• Medicina intensiva · Jan 2018

    Review

    Ineffective cough and mechanical mucociliary clearance techniques.

    • A Fernández-Carmona, L Olivencia-Peña, M E Yuste-Ossorio, L Peñas-Maldonado, and Grupo de Trabajo de Unidad de Ventilación Mecánica Domiciliaria de Granada.
    • Servicio de Medicina Intensiva, Complejo Hospitalario Universitario de Granada, Granada, España. Electronic address: albertofernandezcarmona@gmail.com.
    • Med Intensiva. 2018 Jan 1; 42 (1): 50-59.

    AbstractCough is a fundamental defense mechanism for keeping the airway free of foreign elements. Life-threatening situations may arise when cough proves ineffective as a result of muscle weakness or altered mucociliary function. When a patient is unable to cough effectively, techniques are required to either reinforce or replace cough capacity. The use of mechanical systems that facilitate or substitute cough function is increasingly common in Intensive Care Units, where it is relatively frequent to find situations of ineffective cough due to different clinical causes. This review examines the current clinical practice recommendations referred to the indication and use of mechanical cough assist and intrapulmonary percussive ventilation systems.Copyright © 2017 Elsevier España, S.L.U. y SEMICYUC. All rights reserved.

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