When is inpatient care indicated for the treatment of congenital myopathies?

Updated: Mar 11, 2019
  • Author: Matthew Harmelink, MD; Chief Editor: Amy Kao, MD  more...
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Answer

Inpatient care is directed at specific needs. Often infants or neonates will have a longer inpatient stay after birth. Additionally, given the weak respiratory muscles, admission may be warranted as needed.

In patients with neuromuscular weakness the method of supportive care and methods of extubating differ from patients without muscle weakness.  This often presents as different supportive settings, more frequent interventions by the respiratory therapist, and, in some cases, extubating the patient to non-invasive support regardless of how well they were doing on the ventilator. As such, consultation with a pulmonologist or critical care specialist who is experienced in caring for patients with neuromuscular disease is often warranted.

While ill, there are certain medications that should be avoided due to their muscle relaxant properties. While not an absolute contraindication, a patient;s underlying muscle weakness has the potential to significantly worsen when exposed to these medications.


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