Non-invasive Ventilation to Provide a More Positive Outlook in Neuromuscular Disease: An Update on the CHEST Guidelines

Abstract

In this editorial, the American College of Chest Physicians (CHEST) guidelines for the respiratory management of patients with neuromuscular disease are discussed. The importance of personalizing treatment to the patient by using specific modalities of non-invasive ventilation is discussed, with emphasis on its benefits and the endpoints of successful treatment and the management of bulbar symptoms, such as secretion management and cough assistance. Finally, disease monitoring and the management of expectations throughout the course of the disease are explored.