Respiratory Care Recommendations for Myotonic Dystrophy Patients During the COVID-19 Pandemic:

Impaired breathing in DM is due to weak of viral particles to surroundings and infect diaphragm and other breathing muscles others • Breathing is supported with advanced a. [...] Modifying NIV devices is recommended for through the lung in COVID-19 DM patients suspected of having, or being • COVID-19 patients with low oxygen infected by COVID-19 benefit from supplemental oxygen a. [...] If there is evidence of COVID-19 exposure or infection but breathing has not changed • Increase protection of caregivers to reduce the risk of their being infected • Follow cleaning recommendations for equipment closely (also see ACCP guidelines) • Monitor oxygenation carefully, use home pulse oximeter if possible • Maintain close contact with medical providers 2. [...] To decrease spread of COVID-19 in the hospital, use of home PAP/NIV will likely not Author Affiliations be allowed 1 Division of Neuromuscular Medicine, Department of Neurology, Stanford University c. [...] To avoid intubation, a double-lumen 2 compatible ventilator can be used with Division of Pediatric Respirology, Department of Pediatrics, University of Ottawa an unvented, well-fitted full-face mask to 3 Department of Neurology, Houston Methodist provide NIV Hospital d.