Mechanical Insufflation-Exsufflation Implementation and Management, Aided by Graphics Analysis
Mechanical insufflation-exsufflation (MIE) facilitates airway clearance to mitigate respiratory infection, decompensation, and ultimately the need for intubation and placement of a tracheostomy tube. Despite widespread adoption as a respiratory support intervention for motor neuron disease, muscular...
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| Veröffentlicht in: | Chest 2023-12, Vol.164 (6), p.1505-1511 |
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| creator | Troxell, David A. Bach, John R. Nilsestuen, Jon O. |
| description | Mechanical insufflation-exsufflation (MIE) facilitates airway clearance to mitigate respiratory infection, decompensation, and ultimately the need for intubation and placement of a tracheostomy tube. Despite widespread adoption as a respiratory support intervention for motor neuron disease, muscular dystrophy, spinal cord injury, and other diseases associated with ventilatory pump failure and ineffective cough peak flow, there is debate in the clinical community about how to optimize settings when MIE is implemented. This article will demonstrate the clinical utility of MIE graphics in titrating the initial MIE settings, guiding upper airway and lung protective strategies and providing insight to clinicians for ongoing clinical management. |
| doi_str_mv | 10.1016/j.chest.2023.07.007 |
| format | Article |
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Despite widespread adoption as a respiratory support intervention for motor neuron disease, muscular dystrophy, spinal cord injury, and other diseases associated with ventilatory pump failure and ineffective cough peak flow, there is debate in the clinical community about how to optimize settings when MIE is implemented. This article will demonstrate the clinical utility of MIE graphics in titrating the initial MIE settings, guiding upper airway and lung protective strategies and providing insight to clinicians for ongoing clinical management.</description><identifier>ISSN: 0012-3692</identifier><identifier>EISSN: 1931-3543</identifier><identifier>DOI: 10.1016/j.chest.2023.07.007</identifier><identifier>PMID: 37467887</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>ALS ; bulbar dysfunction ; Cough ; cough assist ; cough assist device ; cough peak flow ; graphics (waveforms) ; Humans ; Insufflation ; Lung ; mechanical insufflation-exsufflation ; motor neuron disease ; Respiration, Artificial ; Respiratory Insufficiency - therapy</subject><ispartof>Chest, 2023-12, Vol.164 (6), p.1505-1511</ispartof><rights>2023 American College of Chest Physicians</rights><rights>Copyright © 2023 American College of Chest Physicians. Published by Elsevier Inc. 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This article will demonstrate the clinical utility of MIE graphics in titrating the initial MIE settings, guiding upper airway and lung protective strategies and providing insight to clinicians for ongoing clinical management.</description><subject>ALS</subject><subject>bulbar dysfunction</subject><subject>Cough</subject><subject>cough assist</subject><subject>cough assist device</subject><subject>cough peak flow</subject><subject>graphics (waveforms)</subject><subject>Humans</subject><subject>Insufflation</subject><subject>Lung</subject><subject>mechanical insufflation-exsufflation</subject><subject>motor neuron disease</subject><subject>Respiration, Artificial</subject><subject>Respiratory Insufficiency - therapy</subject><issn>0012-3692</issn><issn>1931-3543</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kM1OwzAQhC0EoqXwBEgoRw4k2HFqOwcOVVVKpSIucMUy9pq6SpwSp4i-Pabh58ZpNavZGe2H0DnBGcGEXa8zvYLQZTnOaYZ5hjE_QENSUpLScUEP0RBjkqeUlfkAnYSwxlGTkh2jAeUF40LwIXq-B71S3mlVJQsfttZWqnONT2cffyJZ1JsKavBdL5U3yb3y6nW_u0omzoBJXnbJvFWbldMhmXhV7YILp-jIqirA2fccoafb2eP0Ll0-zBfTyTLVdFx2qREKODfEaK5xyagVwo41I4ZBbrDNC1EazeiY0QJzwLnV8SsuLAHQRNCCjtBln7tpm7dtpCJrFzRUlfLQbIPMRYFjihAkWmlv1W0TQgtWblpXq3YnCZZfYOVa7sHKL7AScxnBxquL74LtSw3m9-aHZDTc9AaIb747aGXQDrwG41rQnTSN-7fgE2msi14</recordid><startdate>202312</startdate><enddate>202312</enddate><creator>Troxell, David A.</creator><creator>Bach, John R.</creator><creator>Nilsestuen, Jon O.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0009-0002-3169-3412</orcidid><orcidid>https://orcid.org/0009-0002-4185-8452</orcidid></search><sort><creationdate>202312</creationdate><title>Mechanical Insufflation-Exsufflation Implementation and Management, Aided by Graphics Analysis</title><author>Troxell, David A. ; Bach, John R. ; Nilsestuen, Jon O.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c359t-d8ae77d1dc7c0963f88f5c61d6e2d0f2489dc63563407e02fc36978f1eec18343</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>ALS</topic><topic>bulbar dysfunction</topic><topic>Cough</topic><topic>cough assist</topic><topic>cough assist device</topic><topic>cough peak flow</topic><topic>graphics (waveforms)</topic><topic>Humans</topic><topic>Insufflation</topic><topic>Lung</topic><topic>mechanical insufflation-exsufflation</topic><topic>motor neuron disease</topic><topic>Respiration, Artificial</topic><topic>Respiratory Insufficiency - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Troxell, David A.</creatorcontrib><creatorcontrib>Bach, John R.</creatorcontrib><creatorcontrib>Nilsestuen, Jon O.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Chest</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Troxell, David A.</au><au>Bach, John R.</au><au>Nilsestuen, Jon O.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mechanical Insufflation-Exsufflation Implementation and Management, Aided by Graphics Analysis</atitle><jtitle>Chest</jtitle><addtitle>Chest</addtitle><date>2023-12</date><risdate>2023</risdate><volume>164</volume><issue>6</issue><spage>1505</spage><epage>1511</epage><pages>1505-1511</pages><issn>0012-3692</issn><eissn>1931-3543</eissn><abstract>Mechanical insufflation-exsufflation (MIE) facilitates airway clearance to mitigate respiratory infection, decompensation, and ultimately the need for intubation and placement of a tracheostomy tube. 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| fulltext | fulltext |
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| ispartof | Chest, 2023-12, Vol.164 (6), p.1505-1511 |
| issn | 0012-3692 1931-3543 |
| language | eng |
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| source | MEDLINE; Alma/SFX Local Collection |
| subjects | ALS bulbar dysfunction Cough cough assist cough assist device cough peak flow graphics (waveforms) Humans Insufflation Lung mechanical insufflation-exsufflation motor neuron disease Respiration, Artificial Respiratory Insufficiency - therapy |
| title | Mechanical Insufflation-Exsufflation Implementation and Management, Aided by Graphics Analysis |
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