0
Editorials |

Should Patients With Neuromuscular Disease Be Denied the Choice of the Treatment of Mechanical Ventilation?

Mark J. Rumbak, MD, FCCP; Robert M. Walker, MD
Author and Funding Information

Affiliations: Tampa, FL 
 ,  Dr. Rumbak is Professor of Medicine, Department of Internal Medicine in the Division of Pulmonary, Critical Care and Occupational Medicine; Dr. Walker is Associate Professor of Medicine, Department of Internal Medicine, and Director of the Division of Medical Ethics and Humanities, University of South Florida, Tampa, FL.

Correspondence to: Mark J. Rumbak, MD, FCCP, Professor of Medicine, Pulmonary and Critical Care Medicine, James A. Haley Veterans Hospital, 13000 Bruce B, Downs Blvd (IIIC), Tampa, FL 33612; e-mail: DMRUMCAKE@AOL.com



Chest. 2001;119(3):683-684. doi:10.1378/chest.119.3.683
Text Size: A A A
Published online

Extract

Duchenne’s muscular dystrophy (DMD) is an X-linked recessive disorder of male subjects occurring in 30 per 100,000 patients. DMD is present at birth and manifests initially between the ages of 3 to 5 years. The patients are usually wheelchair bound by the age of 12 years. This occurs because of muscle weakness, contractures, and progressive significant scoliosis decreasing pulmonary function. Although these patients may develop cardiomyopathies, they usually die between the ages of 16 to 18 years of pulmonary failure from the complications of diaphragmatic weakness and chest deformities. Other causes of death are aspiration of food and acute gastric dilatation.1

First Page Preview

View Large
First page PDF preview

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Figures

Tables

References

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
PubMed Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543