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Nocturnal mechanical ventilation

Clinical observation of gas exchange

  • Measurement of respiration rate and work of breathing; comfort level; tachypnea
  • Assessment of chest wall motion; abdominal muscle recruitment
  • Observation for evidence of diaphragmatic paralysis

Respiratory muscle weakness

Adult Onset DM1

  • Weakness of the diaphragm, abdomen and chest wall muscles affecting the ability to cough, resulting in chronic lung infections


  • Failure of cerebral respiratory control, which may result in fetal distress
  • Pulmonary immaturity, which may be further complicated by premature birth


For those who have a tracheotomy, the right answer may be "as needed" if the patient can get off the ventilator intermittently. Keeping the patient comfortable and able to communicate is important.


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