Airway clearance in children with neuromuscular weakness

Panitch, Howard B.

doi:10.1097/01.mop.0000193297.40388.19

Cited by 41 publications

(42 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Significant behavioral differences corroborated by a P value = 0.02. It is worth mentioning here that a higher peak expiratory flow may be associated with better ability to cough by part of the patients, which is relevant in order to avoid accumulation of secretions in the airways of the patients [12,17].…”

Section: Resultsmentioning

confidence: 99%

Treinamento muscular respiratório na revascularização do miocárdio

Barros¹,

Santos²,

Granado³

et al. 2010

Rev Bras Cir Cardiovasc

View full text Add to dashboard Cite

Section: Resultsmentioning

confidence: 99%

Treinamento muscular respiratório na revascularização do miocárdio

Barros¹,

Santos²,

Granado³

et al. 2010

Rev Bras Cir Cardiovasc

View full text Add to dashboard Cite

“…Peak cough flows of 160 to 270 L/min have been described as acceptable levels to clear the airway; below this point, patients are more susceptible to infection and respiratory failure. 43,44 A mask interface allows children and adults with facial weakness to achieve a reliable value for both peak cough flow and vital capacity. Simply asking a child to cough can also be used to assess cough effectiveness.…”

Section: Consensus Care Guidelines For Congenital Muscular Dystrophiesmentioning

confidence: 99%

“…Chest insufflation increases the volume of air in the chest to achieve a more effective cough flow. 43,44 Chest insufflation can be done by breath stacking with glossopharyngeal breathing (frog breathing), an Ambu bag, intermittent positive-pressure breathing, mechanical in/exsufflation (e.g. Cough Assist™), and noninvasive positive-pressure ventilation.…”

Section: Consensus Care Guidelines For Congenital Muscular Dystrophiesmentioning

confidence: 99%

Consensus Statement on Standard of Care for Congenital Muscular Dystrophies

et al. 2010

View full text Add to dashboard Cite

Congenital muscular dystrophies are a group of rare neuromuscular disorders with a wide spectrum of clinical phenotypes. Recent advances in understanding the molecular pathogenesis of congenital muscular dystrophy have enabled better diagnosis. However, medical care for patients with congenital muscular dystrophy remains very diverse. Advances in many areas of medical technology have not been adopted in clinical practice. The International Standard of Care Committee for Congenital Muscular Dystrophy was established to identify current care issues, review literature for evidence-based practice, and achieve consensus on care recommendations in 7 areas: diagnosis, neurology, pulmonology, orthopedics/rehabilitation, gastroenterology/ nutrition/speech/oral care, cardiology, and palliative care. To achieve consensus on the care recommendations, 2 separate online surveys were conducted to poll opinions from experts in the field and from congenital muscular dystrophy families. The final consensus was achieved in a 3-day workshop conducted in Brussels, Belgium, in November 2009. This consensus statement describes the care recommendations from this committee.

show abstract

“…95 Assisted cough with a sustained inflation provided by a manual resuscitator bag, followed by tussive squeeze, is effective but requires skilled trained staff (Table 3). [96][97][98][99][100][101][102] Mechanical insufflation-exsufflation (eg, with CoughAssist, Philips Respironics, Murrysville, Pennsylvania) benefits airway clearance by providing inspiratory pressure (which gets air distal to the mucus) then fast expiratory flow, which simulates cough. 103 Streigl et al found that, with an infant lung model with a tracheostomy tube during mechanical insufflation-exsufflation, an insufflation time of Ն 1 second is required to achieve equilibration of alveolar pressure to insufflation pressure.…”

Section: Neuromuscular Diseasementioning

confidence: 99%

Pediatric Airway Maintenance and Clearance in the Acute Care Setting: How To Stay Out of Trouble

2011

View full text Add to dashboard Cite

1424RESPIRATORY CARE • SEPTEMBER 2011 VOL 56 NO 9Traditional airway maintenance and clearance therapy and principles of application are similar for neonates, children, and adults. Yet there are distinct differences in physiology and pathology between children and adults that limit the routine application of adult-derived airway-clearance techniques in children. This paper focuses on airway-clearance techniques and airway maintenance in the pediatric patient with acute respiratory disease, specifically, those used in the hospital environment, prevailing lung characteristics that may arise during exacerbations, and the differences in physiologic processes unique to infants and children. One of the staples of respiratory care has been chest physiotherapy and postural drainage. Many new airway clearance and maintenance techniques have evolved, but few have demonstrated true efficacy in the pediatric patient population. Much of this is probably due to the limited ability to assess outcome and/or choose a proper disease-specific or age-specific modality. Airway-clearance techniques consume a substantial amount of time and equipment. Available disease-specific evidence of airway-clearance techniques and airway maintenance will be discussed whenever possible. Unfortunately, more questions than answers remain.

show abstract

Airway clearance in children with neuromuscular weakness

Abstract: Secretion extraction and mobilization techniques are safe, even in infants who require airway clearance assistance. To date, however, criteria specific for children are lacking to determine when such modalities should be used and which ones are most effective.

Cited by 41 publications

References 35 publications

Treinamento muscular respiratório na revascularização do miocárdio

Treinamento muscular respiratório na revascularização do miocárdio

Consensus Statement on Standard of Care for Congenital Muscular Dystrophies

Pediatric Airway Maintenance and Clearance in the Acute Care Setting: How To Stay Out of Trouble

Contact Info

Product

Resources

About