The use of mechanical ventilation via a nasal mask in myotonic dystrophy
Jubran, A.; D'Alonzo, G.E.; Tobin, M.J.
Texas Medicine 88(2): 73-75
1992
ISSN/ISBN: 0040-4470 PMID: 1557716 Document Number: 391344
A 36-year-old woman with myotonic dystrophy presented with generalized weakness and daytime somnolence. Arterial blood gas analysis revealed significant hypoxemia and hypercapnia, and a polysomnogram revealed additional oxygen desaturation during sleep. For nocturnal ventilatory assistance, the patient received positive-pressure ventilation via a nasal mask. This mode of ventilation produced marked improvement in the patient's nocturnal hypoxemia.