Symptoms |
Increasing generalised weakness |
Dysphagia |
Dysphonia |
Dyspnoea on exertion and at rest |
Fatigue |
Sleepiness |
Clinical signs |
Rapid shallow breathing |
Tachycardia |
Weak cough |
Staccato speech |
Accessory muscle use |
Abdominal paradox |
Orthopnoea |
Weakness of trapezius and neck muscles |
Single-breath count |
Cough after swallowing |
Laboratory data |
VC ≤15 mL·kg−1, VC ≤1 L or 50% drop from value in stable state, or >20% drop from sitting to supine position |
Maximum inspiratory pressure ≤30 cmH2O |
Maximum expiratory pressure ≤40 cmH2O |
Nocturnal desaturation |
Pa,CO2 >45 mmHg (6.7 kPa) |
VC: vital capacity; Pa,CO2: arterial carbon dioxide tension.