Abdominal functional electrical stimulation to enhance mechanical insufflation-exsufflation

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Abdominal functional electrical stimulation to enhance mechanical insufflation-exsufflation

CONTEXT Respiratory complications, attributed to the build-up of secretions in the airway, are a leading cause of rehospitalisation for the tetraplegic population. Previously, we observed that the application of Abdominal Functional Electrical Stimulation (AFES) improved cough function and increased demand for secretion removal, suggesting AFES may aid secretion clearance. Clinically, secretion...

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Mechanical insufflation-exsufflation for airway mucus clearance.

Cough is an important component of airway clearance, particularly in individuals with intrinsic pulmonary disease, weakness of respiratory muscles, or central nervous system disease that impairs breathing. The use of assisted cough to enhance airway clearance in individuals with neuromuscular disease is essential to produce and maintain peak cough flow above a minimum and thereby avoid retained...

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Mechanical Insufflation-Exsufflation: The Good, the Bad, and the Ugly.

Mechanical insufflation-exsufflation is a vital component in the management of respiratory symptoms in individuals with neuromuscular disease.1,2 This therapy is often the primary treatment modality long before additional support such as ventilator assistance is indicated. Although there are only 2 devices approved in the United States, there are several devices that have been approved in Europ...

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Mechanical insufflation/exsufflation: has it come of age? A commentary.

12 In 1852, the English physician MERYON [1] described how a 16-yr-old male with what was to become known as Duchenne muscular dystrophy, died from acute respiratory failure during a febrile episode with "profuse secretion of mucus from the trachea and larynx". One-hundred and fifty years later, over 90% of episodes of respiratory failure in patients with muscular dystrophy are caused by ineffe...

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Mechanical insufflation-exsufflation: Practice patterns among respiratory therapists in Ontario

BACKGROUND The mechanical insufflator-exsufflator (MIE) is effective in assisting cough and in helping to avoid unplanned hospitalizations, tracheostomy and long-term ventilation in patients with neuromuscular disease or spinal cord injury. Despite this, the availability and usage of the device in Canada is unknown. OBJECTIVE To investigate practice patterns and availability of the MIE in Ont...

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ژورنال

عنوان ژورنال: The Journal of Spinal Cord Medicine

سال: 2015

ISSN: 1079-0268,2045-7723

DOI: 10.1080/10790268.2015.1114226