Mechanical Insufflation-Exsufflation (Cough-Assist® and Pegaso®): Background, indications and recommendations for clinical practice;L'insufflation-exsufflation mécanique (Cough-Assist® et Pegaso®) : bases physiologiques, indications et recommandations pratiques

Reanimation

Volumn 18, Issue 2, 2009, Pages 137-145

  Toussaint, M ^a   Steens, M ^a   Soudon, P ^a  

^a VRIJE UNIVERSITEIT BRUSSEL   (Belgium)

Author keywords

Airway clearance; Cough; Cough Assist ; Mechanical insufflation exsufflation; Respiratory insufficiency; Respiratory therapy; Restrictive

Indexed keywords

AERATION; ARTIFICIAL VENTILATION; BRONCHOSPASM; BULBAR PARALYSIS; CHRONIC OBSTRUCTIVE LUNG DISEASE; CLINICAL PRACTICE; COUGHING; DEVICE THERAPY; DIAPHRAGM DISEASE; DISEASE SEVERITY; HUMAN; HYPERINFLATION; HYPOTENSION; MUSCLE WEAKNESS; NEGATIVE PRESSURE VENTILATION; NON INVASIVE PROCEDURE; PNEUMOTHORAX; POSITIVE END EXPIRATORY PRESSURE; RESPIRATORY FAILURE; SHORT SURVEY; THERAPY EFFECT;

EID: 62149140929     PISSN: 16240693     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.reaurg.2009.01.015     Document Type: Short Survey

References (29)

1. Leith D.E. The development of cough. Am Rev Respir Dis (1985) 39-42
2. Arora S.N., and Gal T.J. Cough dynamics during progressive expiratory muscle weakness in healthy curarized subjects. J Appl Physiol 51 (1981) 494-498
3. Boezen H.M., Schouten J.P., Postma D.S., and Rijcken B. Distribution of peak expiratory flow variability by age, gender and smoking in a random population sample aged 20-70 years. Eur Respir J 7 (1994) 1814-1820
4. Dohna-Schwake C., Ragette R., Teschler H., Voit T., and Mellies U. Predictors of severe chest infections in pediatric neuromuscular disorders. Neuromuscul Disord 16 (2006) 325-328
5. Leger P., and Paulus J. Recommendations of HAS: practical issues in home non-invasive ventilation in patients with neuromuscular disease. Rev Mal Respir 23 (2006) 141-143
6. Sancho J., Servera E., Diaz J., and Marin J. Predictors of ineffective cough during a chest infection in patients with stable amyotrophic lateral sclerosis. Am J Respir Crit Care Med 175 (2007) 1266-1271
7. Toussaint M, Boitano L, Gathot V, Steens M, Soudon P. Limits of effective cough augmentation techniques in neuromuscular patients. Respir Care 2009;54.
8. Poponick J.M., Jacobs I., Supinski G., et al. Effect of upper respiratory tract infection in patients with neuromuscular disease. Am J Respir Crit Care Med 56 (1997) 659-664
9. Gomez-Merino E., Sancho J., Marin J., and Di Marco A.F. Mechanical insufflation-exsufflation: pressure, volume, and flow relationship and the adequacy of the manufacturer's guidelines. Am J Phys Med Rehabil 81 (2002) 579-583
10. Sancho J., Servera E., Marin J., Vergara P., Belda F.J., and Bach J.R. Effect of lung mechanics on mechanically assisted flows and volumes. Am J Phys Med Rehabil 83 (2004) 698-703
11. Trebbia G., Lacombe M., Fermanian C., Falaize L., Lejaille M., Louis A., et al. Cough determinants in patients with neuromuscular disease. Respir Physiol Neurobiol 146 (2005) 291-300
12. Soudon P., Steens M., and Toussaint M. A comparison of invasive versus noninvasive full-time ventilation in Duchenne muscular Dystrophy. Chron Respir Dis 5 (2008) 87-93
13. Homnick D.N. Mechanical insufflation-exsufflation for airway mucus clearance. Respir Care 52 (2007) 1296-1305
14. Mustfa N., Aiello M., Lyall R.A., Nikoletou D., Olivieri D., Leigh P.N., et al. Cough augmentation in amyotrophic lateral sclerosis. Neurology 61 (2003) 1285-1287
15. Vianello A., Corrado A., Arcaro G., Gallan F., Ori C., Minuzzo M., et al. Mechanical insufflation-exsufflation improves outcomes for neuromuscular disease patients with respiratory tract infections. Am J Phys Med Rehabil 84 (2005) 83-88
16. Chatwin M., Ross E., Hart N., Nickol A.H., Polkey M.I., Simonds A.K., et al. Cough augmentation with mechanical insufflation/exsufflation in patients with neuromuscular weakness. Eur Respir J 21 (2003) 502-508
17. Fauroux B., Guillemot N., Aubertin G., Nathan N., Labit A., Clément A., et al. Physiologic benefits of mechanical insufflation-exsufflation in children with neuromuscular diseases. Chest 133 (2008) 161-168
18. Winck J., Goncalves M.R., Lourenco C., Viana P., Almeida J., and Bach J.R. Effects of mechanical insufflation-exsufflation on respiratory parameters for patients with chronic airway secretion encumbrance. Chest 126 (2004) 774-780
19. Miske L.J., Hickey E.M., Kolb S.M., Weiner D.J., and Panitch H.B. Use of the mechanical in-exsufflator in pediatric patients with neuromuscular disease and impaired cough. Chest 125 (2004) 1406-1412
20. Hanayama K., Ishikawa Y., and Bach J.R. Amyotrophic lateral sclerosis. Successful treatment of mucous plugging by mechanical insufflation-exsufflation. Am J Phys Med Rehabil 76 (1997) 338-339
21. Sancho J., Servera E., Diaz J., and Marin J. Efficacy of mechanical insufflation-exsufflation in medically stable patients with amyotrophic lateral sclerosis. Chest 125 (2004) 1400-1405
22. Bach J.R., Smith W.H., Michaels J., Saporito L., Alba A.S., Dayal R., et al. Airway secretion clearance by mechanical exsufflation for postpoliomyelitis ventilator assisted individuals. Arch Phys Med Rehabil 74 (1993) 170-176
23. Sivasothy P., Brown L., Smith I.E., and Shneerson J.M. Effect of manually assisted cough and mechanical insufflation on cough flow of normal subjects, patients with chronic obstructive pulmonary disease (COPD), and patients with restrictive muscle weakness. Thorax 56 (2001) 438-444
24. Bach J.R. Mechanical insufflation-exsufflation. Comparison of peak expiratory flows with manually assisted and unassisted coughing techniques. Chest 104 (1993) 1553-1562
25. Pillastrini P., Bordini S., Bazzocchi G., Belloni G., and Menarini M. Study of the effectiveness of bronchial clearance in subjects with upper spinal cord injuries : examination of a rehabilitation programme involving mechanical insufflation and exsufflation. Spinal Cord 44 (2006) 614-616
26. Garstang S.V., Kirshblum S.C., and Wood K.E. Patient preference for in-exsufflation for secretion management with spinal cord injury. J Spinal Cord Med 23 (2000) 80-85
27. Chatwin M, Simonds AK. The addition of mechanical insufflation-exsufflation shortens airway clearance sessions in neuromuscular patients with a respiratory infection. Respir Care;2009, accepted for publication.
28. Sancho J., Servera E., Vergara P., and Marin J. Mechanical insufflation-exsufflation vs tracheal suctioning via tracheostomy tubes for patients with amyotrophic lateral sclerosis. Am J Phys Med Rehabil 82 (2003) 750-753
29. Suri P., Burns S.P., and Bach J.R. Pneumothorax associated with mechanical insufflation-exsufflation and related factors. Am J Phys Med Rehabil 87 (2008) 951-955