I would like to put a question about non invasive ventilation: Is anyone
of you, vent-dependent but not tracheostomised? I have read a lot of papers
from Dr Bach from New Jersey explaining how to maintein ventilation by
means of alternating different systems like nose mask ventilation,
mouth-piece ventilation, and dealing with secretions using assisted cough,
glossofaryngeal breathing and finally the In-exsuflation machine. It seems
to be very interesting and Dr. Bach speaks enthusiastically about it and
insists he is able to ventilate his quad patients by this way, not having
the need of a trach. But I see almost of you are using a trach. What do you
think about this questiont?
With respect to the trach changes (I realize itīs a very important matter
for all of you) I think the idea of James Lubin (Xylocaine) is very good
(and as he says, ask your doctor before).
And finally, for Annette: did you get your trach change? How did it go?
Dr. Quiroga Ruiz
Intensive Care Unit
Home Mechanical Ventilation Unit
Hospital Central de Asturias
Oviedo. SPAIN