Copyright © 2016 American College of Chest Physicians Terms and Conditions

6 Figure 5 The same individual as in Figure 4 at 23 years of age using nasal noninvasive ventilatory support. CHEST  , DOI: ( /j.chest ) Copyright © 2016 American College of Chest Physicians Terms and Conditions


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