Miguel R GonçalvesDr. Miguel R. Gonçalves, is a Professor of Pulmonary Medicine of the Faculty of Medicine, University of Porto, Portugal, a Registered Senior Physiotherapist and Clinical Specialist of the Noninvasive Ventilatory Support Unit, Pulmonology Department; mergency and Intensive Care Medicine Department, and Coordinator of the Portuguese Home Mechanical Ventilation Program (CAI_Vent) that he organized for adults and children. As a respiratory physiotherapist he introduced, and for years was the only clinician in Europe, to employ continuous noninvasive ventilatory support (CNVS) and mechanical insufflation exsufflation (MIE) as a long-term alternative to tracheostomy tubes. He was the first in Europe to extubate and decannulate continuously ventilator dependent patients to CNVS and MIE. He is one of only a handful of clinicians in www.breatheNVS.com centers around-the-world who routinely extubate ventilator unweanable infants with severe neuromuscular disorders to eliminate need for tracheotomies. Read More Read Less