Noninvasive determination of inspiratory pressure in patients with spinal cord injury: what is the best method?

The aim of the study was to evaluate the performance of sniff nasal inspiratory pressure (SNIP) and MIP in individuals with spinal cord injury. We evaluated 26 patients with spinal cord injury. Mean FVC in those with tetraplegia was 52 ± 19% of predicted, compared with 78 ± 23% of predicted in those with paraplegia (p < 0.05). In contrast, the percentage of predicted SNIP was lower in those with tetraplegia than in those with paraplegia (p < 0.05). In all participants, SNIP correlated significantly with the level of the injury (r = 0.489; 95% CI: 0.125-0.737). The impact that the greater discriminatory power of SNIP has on the diagnosis of impaired pulmonary function in spinal cord-injured patients should be investigated further.

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Bibliographic Details
Main Authors: Rocha,Andrea Ponte, Mateus,Sergio Ricardo Menezes, Horan,Thomas Anthony, Beraldo,Paulo Sérgio Siebra
Format: Digital revista
Language:English
Published: Sociedade Brasileira de Pneumologia e Tisiologia 2009
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132009000300010
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