Just posted up this video on living with a ventilator - without using my ventilator !!
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Living with a Ventilator
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Hi Calum ..very good video and glad ventilation has helped .. MND Northern Ireland launched a campaign a few months back asking MLA's to put their weight behind getting Ventilators for community .. it was called " Every Breath Counts " ..don't know where it is at to date but must make some enquires .. it certainly would be great to have ventilators out on community for those that require them ..
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IMG_20160802_215649.jpg
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Another great video Calum;
Love TerryTB once said that "The forum is still the best source for friendship and information."
It will only remain so if new people post and keep us updated on things that work or don't work and tips.
Please post on old threads that are of use so that others see them and feel free to start new subjects and threads.
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Guest
Originally posted by Dvd View PostHi Calum ..very good video and glad ventilation has helped .. MND Northern Ireland launched a campaign a few months back asking MLA's to put their weight behind getting Ventilators for community .. it was called " Every Breath Counts " ..don't know where it is at to date but must make some enquires .. it certainly would be great to have ventilators out on community for those that require them ..
Dvd
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Background Respiratory failure is associated with significant morbidity and is the predominant cause of death in motor neurone disease/amyotrophic lateral sclerosis (MND/ALS). This study aimed to determine the effect of non-invasive ventilatory (NIV) support on survival and pulmonary function decline across MND/ALS phenotypes. Methods Cohort recruited via a specialist, multidisciplinary clinic. Patients were categorised into four clinical phenotypes (ALS, flail arm, flail leg and primary lateral sclerosis) according to site of presenting symptom and the pattern of upper versus lower motor neurone involvement. NIV was initiated according to current consensus practice guidelines. Results Between 1991 and 2011, 1198 patients diagnosed with ALS/MND were registered. 929 patients (77.5%) fulfilled the selection criteria and their data were analysed. Median tracheostomy free survival from symptom onset was 28 months in NIV-treated patients compared to 15 months in untreated (Univariate Cox regression HR=0.61 (0.51 to 0.73), p<0.001). The positive survival effect of NIV persisted when the model was adjusted for age, gender, riluzole and percutaneous endoscopic gastrostomy use (HR=0.72 (0.60 to 0.88, p=0.001). In contrast with the only randomised controlled trial, NIV statistically significantly increased survival by 19 months in those with ALS-bulbar onset (Univariate HR=0.50 (0.36 to 0.70), multivariate HR=0.59 (0.41 to 0.83)). These data confirm that NIV improves survival in MND/ALS. The overall magnitude of benefit is 13 months and was largest in those with ALS-bulbar disease. Future research should explore the optimal timing of NIV initiation within phenotypes in order to optimise respiratory function, quality of life and survival.
All the best
Calum
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Guest
Last edited by Guest; 13 August 2016, 14:27.
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Crystal
Hi Calum
I've been on overnight ventilation for nearly two months now and it has improved my life-no more headaches and feeling awful during the day. It's really bad that there's such variation in accessing ventilation. I would be really ill without it.
Crystal x
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missmuffett
Hiya,I am concerned that I
I just can't get used to the ventilation masks(yes plural(!) as have nasal ,nose/ mouth ,complete facial one) I just dislike the feeling of suffocation that I get with the straps and face cover in general.
Been told by my nippy nurse and palliative care nurse not to work myself up about it but I do have trouble breathing when I am put into my sling to be hoisted followed by when I first get into bed! I don't know what to do.......
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Hi Missmuffett;
How long have you been trying to use a mask as most people find using one very hard. Maybe try for short periods during the day and try to build the time up for two hours. You can get different masks and (I think) Nasal pillows which don't cover your face.
You could also just use it when being hoisted or try some drug to make you less panicky but I think trying it for short periods during the day time and/or nasal pillows.
Love TerryTB once said that "The forum is still the best source for friendship and information."
It will only remain so if new people post and keep us updated on things that work or don't work and tips.
Please post on old threads that are of use so that others see them and feel free to start new subjects and threads.
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Hi Miss M,
Try short periods of daytime use as Terry said, to get used to the feeling. Using BiPAP will make your life more comfortable.
Given you've tried nasal pillows, which have the least facial coverage, and still aren't comfortable wearing any, I wonder about taking a small dose of an anti-anxiety med before bed for a few nights? It's "mind over matter", which I know is easy for me to sayAsk your nurse.
I wear a Total Face Mask at night, which is very comfy but I'm not claustrophobic.
Ellie x.Diagnosed 03/2007. Sporadic Definite ALS/MND Spinal (hand) Onset.
Eye gaze user - No functional limbs - No speech - Feeding tube - Overnight NIV.
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missmuffett
Originally posted by Ellie View PostHi Miss M,
Try short periods of daytime use as Terry said, to get used to the feeling. Using BiPAP will make your life more comfortable.
Given you've tried nasal pillows, which have the least facial coverage, and still aren't comfortable wearing any, I wonder about taking a small dose of an anti-anxiety med before bed for a few nights? It's "mind over matter", which I know is easy for me to sayAsk your nurse.
I wear a Total Face Mask at night, which is very comfy but I'm not claustrophobic.
Ellie x.
The longest I have worn my mask is 1 hour and 20 minutes but that was a while back.My main concern is that my arms and hands are now weakened and I won't in time be able to remove the mask when I want to.
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Yes I know that concern too! My arms & hands are next to useless so I need someone to put on my mask at night and remove it every morning.
I've no access to my sleeping beauty at night as he sought sanctuary in the spare room a while back!!!
All I know is the Nippy improves my life
Good luck Miss Muffett.
Ellie x.Diagnosed 03/2007. Sporadic Definite ALS/MND Spinal (hand) Onset.
Eye gaze user - No functional limbs - No speech - Feeding tube - Overnight NIV.
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I think 1 hr 20 mins is quite good and you could keep trying for an hour and build up a bit of trust.
Let us know what the nurse says.
Love TerryTB once said that "The forum is still the best source for friendship and information."
It will only remain so if new people post and keep us updated on things that work or don't work and tips.
Please post on old threads that are of use so that others see them and feel free to start new subjects and threads.
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Good afternoon,
I see this is quite an old thread, but it is the obvious one for which I need to add my query.
I use a nippy breathing machine, more for sleep apnoea than for my motor neurone disease, but it is useful for that, of course, given the oxygen loss that occurs with sleep apnoea.
The mask that St Thomas's Hospital (the Lane Fox unit) have provided to me is giving me issues in that it seems to have opened up some sort of growth I have on the left-hand side of the bridge of my nose and marks the bridge of my nose during use - the mark fades during the day to be woken up again, as it were, as I use the mask during the next night.
Do folk here have a recommendation about a different sort of mask that does not have to rest on the bridge of my nose in order to make a good seal?Warmly
Andy
Diagnosed 03/2015. One sided limb onset (arm) sporadic PMA/MND - now 90% left arm and 90% right arm, plus other bits including both shoulders and also some breathing issues – Campaign contact Winchester and Southampton branch, and trustee of the Association
"Things turn out the best for people who make the best of the way things turn out"
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