AI Chat Paper
Discover the SciOpen Platform and Achieve Your Research Goals with Ease.
Search articles, authors, keywords, DOl and etc.
{{expandStatus?'Exit ':''}}Advanced Search
In individuals with ventilatory pump failure (VPF) prophylactic, mechanically assisted airway clearance (ACT) by means of Mechanical Insufflation Exsufflation (MIE), is an important mitigation strategy to prevent respiratory infection, decompensation, and ultimately acute respiratory failure (ARF). VPF secondary to respiratory muscle dysfunction is a significant risk factor in neuromuscular disorders, spinal cord injury, chest wall disease, and may occur in some instances of morbid obesity. In the intensive care unit (ICU), MIE has been shown to help avoid the need for tracheostomy tube placement and improve the success rate of extubation from mechanical ventilation, especially when MIE is used in combination with continuous noninvasive ventilatory support (CNVS). Globally, clinicians are recognizing that initial titration of the settings and ongoing management of MIE can be guided by the flow and pressure waveforms that are a feature of at least one widely available MIE device.
Bach JR. Update and perspectives on noninvasive respiratory muscle aids. part 2: the expiratory muscle aids. Chest. 1994;105(5):1538–1544.
Bach JR, Alba AS, Saporito LR. Intermittent positive pressure ventilation via the mouth as an alternative to tracheostomy for 257 ventilator users. Chest. 1993;103(1):174–182.
Bach JR, Zaniewski R, Lee H. Cardiac arrhythmias from a malpositioned Greenfield filter in a traumatic quadriplegic. Am J Phys Med Rehabil. 1990;69(5):251–253.
Bach JR. Mechanical exsufflation, noninvasive ventilation, and new strategies for pulmonary rehabilitation and sleep disordered breathing. Bull N Y Acad Med. 1992;68(2):321–340.
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(2):170–177.
Bach JR. Perspectives on nasal ventilation: indications, methods, and complementary techniques for patients with neuromuscular disease. Eur Respir Rev. 1993;3(12):243–244.
Bach JR. Comprehensive rehabilitation of the severely disabled ventilatorassisted individual. Monaldi Arch Chest Dis. 1993;48(4):331–345.
Bach JR. Mechanical insufflation-exsufflation: comparison of peak expiratory flows with manually assisted and unassisted coughing techniques. Chest. 1993;104(5):1553–1562.
Hardy KA, Bach JR, Stoller JK, et al. A review of airway clearance: new techniques, indications, and recommendations. Respir Care. 1994;39(5):440–455.
Volpe MS, Naves JM, Ribeiro GG, et al. Airway Clearance with an optimized mechanical insufflation-exsufflation maneuver. Respir Care. 2018;63(10):1214–1222.
Winck JC, Gonçalves MR, Lourenco C, et al. Effects of mechanical in-exsufflation on respiratory parameters for patients with chronic airway secretion encumbrance. Chest. 2004;126(3):774–780.
Chatwin M, Wakeman RH. Mechanical insufflation-exsufflation: considerations for improving clinical practice. J Clin Med. 2023;12(7):2626.
Sancho J, Ferrer S, Bures E, et al. Waveforms analysis in patients with amyotrophic lateral sclerosis for enhanced efficacy of mechanically assisted coughing. Respir Care. 2022;67(10):1226–1235.
Lalmolda C, Prados H, Mateu G, et al. Titration of mechanical insufflationexsufflation optimal pressure combinations in neuromuscular diseases by flow/pressure waveform analysis. Arch Bronconeumol. 2019;55(5):246–251.
Holanda MA, Vasconcelos RDS, Ferreira JC, et al. Patient-ventilator asynchrony. J Bras Pneumol. 2018;44(4):321–333.
Suarez AA, Pessolano FA, Moteiro SG, et al. Peak flow and peak cough flow in the evaluation of expiratory muscle weakness and bulbar impairment in patients with neuromuscular disease. Am J Phys Med Rehabil. 2002;81(7):506–511.
Bach JR. Mechanical insufflation/exsufflation: has it come of age? Eur Respir J. 2003;21(3):385–386.
Sancho J, Servera E, Diaz J, et al. Efficacy of mechanical insufflation-exsufflation in medically stable patients with amyotrophic lateral sclerosis. Chest. 2004;125(4):1400–1405.
Andersen T, Hov B, Halvorsen T, et al. Upper airway assessment and responses during mechanically assisted cough e a narrative review. Respir Care. 2021;66(7):1196–1213.
Nilsestuen J, Hargett K. The use of ventilator graphics to identify patientventilator dys-synchrony. Br Respir Care. 1996;41(12):1105–1122.
Bach JR, Bianchi C, Vidigal-Lopes M, et al. Lung inflation by glossopharyngeal breathing and air stacking in Duchenne muscular dystrophy. Am J Phys Med Rehabil. 2006;86(4):295–300.
Albert S, DiRocco J, Allen G, et al. The role of time and pressure on alveolar recruitment. J Appl Physiol. 2009;106(3):757–765.
Rothen H, Sporre B, Engberg G, et al. Re-expansion of atelectasis during general anaesthesia: a computed tomography study. British Jr Anaesthesia. 1993;71(6):788–795.
Rothen H, Neumann P, Berglund JE, et al. Dynamics of re-expansion of atelectasis during general anesthesia. British Jr of Anesthesia. 1999;82(4):551–556.
Nilsestuen J, Holland V. Graphics analysis during mechanical insufflationexsufflation and implications for improving cough effectiveness. Respir Ther. 2020;15(3):32–40.
This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
京公网安备11010802044758号