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Myasthenia crisis bedside application

V

Vinaykumar Rathod

New member
Profession
Doctor
Country
India
Use of objective parameter bedside ? Not single breath count..!
How to apply 20,30,40 rule for myasthenia bedside?
Is there any instrument and how it should be done?
And if patient is on NIV how will I know forced vital capacity, maximum inspiratory pressure? Is there any way?
 
at beside technically...
breath count should be used to MONITOR the disease.

on NIV, we don't use the above pressures.

what we see is the Pco2 in ABG, it its rising means the efforts are not good enough. also if connected to ventilator for NIV, you can watch the TV generated.

also not to under estimate the clinical signs of fatigue or increased efforts (RR).

ABG is good objective parameter .

the above is which we usually practice.
 
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