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SMA GENERALLY

RESPIRATORY

  • SMA Type 1: Noninvasive Respiratory Management Approach – Bach [NOTE: Bipap “Span of 10” discussed.]
  • Spinal Muscular Atrophy Type 1: Prolongation of Survival by Noninvasive Respiratory Aids – Bach [Note: Bipap “Span of 10” quote below is in the article but this link is to the Abstract only. “Almost as inadequate as providing no treatment at all is the use of bilevel positive airway pressure (BiPAP) at low pressure spans (<10 cm H2O between expiratory and inspiratory pressure, subsequently referred to as ‘low span’). Lower settings are inadequate for full ventilatory support, inspiratory muscle rest, and reversal of paradoxical chest wall movement to promote lung growth and chest wall compliance. Low levels of respiratory assistance using lowspan BiPAP for nasal ‘noninvasive ventilation’ is not sufficient to markedly prolong life for children with SMA-1.”

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