Mechanical insufflation-exsufflation imporoves outcomes for neuromuscular disease patients with respiratory tract infections

American Journal of Physical Medicine and Rehabilitation

Volumn 84, Issue 2, 2005, Pages 83-88

  Vianello, Andrea ^a   Corrado, Antonio ^b   Arcaro, Giovanna ^a   Gallan, Federico ^a   Ori, Carlo ^c   Minuzzo, Michele ^a   Bevilacqua, Matteo ^a  

^a UNIVERSITY HOSPITAL OF PADOVA   (Italy)

^b CAREGGI UNIVERSITY HOSPITAL   (Italy)

^c UNIVERSITY OF PADOVA   (Italy)

Author keywords

Endotracheal Intubation; Mechanical Insufflation Exsufflation; Neuromuscular Disease; Respiratory Tract Infection

Indexed keywords

ADULT; AERATION; AIRWAY; ARTICLE; ASPIRATION; BRONCHOSCOPY; BRONCHUS DISEASE; BRONCHUS MUCUS; BRONCHUS SECRETION; CLINICAL ARTICLE; CONTROLLED STUDY; ENDOTRACHEAL INTUBATION; FEMALE; HOSPITALIZATION; HUMAN; INTENSIVE CARE UNIT; LUNG CLEARANCE; MALE; NEUROMUSCULAR DISEASE; PHYSIOTHERAPY; RESPIRATORY TRACT INFECTION; TRACHEOSTOMY; TRACHEOTOMY; TREATMENT FAILURE; TREATMENT OUTCOME;

ADOLESCENT; ADULT; AGED; AIRWAY RESISTANCE; CASE-CONTROL STUDIES; FEMALE; FORCED EXPIRATORY VOLUME; HUMANS; INSUFFLATION; INTUBATION, INTRATRACHEAL; MALE; MIDDLE AGED; NEUROMUSCULAR DISEASES; PHYSICAL THERAPY MODALITIES; POSITIVE-PRESSURE RESPIRATION; RESPIRATORY INSUFFICIENCY; RESPIRATORY TRACT INFECTIONS; TIME FACTORS; TREATMENT OUTCOME;

EID: 12744277966     PISSN: 08949115     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.PHM.0000151941.97266.96     Document Type: Article

References (23)

1. Brooke MH, Fenichel GM, Grigs RG, et al: Duchenne muscular dystrophy: Patterns of clinical progression and effects of supportive therapy. Neurology 1989;39:475-89
2. Bach JR: Mechanical insufflation-exsufflation: Comparison of peak expiratory flows with manually assisted and unassisted coughing techniques. Chest 1993;104:1553-62
3. Corrado A, Gorini M, De Paola E: Alternative techniques for managing acute neuromuscular respiratory failure. Semin Neurol 1995;15:84-9
4. Bach JR, Rajaraman R, Ballanger F, et al: Neuromuscular ventilatory insufficiency: The effect of home mechanical ventilator use vs. oxygen therapy on pneumonia and hospitalisation rates. Am J Phys Med Rehabil 1998;77:8-19
5. Tzeng AC, Bach JR: Prevention of pulmonary morbidity for patients with neuromuscular disease. Chest 2000;118:1390-6
6. Gomez-Merino E, Bach JR: Duchenne muscular dystrophy: Prolongation of life by non-invasive respiratory muscle aids. Am J Phys Med Rehabil 2002;81:411-5
7. Fink JB: Positioning versus postural drainage. Respir Care 2002;47:769-77
8. Bott J, Agent P, Callaghan S: Physiotherapy and nursing during NIPPV, in Simonds AK (ed): Non Invasive Respiratory Support. London, Arnold, 2001, pp 230-54
9. Massery M, Frownfelter D: Assisted cough techniques: There's more than one way to cough. Phys Ther Forum 1990;9:1-4
10. Bach JR: Update and perspective on noninvasive respiratory muscle aids: Part 2. The expiratory aids. Chest 1994;105:1538-44
11. Bach JR, Smith WH, Michaels J, et al: Airway secretion clearance by mechanical exsufflation for post-poliomyelitis ventilator assisted individuals. Arch Phys Med Rehabil 1993;74:170-7
12. Barach AL, Beck GJ: Exsufflation with negative pressure: Physiologic and clinical studies in poliomyelitis, bronchial asthma, pulmonary emphysema and bronchiectasis. Arch Intern Med 1954;93:825-41
13. Meduri GU, Conoscenti CC, Menashe P, et al: Noninvasive face mask ventilation in patients with acute respiratory failure. Chest 1989;95:865-70
14. Willig TN, Gilardeau C, Kazandjian MS, et al: Dysphagia and nutrition in neuromuscular disorders, in Bach JR (ed): Pulmonary Rehabilitation: The Obstructive and Paralytic Conditions. Philadelphia, Hanley and Belfus, 1996, pp 353-69
15. Vincken WG, Elleker MG, Cosio MG: Flow-volume loop changes and respiratory muscle weakness in chronic neuromuscular disorders. Am J Med 1987;83:673-80
16. Issa MM, Healy DM, Maghur HA, et al: Prophylactic minitracheostomy in lung resection. J Thorac Cardiovasc Surg 1991;101:895-900
17. Segal MS, Salomon A, Herschfus JA: Alternating positive-negative pressures in mechanical respiration (the cycling valve device employing air pressures). Dis Chest 1954;25:640-8
18. Vianello A, Bevilacqua M, Arcaro G, et al: Non-invasive ventilatory approach to treatment of acute respiratory failure in neuromuscular disorders: A comparison with endotracheal intubation. Int Care Med 2000;26:384-90
19. Demers RR: Complications of endotracheal suctioning procedures. Respir Care 1982;27:453-60
20. Bach JR: Mechanical insufflation/exsufflation: Has it come of age? A commentary. Eur Respir J 2003;21:385-6
21. Bach JR, Kang SW: Disorders of ventilation: weakness, stiffness and mobilization. Chest 2000;117:301-3
22. Bach JR: Amyotrophic lateral sclerosis: Prolongation of life by noninvasive respiratory aids. Chest 2002;122:92-8
23. Williams EK, Holaday DA: The use of exsufflation with negative pressure in postoperative patients. Am J Surg 1955;90:637-40