Self-Assessment: NM Complications of Cancer Care | Cardiac & Pulmonary Manifestations of NMDs-Cardiac and Pulmonary Manifestations Session Recording

Video Transcription

Video Summary

The speaker starts by introducing Dr. Mike Hare, who will talk about the respiratory complications of neuromuscular disorders, followed by the speaker talking about cardiac abnormalities in the same disorders. They discuss the muscles used for breathing, such as the diaphragm and the secondary muscles, as well as the bulbar muscles. They explain that respiratory weakness can occur in several ways: restrictive lung disease, insufficient respiratory clearance, and bulbar dysfunction. The speaker then discusses how to assess respiratory dysfunction, including tests like forced vital capacity and inspiratory/expiratory pressures. They also mention specific tests that can be done at the bedside, such as single-breath count and fatigable dysarthria. Different conditions that impact respiratory function are covered, including chronic progressive conditions, treatable autoimmune conditions, and interstitial lung disease. The speaker emphasizes the importance of a multidisciplinary team, family and caregiver involvement, and early planning and discussion of interventions. They also mention the importance of vaccines and the use of devices like positive pressure ventilation and cough assist. The speaker concludes by mentioning the variability in outcomes depending on the specific condition.

Keywords

respiratory complications

neuromuscular disorders

cardiac abnormalities

muscles used for breathing

multidisciplinary team