Intermittent abdominal pressure ventilation is a positive pressure ventilation technique that works with abdominal compressions. It has been known since 1938; however, for many years, it was out of production. In recent years, a new device has been produced that has captured the attention to this old respiratory support technique. We considered eight patients with respiratory failure secondary to a neuromuscular disease (congenital myopathy, Duchenne dystrophy, and amyotrophic lateral sclerosis) intolerant to daytime noninvasive ventilation (NIV). IAPV was proposed as an alternative to NIV. We performed baseline and post-IAPV respiratory function assessment. All patients, two years later, are still using intermittent abdominal ventilation. Intermittent positive abdominal mechanical ventilation can be a valid alternative to noninvasive mechanical ventilation with a nasal or face mask. It improves gas exchange, symptoms, and quality of life, decreases the incidence of pneumonia, and can avert the need for intubation and tracheotomy.

中文翻译：

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间歇性腹压通气：呼吸支持的替代方案

间歇性腹压通气是一种与腹部按压配合使用的正压通气技术。它自 1938 年就已为人所知；然而，多年来，它一直停产。近年来，已经生产出一种新设备，引起了人们对这种古老的呼吸支持技术的关注。我们考虑了 8 名继发于神经肌肉疾病（先天性肌病、杜氏营养不良和肌萎缩侧索硬化）的呼吸衰竭患者，无法耐受日间无创通气 (NIV)。IAPV 被提议作为 NIV 的替代品。我们进行了基线和 IAPV 后呼吸功能评估。两年后，所有患者仍在使用间歇性腹部通气。间歇性腹部正机械通气可以有效替代使用鼻罩或面罩的无创机械通气。它可以改善气体交换、症状和生活质量，降低肺炎的发生率，并且可以避免插管和气管切开的需要。