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Papers by Mike Kampelmacher
Noninvasive Mechanical Ventilation and Difficult Weaning in Critical Care, 2016
Noninvasive Mechanical Ventilation and Difficult Weaning in Critical Care, 2016
Nederlands Tijdschrift Voor Geneeskunde, 2011
Obesity hypoventilation syndrome (OHS) is a condition in which obesity and chronic hypoventilatio... more Obesity hypoventilation syndrome (OHS) is a condition in which obesity and chronic hypoventilation during waking hours are combined. Patients with OHS are more likely to be hospitalized and to require intensive-care monitoring compared with patients with similar degrees of obesity without hypoventilation. Treatment with chronic non-invasive positive pressure ventilation (NPPV) is associated with a lower morbidity and mortality. We present 2 cases of OHS; in the first case, a 56-year-old woman, we show that it is very important to diagnose and treat OHS at an early stage in order to avoid severe morbidity. In the second case, a 31-year-old man, we show that if a patient with OHS and chronic NPPV looses a significant amount of weight NPPV can be discontinued. Patients with OHS should be treated in a multidisciplinary team in order to achieve significant weight loss, so NPPV could be a temporary treatment or even be avoided.
Nederlands Tijdschrift Voor Geneeskunde, 2011
Lung volume recruitment can improve peak cough flows and respiratory compliance in patients who e... more Lung volume recruitment can improve peak cough flows and respiratory compliance in patients who either do or do not require mechanical ventilation. There are several lung volume recruitment techniques: air stacking, glossopharyngeal breathing and mechanical insufflation-exsufflation with cough assist devices. The principle of lung volume recruitment is based on the insufflation of air in the lungs after maximal inspiration. In air stacking, a manual resuscitation bag is used for insufflation. Glossopharyngeal breathing requires the use of oropharyngeal and laryngeal muscles by the patient. The mechanical cough assist device exsufflates the air after insufflation. These techniques may prevent pulmonary complications, hospital admission and tracheotomy in patients with a reduced ability to cough, a proclivity towards atelectasis and recurrent airway infections. The combination of long-term mechanical ventilation with lung volume recruitment has led to further improvement in the prognosis of chronic respiratory failure. More patients may potentially benefit from lung volume recruitment than only those being converted from short-term to long-term mechanical ventilation.
Tijdschrift Voor Kindergeneeskunde, Jun 1, 2009
ABSTRACT Verminderde werking van de adempomp bij kinderen met een neuromusculaire aandoening of e... more ABSTRACT Verminderde werking van de adempomp bij kinderen met een neuromusculaire aandoening of een kyfoscoliose kan leiden tot alveolaire hypoventilatie, microatelectasen en luchtweginfecties. Door longvolume rekruterende technieken en hoestondersteuning kunnen de gevolgen van de verminderde werking van de adempomp deels worden opgevangen. Mits tijdig toegepast kunnen deze maatregelen de hoestkracht verbeteren, verstijving van de borstkas tegengaan en het ontstaan van microatelectasen en infecties beperken. In dit artikel worden voorbeelden besproken van technieken om longvolume te rekruteren of hoest te ondersteunen. Vroegtijdige verwijzing naar een CTB is hiervoor een essentiële voorwaarde. Children with neuromuscular disorders or kyphoscoliosis are prone to suffer from alveolar hypoventilation, microatelectases and respiratory infections. Lung volume recruitment techniques, like air-stacking and mechanical insufflation, combined with abdominal thrust and mechanical exsufflation may play an important role in the prevention of pulmonary morbidity in these children. If applied in time these techniques can improve peak cough flows, may prevent stiffening of the chest wall and may oppose the development of microatelectases. Early referral of patients with (imminent) respiratory failure to a Centre for Home Mechanical Ventilation is therefore desirable.
Tijdschrift voor Kindergeneeskunde, 2009
ABSTRACT
Jornal brasileiro de pneumologia : publicaça̋o oficial da Sociedade Brasileira de Pneumologia e Tisilogia
Lung volume recruitment involves deep inflation techniques to achieve maximum insufflation capaci... more Lung volume recruitment involves deep inflation techniques to achieve maximum insufflation capacity in patients with respiratory muscle weakness, in order to increase peak cough flow, thus helping to maintain airway patency and improve ventilation. One of these techniques is air stacking, in which a manual resuscitator is used in order to inflate the lungs. Although intrathoracic pressures can rise considerably, there have been no reports of respiratory complications due to air stacking. However, reaching maximum insufflation capacity is not recommended in patients with known structural abnormalities of the lungs or chronic obstructive airway disease. We report the case of a 72-year-old woman who had poliomyelitis as a child, developed torsion scoliosis and post-polio syndrome, and had periodic but infrequent asthma attacks. After performing air stacking for 3 years, the patient suddenly developed a pneumothorax, indicating that this technique should be used with caution or not at a...
Nederlands tijdschrift voor geneeskunde, 2011
Lung volume recruitment can improve peak cough flows and respiratory compliance in patients who e... more Lung volume recruitment can improve peak cough flows and respiratory compliance in patients who either do or do not require mechanical ventilation. There are several lung volume recruitment techniques: air stacking, glossopharyngeal breathing and mechanical insufflation-exsufflation with cough assist devices. The principle of lung volume recruitment is based on the insufflation of air in the lungs after maximal inspiration. In air stacking, a manual resuscitation bag is used for insufflation. Glossopharyngeal breathing requires the use of oropharyngeal and laryngeal muscles by the patient. The mechanical cough assist device exsufflates the air after insufflation. These techniques may prevent pulmonary complications, hospital admission and tracheotomy in patients with a reduced ability to cough, a proclivity towards atelectasis and recurrent airway infections. The combination of long-term mechanical ventilation with lung volume recruitment has led to further improvement in the progno...
Nederlands tijdschrift voor geneeskunde, 2011
Obesity hypoventilation syndrome (OHS) is a condition in which obesity and chronic hypoventilatio... more Obesity hypoventilation syndrome (OHS) is a condition in which obesity and chronic hypoventilation during waking hours are combined. Patients with OHS are more likely to be hospitalized and to require intensive-care monitoring compared with patients with similar degrees of obesity without hypoventilation. Treatment with chronic non-invasive positive pressure ventilation (NPPV) is associated with a lower morbidity and mortality. We present 2 cases of OHS; in the first case, a 56-year-old woman, we show that it is very important to diagnose and treat OHS at an early stage in order to avoid severe morbidity. In the second case, a 31-year-old man, we show that if a patient with OHS and chronic NPPV looses a significant amount of weight NPPV can be discontinued. Patients with OHS should be treated in a multidisciplinary team in order to achieve significant weight loss, so NPPV could be a temporary treatment or even be avoided.
Diagnose en therapie 2010, 2010
ABSTRACT
Tijdschrift voor Kindergeneeskunde, 2009
ABSTRACT Verminderde werking van de adempomp bij kinderen met een neuromusculaire aandoening of e... more ABSTRACT Verminderde werking van de adempomp bij kinderen met een neuromusculaire aandoening of een kyfoscoliose kan leiden tot alveolaire hypoventilatie, microatelectasen en luchtweginfecties. Door longvolume rekruterende technieken en hoestondersteuning kunnen de gevolgen van de verminderde werking van de adempomp deels worden opgevangen. Mits tijdig toegepast kunnen deze maatregelen de hoestkracht verbeteren, verstijving van de borstkas tegengaan en het ontstaan van microatelectasen en infecties beperken. In dit artikel worden voorbeelden besproken van technieken om longvolume te rekruteren of hoest te ondersteunen. Vroegtijdige verwijzing naar een CTB is hiervoor een essentiële voorwaarde. Children with neuromuscular disorders or kyphoscoliosis are prone to suffer from alveolar hypoventilation, microatelectases and respiratory infections. Lung volume recruitment techniques, like air-stacking and mechanical insufflation, combined with abdominal thrust and mechanical exsufflation may play an important role in the prevention of pulmonary morbidity in these children. If applied in time these techniques can improve peak cough flows, may prevent stiffening of the chest wall and may oppose the development of microatelectases. Early referral of patients with (imminent) respiratory failure to a Centre for Home Mechanical Ventilation is therefore desirable.
Nederlands Tijdschrift Voor Geneeskunde, 2012
Over the last 20 years the number of Dutch patients on home mechanical ventilation has increased ... more Over the last 20 years the number of Dutch patients on home mechanical ventilation has increased from 200 to 2000. Home mechanical ventilation is a cost-effective treatment which significantly improves the quality of life of patients. In 2011 83% of patients on home mechanical ventilation in the Netherlands is living at home. In the future further growth can be expected in the number of patients with obesity hypoventilation syndrome and a potential new group of patients with COPD. Strict conditions are necessary to ensure safety in the complex care that home mechanical ventilation entails.
Journal of Rehabilitation Medicine Official Journal of the Uems European Board of Physical and Rehabilitation Medicine, Jan 27, 2015
Objective: To assess quality of life of adults with Duchenne muscular dystrophy in the Netherland... more Objective: To assess quality of life of adults with Duchenne muscular dystrophy in the Netherlands and to identify domains and major problems influencing quality of life. Design: Cross-sectional. Subjects: Seventy-nine men aged ≥ 20 years with Duchenne muscular dystrophy.
Respiratory Medicine, 2015
European Respiratory Journal, Sep 1, 2012
Noninvasive Mechanical Ventilation and Difficult Weaning in Critical Care, 2016
Noninvasive Mechanical Ventilation and Difficult Weaning in Critical Care, 2016
Nederlands Tijdschrift Voor Geneeskunde, 2011
Obesity hypoventilation syndrome (OHS) is a condition in which obesity and chronic hypoventilatio... more Obesity hypoventilation syndrome (OHS) is a condition in which obesity and chronic hypoventilation during waking hours are combined. Patients with OHS are more likely to be hospitalized and to require intensive-care monitoring compared with patients with similar degrees of obesity without hypoventilation. Treatment with chronic non-invasive positive pressure ventilation (NPPV) is associated with a lower morbidity and mortality. We present 2 cases of OHS; in the first case, a 56-year-old woman, we show that it is very important to diagnose and treat OHS at an early stage in order to avoid severe morbidity. In the second case, a 31-year-old man, we show that if a patient with OHS and chronic NPPV looses a significant amount of weight NPPV can be discontinued. Patients with OHS should be treated in a multidisciplinary team in order to achieve significant weight loss, so NPPV could be a temporary treatment or even be avoided.
Nederlands Tijdschrift Voor Geneeskunde, 2011
Lung volume recruitment can improve peak cough flows and respiratory compliance in patients who e... more Lung volume recruitment can improve peak cough flows and respiratory compliance in patients who either do or do not require mechanical ventilation. There are several lung volume recruitment techniques: air stacking, glossopharyngeal breathing and mechanical insufflation-exsufflation with cough assist devices. The principle of lung volume recruitment is based on the insufflation of air in the lungs after maximal inspiration. In air stacking, a manual resuscitation bag is used for insufflation. Glossopharyngeal breathing requires the use of oropharyngeal and laryngeal muscles by the patient. The mechanical cough assist device exsufflates the air after insufflation. These techniques may prevent pulmonary complications, hospital admission and tracheotomy in patients with a reduced ability to cough, a proclivity towards atelectasis and recurrent airway infections. The combination of long-term mechanical ventilation with lung volume recruitment has led to further improvement in the prognosis of chronic respiratory failure. More patients may potentially benefit from lung volume recruitment than only those being converted from short-term to long-term mechanical ventilation.
Tijdschrift Voor Kindergeneeskunde, Jun 1, 2009
ABSTRACT Verminderde werking van de adempomp bij kinderen met een neuromusculaire aandoening of e... more ABSTRACT Verminderde werking van de adempomp bij kinderen met een neuromusculaire aandoening of een kyfoscoliose kan leiden tot alveolaire hypoventilatie, microatelectasen en luchtweginfecties. Door longvolume rekruterende technieken en hoestondersteuning kunnen de gevolgen van de verminderde werking van de adempomp deels worden opgevangen. Mits tijdig toegepast kunnen deze maatregelen de hoestkracht verbeteren, verstijving van de borstkas tegengaan en het ontstaan van microatelectasen en infecties beperken. In dit artikel worden voorbeelden besproken van technieken om longvolume te rekruteren of hoest te ondersteunen. Vroegtijdige verwijzing naar een CTB is hiervoor een essentiële voorwaarde. Children with neuromuscular disorders or kyphoscoliosis are prone to suffer from alveolar hypoventilation, microatelectases and respiratory infections. Lung volume recruitment techniques, like air-stacking and mechanical insufflation, combined with abdominal thrust and mechanical exsufflation may play an important role in the prevention of pulmonary morbidity in these children. If applied in time these techniques can improve peak cough flows, may prevent stiffening of the chest wall and may oppose the development of microatelectases. Early referral of patients with (imminent) respiratory failure to a Centre for Home Mechanical Ventilation is therefore desirable.
Tijdschrift voor Kindergeneeskunde, 2009
ABSTRACT
Jornal brasileiro de pneumologia : publicaça̋o oficial da Sociedade Brasileira de Pneumologia e Tisilogia
Lung volume recruitment involves deep inflation techniques to achieve maximum insufflation capaci... more Lung volume recruitment involves deep inflation techniques to achieve maximum insufflation capacity in patients with respiratory muscle weakness, in order to increase peak cough flow, thus helping to maintain airway patency and improve ventilation. One of these techniques is air stacking, in which a manual resuscitator is used in order to inflate the lungs. Although intrathoracic pressures can rise considerably, there have been no reports of respiratory complications due to air stacking. However, reaching maximum insufflation capacity is not recommended in patients with known structural abnormalities of the lungs or chronic obstructive airway disease. We report the case of a 72-year-old woman who had poliomyelitis as a child, developed torsion scoliosis and post-polio syndrome, and had periodic but infrequent asthma attacks. After performing air stacking for 3 years, the patient suddenly developed a pneumothorax, indicating that this technique should be used with caution or not at a...
Nederlands tijdschrift voor geneeskunde, 2011
Lung volume recruitment can improve peak cough flows and respiratory compliance in patients who e... more Lung volume recruitment can improve peak cough flows and respiratory compliance in patients who either do or do not require mechanical ventilation. There are several lung volume recruitment techniques: air stacking, glossopharyngeal breathing and mechanical insufflation-exsufflation with cough assist devices. The principle of lung volume recruitment is based on the insufflation of air in the lungs after maximal inspiration. In air stacking, a manual resuscitation bag is used for insufflation. Glossopharyngeal breathing requires the use of oropharyngeal and laryngeal muscles by the patient. The mechanical cough assist device exsufflates the air after insufflation. These techniques may prevent pulmonary complications, hospital admission and tracheotomy in patients with a reduced ability to cough, a proclivity towards atelectasis and recurrent airway infections. The combination of long-term mechanical ventilation with lung volume recruitment has led to further improvement in the progno...
Nederlands tijdschrift voor geneeskunde, 2011
Obesity hypoventilation syndrome (OHS) is a condition in which obesity and chronic hypoventilatio... more Obesity hypoventilation syndrome (OHS) is a condition in which obesity and chronic hypoventilation during waking hours are combined. Patients with OHS are more likely to be hospitalized and to require intensive-care monitoring compared with patients with similar degrees of obesity without hypoventilation. Treatment with chronic non-invasive positive pressure ventilation (NPPV) is associated with a lower morbidity and mortality. We present 2 cases of OHS; in the first case, a 56-year-old woman, we show that it is very important to diagnose and treat OHS at an early stage in order to avoid severe morbidity. In the second case, a 31-year-old man, we show that if a patient with OHS and chronic NPPV looses a significant amount of weight NPPV can be discontinued. Patients with OHS should be treated in a multidisciplinary team in order to achieve significant weight loss, so NPPV could be a temporary treatment or even be avoided.
Diagnose en therapie 2010, 2010
ABSTRACT
Tijdschrift voor Kindergeneeskunde, 2009
ABSTRACT Verminderde werking van de adempomp bij kinderen met een neuromusculaire aandoening of e... more ABSTRACT Verminderde werking van de adempomp bij kinderen met een neuromusculaire aandoening of een kyfoscoliose kan leiden tot alveolaire hypoventilatie, microatelectasen en luchtweginfecties. Door longvolume rekruterende technieken en hoestondersteuning kunnen de gevolgen van de verminderde werking van de adempomp deels worden opgevangen. Mits tijdig toegepast kunnen deze maatregelen de hoestkracht verbeteren, verstijving van de borstkas tegengaan en het ontstaan van microatelectasen en infecties beperken. In dit artikel worden voorbeelden besproken van technieken om longvolume te rekruteren of hoest te ondersteunen. Vroegtijdige verwijzing naar een CTB is hiervoor een essentiële voorwaarde. Children with neuromuscular disorders or kyphoscoliosis are prone to suffer from alveolar hypoventilation, microatelectases and respiratory infections. Lung volume recruitment techniques, like air-stacking and mechanical insufflation, combined with abdominal thrust and mechanical exsufflation may play an important role in the prevention of pulmonary morbidity in these children. If applied in time these techniques can improve peak cough flows, may prevent stiffening of the chest wall and may oppose the development of microatelectases. Early referral of patients with (imminent) respiratory failure to a Centre for Home Mechanical Ventilation is therefore desirable.
Nederlands Tijdschrift Voor Geneeskunde, 2012
Over the last 20 years the number of Dutch patients on home mechanical ventilation has increased ... more Over the last 20 years the number of Dutch patients on home mechanical ventilation has increased from 200 to 2000. Home mechanical ventilation is a cost-effective treatment which significantly improves the quality of life of patients. In 2011 83% of patients on home mechanical ventilation in the Netherlands is living at home. In the future further growth can be expected in the number of patients with obesity hypoventilation syndrome and a potential new group of patients with COPD. Strict conditions are necessary to ensure safety in the complex care that home mechanical ventilation entails.
Journal of Rehabilitation Medicine Official Journal of the Uems European Board of Physical and Rehabilitation Medicine, Jan 27, 2015
Objective: To assess quality of life of adults with Duchenne muscular dystrophy in the Netherland... more Objective: To assess quality of life of adults with Duchenne muscular dystrophy in the Netherlands and to identify domains and major problems influencing quality of life. Design: Cross-sectional. Subjects: Seventy-nine men aged ≥ 20 years with Duchenne muscular dystrophy.
Respiratory Medicine, 2015
European Respiratory Journal, Sep 1, 2012