Figure 2.

Suggested pathway for investigating and managing patients with a neuromuscular disorder and respiratory insufficiency.

Notes: *Depends on oxygen saturations and clinical suspicion of daytime hypercapnoea. Adapted from Upinder K, Dhand K, Dhand. Sleep disorders in neuromuscular diseases. Curr Opin Pulm Med. 2006;12:402–408.

Abbreviations: FVC, forced vital capacity; NMD, neuromuscular disorder; OSA, obstructive sleep apnea; CPAP, continuous positive airways pressure; NIV, noninvasive ventilation; SDB, sleep-disordered breathing.