{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T16:58:33Z","timestamp":1784912313158,"version":"3.55.0"},"reference-count":10,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2015,2,1]],"date-time":"2015-02-01T00:00:00Z","timestamp":1422748800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Respir Care"],"published-print":{"date-parts":[[2015,2]]},"abstract":"<jats:p>Because of the progressive muscle weakness they experience, patients with Duchenne muscular dystrophy frequently utilize positive-pressure devices to maintain adequate bronchial hygiene and ventilation. This case illustrates the course of a 19-y-old male who presented with a perforated right tympanic membrane (TM) following the use of these devices. Perforation of the TM while utilizing positive-pressure devices is a rarely reported event. A challenging aspect in this case was balancing the reduction of pressures and maintaining adequate ventilation while at the same time allowing the TM to heal.<\/jats:p>","DOI":"10.4187\/respcare.03396","type":"journal-article","created":{"date-parts":[[2014,8,27]],"date-time":"2014-08-27T02:41:00Z","timestamp":1409107260000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Complications With Utilization of Positive-Pressure Devices in a Young Man With Duchenne Muscular Dystrophy"],"prefix":"10.1177","volume":"60","author":[{"given":"Scott L","family":"Gee","sequence":"first","affiliation":[{"name":"Respiratory Care Services, Arkansas Children's Hospital, Little Rock, Arkansas."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gary R","family":"Lowe","sequence":"additional","affiliation":[{"name":"Respiratory Care Services, Arkansas Children's Hospital, Little Rock, Arkansas."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert H","family":"Warren","sequence":"additional","affiliation":[{"name":"Pulmonary Medicine Section, Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Arkansas."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2015,2,1]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/1479972307080697"},{"issue":"1","key":"e_1_3_3_3_2","first-page":"336","article-title":"Domiciliary non-invasive ventilation and the quality of life outcome of patients suffering from chronic respiratory failure","volume":"100","author":"Ali S","year":"2007","unstructured":"Ali S, , Kabir Z. Domiciliary non-invasive ventilation and the quality of life outcome of patients suffering from chronic respiratory failure. Ir Med J, 2007; 100(1):336\u2013338.","journal-title":"Ir Med J"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00408-005-2584-x"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.200503-322OC"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.nmd.2010.09.006"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.93.4.878"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-195812000-00002"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.3109\/00016489309135768"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)60257-9"},{"issue":"5","key":"e_1_3_3_11_2","first-page":"516","article-title":"AARC clinical practice guideline. Use of positive airway pressure adjuncts to bronchial hygiene therapy. American Association for Respiratory Care","volume":"38","year":"1993","unstructured":"AARC clinical practice guideline. Use of positive airway pressure adjuncts to bronchial hygiene therapy. American Association for Respiratory Care. Respir Care, 1993; 38(5):516\u2013521.","journal-title":"Respir Care"}],"container-title":["Respiratory Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.4187\/respcare.03396","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.4187\/respcare.03396","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.4187\/respcare.03396","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T06:12:16Z","timestamp":1777615936000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.4187\/respcare.03396"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,2]]},"references-count":10,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2015,2]]}},"alternative-id":["10.4187\/respcare.03396"],"URL":"https:\/\/doi.org\/10.4187\/respcare.03396","relation":{},"ISSN":["0020-1324"],"issn-type":[{"value":"0020-1324","type":"print"}],"subject":[],"published":{"date-parts":[[2015,2]]}}}