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3 results on '"N, Arnol"'

1. [Factors associated with the type of mask used during nocturnal NIV in patients with neuromuscular disorders].

Author

Leotard A, Lebret M, Prigent H, Arnol N, Pépin JL, Hartley S, Lofaso F, and Borel JC

Subjects
Adult, Age Factors, Age of Onset, Body Mass Index, Equipment Design, Female, Humans, Male, Middle Aged, Neuromuscular Diseases complications, Neuromuscular Diseases epidemiology, Noninvasive Ventilation statistics & numerical data, Patient Compliance psychology, Patient Compliance statistics & numerical data, Respiratory Insufficiency complications, Respiratory Insufficiency epidemiology, Socioeconomic Factors, Choice Behavior physiology, Masks statistics & numerical data, Neuromuscular Diseases therapy, Noninvasive Ventilation instrumentation, Patient Acceptance of Health Care statistics & numerical data, Respiratory Insufficiency therapy
Abstract

In subjects with neuromuscular diseases (NMD), the choice of facemask is essential for successful long-term noninvasive ventilation (NIV). While nasal masks usually represent the first line of treatment, almost a third of our subjects with NMD use an oro-nasal interface. Factors associated with the choice of mask remain poorly understood. We provide an original analysis of a previous prospective, multi-centric, Franco-Belgian survey investigating the factors associated with the type of nocturnal mask used in 116 adult NMD subjects treated with NIV. In these patients oro-nasal mask use was more often associated with non-Duchenne muscular dystrophy, older subjects, higher body mass index, better upper limb autonomy allowing independent mask removal and shorter periods of ventilation. Controlled prospective studies are needed to compare the efficacy and tolerance of different interfaces in this specific population., (Copyright © 2019 SPLF. Published by Elsevier Masson SAS. All rights reserved.)

Published
2020
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2. Factors Contributing to Unintentional Leak During CPAP Treatment: A Systematic Review.

Author

Lebret M, Martinot JB, Arnol N, Zerillo D, Tamisier R, Pepin JL, and Borel JC

Subjects
Age Factors, Body Mass Index, Continuous Positive Airway Pressure instrumentation, Female, Humans, Humidifiers, Male, Risk Factors, Sex Factors, Sleep Apnea, Obstructive epidemiology, Continuous Positive Airway Pressure methods, Equipment Failure statistics & numerical data, Masks, Nasal Obstruction epidemiology, Obesity, Abdominal epidemiology, Sleep Apnea, Obstructive therapy
Abstract

CPAP is the first-line treatment for moderate to severe OSA syndrome. Up to 25% of patients with OSA syndrome discontinue CPAP treatment due to side effects. Unintentional leakage and its associated annoying consequences are the most frequently reported adverse effects of CPAP. Successive technological improvements have not succeeded in addressing this issue. A systematic review was conducted (1) to assess the impact of different technological advances on unintentional leaks and (2) to determine if any patient characteristics have already been identified as determinants of unintentional leakage. No CPAP modality was superior to another in reducing unintentional leaks and, surprisingly, oronasal masks were associated with higher unintentional leaks. Nasal obstruction, older age, higher BMI, central fat distribution, and male sex might be associated with an increased risk of unintentional leakage. Such leaks remain an important problem. Further studies are needed to improve the understanding of underlying clinical factors so that patients at risk of unintentional leaks may be identified and individualized solutions applied., (Copyright © 2016 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.)

Published
2017
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3. [Factors associated with the type of mask used during nocturnal NIV in patients with neuromuscular disorders]

Author

A, Leotard, M, Lebret, H, Prigent, N, Arnol, J-L, Pépin, S, Hartley, F, Lofaso, and J-C, Borel

Subjects
Adult, Male, Noninvasive Ventilation, Age Factors, Masks, Equipment Design, Neuromuscular Diseases, Middle Aged, Patient Acceptance of Health Care, Choice Behavior, Body Mass Index, Socioeconomic Factors, Humans, Patient Compliance, Female, Age of Onset, Respiratory Insufficiency
Abstract

In subjects with neuromuscular diseases (NMD), the choice of facemask is essential for successful long-term noninvasive ventilation (NIV). While nasal masks usually represent the first line of treatment, almost a third of our subjects with NMD use an oro-nasal interface. Factors associated with the choice of mask remain poorly understood. We provide an original analysis of a previous prospective, multi-centric, Franco-Belgian survey investigating the factors associated with the type of nocturnal mask used in 116 adult NMD subjects treated with NIV. In these patients oro-nasal mask use was more often associated with non-Duchenne muscular dystrophy, older subjects, higher body mass index, better upper limb autonomy allowing independent mask removal and shorter periods of ventilation. Controlled prospective studies are needed to compare the efficacy and tolerance of different interfaces in this specific population.

Published
2019

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