Abstract: |
Many interfaces used for non-invasive ventilation (NIV) during sleep and in critical care are not practical for daytime support. The mouthpiece ventilation (MPV) is considered by some patients to be more comfortable compared with nasal or facial interfaces, but requires a more active participation of the patient and an initial training period for the staff to teach the patient how to use it. The use of MPV facilitates “air-stacking” to enhance cough, speech, and pulmonary compliance, all of which better maintain quality of life for patients with neuromuscular diseases than the invasive alternatives. Despite these obvious advantages, this modality is not commonly used. The latest advancements of mouthpiece ventilator modes, call for knowledge and awareness of this mode of NIV delivery. © Springer Nature Switzerland AG 2022. |