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  1. Article ; Online: Saliva, Swallowing, and Breathing: The Ultimate Challenge of Amyotrophic Lateral Sclerosis.

    Benditt, Joshua O

    Respiratory care

    2020  Volume 65, Issue 8, Page(s) 1221–1222

    MeSH term(s) Amyotrophic Lateral Sclerosis ; Deglutition ; Deglutition Disorders/etiology ; Humans ; Respiration ; Saliva
    Language English
    Publishing date 2020-07-23
    Publishing country United States
    Document type Editorial
    ZDB-ID 603252-7
    ISSN 1943-3654 ; 0098-9142 ; 0020-1324
    ISSN (online) 1943-3654
    ISSN 0098-9142 ; 0020-1324
    DOI 10.4187/respcare.08298
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Respiratory Care of Patients With Neuromuscular Disease.

    Benditt, Joshua O

    Respiratory care

    2019  Volume 64, Issue 6, Page(s) 679–688

    Abstract: Neuromuscular diseases are a heterogeneous group of neurologic diseases that affect a number of neural structures including the motor nerves, neuromuscular junctions, or the muscles themselves. Although many of the diseases are rare, the total number of ... ...

    Abstract Neuromuscular diseases are a heterogeneous group of neurologic diseases that affect a number of neural structures including the motor nerves, neuromuscular junctions, or the muscles themselves. Although many of the diseases are rare, the total number of individuals who present to a pulmonologist or respiratory care provider is significant. Approaches to care include regular and careful clinical follow-up of symptoms of sleep-disordered breathing, daytime hypoventilation, as well as cough and swallowing effectiveness. Noninvasive support with nocturnal mask ventilation and a pressure support device can be extraordinarily helpful and delay daytime ventilatory failure. When daytime ventilatory failure develops, other noninvasive methods are available for portable assistance. Support of cough function with manual assistance, a resuscitator bag, and/or mechanical insufflation-exsufflation can help prevent and treat infection. Referral for swallowing evaluation and treatment is very important for those with impaired bulbar function. This comprehensive respiratory care approach to individuals with neuromuscular disease and respiratory system involvement is essential to maintaining the health and longevity of these individuals.
    MeSH term(s) Cough ; Deglutition ; Humans ; Hypoventilation/physiopathology ; Hypoventilation/therapy ; Insufflation/methods ; Laryngeal Masks ; Neuromuscular Diseases/physiopathology ; Noninvasive Ventilation/methods ; Oxygen Inhalation Therapy ; Respiratory Therapy/methods ; Sleep Apnea Syndromes/physiopathology ; Sleep Apnea Syndromes/therapy
    Language English
    Publishing date 2019-05-10
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 603252-7
    ISSN 1943-3654 ; 0098-9142 ; 0020-1324
    ISSN (online) 1943-3654
    ISSN 0098-9142 ; 0020-1324
    DOI 10.4187/respcare.06827
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Mechanical Insufflation-Exsufflation: More Than Just Cough Assist.

    Benditt, Joshua O

    Respiratory care

    2018  Volume 63, Issue 8, Page(s) 1076–1077

    MeSH term(s) Cough ; Humans ; Insufflation ; Neuromuscular Diseases
    Language English
    Publishing date 2018
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 603252-7
    ISSN 1943-3654 ; 0098-9142 ; 0020-1324
    ISSN (online) 1943-3654
    ISSN 0098-9142 ; 0020-1324
    DOI 10.4187/respcare.06439
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  4. Article ; Online: Noninvasive respiratory assistance as aid for respiratory care in neuromuscular disorders.

    Graustein, Andrew / Carmona, Hugo / Benditt, Joshua O

    Frontiers in rehabilitation sciences

    2023  Volume 4, Page(s) 1152043

    Abstract: Chronic respiratory failure is a common complication of neuromuscular disease. The use of noninvasive ventilation and mechanically assisted cough can reduce symptoms of hypoventilation, slow lung function decline, improve sleep quality, and in some cases ...

    Abstract Chronic respiratory failure is a common complication of neuromuscular disease. The use of noninvasive ventilation and mechanically assisted cough can reduce symptoms of hypoventilation, slow lung function decline, improve sleep quality, and in some cases prolong survival in patients with neuromuscular disease. In this article, we review indications for the initiation of noninvasive ventilation and mechanically assisted cough as well as provide recommendations for settings and titration. We discuss the evidence supporting the use of noninvasive ventilation as an adjunct to rehabilitation in patients with neuromuscular disease. Lastly, we review the ethical considerations that are relevant to decisions regarding initiation and cessation of noninvasive ventilation. While noninvasive ventilation and mechanically assisted cough have become standards of care in many forms of neuromuscular disease, most current recommendations are based on expert opinion rather than much-needed data from prospective clinical trials and we emphasize topics requiring future research.
    Language English
    Publishing date 2023-05-18
    Publishing country Switzerland
    Document type Journal Article ; Review
    ISSN 2673-6861
    ISSN (online) 2673-6861
    DOI 10.3389/fresc.2023.1152043
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  5. Article ; Online: Chronic Neuromuscular Respiratory Failure and Home Assisted Ventilation.

    Carmona, Hugo / Graustein, Andrew D / Benditt, Joshua O

    Annual review of medicine

    2023  Volume 74, Page(s) 443–455

    Abstract: Chronic respiratory failure is a common, important complication of many types of neuromuscular and chest wall disorders. While the pathophysiology of each disease may be different, these disorders can variably affect all muscles involved in breathing, ... ...

    Abstract Chronic respiratory failure is a common, important complication of many types of neuromuscular and chest wall disorders. While the pathophysiology of each disease may be different, these disorders can variably affect all muscles involved in breathing, including inspiratory, expiratory, and bulbar muscles, ultimately leading to chronic respiratory failure and hypoventilation. The use of home assisted ventilation through noninvasive interfaces aims to improve the symptoms of hypoventilation, improve sleep quality, and, when possible, improve mortality. An increasing variety of interfaces has allowed for improved comfort and compliance. In a minority of scenarios, noninvasive ventilation is either not appropriate or no longer effective due to disease progression, and a transition to tracheal ventilation should be considered.
    MeSH term(s) Humans ; Respiration, Artificial/adverse effects ; Hypoventilation/therapy ; Hypoventilation/complications ; Neuromuscular Diseases/therapy ; Neuromuscular Diseases/complications ; Disease Progression
    Language English
    Publishing date 2023-01-21
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 207930-6
    ISSN 1545-326X ; 0066-4219
    ISSN (online) 1545-326X
    ISSN 0066-4219
    DOI 10.1146/annurev-med-043021-013620
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  6. Article ; Online: Pathophysiology of Neuromuscular Respiratory Diseases.

    Benditt, Joshua O

    Clinics in chest medicine

    2018  Volume 39, Issue 2, Page(s) 297–308

    Abstract: Gas exchange between the atmosphere and the human body depends on the lungs and the function of the respiratory pump. The respiratory pump consists of the respiratory control center located in the brain, bony rib cage, diaphragm, and intercostal, ... ...

    Abstract Gas exchange between the atmosphere and the human body depends on the lungs and the function of the respiratory pump. The respiratory pump consists of the respiratory control center located in the brain, bony rib cage, diaphragm, and intercostal, accessory, and abdominal muscles. A variety of muscles serve to fine-tune adjustments of ventilation to metabolic demands. Appropriate evaluation and interventions can prevent respiratory complications and prolong life in individuals with neuromuscular diseases. This article discusses normal function of the respiratory pump, general pathophysiologic issues, and abnormalities in more common neuromuscular diseases.
    MeSH term(s) Humans ; Neuromuscular Diseases/physiopathology ; Respiration Disorders/physiopathology
    Language English
    Publishing date 2018-05-21
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 447455-7
    ISSN 1557-8216 ; 0272-5231
    ISSN (online) 1557-8216
    ISSN 0272-5231
    DOI 10.1016/j.ccm.2018.01.011
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  7. Article ; Online: Optimizing Mechanical Insufflation-Exsufflation - Much More than Cough Peak Flow.

    Branson, Richard D / Benditt, Joshua O

    Respiratory care

    2020  Volume 65, Issue 2, Page(s) 265–268

    MeSH term(s) Cough/therapy ; Humans ; Insufflation ; Neuromuscular Diseases ; Peak Expiratory Flow Rate
    Language English
    Publishing date 2020-01-13
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 603252-7
    ISSN 1943-3654 ; 0098-9142 ; 0020-1324
    ISSN (online) 1943-3654
    ISSN 0098-9142 ; 0020-1324
    DOI 10.4187/respcare.07682
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  8. Article ; Online: Effects of Mouthpiece Noninvasive Ventilation on Speech in Men With Muscular Dystrophy: A Pilot Study.

    Britton, Deanna / Pullen, Elizabeth / Hoit, Jeannette D / Benditt, Joshua O

    American journal of speech-language pathology

    2021  Volume 30, Issue 3S, Page(s) 1373–1381

    Abstract: Purpose The use of noninvasive ventilation (NIV) is on the rise as an alternative to tracheostomy for individuals with neuromuscular disorders with life-prolonging and quality-of-life benefits. This pilot study was designed to determine if mouthpiece NIV ...

    Abstract Purpose The use of noninvasive ventilation (NIV) is on the rise as an alternative to tracheostomy for individuals with neuromuscular disorders with life-prolonging and quality-of-life benefits. This pilot study was designed to determine if mouthpiece NIV (M-NIV) alters speech in individuals with muscular dystrophy (MD). Method Eight men (23-44 years), seven with Duchenne MD and one with Becker MD, who used daytime M-NIV, were asked to sustain phonation, count, and read under three conditions: (a)
    MeSH term(s) Humans ; Male ; Muscular Dystrophy, Duchenne/complications ; Muscular Dystrophy, Duchenne/diagnosis ; Muscular Dystrophy, Duchenne/therapy ; Neuromuscular Diseases ; Noninvasive Ventilation ; Pilot Projects ; Respiratory Insufficiency ; Speech
    Language English
    Publishing date 2021-03-02
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1154406-5
    ISSN 1558-9110 ; 1058-0360
    ISSN (online) 1558-9110
    ISSN 1058-0360
    DOI 10.1044/2020_AJSLP-20-00146
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  9. Article ; Online: Progress in the Treatment of Patients with Neuromuscular and Nonmuscular Chest Wall Diseases.

    McCool, F Dennis / Benditt, Joshua O

    Clinics in chest medicine

    2018  Volume 39, Issue 2, Page(s) xv–xvi

    Language English
    Publishing date 2018-05-19
    Publishing country United States
    Document type Editorial
    ZDB-ID 447455-7
    ISSN 1557-8216 ; 0272-5231
    ISSN (online) 1557-8216
    ISSN 0272-5231
    DOI 10.1016/j.ccm.2018.03.001
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  10. Article ; Online: Lifetime Care of Duchenne Muscular Dystrophy.

    MacKintosh, Erin W / Chen, Maida L / Benditt, Joshua O

    Sleep medicine clinics

    2020  Volume 15, Issue 4, Page(s) 485–495

    Abstract: Individuals with Duchenne muscular dystrophy (DMD) have evolving sleep and respiratory pathophysiology over their lifetimes. Across the lifespan of DMD, various sleep-related breathing disorders (SRBD) have been described, including obstructive sleep ... ...

    Abstract Individuals with Duchenne muscular dystrophy (DMD) have evolving sleep and respiratory pathophysiology over their lifetimes. Across the lifespan of DMD, various sleep-related breathing disorders (SRBD) have been described, including obstructive sleep apnea, central sleep apnea, and nocturnal hypoventilation. In addition to SRBD, individuals with DMD can be affected by insomnia, chronic pain and other factors interfering with sleep quality, and daytime somnolence. The natural progression of DMD pathophysiology has changed with the introduction of therapies for downstream pathologic pathways and will continue to evolve with the development of therapies that target function and expression of dystrophin.
    MeSH term(s) Disease Progression ; Humans ; Muscular Dystrophy, Duchenne/complications ; Muscular Dystrophy, Duchenne/therapy
    Keywords covid19
    Language English
    Publishing date 2020-10-05
    Publishing country United States
    Document type Journal Article ; Review
    ISSN 1556-4088
    ISSN (online) 1556-4088
    DOI 10.1016/j.jsmc.2020.08.011
    Database MEDical Literature Analysis and Retrieval System OnLINE

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