Mechanical Insufflation-Exsufflation to Improve Secretion Clearance During Invasive Ventilation

An effective clearing of the airways requires a balance between the production of respiratory secretions and their removal through the mucociliary escalator. For patients in the ICU, both sides of the balance can be impaired. Patients who are invasively ventilated frequently present impaired airway

[1]  C. Teixeira,et al.  Effects of Mechanical Insufflation-Exsufflation on Airway Mucus Clearance Among Mechanically Ventilated ICU Subjects , 2018, Respiratory Care.

[2]  G. Rodríguez-Trigo,et al.  Preliminary experience on the safety and tolerability of mechanical “insufflation-exsufflation” in subjects with artificial airway , 2018, Intensive Care Medicine Experimental.

[3]  D. Annane,et al.  Physiological predictors of respiratory and cough assistance needs after extubation , 2018, Annals of Intensive Care.

[4]  C. Guérin,et al.  Predicting Extubation Outcome by Cough Peak Flow Measured Using a Built-in Ventilator Flow Meter , 2017, Respiratory Care.

[5]  O. Tysnes,et al.  Laryngeal response patterns influence the efficacy of mechanical assisted cough in amyotrophic lateral sclerosis , 2016, Thorax.

[6]  M. Toussaint.  The Use of Mechanical Insufflation-Exsufflation Via Artificial Airways , 2011, Respiratory Care.

[7]  AARC Clinical Practice Guidelines. Endotracheal suctioning of mechanically ventilated patients with artificial airways 2010. , 2010, Respiratory care.

[8]  P. Factor,et al.  Clinical review: Airway hygiene in the intensive care unit , 2008, Critical care.

[9]  J. Sancho,et al.  Efficacy of mechanical insufflation-exsufflation in medically stable patients with amyotrophic lateral sclerosis. , 2004, Chest.

[10]  H. Panitch,et al.  Use of the mechanical in-exsufflator in pediatric patients with neuromuscular disease and impaired cough. , 2004, Chest.

[11]  J. Sancho,et al.  Mechanical Insufflation-Exsufflation vs. Tracheal Suctioning via Tracheostomy Tubes for Patients with Amyotrophic Lateral Sclerosis: A Pilot Study , 2003, American journal of physical medicine & rehabilitation.

[12]  K. Stiller.  Physiotherapy in intensive care: towards an evidence-based practice. , 2000, Chest.

[13]  K. Wood,et al.  Patient Preference for ln-Exsufflation for Secretion Management with Spinal Cord Injury , 2000 .