To the Editor: Noninvasive positive-pressure ventilation iswidely used in patients with chronic respiratory failure dueto neuromuscular diseases such as amyotrophic lateral sclerosis.1Noninvasive positive-pressure ventilation can be used intermittently,the equipment is portable, and ventilation does not interferewith eating and speaking. It is considered safe, and most problemsthat occur are related to the fit of the mask and the risk ofaspiration pneumonitis.2 We describe a complication we havenot previously seen reported.
The patient was a previously healthy 53-year-old man with amyotrophiclateral sclerosis who was started on nocturnal noninvasive positive-pressureventilation (inspiratory pressure, 10 . . . [Full Text of this Article]
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